General Internist @UBCMedicine @VCHHealthcare | super #POCUS nerd | @westernsono alumna | #POCUS, #GIM, #criticalcare | Mom of boys | Outdoor enthusiast
Vancouver, British Columbia
Joined June 2015
- Tweets6.8K
- Following1.2K
- Followers10K
- Likes29.2K
Pinned Tweet
Confession: I LOVE hyponatremia 🤓
(I know, I know. What can I say, I'm a true internist!)
HypoNa is often feared, maligned, and misunderstood - but I promise it doesn't have to be scary!
Here are my top 10 hyponatremia tips and tricks - a 🧵
Katie Wiskar retweeted
Thanks to @khaycock2 @EMNerd_ @Ad12Andre and @WBeaubien for their invaluable help! Hopefully this can reframe some common issues we see and hear about :-) theultrasoundjournal.springe…
Katie Wiskar retweeted
What an incredible couple of days at #HR26 in Montréal 🇨🇦!
Physiology, POCUS, great cases, and even better friends 🔥
@NephroP @FH_Verbrugge @katiewiskar @emireles_c @pdsalinas @chatterJ5 @francescorradi
Katie Wiskar retweeted
Really neat substack here discussing the utility of VExUS and RV-PA coupling 👏 @LPorayko supports the strength perhaps of PV pulsatility index Vs HV waveform analysis. #FOAMed #POCUS #FOAMcc
lorneporayko.substack.com/p/…
Thank you Abhi! Such an honour and a pleasure to be around so many hemodynamic geniuses 👩🏼⚕️
This is such a special conference! #HR26
Great talk by @katiewiskar on the myths and misconceptions around volume status at #HR26.
In fact, even #POCUS-assisted “volume status” assessment is a bit of a myth - it’s really hemodynamic assessment, as she emphasized.
Reviving this account (it’s been a minute!) because I am TOO excited to finally be heading to #HR26 in person! 🎉🥳👏
Can’t wait to finally meet so many folks that I’ve collaborated with across a screen for years 😊🤓
Cirrhosis tips and tricks part 3: the hypotensive cirrhotic 😱
This is SUPER common and can get spicy 🌶️- these patients can get sick quick!
Here are some useful principles to remember 🧵
Check out part 2 on decompensating events here: xitter.cf/katiewiskar/status/198…
And part 1 on general principles: xitter.cf/katiewiskar/status/198…
One of the most requested teaching topics I get from trainees on our medical wards is cirrhosis and liver disease 🩸
Which is understandable - this is an intimidating topic for many learners, as there are so many layers of complexity to consider 🤔
Here's part 1 (of several to come!) of my cirrhosis tips and tricks: a short 🧵
Katie Wiskar retweeted
Appreciate you lending your #POCUS (physical exam) superpowers to us nephrologists.
The aspiration is that we grow to stand beside you — not depend on you, in near future 😉
Hoping this #KidneyWk precourse sparked that momentum. 🔦
Highly, highly recommended. This was a great listen - loved heard the dissection of the trial and the new questions generated by this discussion.
@edu_kattan @AndromedaShock @emcrit
A nice chat with Scott Weingart (EmCrit) together with Eduardo Kattan digging deeper into the foundations and results of ANDROMEDA-SHOCK-2😍
emcrit.org/emcrit/andromeda-…
Cirrhosis tips and tricks part 2: Decompensating events
high yield infographic alert 🚨🔔‼️
These are what bring folks into hospital 🏩; and there are a few nuances here to unpack 🧵
Quick shout-out to one of the Honorable Mentions: Hepatic Hydrothorax.
These can be VERY difficult to deal with. The golden rule is NOT to instrument the chest if you can avoid it; and if you do need to drain the fluid, never insert an indwelling drain. This patients are at VERY high risk of complications with indwelling drains in particular. Serial in-and-out thoracenteses only ‼️
If possible: management is with sodium restriction, diuretics, and paracentesis. Some patients may benefit from pleurodesis or TIPS.
I'd love to hear #cirrhosis pearls from others! ☺️
Part 1: general cirrhosis tips and tricks is here -->
xitter.cf/katiewiskar/status/198…
#MedEd #MedTwitter #MedX #FOAMed
One of the most requested teaching topics I get from trainees on our medical wards is cirrhosis and liver disease 🩸
Which is understandable - this is an intimidating topic for many learners, as there are so many layers of complexity to consider 🤔
Here's part 1 (of several to come!) of my cirrhosis tips and tricks: a short 🧵