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Casey Albin, MD
@caseyalbin
Neurointensivist @EmoryNeuroCrit | @ContinuumAAN media AE | Passionate about #FOAMncc & acute neurology
Atlanta, GA
Joined February 2021
Posts
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    I am thrilled to share that all my NeuroICU Tweetorials are now indexed on the @neudrawlogy website by the extremely talented @gabifpucci! Check out all former #tweetorial cases and collect her awesome infographics! neudrawlogy.com/casey-albins-t…
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    1/ Awhile ago, on a triage call: “I’ve got a guy here, pretty young, came in looking terrible. GCS 4, we intubated him. Scan shows a big bleed. ICH score 4. Not sure much you’ll be able to do, but need to transfer him.” A #tweetorial about the ICH score. @MedTweetorials
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    Because writing "I dunno.... Looks symmetric. It's probably a metabolic thing" in the chart is generally frowned upon. Love this. pubs.rsna.org/doi/pdf/10.114… #neurotwitter
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    1/ In early residency, I was in a family meeting. “Unfortunately, your 55yo loved one has suffered a very large stroke affecting a large portion of the brain. Surgery would reduce the change of death, but not the disability from the stroke.” True or False? Vote below
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    1/ A 28 yo W with rapid-onset, severe weakness. In the ED she is barely able to lift her head; CNs are intact. She has severe symmetric upper & lower weakness (3/5 prox, 2/5 distal) with normal reflexes. Normal sensation. CSF protein=normal. A #continuumcase
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    1/ A 34 yo M presents with worsening confusion and seizures. He is febrile. He is intubated and transferred to the NeuroICU. A #continuumcase about a cause that’s probably low (not) on your DDx.
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    1/ #ContinuumCase!! A 50 yo man presented to the ED with acute onset aphasia. He is not able to report a history, but BP Is 215/95. Non-contrast HCT reveals this bleed… What do you want to see next?
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    OMG yall!! I’m so excited, honored, floored there’s this much excitement about this little guide. I am shocked it’s actually in final stages after like FOREVER in purgatory. Thank you #NeuroTwitter for the support! Truly. ❤️
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    1/ 1st week of NeuroICU fellowship. A #tweetorial summary: 1⃣ Pt in DI. Give anti-diuretic hormone (ADH), call it “pit drip” 2⃣Pt in distributive shock. Give ADH, call it “vaso” 3⃣Pt on ASA needs EVD. Give ADH (sort of), call it “DDAVP” 4⃣ Fellow postcall & confused, give….
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    This is not GBM.... what is it, #NeuroTwitter?? the key -- pull your eyes away from the most exciting part of the brain (in this case the left) and look at the whole picture. From #JoshKlein's lecture @ #AANSC @aanmember
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    Amazing slide for some of the key trials in ICH: #AANFC
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    1/ A 21 yo G1P0 reports a severe headache 3 days after delivery. BP 182/100😱 While waiting to be admitted, she vomits & has a generalized tonic clonic seizure. She is sedated and intubated for eclampsia. The next morning, she has blown pupils. A #continuumcase. @LyellJ
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    1/ A 32 yo woman presents with headache and somnolence. She is febrile to 102.6F. Exam reveals neck stiffness and this rash…which, when your attending arrives, is absent #hatethat! A #continuumcase @ContinuumAAN @LyellJ
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    #NeuroPostItPearl #21 1/ Every now and then I'll be on a triage call where a patient is likely peri-herniation and the hypertonic saline or mannitol is "going to come from pharmacy" which means these are not readily available and thus worthless. No worries!