iiinova — where your digital self keeps evolving

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josh farkas 💊 @pulmcrit.bsky.social · 22/06/2025

a nonfocal septic patient presents with the labs shown here 👇 can you guess the diagnosis? how would you treat this? answer: same diagnosis as this case: emcrit.org/pulmcrit/sho... #EMIMCC

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josh farkas 💊 @pulmcrit.bsky.social · 12/05/2025

this is a super interesting case. I don’t want to spoil it for you, so take a minute and go thru it. In the wisdom of 20/20 hindsight, can you figure out what happened?? #EMIMCC 🧵 #1/2

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Michael Arcieri, MD @mikearcieri.bsky.social · 12/05/2025

Episode 12 is out! Join us as we discuss one of the most common problems we encounter as internists. Is this red leg infected or not? #MedSky @asanchez.bsky.social

open.spotify.com

Episode 12: Diagnostic Dilemma - Acute "Red Leg"

Diagnostic Atypia · Episode

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Michael Arcieri, MD @mikearcieri.bsky.social · 28/04/2025

Episode 11 dropped today! How do we approach management of a symptomatic mass when we are unable to obtain a biopsy? Tune in this week for our thoughts. We'd love to hear your own! Teaching on the episode is available here: www.dxatypia.com/episodes/epi... #MedSky

open.spotify.com

Episode 11: Diagnostic Dilemma - Back Pain & Dysuria

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Andrew Sanchez @asanchez.bsky.social · 22/04/2025

AMK is the best!!! Tell her I say hey

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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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The Clinical Problem Solvers @cpsolvers.bsky.social · 04/04/2025

🚨New Schema Podcast Episode🚨 Tune in as @madellenaconte.bsky.social , @saklawimd.bsky.social and @asanchez.bsky.social walk us through their bradycardia schema as they tackle a case of bradycardia presented by Noah! 🫀🩺 Use the link➡️ clinicalproblemsolving.com/2025/04/03/e... #ClinicalReasoning

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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 · 31/03/2025

Case images & case-associated teaching available at our website! 🔗 dxatypia.com If you're enjoying the podcast, please give us a share & let your nerdy friends know about it! 📣 We're really enjoying the ride & hope you are too!

dxatypia.com

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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 · 30/03/2025

"Supervised, in-hospital anterior wall infarction" 😬

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Peter M. Shane @petermshane.bsky.social · 28/03/2025

The question I've been asked most as we endure the legal dumpster fire that is the Trump Administration is, "What can we do about it when it's not election season?" @timothynoah.bsky.social has an outstanding essay in the @newrepublic.com addressing that question. newrepublic.com/article/1931...

newrepublic.com

Fighting Back: A Citizen’s Guide to Resistance

Ordinary people have more power than they know.

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NEJM.org @nejm.org · 29/03/2025

In the API-CAT trial involving patients with active cancer and venous thromboembolism, extended anticoagulation with reduced-dose apixaban was noninferior to full-dose apixaban for preventing recurrent thromboembolic events. Full results: nej.md/41YkRZK #ACC25 | @accintouch.bsky.social

A graph showing the cumulative incidence of recurrent venous thromboembolism (primary efficacy outcome) among patients who received apixaban at a reduced (2.5 mg) or full (5.0 mg) dose twice daily for 12 months.

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Dominique Guerrot @dguerrot.bsky.social · 25/03/2025

Can a #MedEd #Podcast improve your OSCE score? Yes—and now it’s published! This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to: 🎧 +3.5 OSCE score boost 💪 Better self-perception of clinical skills (42% vs 16%) ✅ 96% would use the podcast again 👉🏼 doi.org/10.1186/s129...

doi.org

Evaluating podcasts as a tool for OSCE training: a randomized trial using generative AI-powered simulation - BMC Medical Education

Introduction Objective Structured Clinical Examinations (OSCEs) are critical for assessing clinical competencies in medical education. While traditional teaching methods remain prevalent, this study i...

