#ecuimres transcript

Healthcare Social Media Transcript

From: Thu Nov 01 0:00:00 PDT 2012
To: Sun Nov 04 8:00:00 PST 2012

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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#ecuimres @GelNangit about to start #morningreport but first a bit of #pulmonary #abim board review #meded #medstudent #medicine
ecuimchiefs
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#ecuimres @GelNangit #morningreport 73 yo F c/o #chestpain x 2 days #meded #medicine #medstudents #medschool #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport pain is sharp, constant, nonradiating #meded #medicine #medstudents #medschool #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport ROS includes 15lb weight gain +swelling +fatigue#meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport #chestpain is radiating to back+sob+cough #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport PMHx hypothyroidism but has been off meds x3 mos #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport smokes 2 cigs/d, occasional etoh, not sex active #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport FHx: mom died from #coloncancer #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport NKDA, meds: vit E, Prilosec, benazepril #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport DDx: pericarditis, myxedema coma, PE, dissection #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport DDx: pna, #nephrotic syndrome,Cushings,cirrhosis #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport DDx: malignancy #meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres#morningreport PE: VSS @manishdoc doesn't think this leads us to hypothyroidism DDx #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport PE: NAD, alert, mild nonpitting edema BL ankles #meded #medicine #medstudents #medstudent
ecuimchiefs
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@ecuimchiefs: #ecuimres @GelNangit #morningreport PE: very dry skin, no JVD, no #chest wall tender #meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres @GelNangit #morningreport PE: diffuse slow relaxation phase on DTRs, sym BP readings #meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres @GelNangit #morningreport WBC 4, HCT 27, Na 137, BUN 14, Cr 1.8 baseline, Ca 8.8 #meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres @GelNangit #morningreport #meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres @GelNangit #morningreport TSH 72, Tbili 1.69, AP 67, AST 55, ALT 60, lipase 48, CEx3 neg#meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres @GelNangit #morningreport ECG: @manishdoc interpret slow voltage, sinus brady, no STabnl #meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres #morningreport @medicinespinoza wants pulsus paradoxus &it was neg as per @GelNangit #meded #medicine #medstudents #medstudent
ecuimchiefs
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#ecuimres @GelNangit #morningreport fT4 <.2, CXR: mild cardiomegaly, CT chest 12.2mm pericardial effusion #meded #medicine #medstudents
ecuimchiefs
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#ecuimres @GelNangit #morningreport TTE confirmed pericardial effusion, did not tap, restarted her synthroid #meded #medicine #medstudent
ecuimchiefs
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#ecuimres @GelNangit #morningreport So when do u tap? @manishdoc says after 3 mos if pericardial effusion persists #meded #medstudents
nephondemand
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#kidneywk12 11/1: State of the art lecture: Tolerance & #kidney #transplantation by David Sachs #ecuimres
nephondemand
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#kidneywk12 11/1: Kidney Health Initiative is a collab w/the FDA 2 promote new treatments & better prevention #ecuimres
nephondemand
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#kidneywk12 11/1: Falk urges all #nephrology providers 2 begin thinking abt CURE even though we don't know how 2 do that today #ecuimres
nephondemand
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#kidneywk12 11/1: ASN now has raised $14m 4 research grants 2 young investigators; $10m from @Fresenius #ecuimres
nephondemand
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#kidneywk12 11/1: $10m gift by @fresenius is named after Ben Lipps MD, who states by 2020 projected 2 b 4 mil pts on #dialysis #ecuimres
nephondemand
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#kidneywk12 11/1: Sharon Anderson research grant 4 young investigators now established; the 1st female president of @ASNKidney #ecuimres
nephondemand
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#kidneywk12 11/1: D Oreopoulos grant by @Baxter also established by the @ASNKidney Foundation 4 #Kidney Research #ecuimres
