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Shreyas Raghavan Nandyal Profile
Shreyas Raghavan Nandyal

@shreyas_rn

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487
Following
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152
Statuses
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Internal Medicine @CookCountyIMR | @CPSolvers Academy | 🇮🇳

Chicago, IL
Joined April 2013
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@COREIMpodcast
CORE IM
3 days
1/ 🚨 NEW #5Pearls: Hepatorenal Syndrome (HRS) part 1️⃣ AKI + portal HTN 🟰hepatorenal syndrome 🖥️: https://t.co/cNg901ck5g
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@David_LeimanMD
David Leiman, MD, MSHP
4 days
🚨AGA guideline alert🚨 New Clinical Practice Guideline on the Management of Gastroparesis https://t.co/9rWkalDCjF @AmerGastroAssn @AGA_Gastro @drkylestaller @margaretzhou @GreerKatar8819 @shailsingh A summary and some reflections to follow👇
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@sundarpichai
Sundar Pichai
4 days
Great to speak with India PM @narendramodi @OfficialINDIAai to share our plans for the first-ever Google AI hub in Visakhapatnam, a landmark development. This hub combines gigawatt-scale compute capacity, a new international subsea gateway, and large-scale energy infrastructure.
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@kidney_boy
Joel M. Topf, MD FACP
5 days
New episode of Channel Your Enthusiasm, part 2 of 3 on metabolic acidosis. Episode with chapters, chapter art, and fully it is referenced (as usual) https://t.co/9AVNCtc3wH
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@shreyas_rn
Shreyas Raghavan Nandyal
4 days
💯
@WilliamAird4
William Aird
6 days
5/6 So, I’ve updated the diagram. Under “Immune hemolysis,” I’ve added a side branch: “Cell-mediated (T/NK-cell cytotoxicity, DAT-negative)” It’s a footnote in clinical reality but makes the schema more complete for those who enjoy a good hematologic deep dive.
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@mvaduganathan
Muthu Vaduganathan
5 days
β-blockers safe pre-discharge in #HFrEF #COPERNICUS ☠️ benefit in recent decomp https://t.co/RPAODKmbNj #STRONGHF rapid uptritration ⬇️ events https://t.co/2EGk0obyDg #IMPACTHF ⬆️ Rx persistence https://t.co/pc0wJkfY7U #BCONVINCED stopping not helpful https://t.co/GdMoEu5qr8
@drjohnm
John Mandrola, MD
5 days
Heart failure colleagues. I would propose a new focus of emphasis Re the acute Rx of newly decompensated systolic failure. We should favor afterload reduction FIRST. Seminal Beta-blocker trials were in ambulatory outpts. Giving BB to decompensated failure is a mistake. IMO.
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@jflier
Jeffrey Flier
6 days
Wow! The @NEJM CPC now has a differential diagnosis provided by AI, Dr. CaBot, created by @arjunmanrai lab @HarvardDBMI, alongside the human expert. Times they are a changing!
@arjunmanrai
Arjun (Raj) Manrai
10 days
I’ve been obsessed with the @NEJM CPCs since I was in grad school. Now, with @tabuckley_, it’s surreal to see @NEJM publish the first AI differential diagnosis in the 100+ year history of the series, generated by our AI system Dr. CaBot, alongside the human expert’s.
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@CuriousClinPod
The Curious Clinicians
10 days
On our latest episode, 'Ammonia Rising', @tony_breu asks a question straight from the hospital wards: Why does valproic acid cause elevated ammonia? https://t.co/QzhdKZlPN3 https://t.co/CFy77lwPOa
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@drahmedmohsen85
Ahmed Mohsen
13 days
🐅 Tiger Stripes Sign on Doppler = the echo twin of the Seagull murmur 🕊️ 🎧 Musical, high-frequency murmur caused by vibrating mitral leaflet or chordae. On Doppler: fine parallel lines — harmonic “tiger stripes.” Seen in MR, flail leaflet, or HOCM. Hear seagull, see stripes
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@Sarah_Moharem
