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asanchez.bsky.social

@asanchez.bsky.social
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Andrew Sanchez @asanchez.bsky.social · 14/04/2025
And we're back! Dr. Maddy Conte joins us to discuss a case of pancytopenia 🦴 Come flex your blood smear skills! 👇
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Andrew Sanchez @asanchez.bsky.social · 31/03/2025
Episode 9 of Diagnostic Atypia features another brilliant @mikearcieri.bsky.social discussion, this time on Rapid Atrial Fibrillation ⚡️ The CXR is normal, but SpO2 92%. Are you done?
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Andrew Sanchez @asanchez.bsky.social · 17/03/2025
A case of "gravity is winning" masterfully dissected by Mike🚶 Episode 8 of www.dxatypia.com out now...
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Andrew Sanchez @asanchez.bsky.social · 16/03/2025
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Andrew Sanchez @asanchez.bsky.social · 08/03/2025
@notion.com really charging me $134.49 for accidentally sharing with students a link to my notebook intended for simple viewing: no projects, simple mistake. Great service, Notion! You maintain great fairness & consistency in taking people's money!
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Andrew Sanchez @asanchez.bsky.social · 03/03/2025
Helloooo #MedSky! Our first Guestpisode! featuring Dr. Alec Rezigh is here! 🤝 The differential is blown wide open by some abnormal imaging. Are you ready to correlate clinically? We are the Diagnostic Atypia podcast 👇 @mikearcieri.bsky.social @asanchez.bsky.social
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Andrew Sanchez @asanchez.bsky.social · 25/02/2025
Peter McCullough...
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Andrew Sanchez @asanchez.bsky.social · 18/02/2025
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Andrew Sanchez @asanchez.bsky.social · 17/02/2025
DxAtypia.com vacation over! @mikearcieri.bsky.social presents a case of severely elevated transaminases that captures the perfect diagnostic arc 🌈 The social history is king here, & it isn't the only king in the room... 👑
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Andrew Sanchez @asanchez.bsky.social · 27/01/2025
Aaaaand we're back! Episode 5 of DxAtypia.com out now 🎉 @mikearcieri.bsky.social discusses a seemingly straightforward case of AKI... but the patient is then found to have tender bone lesions 🦴 Join us to learn how radiographic findings sometimes lead to more questions than answers!
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Andrew Sanchez @asanchez.bsky.social · 16/01/2025
Some reflections on why we don't often think about the microbiologic DDx of pneumonia up front, & how to make diagnostic progress after initial empiric therapy failure. How else can we think about this? 🤔 Help!
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Andrew Sanchez @asanchez.bsky.social · 13/01/2025
Probably my favorite case of our podcast so far -- the ending leaves you with a pathophysiologic, analogic reasoning principle you can carry forward to distant problems. @mikearcieri.bsky.social's brilliant case & teaching now available for you all at the links below!
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Andrew Sanchez @asanchez.bsky.social · 31/12/2024
This is a work in progress. @djsmithers.bsky.social
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Andrew Sanchez @asanchez.bsky.social · 30/12/2024
#MedSky Episode 3 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) out now! A case of severe anemia challenges the classic board exam schemas: how can a common lab test trick us and help us at the same time? 👇 Come check it out 👇
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Andrew Sanchez @asanchez.bsky.social · 21/12/2024
#ECGsky #EKGsky Top is taken in patient with poorly-controlled diabetes presenting with unrelenting nausea & abdominal pain. CT abdomen negative, no diarrhea. Presenting troponin 100 ng/L → 800s → down to 600s after diuresis for initial wet CXR. Now hypertensive/normoxemic/stable labs...
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Andrew Sanchez @asanchez.bsky.social · 17/12/2024
Hi #MedSky! Episode 2 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) is out! 👇 Come check it out 👇
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Andrew Sanchez @asanchez.bsky.social · 07/12/2024
🍬 Approach to Hyperglycemia 🍬 Location, location location: - In patients who are insulin deficient, the center of gravity is on the pancreas, which must have an issue with beta-cell quantity vs. function - In patients with insulin resistance, the center of gravity is elsewhere (hormonal chaos)
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Andrew Sanchez @asanchez.bsky.social · 04/12/2024
Hi #MedSky! @mikearcieri.bsky.social & I just launched a podcast for #Dx enthusiasts & clinical problem-solving reps🕵️ Come check us out on Apple/Spotify, & check out our website with episode-associated teaching! 🎙️ DxAtypia.com
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Andrew Sanchez @asanchez.bsky.social · 27/11/2024
EXOGENOUS culprits of life-threatening disease include medications & infections. Infection-related blistering is due to: - Exotoxin production - Pulse (+) ischemic limb syndrome (vasculitis, DIC) - Local necrotizing destruction
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Andrew Sanchez @asanchez.bsky.social · 27/11/2024
The key pivot of this schema emphasizes a search for exogenous culprits of life-threatening disease, as these culprits must either be treated or avoided in the future. 🚨 This classification is very imperfect (e.g. numerous SJS/TEN cases are idiopathic) 🚨
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Andrew Sanchez @asanchez.bsky.social · 27/11/2024
🫧 Approach to Blistering Skin Disorders 🫧 What? → Fluid-filled skin lesions occurring by 1 of 3 mechanisms: 1. Acantholysis 2. Spongiosis 3. Epidermal-dermal Dissociation
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Andrew Sanchez @asanchez.bsky.social · 20/11/2024
Must-read paper on teaching Clinical Problem Solving in this week's MedEdModels' curriculum🕵️‍♀️ - Teach learners to recognize similarities between new problems & existing schema - Encourage learners to extract the deeper elements of new problems - Immediate > delayed feedback
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Andrew Sanchez @asanchez.bsky.social · 18/11/2024
Face of a post-jog boy still traumatized by stairs
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Andrew Sanchez @asanchez.bsky.social · 26/07/2023
Schema preview for this secret space
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