Unremarkable Labs @UnremarkableLab

Discussing unremarkable labs to improve clinical reasoning! •Started by @UABIMRes CMRs & @medrants. Come learn with us at your convenience. youtube.com/channel/UCVQ3N… Joined June 2020

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Paul Wischmeyer MD @Paul_Wischmeyer

2 years ago

🫁 Chest X ray reading made easy #MedEd #MedTwitter #FOAMed

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Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

2 years ago

#UncleBob proudly presents Annals On Call - Exercise for Knee Osteoarthritis: Is More Better? @AnnalsofIM acpjournals.org/doi/10.7326/A2… featuring @ppattyperez Physical Therapist

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Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

3 years ago

#UncleBob - if you are a hypercalcemia fanatic, you will likely love this @rabihmgeha @DxRxEdu @CPSolvers @UnremarkableLab The Case | A 48-year-old man with recurrent hypercalcemia and uremia after parathyroidectomy kidney-international.org/article/S0085-…

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Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

3 years ago

#UncleBob Hot take - the biggest problem in evidence based medicine is understanding that the lack of evidence FOR something does not provide evidence AGAINST something. It depends on sample size and type of available studies.

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Unremarkable Labs @UnremarkableLab

3 years ago

Watch our first episode of the new year! Dr. Centor works through a case with a young woman presenting with abdominal pain.

Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

3 years ago

Watch our first episode of the new year! Dr. Centor works through a case with a young woman presenting with abdominal pain.

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Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

3 years ago

#UncleBob and @NatashaMehraMD proudly present a new: Unremarkable Labs: An Uncommon Presentation of a Common Pathology youtu.be/z1BHcFlYuDg via @YouTube @uabimres @DxRxEdu @rabihmgeha

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Journal of Brown Hospital Medicine @BrownJHM

3 years ago

Tumor lysis syndrome @InternAtWork #MedEd

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USMLEmnemonic @UEmnemonic

3 years ago

Cause of eosinophilia:PACCMAN Parasites Asthma Churg-Strauss Chronic adrenal insufficiency Myeloproliferative disorders Allergy Neoplasia

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Rabih Geha @rabihmgeha

3 years ago

#Medtwitter & #RheumTwitter What conditions typically treated by rheumatologists prompt the possibility of an underlying cancer? Dermatomyositis is one. What are some others? <3 @DxRxEdu

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2things @2thingsteam

3 years ago

#2things Saturday Patient with creatinine 3.5, BUN 120 1. Step 1 - look @ the urinalysis - pH 5, sp gr 1.010, >25 RBC, >30 WBC, 3+ protein

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Unremarkable Labs @UnremarkableLab

3 years ago

A patient presents with hypertension, NAGMA, and elevated BUN/creatinine. Watch Dr. Eric Judd, UAB Nephrology Fellowship Director, and Dr. Centor @medrants, Professor Emeritus at UAB, work through this case and talk through multiple differential diagnoses. youtu.be/-kYm9lkGdY0

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Joel M. Topf, MD FACP @kidney_boy

3 years ago

Consult for hypercalcemia. Patient had gone to their primary for a routine visit. Labs showed a calcium of 14.9 (Day zero). The next day the primary saw the labs and told them to go to the ED for AKI and hypercalcemia. First two sets of labs are below...

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2things @2thingsteam

3 years ago

#2thingsSunday 1) A major dx to rule out in most acutely ill hospitalized patients is ADRENAL INSUFFICIENCY. ➡️ Hyperkalemia ➡️ Metabolic acidosis (NAGMA) ➡️ Hypoglycemia ➡️ Hyponatremia - Check 4-6 AM cortisol - Random cortisol must be ⬆️. “Normal”is not OK. 1/2

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2things @2thingsteam

3 years ago

#2things Saturday 1. Diagnosing hyponatremia with dilute urine - pt had urine sp gr 1.004 (rule of thumb - multiply last 2 digits by 30) - said he drank as much beer as he wanted - non-specific - admitted that he ate little - therefore beer potomania - easily corrected w/ solute

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Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

3 years ago

Once again we diagnosed beer potomania. At a Na of 128 he had a major gait disturbance. Intern was amazed the this phenomenon really exists. We see it every few years. @uabimres @UnremarkableLab

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Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

3 years ago

#UncleBob loves this: Serum Cystatin C for Estimation of GFR ja.ma/3p3CnIN via @JAMA_current part of @JAMANetwork @UnremarkableLab @2thingsteam @UAB_NRTC @uabimres We have seen a couple of similar stories this year

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Unremarkable Labs @UnremarkableLab

3 years ago

This week’s episode presents with a very abnormal BMP and a very interesting diagnosis. Join @medrants discuss a case with PGY-3 Julie England and @NatashaMehraMD. youtu.be/hq_pqAmqv6U

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Şeyma @seymss15

3 years ago

How does Cushing cause hypokalemia? - One of the many questions that came up during today's @CPSolvers VMR weekly recap.😁 @rabihmgeha @MadellenaC @Rafameed @rav7ks @deboracloureiro 💙 For the answer, follow this thread :)

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Dr. Lisa Iannattone @lisa_iannattone

3 years ago

Got consulted on a great case today. Thought I’d share since it’s a very distinctive rash that I’ve seen many times in books but never in real life before! This isn’t my patient but his eruption looked exactly like this. Any ideas? 😏

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Robert Centor MD MACP 🇮🇱 @rmcentor.bsky.social @medrants

3 years ago

Interesting question last night, recording @UnremarkableLab - why is potassium repletion so important in a patient with chloride responsive metabolic alkalosis. Difficult to find a clear answer @askrenal @kidney_boy @luck_urine @hswapnil