Monday practice:
Read this X-Ray and give the most specific diagnosis you can before reading the rest of the short thread.
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BCM IM Residency
1,770 posts
BCM IM Residency
@BCM_InternalMed
Caring for a diverse community of patients and fostering the development of physicians as leaders and life-long learners.
- Wonderful take on the approach to shock/hypotension from PGY2 Brandon Blau.
- Replying to @BCM_InternalMedIn the context of the acute rib fracture, hemothorax should be suspected. This patient had a history of chest trauma 2 weeks ago and progressive dyspnea since. 3/3
- With “white out” of one hemithorax, look at the trachea. Deviation toward whiteout -> pulled by lung collapse (atelectasis / bronchial plug / intubation of contralateral mainstem bronchus). Deviation away -> pushed by pleural effusion or hemothorax. Which is the case here?
- Wow! PGY3 @AnthonyXuMD gave an awesome review of variceal bleeding and the relative benefits for the interventions in acute bleeding esophageal varices...with references to boot! @bcm_gihep
- Congrats to our residents on the 2023 fellowship match! 🥂We are so proud of you 😊
- How to think about non-resolving pneumonia, from PGY-2 @bahdi_firas . Take a minute to review: - when to consider things "non-resolving" - etiologies / differential - diagnostic approach (great emphasis on iterative history-taking) Thanks Firas for great teaching.
- This is an intercostal lung herniation, presenting with acute pain and bulge while coughing. When symptomatic, they need reduction and surgical repair of the defect to treat pain and prevent recurrence and complications. Thanks @DrCavazosDeLeon
- Tuesday practice: Interpret this EKG before reading the rest of the short thread. It was obtained in a patient with cirrhosis and subacute dyspnea. 1/7
- Monday detective practice: Deduce a narrative based on this snapshot. 1. What do you think happened? 2. What one thing do you want to know to confirm? 3. What would you do next?
- Hey, #MedTwitter! What is the overlap between "Infective Endocarditis" and "Acute Kidney Injury." Let's get a broad differential diagnosis running!
- A couple pearls from recent morning report case: Non-ischemic cardiomyopathy is a syndrome, not a diagnosis. Use history and targeted work-up to determine an underlying cause if possible. A useful schema from @CPSolvers : clinicalproblemsolving.com/wp-content/upl… 1/5