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Michael Arcieri, MD @mikearcieri.bsky.social · 17/03/2025

Tune in for a discussion of falls & more! Teaching points from the episode are available at www.dxatypia.com/episodes/epi...

open.spotify.com

Episode 8: Diagnostic Dilemma - Falls in a Young Man

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Andrew Sanchez @asanchez.bsky.social · 17/03/2025

...Epidemiologically-speaking, systemic toxicity = bilateral presentation of disease. However, unilateral disease does not = rule-out of systemic toxicity We described this clear-cut case here👇 bhm.scholasticahq.com/article/3974...

bhm.scholasticahq.com

Unilateral Pneumonitis and Hydropneumothorax Following Pembrolizumab | Published in Journal of Brown Hospital Medicine

By Andrew Sanchez, Peter Kahn & 2 more. A rare unilateral presentation of immune checkpoint inhibitor pneumonitis complicated by hydropneumothorax.

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Andrew Sanchez @asanchez.bsky.social · 17/03/2025

Great article Importantly, while ICI pneumonitis reviews mention that radiographic presentations can be multifactorial, very few mention UNILATERAL-predominant presentation of ICI pneumonitis... 🔥

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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

This may be my biggest win of the year 😅

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The Clinical Problem Solvers @cpsolvers.bsky.social · 13/03/2025

Check out the newest episode in our Clinical Unknown Series with Rabih Geha 🎧 Embark on this diagnostic journey with us using the link below 👇 bit.ly/4hsfo2N

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Zaven Sargsyan @sargsyanz.bsky.social · 11/03/2025

I've never been to an M&M about kidney injury attributable to iodinated contrast. I've been to several M&Ms for adverse outcomes from missed/delayed diagnoses because people hesitated to use IV contrast for fear of what we now know to be a ghost

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Rep. Sam Liccardo @liccardo.house.gov · 07/03/2025

Academic freedom and independence still live. Thank you, Georgetown University, for teaching our Justice Department about the 1st Amendment!

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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 03/03/2025

This table from @drjmluther.bsky.social needs to be disseminated more widely (We added it to our @cmaj-jamc.bsky.social 5 things for that reason www.cmaj.ca/content/196/...) #NephMadness

Table of drugs and substances that can cause hypertension

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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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Luis Zaman @luiszaman.bsky.social · 07/03/2025

This CDC "survey" getting sent to grantees is wild yall. This is some serious "Kiss my Ring" level bullshit.

Survey for CDC grants that include "no DEI" "no environmental justice" or climate related work, the biologically bullshit argument that "protecting women against gender ideology"

more MAGA propaganda (with receipts since it links an executive order under most questions). "Do you counter malign influence, including Chinga?", "What impact does this project have on preventing illegal immigration"?

What impact does this project have on protecting religious minorities, promoting religious freedom, and combatting Christian persecution? Establishment of the White House Faith Office and Eradicating Anti-Christian Bias
What impact does this project have in increasing American influence, trust and reputation within foreign governments?

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Andrew Sanchez @asanchez.bsky.social · 05/03/2025

This is a great article I reference all the time!

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Michael Arcieri, MD @mikearcieri.bsky.social · 03/03/2025

Come check out our first Guestpisode!

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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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Steven Chen, MD MPH MS-HPEd @drsteventchen.bsky.social · 02/03/2025

For better or for worse (worse), MEASLES are back, so here's a #skytorial on recognizing this once thought eradicated disease. MEASLES: a tutorial! #dermsky #medsky #MedEd 1/

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Andrew Sanchez @asanchez.bsky.social · 01/03/2025

Hemolysis labs (+) = peripheral destruction (exception = B12 TMA) Smear (+), RBC inclusions = ineffective hematopoiesis Smear (+), leukoerythroblastosis = infiltration Both (-), hypoplasia!

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