#ecuimres transcript

Healthcare Social Media Transcript

From: Wed Aug 28 8:45:00 PDT 2013
To: Wed Aug 28 14:00:00 PDT 2013

What is #ecuimres? Who were the influencers during this time period? #ecuimres analytics


Healthcare Conference  - Healthcare Tweet Chats  -  Healthcare Analytics

ecuimchiefs
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73 y/o M w/worsening fatigue. Who’s the culprit? The heart, the kidney, both or ??? Join us to find out more #noonreport #ecuimres
nephondemand
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#ecuimres 8/28: case presentation by Dr L Cameron (who happens 2 have forgotten her twitter handle!) tweets 2 come #FOAMed #meded
nephondemand
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#ecuimres 8/28: a consult case 4 hyponatremia, anasarca & AKI. #FOAMed #meded
nephondemand
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#ecuimres 8/28: 73 M w/SOB & abdominal swelling --> +30 lbs unintentionally; @ OSH, Na 117, INR 10 #FOAMed #meded
nephondemand
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#ecuimres 8/28: prior 2 transfer was placed on Lasix 120 mg IV per hour --> hypotension requiring dopamine #FOAMed #meded
nephondemand
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#ecuimres 8/28: despite Lasix gtt remained very dyspneic w/worsening anasarca; then transferred 2 ... http://t.co/pzfcxRMQHS
nephondemand
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#ecuimres 8/28: PMH: AFIB on warfarin, diastolic CHF, COPD, HTN, right heart failure 2/2 severe pulmonary HTN, no known CKD #FOAMed #meded
nephondemand
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#ecuimres 8/28: meds: albuterol, allopurinol, statin, fentanyl, Lasix PO qd, metolazone, PPI, KCl, prednisone #FOAMed #meded
nephondemand
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#ecuimres 8/28: Dr Obi explains the pathophysiology of y metolazone needs 2 b given before loop diuretics -- gr8 explanation #FOAMed #meded
nephondemand
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#ecuimres 8/28: Dr Leland questions the need 4 fentanyl--takes it 4 chronic back pain #FOAMed #meded
nephondemand
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#ecuimres 8/28: PSH, SH, FH, & Allergies r non-contributory 2 this admission #FOAMed #meded
nephondemand
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#ecuimres 8/28: pt was given 3% saline to correct hyponatremia (Na 117) but no report of neuro deficits #FOAMed #meded
nephondemand
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#ecuimres 8/28: multiply quantity of 3% saline given with 3.33 to understand the equivalent NS that he was given. #FOAMed #meded
nephondemand
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#ecuimres 8/28: @ecuimchiefs breakdown pulmonary HTN into 6 classes which r mostly 4 diagnosis not treatment or prognosis #FOAMed #meded
nephondemand
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#ecuimres: HR 90, BP 80/40, RR 15, 97% on 2L, JVD unclear 2/2 PVL placed, pitting edema everywhere, LE cyanosis, no crackles #FOAMed #meded
nephondemand
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#ecuimres 8/28: on arrival hgb 12, INR 5, Na 127, cr 1.7, albumin 4, UOSM 332 #FOAMed #meded
nephondemand
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#ecuimres: U Na 17--Dr Obi explains what the importance of urine Na is in someone who is hypotensive but on high Lasix doses #FOAMed #meded
nephondemand
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#ecuimres 8/28: everyone agrees cardiorenal syndrome is the current dx #FOAMed #meded
nephondemand
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#ecuimres 8/28: Dr Sarna reviews TTE: RVOT massively dilated w/barely Any wall motion #FOAMed #meded http://t.co/0ABBYfNnoq
nephondemand
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#ecuimres 8/28: severe TR as well; + McConnell's sign #FOAMed #meded
nephondemand
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#ecuimres 8/28: gr8 discussion by Drs Leland, Obi, @nephondemand @ecuimchiefs, Dr Sarna, @cijones11 @drgregharris #FOAMed #meded
nephondemand
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@caravanvoyager #ecuimres hepatic congestion causing altered metabolism (hence INR of 10), exam limited by anasarca
nephondemand
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#ecuimres #FOAMed #meded #medstudent recap of today's gr8 case discussion of Cor Pulmonale here ... http://t.co/5UwBBLdiXS

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