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@LastManStand85

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🩺 Rheumatologist & Internal Medicine | Education | Be Humble | Be Teachable | Grass is Green where you water it🪴 | Arsenal Fan 30 Years 🔴⚪️ | طب الروماتيزم

England, United Kingdom
Joined July 2023
Don't wanna be here? Send us removal request.
@LastManStand85
Rheuma Doc
2 years
Steroids . 2 mechanisms of action. 1/ Genomic (activates @ 7.5mg-30mg Pred/day). Ceiling of saturation > 50mg. Limited additional anti-Inflammatory benefit beyond & ⬆️ Adverse . 2/ NonGenomic. Act @ 100mg, Max sat 250-500mg & Less S/E as Shorter ⌛️. Less Is More! Great Slide 👇
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@LastManStand85
Rheuma Doc
2 days
How much did Micheal Buffer just earn for those 5 words? . Probably more than I will earn as a doctor in the next 10 years. I am not bitter. #ClubWorldCup.
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@LastManStand85
Rheuma Doc
2 days
The ACG Guideline for Preventive care in Inflammatory bowel disease #MedTwitter
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@LastManStand85
Rheuma Doc
4 days
👀 🇧🇷🇸🇪 🔴⚪️ #Arsenal
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@LastManStand85
Rheuma Doc
4 days
#Osteoporosis Review #MedTwitter 🦴.
@JAMA_current
JAMA
4 days
Osteoporosis is a common condition among older adults that leads to increased susceptibility to fracture, which is associated with substantial morbidity and mortality. Learn more about the epidemiology, diagnosis, and treatment of osteoporosis in this review.
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@LastManStand85
Rheuma Doc
5 days
RT @edgarvlermamd: Urine Dipstick testing.#Nephpearls #NephSecrets. 👉
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@LastManStand85
Rheuma Doc
6 days
Can someone the BBC please urgently intervene and stop Henman from saying Alcaraz…#Wimbledon2025 🎾.
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@LastManStand85
Rheuma Doc
7 days
RT @abdelhamed012: Bone 🦴 turnover markers BTMs In CKD
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@LastManStand85
Rheuma Doc
8 days
Not the krebs cycle but the guess who the heck are Arsenal going to sign cycle which is significantly much harder and nobody knows the correct answer & probably why they don’t teach you that at Med school…
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@LastManStand85
Rheuma Doc
8 days
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@LastManStand85
Rheuma Doc
8 days
Japanese Multi-centre Observational Study in RApts .➡️ JAKi maintain efficacy between the first- and second-line treatments, unlike bDMARDs.➡️ Continuation rates declined from 1st- to 2nd-line treatment with bDMARDs but remained stable with JAKi.⬇️ Prevent Progression to D2T RA?
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@LastManStand85
Rheuma Doc
8 days
To add a significant proportion if them had thrombotic recurrence during the follow up with a similar rate to those observed in pts fulfilling the criteria. IgM APL tests recieved little consideration and low value on the 2023 criteria….
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@LastManStand85
Rheuma Doc
8 days
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@LastManStand85
Rheuma Doc
8 days
R/V of the Primary Vascular APS pts via 2023-ACR Criteria .➡️16.6% PAPS pts classified by Sydney criteria failed 2023 criteria, primarily for insufficient scores in lab domain.🚨New ACR/EULAR APS classification criteria may exclude from research studies a subset of high risk pts
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@LastManStand85
Rheuma Doc
8 days
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@LastManStand85
Rheuma Doc
8 days
Real world data, Risk factors for gangrene in #Lupus 3201 #SLE pts with gangrene. Digital ulceration OR 8.56.Raynauds OR 13.45.TMA.⬆️CRP elevation.⬇️In NK cells .48.4% had amputation at 4Y.Infections ⬆️ risk.Close link described between ⬇️ NK cells and pathogenesis of gangrene
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@LastManStand85
Rheuma Doc
8 days
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@LastManStand85
Rheuma Doc
8 days
Familial Mediterranean fever, idiopathic recurrent pericarditis, and undifferentiated systemic autoinflammatory disease were the most common diagnoses at a UK systemic autoinflammatory disease referral centre #MedTwitter .
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@LastManStand85
Rheuma Doc
8 days
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@LastManStand85
Rheuma Doc
8 days
Oral Opioid use was associated with ⬆️ mortality especially in men in a Korean study with Inflammatory arthritis [PsA, RA, AxSpA] .HR 1.60 with this association remaining significant even in the 6-month lag-adjusted model (HR 1.71). Risk was not evident among female patients.
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@LastManStand85
Rheuma Doc
8 days
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