Discover and read the best of Twitter Threads about #Comorbidities
Most recents (14)
Back to basics‼️
A tweetorial on a clinical approach to #joint #pain 🪡
1/n
The 🔠ABCDE approach
🅰️ Articular (or not!) 🦴
🅱️ Background (& burden) 🎒
C Chronology 🕰️
D Distribution 📍
E Extra-articular 🍂
Let’s dive deeper
#MedTwitter
#RheumTwitter
A tweetorial on a clinical approach to #joint #pain 🪡
1/n
The 🔠ABCDE approach
🅰️ Articular (or not!) 🦴
🅱️ Background (& burden) 🎒
C Chronology 🕰️
D Distribution 📍
E Extra-articular 🍂
Let’s dive deeper
#MedTwitter
#RheumTwitter
2/n
#Pain is #inflammatory if worst in the AM/ after rest
#Swelling which is not bony #Synovitis the sine qua non of #inflammatory #arthrits
#Stiffness esp in AM & > 1 hour
“How do you feel when you wake in the morning?”
is a great question to ask
#MedTwitter
#RheumTwitter
#Pain is #inflammatory if worst in the AM/ after rest
#Swelling which is not bony #Synovitis the sine qua non of #inflammatory #arthrits
#Stiffness esp in AM & > 1 hour
“How do you feel when you wake in the morning?”
is a great question to ask
#MedTwitter
#RheumTwitter
3/n
🅱️ = BACKGROUND
Age 🕰️
Gender ♈️♎️
Race 🧕🏻
#Comorbidities
Pregnancy🤱🏻
And 🅱️ = Burden👩🏻🦼
#impact of disease
#MedTwitter
#RheumTwitter
🅱️ = BACKGROUND
Age 🕰️
Gender ♈️♎️
Race 🧕🏻
#Comorbidities
Pregnancy🤱🏻
And 🅱️ = Burden👩🏻🦼
#impact of disease
#MedTwitter
#RheumTwitter
Just a reminder:
For those who do not know what #PEM is ( i do not like the word „malaise“, because it’s not malaise - it’s a horror trip) Definition excerpt from the Canadian Consensus Criteria document (2002/2005):
1/x
For those who do not know what #PEM is ( i do not like the word „malaise“, because it’s not malaise - it’s a horror trip) Definition excerpt from the Canadian Consensus Criteria document (2002/2005):
1/x
„2. Post-Exertional Malaise and/or Fatigue
Physical or mental exertion often causes debilitating malaise and/or fatigue, generalized pain,deterioration of cognitive functions,and worsening of other symptoms that may occur immediately (‼️) after activity or (‼️) be delayed (‼️)2/x
Physical or mental exertion often causes debilitating malaise and/or fatigue, generalized pain,deterioration of cognitive functions,and worsening of other symptoms that may occur immediately (‼️) after activity or (‼️) be delayed (‼️)2/x
Daily Bookmarks to GAVNet 04/12/2022 greeneracresvaluenetwork.wordpress.com/2022/04/12/dai…
Woman who drew up Schindler's lists during Holocaust dies at 107 | Second world war | The Guardian
theguardian.com/world/2022/apr…
#MimiReinhardt, #SchindlersList, #obituary
theguardian.com/world/2022/apr…
#MimiReinhardt, #SchindlersList, #obituary
@narendramodi 18.11.21 [Writ Petition(s)(Civil) No(s).1240/21] Hon'ble SC dismissed writ petition filed by students seeking urgent directions to conduct Class X & XII #CBSE & #ICSE Term I exams in hybrid manner. #Omicron arrived post 18.11.21. Therefore, exams should be online.
#Children should not be made to suffer because of #Omicron. Centre and States must cancel all #offline #exams forthwith. As a nation, we cannot take such a massive risk & play with the lives of our children. Online prelims are done, marks should be part of board marksheet.