Sarah Moharem Elgamal, MBBCh, MSc, PhD👩🏻‍⚕️🫀
18 days
2025 ESC/EACTS Guidelines for the Management of Valvular Heart Disease Key Change: 🔹In patients with low-flow, low-gradient (LFLG) AS with reduced EF, the 2025 guidelines now place CT aortic valve calcium scoring (AVCS) on equal footing with dobutamine stress echocardiography
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@DrHaloot
Justin Haloot
18 days
Check out our summary for ESC 2025 trials! Especially before @txchapteracc meeting! #ACCFIT #ACC #CardioX Always a great pleasure to work with @AndreeFrans, future EP ⭐️
@AndreeFrans
Frans Serpa
18 days
Check out our infographic summarizing trials presented at ESC2025 Read more about our section, collaboration, and leadership below https://t.co/WWaZk6BR0u #MedEd @txchapteracc @utswheart @KTamirisaMD @DrHaloot
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@RitikaTuliMD
Ritika Tuli
2 months
#CardioNugget: Brugada Syndrome: Why that "coved" ST elevation in V1–V3? ✅ Normal heart: Epicardium shows a small phase 1 notch (from transient outward K⁺ current, Ito), but Na⁺ current (INa) dominates, so the notch is shallow. No major voltage gradient → normal ECG. ⚡️
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@NEJM
NEJM
19 days
In patients with provoked venous thromboembolism and ongoing risk factors, extended treatment with low-dose apixaban for 12 months resulted in a lower risk of recurrent VTE than placebo, with a low risk of major bleeding. Full HI-PRO trial results and Research Summary:
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@ImranAziz96
Imran Aziz
25 days
A product of the collaboration with my exceptional colleagues from residency on one of the many remarkable cases we’ve had the privilege to solve together. Happy to see our work published in one of the most recognized journals of medicine. @KirtanPatolia @CookCountyIMR
@NEJMEvidence
NEJM Evidence
25 days
𝗠𝗼𝗿𝗻𝗶𝗻𝗴 𝗥𝗲𝗽𝗼𝗿𝘁 A 40-Year-Old Woman with Pain in the Chest, Hands, and Feet
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@CPSolvers
The Clinical Problem Solvers
28 days
🚨Calling all #MedTwitter #Cardiology enthusiasts🫀 Make sure to join @stephenpanmd and @sukritibanthiya for this exciting Cardiology VMR! ❤️ Monday, September 22nd @ 2PM PST/5PM EST
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@NEJM
NEJM
1 month
In the OASIS 4 phase 3 trial, once-daily oral semaglutide at a dose of 25 mg resulted in a greater mean reduction in body weight than placebo in participants with overweight or obesity. Full trial results: https://t.co/ZCoptDYr8U
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@NEJM
NEJM
1 month
Tumor lysis syndrome has evolved and become less predictable with the introduction of new cancer therapies. A new review explores risk factors and causes of the syndrome, as well as strategies for treatment and prevention. Learn more in the Review Article “Tumor Lysis Syndrome”
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@drbennisahmed
Ahmed Bennis MD 🫀
1 month
Mineralocorticoid Receptor Antagonists in Myocardial Infarction Patients: A Systematic Review and Meta-Analysis of Randomized Trials In post-MI patients, MRAs decrease the risk of all-cause mortality and new or worsening HF regardless of HF status @DrMarthaGulati @hvanspall
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@AHAScience
AHA Science
1 month
📣Announcing Scientific Sessions 2025 Late-Breaking Science 📣 Join us in November to experience the highest tier of scientific discovery and practice-changing educational content. Scientific Sessions 2025 Chairs: @JoChikweMD @bnallamo 📍#AHA25, New Orleans, Nov 7-10
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@CPSolvers
The Clinical Problem Solvers
1 month
#MedTwitter - Your patient has colitis on imaging…does that mean they have colitis? Not necessarily. Colitis = Imaging + Symptoms 🧵Let’s break it down with the 4 I’s schema!
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