nephondemand
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#kidneywk12 11/1: G Rathmann grant funded by @Amgen; was the founder of Amgen w/only 4 employees #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance & #kidney Transplantation: mixed chimerism seems 2 work 2 induce tolerance in primates #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance &amp; #kidney Transplantation: in the ITN NKD01 protocol, 6 of 6 pts developed tolerance w/chimerism #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance &amp; #kidney Transplantation: latest chimerism trial here Transplantation 2011 p672 #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance & #kidney Transplant: these 6 pts all had multiple #myeloma & thus required a BM transplant anyway #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance and #kidney Transplantation: in NEJM 2008 p353, new trial looked @ pts who didn't have a malignancy #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance and #kidney Transplantation: chimerism lost in 1-2wks & engraftment syndrome developed #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance and #kidney Transplantation: ITN NKD03 looked @ 5 more cancer-free pts: 3 r off of IS x2-3y; 1 w/ACR #ecuimres
nephondemand
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#kidneywk12 11/1: Tolerance & #kidney Transplantation: Sachs experience w/chimerism, 70% become tolerant, 20% w/3y graft failure #ecuimres
nephondemand
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#kidneywk12 11/1: #Ultrasonography: 4 things u can assess: parenchyma, urinary space, masses, & vasculature #ecuimres
nephondemand
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#kidneywk12 11/1: #Ultrasonography: cortical thickness is a great measurement to assess for CKD #ecuimres
nephondemand
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#kidneywk12 11/1: #Ultrasonography: Normal cortical thickness ~5-9 mm; normal kidney size 10-12 cm but dependent on pt height #ecuimres
nephondemand
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#kidneywk12 11/1: #Ultrasonography: resistive index can b measured reliably b/c does not depend on sound angle #ecuimres
nephondemand
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#kidneywk12 11/1: #Ultrasonography: PSV of renal artery very irreproducible b/c of improper sound angle #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: ~50% of middle aged adults will have an incidental renal mass (solid benign or cystic) #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: cysts still evaluated by ultrasound using the Bosniak score (0-4); higher score is worse #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: both imaging studies identify mass lesions by enhancement; #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: 80% of solid masses r malignant, but if <1cm, only 40%; size helps in determining if we can just follow #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: CT uses Hounsefield units 2 quantify enhancement; simple cysts HU usually 0-5, just like water #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: MR uses T1, T2 & diffusion weight imaging to differentiate enhancing lesions #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: diffusion weighted imaging looks @ ease w/which H2O flows into tissue. In a cyst, should b easy #ecuimres
nephondemand
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#kidneywk12 11/1: CT v MR: DWI in a tumor--difficult to diffuse water --> black imaging on MR #ecuimres
nephondemand
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#kidneywk12 11/1: CTA v MRA: both equivalent in imaging renal artery; latter limited by pt motion; former by radiation & contrast #ecuimres
nephondemand
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#kidneywk12 11/1: Nuclear Imaging: DTPA used for glomerular fxn b/c 100% filtered; MAG3 used 4 tubular fxn (97% secreted) #ecuimres
nephondemand
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#kidneywk12 11/1: Nuclear Imaging: PET has very limited role in renal imaging. #ecuimres
nephondemand
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#kidneywk12 11/1: Nuclear Imaging: images r taken posteriorly so R kidney is on R side of image #ecuimres
nephondemand
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#kidneywk12 11/1: Nuclear Imaging: lasix is added to avoid pooling of radiolabel; if there is pooling, there is an abnormality #ecuimres
nephondemand
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#kidneywk12 11/1: Poisonings: though we commonly use extracorporeal tx 4 treatment data is very questionable #ecuimres
nephondemand
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#kidneywk12 11/1: Poisonings: log transformation of concentration-time curves suggest no acceleration in drug removal w/ECT #ecuimres