Children belong to households that have either lost family members due to #Covid19 or members who suffer from #comorbidities & cannot be vaccinated. #Omicron shouldn't be taken lightly. Save our children. Protect our children. Cancel all #offline #exams immediately.
#WeekendLecture
Stroke outcome #prognostication
☝️#Stroke clinicians are routinely asked by patients and families regarding prognosis.
🧠The cognitive process underlying prognostication is #complex, poorly understood, and sometime #biased by personal experiences
Stroke outcome #prognostication
☝️#Stroke clinicians are routinely asked by patients and families regarding prognosis.
🧠The cognitive process underlying prognostication is #complex, poorly understood, and sometime #biased by personal experiences
#WeekendLecture
#StrokePrognostication
#Fact: Clinicians, even those with expertise in stroke, perform poorly in predicting clinical outcomes
In this case-based study, overall accuracy for predicting death or disability at discharge was <20%😩
#JURaSSIC
n.neurology.org/content/81/5/4…
#StrokePrognostication
#Fact: Clinicians, even those with expertise in stroke, perform poorly in predicting clinical outcomes
In this case-based study, overall accuracy for predicting death or disability at discharge was <20%😩
#JURaSSIC
n.neurology.org/content/81/5/4…
#WeekendLecture
#StrokePrognostication
☝️Several prognostic #models have been developed to aid prognostication after ischemic stroke
These models #outperform clinician #judgment in predicting stroke outcomes
ie:
onlinelibrary.wiley.com/doi/10.1111/en…
@GeorgeNtaios
#StrokePrognostication
☝️Several prognostic #models have been developed to aid prognostication after ischemic stroke
These models #outperform clinician #judgment in predicting stroke outcomes
ie:
onlinelibrary.wiley.com/doi/10.1111/en…
@GeorgeNtaios
It is very important in this period of humanity to take a serious look at what is happening in the world friends.
Watch this video first in its entirety & reflect upon current situations critically.
🙏
odysee.com/@AfterSkool:7/…
Watch this video first in its entirety & reflect upon current situations critically.
🙏
odysee.com/@AfterSkool:7/…
#Menticide is here & with it, a new attempt to establish a "#TechnoTotalitarian" rule over the lives of American citizens.
The final variant of #Coronavirus could very well be the manifestation of a #NewWorldOrder under #totalitarian rule.
The final variant of #Coronavirus could very well be the manifestation of a #NewWorldOrder under #totalitarian rule.
That may sound absurd, but what is very concerning is that many talking heads in the media & even public figures are now making very carefully worded emotional appeals to logic to further induce a totalitarian #masspsychosis.
"A lethal, fast-paced second wave of the coronavirus pandemic has brought #India’s health care systems to the verge of collapse & is putting millions of lives & livelihoods at risk."
nytimes.com/2021/04/20/opi… #CovidIndia
nytimes.com/2021/04/20/opi… #CovidIndia
1/ "The newspapers & social media are scrolls of horror & failure of the health system. There are reports of lines of ambulances with patients waiting outside the largest Covid facility in #Ahmedabad in the western state of Gujarat because ventilator beds & oxygen had run out."
2/ "At a crematory in the central city of #Bhopal, residents reported having not seen as many cremations since 1984, when a gas leak from a Union Carbide pesticide plant in the city killed around 5,000 people."
ICYMI, a reminder that this pandemic will have a lasting legacy beyond the tragedy of the countless lost lives and grieving families. Results from the #COVERSCAN study on #longcovid reports that organ impairment was detected in post COVID patients as shown in the figure below
This included damage to the #heart, #lungs, #kidneys, #liver, #pancreas and #spleen In almost a third of patients, damage in 2 or more organs was identified. In particular, damage to the liver, heart or lungs was associated with further organ impairment.
