Andrew Sanchez M.D.
PGY-3 @YaleIMed Teaching/Learning Dx ❓, @ColumbiaPS @UF 👨🏽🎓, @CPSolvers Team Member 🕵🏽♂️, @GlassHealthHQ Deputy Managing Editor 🤖
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💀 Pulmonary Infarction 💀 Is that focal chest consolidation a pneumonia? 🤔 Let's talk about a pneumonia mimicker that can be *very* easily missed if you've never seen it before 🎭...
🫁💧 Pleural Effusion Schema 💧🫁 1) Thoracentesis → Calculate Light's criteria (Note: ~20-25% of true transudates are misclassified) 2) Stratify transudative DDx by Starling equatio...
🟤 Approach to Acute Hepatocellular Injury 🟤 The DDx of ↑ AST & ALT out of proportion to ↑ in cholestatic labs is easy for most. BUT! I think some can't-miss conditions are freque...
🟤 Hepatomegaly Schema 3.0 🟤 - Schistosomiasis = worldwide most common - (N)AFLD = U.S. most common - Split DDx into tender vs. non-tender (exceptions always possible) - Massive...
How I teach students & interns on rounds without 📜 & ✒️: 1) "You'll get an email summary at end of the day. Feel free to not take notes!" 2) Verbal teaching 5-10 minutes 3) Sen...
🦀 Approach to Lymphomas 🦀 Re-sharing this updated framework with some increased organization, new references, & more specific terminology. Let's take this ride again! https://t.c...
🟡 DDx of AKI 🟡 AKI is a proximal diagnosis requiring a final etiological explanation. In other words, when encountering AKI, one must ask, "why?" Here's a one-pager organized...
💥 Monoclonal Gammopathies of Clinical Significance! 💥 Everyone knows MGUS. Monoclonal proteins are simply blameless protein markers until clonal B-cells progress to Myeloma, Wal...
💥 Approach to Elevated Tryptase 💥 A patient without a history suspicious for anaphylaxis or angioedema presents with an elevated serum tryptase. How do we interpret this uncommon...
🫁🩸 Framework for Pulmonary Disease in Lupus 🩸🫁 1st pass = Infection & Chest well pain 2nd pass = Acute vs. Chronic presentation of respiratory symptom(s) https://t.co/ZuBnnmBfTI
✨ Approach to Infiltrative Diseases! ✨ This framework was inspired by @Gurpreet2015's recent Clinical Problem Solving Grand Rounds for @UCSFDOM. Many teaching points on this DDx...
Everything "Aspiration Pneumonia" for the incoming IM interns 🤮🫁: 3 major types of aspiration sequelae! 🫁 Mechanical obstruction (straightforward) 🫁 Chemical pneumonitis ("aspira...