Manuel Paz
@ManuelPazinfanz
Músico frustrado y fan de las nutrias y mapaches. 🦠🧫Infectious Diseases and Internal Medicine
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Weekend Digest Name the Pathogen Five Clues: 1. Tick-borne zoonoses 2. Western US; west of the Mississippi River 3. Multiple 1-3 days fever with crisis phenomenon 4. Hepatosplenomegaly 5. Thick and thin blood smears
bicarb doesn't prevent post-contrast AKI... which makes sense because contrast doesn't cause AKI. it's tough to treat a disease that doesn't exist 👻 (study: bit.ly/2TadP0j) (background from IBCC: bit.ly/39Z4AqB)
Dr. Fatima Z. Syed (@FzsyedMd) shares how her guideline recommendations are carefully tailored to patients’ needs. Read more ow.ly/mNyO50xVw0t. #FreshLook #nutrition
New NICE guidance on contrast-induced nephropathy released. ✅ Well enough to be outpatient = well enough for oral hydration ✅ iv fluid for high risk inpatients (eg eGFR <30) ✅ There’s no renal reason to delay emergency imaging (though discuss if you must) #medtwitter thoughts?
Crónica de una Guardia #4 - Servicio de Nefrología, Hospital Civil "Fray Antonio Alcalde", Guadalajara, Jalisco Durante octubre me tocó rotar por Nefrología, revisaremos dos de las complicaciones más comunes que toca ver en el hospital Inicia #Hilo #MedEd #tweetorial #ENARM
Post-MI complications (fresh @ibookCC chapter & podcast) emcrit.org/ibcc/post-mi-c…
I notice people are still being taught to look at I and aVF when assessing the QRS axis. Doing so would result in this being called a left axis. It's not. Look instead at I and II. If the QRS is predominantly positive in both, the axis lies in the normal range of -30° to +90°.
Mark ❌ your calendar 🗓️, Oct. 28 has been named #NationalInternalMedicineDay by @NationalDayCal! Help us spread the word 📣 and celebrate being #IMproud with customizable posts and graphics ow.ly/rikx50wOHol.
Mitral valve stenosis can be a good thing .... not letting the thrombus pass) #cardiotwitter
Buen resumen CKD
An excellent review of diagnosis and management of chronic kidney disease: CKD can be caused by multiple factors such as hypertension, diabetes and genetics. However, less than 5% of patients with early CKD are aware of their disease. Via @JAMA_current jamanetwork.com/journals/jama/…
🤔
JAMA Clinical Guidelines Synopsis: the 2019 @ACCinTouch/@American_Heart guidelines on primary prevention of #cardiovasculardisease ja.ma/2pBDgNd
diagnostic challenge: Patient presents to ICU with severe hypotension. History and exam are unrevealing. Based on this CBC 👇, why is this patient in shock? 🧩 answer & explaination here: bit.ly/2lVGEAY
o.d – omni die – cada día q.d – quaque die – cada día b.i.d – bis in die – 2 veces al día t.i.d – ter in die – 3 veces al día p.r.n – pro re nata – PRN #UselessFacts
Clinical Outcomes and Economic #Impact of Starting Hemodialysis with a Catheter after Predialysis #Arteriovenous Fistula Creation 👨⚕️ Alian Al-Balas @UAB_NRTC 📰 karger.com/Article/FullTe…
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