Simarjeet Lamba, MD @LambaSimarjeet

Clinician - Educator | Internal Medicine Hospitalist | via @UCSFFresno Fresno, CA Joined April 2020

Tweets

55
Followers

152
Following

163
Likes

726

Casey Albin, MD @caseyalbin

2 years ago

1/ A 32 yo woman presents with headache and somnolence. She is febrile to 102.6F. Exam reveals neck stiffness and this rash…which, when your attending arrives, is absent #hatethat! A #continuumcase @ContinuumAAN @LyellJ

5 102 420 317K 156

Download Image

Simarjeet Lamba, MD @LambaSimarjeet

3 years ago

This needed to be said. 🙌🏼

Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD

3 years ago

This needed to be said. 🙌🏼

8 22 194 63K 6

0 0 3 415 0

Prathit Kulkarni, MD @PrathitKulkarni

3 years ago

Critical teaching point regarding CD4 count interpretation in persons with HIV! 👇👇👇 - CD4 count is back-calculated from the total WBC count. - Total WBC x %lymphocytes —> absolute lymphocyte count (ALC) - ALC x %CD4 cells —> “CD4 count” 1/

14 130 556 0 208

William Aird @WilliamAird4

3 years ago

Here is a nice example, showing time series over 14 days with the most recent results at top. Note the sudden increase in MCV, the reduction in MCHC and the elevation in RDW, all c/w reticulocytosis (retics were indeed increased owing to a bleed).

William Aird @WilliamAird4

3 years ago

0 28 152 0 27

2 10 20 0 4

Download Image

Edgar Argulian @argulian

3 years ago

What is the pathology and the treatment? Hint: the ultrasound machine is not broken

100 461 2K 0 276

Download Video

Pulm PEEPs @PulmPEEPs

3 years ago

It is time for another #RadiologyRounds 🫁 A woman in her mid 40s presents with dyspnea on exertion and the following imaging is obtained.

5 65 261 0 39

Download Image

Simarjeet Lamba, MD @LambaSimarjeet

3 years ago

Our attending helped us keep tempo of chest compressions during a code today by singing “stayin’ alive, stayin’ alive…ah ha ha”. Probably the coolest moment in my residency training so far 😄

0 0 7 0 0

Simarjeet Lamba, MD @LambaSimarjeet

3 years ago

Best July 1st advice I’ve heard so far ✊🏼

0 0 0 0 0

Rob Buttner @rob_buttner

3 years ago

‘VT’ versus ‘SVT with aberrancy’. The long list of VT "suggestive" ECG features is difficult to recall and apply in real time. How can we simplify things? Here is my ABCDE approach – five simple Qs to ask: 🧵👇

25 879 2K 0 1K

Simarjeet Lamba, MD @LambaSimarjeet

3 years ago

Watched some Seinfeld with my patient while placing their a-line on MICU nights…Gotta be the most fun procedure I’ve done in a while!

0 0 3 0 0

Download Gif

Simarjeet Lamba, MD @LambaSimarjeet

3 years ago

Great review of the physiology behind these tests! Check it out…

Sriram Sunil Kumar, MD @sriramsunilk

3 years ago

Great review of the physiology behind these tests! Check it out…

23 436 1K 0 622

Download Image

0 0 2 0 0

Simarjeet Lamba, MD @LambaSimarjeet

4 years ago

70% patients admitted with COVID at CMC currently are unvaccinated. Numbers don’t lie. Get your vaccine @CentralCalifornia

Fred Wu @FredWuPA

4 years ago

70% patients admitted with COVID at CMC currently are unvaccinated. Numbers don’t lie. Get your vaccine @CentralCalifornia

2 15 27 0 0

Download Image

0 0 3 0 0

Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD

4 years ago

1/🧵 Did you know that heparin can cause hyperkalemia? But why would an anticoagulant like heparin increase serum K⁺ levels? The answer also has a wild implication - that heparin may itself have a diuretic effect... #medtwitter #tweetorial

69 1K 3K 0 869

Download Image

Tony Breu @tony_breu

5 years ago

1/14 Why do we feel cold (i.e., experience "chills") when we have a fever? Shouldn't we feel hot? And what are rigors? Answers to these questions will help us better understand when we should obtain blood cultures. When do you think is the best time to draw them?

21 344 769 0 347

Simarjeet Lamba, MD @LambaSimarjeet

5 years ago

So, here's what happened today! Got my Fauci-ouchie #COVIDvaccine. It's 2 shots given 3 weeks apart. So grateful to the scientific community for this historic moment and @UCSFFresno for prioritizing their residents and frontline workers!

2 2 30 0 0

Download Image

Adam Cifu @adamcifu

5 years ago

As our students head into their residencies, my yearly advice (which seems to be always evolving).

12 94 407 0 42

Download Image

Simarjeet Lamba, MD @LambaSimarjeet

5 years ago

Requesting the US Embassy in New Delhi, India to consider Emergency Visa Appointments for Physicians scheduled to begin GME in June/July. Only 2 weeks to Orientation! #VisaForIMGs @USAndIndia @ECFMG_J1 @ECFMG_IMG