nephondemand
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#kidneywk12 11/1: Poisonings: EXTRIP is a global consortium 2 help us determine if ECT actually works compared 2 innate metabolism #ecuimres
nephondemand
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#kidneywk12 11/1: Poisonings: EXTRIP data on VPA Poisonings unpublished but discussed today. Will have full info in blog tonight #ecuimres
ecuimchiefs
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#ecuimres #grandrounds underway. In Brody Auditorium.Dr Sharon Ben-Or presenting"The pleural space and pleural diseases" #meded #medstudent
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: Must send culture and sens on pleural studies from thoracentesis! #meded #medstudent #medschool #medicine
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: Lights criteria-LDH & protein http://t.co/mgm2hljX #medstudent
ecuimchiefs
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#ecuimres how to check for an air leak on CT? have pt cough, valsalva and make sure tube is connected! #meded #medstudent #medicine
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: When to remove the CT?No air leak & <200cc/24hrs, exception-pt on high PEEP or empyema #medstudent #meded
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: subcutaneous emphysema can be scary but doesn't need chest tube! #medstudent #meded #medicine #medschool
ecuimchiefs
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@ecuimchiefs: #ecuimres #grandrounds Dr Ben-Or: Dec cardiac return is cause of death in pts who develop tension pneumo #medstudent #meded
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: When to do chrmical pleurodesis? usually reserved for malig effus #medstudent #meded #medicine #pulmonary
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: Trapped lung from fibrosis so can look like pneumothorax on CXR #medstudent #meded #medicine #medschool
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: empyema=zit of the #chest #medstudent #meded #medicine #medschool
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: lung decortication goal is to reexpand lung #medstudent #meded #medicine #medschool
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: look at mediastinal window on #chest CT along c lung window #medstudent #meded #medicine #medschool
ecuimchiefs
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#ecuimres open Thoracotomy: an Eloesser flap is NOT permanent! #meded #medicine #pulmonary #medstudent http://t.co/Etye6Gr2
ecuimchiefs
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#ecuimres #grandrounds Dr Ben-Or: Eastern NC Lung Symposium Friday Nov 9th 9a at ECHI #ECU #medstudent #meded #medicine #medschool
nephondemand
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#kidneywk12 11/2: Renal Glucose Transport: NOT essential 4 life!! More on the blog later today http://t.co/3tYGj15u #ecuimres
nephondemand
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#kidneywk12 11/2: Renal glucose transport: new drugs 4 DM target SGLT receptors in kidney & prelim data show they lower A1c by 1% #ecuimres
nephondemand
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#kidneywk12: Renal glucose transport: these drugs r derived from phlorizin, identified in 1855 & studied by Homer Smith in 1937! #ecuimres
nephondemand
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#kidneywk12 11/2: Renal glucose transport: dapagliflozin blocks SGLT & decr A1c but doesn't cause hypoglycemia Lancet 2010 p2223 #ecuimres
nephondemand
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#kidneywk12: Healthcare Reform in US: 5 myths abt healthcare in America by Roper of UNC: 1-US healthcare system is best in world #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: myth 2-- everybody eventually gets the care they need #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: at UNC, $320 mil of care was delivered w/o reimbursement per W Roper of UNC #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: myth 3-almost always the quality of care people get is very good #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: myth 4--the cost of care in America really isn't a problem #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: healthcare employs a lot of people; in NC the healthcare unemployment rate is only 2% #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: myth 5--Roper believes #obamacare will ADD to the overall cost of care in America #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: Roper (from Birmingham, AL) served for 3 republican presidents-Reagan and bush x 2. #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: myth 5-- nothing about your healthcare will change. In truth EVERYTHING will change #ecuimres
