Unremarkable Labs retweeted
#UncleBob proudly presents Annals On Call - Exercise for Knee Osteoarthritis: Is More Better? @AnnalsofIM acpjournals.org/doi/10.7326/… featuring @ppattyperez Physical Therapist
Unremarkable Labs retweeted
#UncleBob - if you are a hypercalcemia fanatic, you will likely love this
@rabihmgeha @DxRxEdu @CPSolvers @UnremarkableLab
The Case | A 48-year-old man with recurrent hypercalcemia and uremia after parathyroidectomy kidney-international.org/art…
Unremarkable Labs retweeted
#UncleBob Hot take - the biggest problem in evidence based medicine is understanding that the lack of evidence FOR something does not provide evidence AGAINST something. It depends on sample size and type of available studies.
Unremarkable Labs retweeted
#UncleBob and @NatashaMehraMD proudly present a new:
Unremarkable Labs: An Uncommon Presentation of a Common Pathology youtu.be/z1BHcFlYuDg via @YouTube
@uabimres
@DxRxEdu @rabihmgeha
Unremarkable Labs retweeted
Cause of eosinophilia:PACCMAN
Parasites
Asthma
Churg-Strauss
Chronic adrenal insufficiency
Myeloproliferative disorders
Allergy
Neoplasia
Unremarkable Labs retweeted
#Medtwitter & #RheumTwitter
What conditions typically treated by rheumatologists prompt the possibility of an underlying cancer?
Dermatomyositis is one.
What are some others?
<3 @DxRxEdu
Unremarkable Labs retweeted
Consult for hypercalcemia.
Patient had gone to their primary for a routine visit. Labs showed a calcium of 14.9 (Day zero). The next day the primary saw the labs and told them to go to the ED for AKI and hypercalcemia. First two sets of labs are below...
Unremarkable Labs retweeted
#2thingsSunday
1) A major dx to rule out in most acutely ill hospitalized patients is ADRENAL INSUFFICIENCY.
➡️ Hyperkalemia
➡️ Metabolic acidosis (NAGMA)
➡️ Hypoglycemia
➡️ Hyponatremia
- Check 4-6 AM cortisol
- Random cortisol must be ⬆️. “Normal”is not OK.
1/2
Unremarkable Labs retweeted
#2things Saturday
1. Diagnosing hyponatremia with dilute urine - pt had urine sp gr 1.004 (rule of thumb - multiply last 2 digits by 30) - said he drank as much beer as he wanted - non-specific - admitted that he ate little - therefore beer potomania - easily corrected w/ solute
Unremarkable Labs retweeted
Once again we diagnosed beer potomania. At a Na of 128 he had a major gait disturbance. Intern was amazed the this phenomenon really exists. We see it every few years. @uabimres @UnremarkableLab
Unremarkable Labs retweeted
#UncleBob loves this:
Serum Cystatin C for Estimation of GFR ja.ma/3p3CnIN via @JAMA_current part of @JAMANetwork
@UnremarkableLab @2thingsteam @UAB_NRTC @uabimres
We have seen a couple of similar stories this year
Unremarkable Labs retweeted
How does Cushing cause hypokalemia?
- One of the many questions that came up during today's @CPSolvers VMR weekly recap.😁
@rabihmgeha @MadellenaC @Rafameed @rav7ks @deboracloureiro 💙
For the answer, follow this thread :)
Unremarkable Labs retweeted
Got consulted on a great case today. Thought I’d share since it’s a very distinctive rash that I’ve seen many times in books but never in real life before! This isn’t my patient but his eruption looked exactly like this. Any ideas? 😏
Unremarkable Labs retweeted
Interesting question last night, recording @UnremarkableLab - why is potassium repletion so important in a patient with chloride responsive metabolic alkalosis. Difficult to find a clear answer
@askrenal @kidney_boy @luck_urine @hswapnil
Unremarkable Labs retweeted
Suggestion 4 the cirrhosis w/ ascites . First, check urine Na/K. If K > Na - start spironolactone 100 mg & be sure urine Na > K. Only then start a loop diureticto avoid hypokalemia. Titrate spiro until uNa > K. Also if side effects consider epleronone or amiloride instead.
Unremarkable Labs retweeted
2things from a #medstudent!
1. Febrile neutropenia = ANC<500 + T≥101 or T≥100.4 for >1hr = EMERGENCY! Start empiric abx within 1 hr! Delay can lead to 70% increase in mortality.
2. In pts with cirrhosis, consider starting with spironolactone/lasix in 10:4 ratio (100mg/40 mg)
Unremarkable Labs retweeted
We have a responsibility to applaud questions. Tell students and interns to stop the discussion if they do not understand something. That is why we are there to teach - we can clarify and help our learners grow. #MedEd
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