Thiago
MD @FCMSCSP. Trained in Internal Medicine and Endocrine @FMUSPoficial. Reloading IM training at @PittIMchiefs
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There is a huge difference in managing hypertension and hyperglycemia in the hospital. Hyperglycemia? Treat it. Hypertension? Usually, don't give anti hypertensives. Follow the...
Hyponatremia is a relatively common inpt diagnosis and may seem confusing. Let's break it down and consider SIADH. 🤔Diagnosing SIADH with an algorithm isn't difficult, but unders...
Obesity is a disease affecting over 40% of the US population and featuring top journals/news every single week! 🤔What about the basics? What every healthcare worker should know ab...
❗️Sodium metabolism may be confusing, but breaking it down in pieces may be useful for understanding it! 🤷♂️🤔 Why Na goes down when glucose go up? 🤔It can get even more confusin...
Yesterday the great @MohitHarshMD tagged me in a post about euglycemic DKA. Then I got an email from the knowledge-hungry master clinician (AKA @DxRxEdu) about the same topic. Th...
She was taking prednisone 60 mg/d for a long time, now reduced to 10 mg/d. She has nausea, malaise, weakness. 🧐Can this be adrenal insufficiency? ‼️No! Prednisone 10 mg is supra-...
The pt needs high-dose statin and has CKD (eGFR=25 mL/min). 🤔Rosuvastatin or atorvastatin? 🤔Does it matter? Answer the poll and follow the 🧵 What would be your choice? 1/8
❗️SGLT2i were described a long time ago. ✅They are now popular drugs to treat type 2 diabetes, heart failure, and chronic kidney disease. Want to know more? Time for a 🧵 1/20
❗️Hungry Bone Syndrome is a complication of parathyroidectomy. What is it? Why does it happen? How to diagnose? How to differ it from post-op hypoparathyroidism? Follow the 🧵 In...
Hey #MedTwitter, Obesity prevalence varies according to the region and affects up to 40% of the adult population. Have you ever heard about obesity-induced hypogonadism? Follow...
Today, the brilliant @MariaMjaleman messaged me asking about lipoprotein lipase and hormone-sensitive lipase. My suggestion: think about diabetes emergencies. DKA: ⬇️ insulin. HH...
Hey #medtwitter 📢 Wolff-Chaikoff and Jod-Basedow effects are well known to affect thyroid function. What does it mean? Examples? How about a way to memorize which one causes hypo...