'Practice for Real Life: Diversifying Cases in Educational Conferences'

Spice up your morning reports and case conferences. Open access.

amjmed.com/article/S0002-…

Some meds in hospital are ordered BID (9a, 5p) or TID (8a, 1p, 5p) when more appropriate may be q12 (9a, 9p) or q8 (e.g. 7a, 3p, 11p).

Certainly true for antibiotics, cardiac meds etc, but can be important for symptomatic meds too.

Example: still neuropathic pain at night:

Love this ECG from Willy Frick . RBBB in a patient with dextrocardia.

V1 looks about the same as it should in a levocardic RBBB.

But the deep, wide S, typically seen in lead I, is instead in aVR.

And lead I has another RSR', kind of how aVR normally would in RBBB.

Love this point: RV is anterior ventricle.

The reason we don't see STE in V1-V3 more often from RCA OMIs is that there's usually a simultaneous posterior-directed injury current from PDA territory of the LV, thus canceling or even 'winning,' and resulting in STD V1-V3 instead.

Congrats to our PGY-2 Erin H. Yang and faculty mentors on this publication!

Great ideas and recommendations, and the table is 🔥🔥🔥

It was great to work with Erin H. Yang, Zaven Sargsyan, and Steph on this thought piece in The American Journal of Medicine!!

👇👇👇

pubmed.ncbi.nlm.nih.gov/38588940/

🧵

1/

This patient had a “3-vessel CABG” 20 years ago & now had this coronary angiogram 👇

What do you think actually happened back then? 🤔

#CardioTwitter #ACCFIT #Cardiology BCM Cardiology #MedTwitter SCAI Now Texas Chapter - ACC American College of Cardiology AHA Science

Likert scale for internists.

To what degree do you agree with the following statement: “xxxxxx'

I disagree
I don't disagree
It's not unreasonable
It's reasonable
I agree

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“Can I run something by you?”

It was Saturday. I was already gone. She was still on the ward. I didn’t respond to that text. Instead, I called her directly.

Me: “Hey.”
Her: “I’m so sorry to bother you, Dr. Manning.”
Me: “Never be sorry.”

*silence*

Me: “I’m all ears.'

Zaven Sargsyan I've had 2 patients present with horrific adrenal insufficiency due Artri King. I don't understand how it still finds its way into people's hands, and how the manufacturers/distributors aren't in jail.

Calling all CardioNerds!
You are evaluating a new👩 with your 👩‍⚕️👨‍⚕️ in the CCU!
A 35 yo 👩 with sob & sharp chest pain that⬇️ while leaning forward
👨‍⚕️: Oh! ⬆️JVP!
👩‍⚕️: This is not only ⬆️JVP, look at this tracing!
How do explain this JVP waveform?
Reference 📽️ 👇
#CNshowmeasign

Such a cool diagram

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Me: Lift up your leg.
Patient: I can't!
Me: Ok, look at it and then lift it.
Patient: (lifts leg) Woah!
Me: Voila!

A #tweetorial #neurotwitter #MedTwitter #neuromuscular #MedEd #neurology

Hint: It's not functional neurologic disorder (FND)
Another Hint:

Zaven Sargsyan I’ve had a LOT of patients with peptic ulcer disease related to “artri king” use…also 1 patient with adrenal crisis…

What’s happening here?

Dorian L. Beasley MD, FACC Nanashī 🫀 Tony Breu Avraham Z. Cooper, MD Zaven Sargsyan Hany Ragy

(Has anyone seen this finding in this way before?)

Overheard for ICU sign out: “let their vitals guide you”

Beware Umary supplements

They really work well for pain……because they contain diclofenac 😳

winnipeg.ctvnews.ca/it-could-be-ca…

Example #9846292 that the med rec is a critical part of assessing and addressing a patient's issues