The participants in this study were all considered to be previously at low risk of #mortality and had no #comorbidities. bmjopen.bmj.com/content/11/3/e…
42/gpc #Masks
43/gpc Effectiveness of different #vaccines, & range of uncertainty (chart)
44/gpc This 🧵👇🏼is consistent with what I have said in my tweet 🧵☝🏼 since august 2020
W Maharashtra
#covid19 has reached hinterland in tier 2 /3 cities & beyond becoming uncontrollable as all beds in different designated centers are occupied full with covid19 person
Admitted either due to breathlessness requiring oxygen or comorbidities abound requiring vigilance
#covid19 has reached hinterland in tier 2 /3 cities & beyond becoming uncontrollable as all beds in different designated centers are occupied full with covid19 person
Admitted either due to breathlessness requiring oxygen or comorbidities abound requiring vigilance
Pandemic Decipher
1/25
covid19 is an attack on our distorted might In our #Variedresponse most will overcome, some would suffer protracted misery & sadly unlucky few, FEW won't survive
We must empathize, urgently mitigate & strive best to protect humanity as we face this menace
1/25
covid19 is an attack on our distorted might In our #Variedresponse most will overcome, some would suffer protracted misery & sadly unlucky few, FEW won't survive
We must empathize, urgently mitigate & strive best to protect humanity as we face this menace
2
Pertinently this virus is a #Stresstest to physiological, psychological & immunological competency, challenging each individual until present time
Testing our multisystemic resilience, developmental journey, comorbidities, immune memory & subjecting us to scrutiny of viability
Pertinently this virus is a #Stresstest to physiological, psychological & immunological competency, challenging each individual until present time
Testing our multisystemic resilience, developmental journey, comorbidities, immune memory & subjecting us to scrutiny of viability
In this national longitudinal study of 4570 patients with #heartattack, attendance at #CardiacRehab was associated with a temporal improvement in health related quality of life (#HRQoL) at up to 12 months following hospital discharge. @Heart_BMJ heart.bmj.com/content/early/….
‘Health-related quality of life (#HRQoL) is an important outcome measure following #heartattack’, states @benhurdus first author.
Healthcare professionals (& researchers) have historically focused on objective measures of poor health, such as mortality & life expectancy, but often patients consider improvements to HRQoL equally important to length of life.
Over the past week I’ve been getting so many calls from friends all over asking me to diagnose if they are #COVID infected. Honestly I’m no doctor but just an early test mule on the virus. My Q&A typically ranges as follows. I hope it helps some of you from needless paranoia.
1/n First thing to iron out is the difference between #regularflu Vs #COVIDflu. I’ve done some research and found this helpful table for you guys. 90% of you have just a regular flu owing to seasonal changes. Don’t panic ! However if you’re in the 10% read on.
2/n Assuming all your symptoms are #COVID in nature immediately #homequarantine in a separate room. Testing is hard to get by in #MaharashtraBachao #Delhi so don’t bother waiting for your turn. Begin treatment for novel Corona while taking care of not infecting others around
As has happened with respiratory disease before, #COVID19 /#SARSCoV2 is disproportionately impacting racial and ethnic minorities in the US. The same will be true for low income/socioeconomic status individuals. For more information, see my recent review: preprints.org/manuscript/202…
This impact is due to higher rates of comorbidities, greater pollution exposure, fewer resources for avoiding/mitigating disease, racism in medical care, regularly experienced racism, increased exposure risk (pub transit, essential jobs, etc.), decreased healthcare access, & more
Nice work @drmfreire + team at @JCVenterInst! 👉 They found that local #periodontal pathogen enrichment was positively associated with high systemic inflammatory profiles in patients with Systemic #Lupus Erythematosus: biorxiv.org/content/10.110…
Quote from paper 👉 “...the gut #microbiome, and recently the #oral microbiome, showed direct impact on SLE subjects, the complexity of chronic diseases such as #SLE is beyond isolated body compartments, and it requires the integration of host-microbial interactions.”
Also 👉 “At the center of #autoimmune pathogenesis, this study provides evidence that #inflammatory response to #microbiome controls the severity, and magnitude of the #SLE disease”