nephondemand
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#kidneywk12 11/2: Healthcare Reform in US: Roper believes that all of healthcare has 2 change if things r 2 b better #ecuimres
ecuimchiefs
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#ecuimres #fridayconference Hand your pagers over, lunch @Brody 2S-04! 1p Dr Siraj"Travel Med"2p Dr Jacob "OccupLungDz" 3p Dr T"HLD" #meded
nephondemand
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#kidneywk12 11/2: Career Fair: U of Louisville looking 4 Assist Prof. Call 502-852-5760 4 more info #ecuimres
nephondemand
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#kidneywk12 11/2: Career Fair: Texas Tech looking 4 junior faculty. Visit http://t.co/PF4ABTHP for more info #ecuimres
nephondemand
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#kidneywk12 11/2: Career fair: Cleveland clinic looking for transplant & general nephrologists. Go to http://t.co/7EyrlGjG #ecuimres
nephondemand
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#kidneywk12 11/2: Career Fair: Georgetown U looking 4 ass. professor in the physician-educator track. Wilcoxch@georgetown.edu #ecuimres
nephondemand
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#kidneywk12 11/2: #Preeclampsia: new definition will now EXCLUDE edema and, most likely, proteinuria #ecuimres
nephondemand
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#kidneywk12 11/2: #Preeclampsia: PRAM study suggests that our methods 4 measuring BP in pregnant patients is inaccurate #ecuimres
nephondemand
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#kidneywk12 11/2: #Preeclampsia: new treatment is very promising--will discuss in detail on blog l8r today http://t.co/qu2i7N07 #ecuimres
lemonde727
@Ecuimchiefs #Ecuimres http://t.co/BmtUinj6
ecuimchiefs
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Great talk by Dr Tanenberg& thanks to Dr Hussain RT “@lemonde727: @Ecuimchiefs #Ecuimres http://t.co/5lZtscPr” #meded #medstudent #medicine
nephondemand
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#kidneywk12 11/2: Cancer screening in ESRD: risk of mortality 4 women >65 is greater if ESRD+ than if u have breast or colon CA #ecuimres
nephondemand
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#kidneywk12 11/2: Cancer screening in ESRD: breast calcifications increase in ESRD, making mammography results artificially high #ecuimres
nephondemand
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#kidneywk12 11/2: Cancer screening in ESRD: FOBT more likely +ive in ESRD b/o gastritis or angiodysplasia #ecuimres
nephondemand
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#kidneywk12 11/2: benefits of CA screening unlikely 2 b realized by most ESRD pts b/c they won't live long enough 2 reap benefit #ecuimres
nephondemand
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#kidneywk12 11/2: #immunizations in ESRD: these pts follow the ACIP guidelines 4 immunocompromised patients (MMWR 2012) #ecuimres
nephondemand
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#kidneywk12 11/2: #immunizations in ESRD: does not seem 2 be any ESRD-specific guidelines 4 vaccination. Correct me if I'm wrong #ecuimres
nephondemand
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#kidneywk12 11/2: #cardiovascular dz in ESRD: Intense BP control does not change mortality. Another -ive study in #dialysis pts #ecuimres
nephondemand
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#kidneywk12 11/2: #lipid mgmt in ESRD: AURORA trial showed no benefit using #statin therapy in #dialysis pts #ecuimres
nephondemand
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#kidneywk12 11/2: #lipid mgmt in ESRD: SHARP trial showed no benefit of using statins in either PD or HD pts (HR ~0.9). #ecuimres
nephondemand
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#kidneywk12 11/2: #lipid mgmt in ESRD: meta-analysis shows benefit in the CKD (non ESRD) pts. But once u develop ESRD, no benefits #ecuimres
nephondemand
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#kidneywk12 11/2: #aspirin in ESRD: In the HOT trial, ASA drops risk 4 major CV events by 55% but underpowered (p >0.05) #ecuimres
nephondemand
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#kidneywk12 11/2: #aspirin in ESRD: in ESRD pts, no benefit of using ASA. #ecuimres
nephondemand
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#kidneywk12: #aspirin in ESRD: the mechanisms of cardiovascular dz in ESRD pts has 2 b different if conventional drugs don't work #ecuimres
nephondemand
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2 new blogs 4 #kidneywk12 added. Total 19 blogs & counting http://t.co/qu2i7N07 @ASNKidney @eAJKD #meded #medicalstudent #hcsm #ecuimres

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