How transplant immunosuppressants work #4KMedEd #LiverTwitter

1/17 How does calcium "stabilize the cardiac membrane" in hyperkalemia? I learned early in my intern year to use calcium in the setting of severe hyperkalemia. I never really learned how it works. The answer requires some history. And uncovers a forgotten alternative treatment.

Fascinating study on genetic variants for alcohol metabolism and effect on Nash severity. @NoureddinMD @AlkhouriNaim @KathleenCoreyMD @TCotterMD

Nice to see my friend and mentor join the #MedTwitter sphere, looking forward to seeing interesting facts from @VinaySundaramMD!

Finally!

Such a useful single slide that takes 5 min to read!

‘There’s no lost and found box, there’s an ass box...’ for all you scrubs fans out there😂

AASLD-IDSA Hepatitis C Guidance is out, complementing the excellent https://t.co/hmMAmXZE9p - All adults should be screened - Risks/benefits of Hep C organs in Hep C negative recipients outlined. Preemptive pan-genotypic DAA tx recommended @AASLDtweets https://t.co/mhK35gzvGx

My patient has HE. Should I check an ammonia? #cirrhosis New #AmJGastro studies (fig1-2) show: Ordering ammonia 🚫change in lactulose dose 🚫change in LOS, ICU use Ammonia levels 🚫association w/LOS/ICU/Survival 🤪labile, variable Fig3: Proud 2 write editorial with Bob Rahimi

Brilliant experiments by @JasmohanBajaj and co-authors👏🏻 Stool from HE patients led to brain inflammation in mice, which improved when mice were given FMT-treated stool. But NOT when given sterile supernatant. Answering critical question: it’s the bugs that matter. #LiverMtg19

Amazingly informative graph of “true cancer occurrence” from @NEJM Oct3 issue. Thanks @tsonipeled for pointing it out.

Should be an interesting talk by my friend and mentor Dr Sundaram

100% agree

What in the world is anti-smooth muscle antibody (SMA)!? Join me for another quick-hit #livertwitter #tweetorial on this mysterious test used in the eval of autoimmune hepatitis Second in a series on diagnostic testing for liver disease #meded

I recently had a patient who presented in profound acute renal failure with a BUN of >200, creatinine of 13.5, and critical pH of 6.7, on the brink of death... [thread]

Congrats friend

Hoping there’s a solution for all the residents and fellows at @DrexelMedicine with the news of their main teaching hospital Hahnemann Hospital that broke this AM via @PhillyInquirer @phillyhealthsci https://t.co/DzvxbstLoK

Knowing that #July1 is coming, I’m sharing my favorite #liver work up sheets. Pleasantly surprised to see this hanging on GI team room several years later. #MedEd @bswhealth @stevenbollipo @BilalMohammadMD @DrDeborahFisher @KapuriaMd @DrKhanSolo @ebtapper @JasmohanBajaj

So many of the things I’ve thought were problems in medicine are noted in this amazing article... https://t.co/MiaV0ha5Jf