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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
Mar. 1:
1/ #Russians #Selling #Ship #Engineering #Plant in #Crimea
In #Crimea they 🔸want to #Sell the "#Feodosia #Ship #EngineeringPlant" & #JSC "#Dvuyakornaya #Bukhta"
#Telegram: @CrimeanWind reports
..continued
2/
#UkraineRussiaWar #ForSale #Engines
t.me/Crimeanwind/23…
1/ #Russians #Selling #Ship #Engineering #Plant in #Crimea
In #Crimea they 🔸want to #Sell the "#Feodosia #Ship #EngineeringPlant" & #JSC "#Dvuyakornaya #Bukhta"
#Telegram: @CrimeanWind reports
..continued
2/
#UkraineRussiaWar #ForSale #Engines
t.me/Crimeanwind/23…
Mar. 1:
2/ #Russians #Selling #Ship #Engineering #Plant in #Crimea
The #Russian #Parliament of #Crimea included the #Feodosia #Ship #Mechanical #Plant
continued
3/
#UkraineRussiaWar #ForSale #Marine #Engines #OutOfProduction .@DmytroKuleba .@ZelenskyyUa
t.me/Crimeanwind/23…
2/ #Russians #Selling #Ship #Engineering #Plant in #Crimea
The #Russian #Parliament of #Crimea included the #Feodosia #Ship #Mechanical #Plant
continued
3/
#UkraineRussiaWar #ForSale #Marine #Engines #OutOfProduction .@DmytroKuleba .@ZelenskyyUa
t.me/Crimeanwind/23…
Mar. 1:
3/ #Russians #Selling #Ship #Engineering #Plant in #Crimea
..#Plant & #JSC #Dvuyakornaya #Bukhta in the #Privatization plan for 2023.
In particular, the #Privatization plan was supplemented ..continued
4/
#UkraineRussiaWar #Marine #Components
t.me/Crimeanwind/23…
3/ #Russians #Selling #Ship #Engineering #Plant in #Crimea
..#Plant & #JSC #Dvuyakornaya #Bukhta in the #Privatization plan for 2023.
In particular, the #Privatization plan was supplemented ..continued
4/
#UkraineRussiaWar #Marine #Components
t.me/Crimeanwind/23…
Mar. 1:
1/ Many #Russian #Warships in #BlackSea
#Crimea report:
New #Russian #Missile #Attack could be #Pinpoint or in #Multiple waves
This was announced by the head of the #Joint ..continued
2/
#UkraineRussiaWar #Warships #Ukraine .@oleksiireznikov
t.me/Crimeanwind/23…
1/ Many #Russian #Warships in #BlackSea
#Crimea report:
New #Russian #Missile #Attack could be #Pinpoint or in #Multiple waves
This was announced by the head of the #Joint ..continued
2/
#UkraineRussiaWar #Warships #Ukraine .@oleksiireznikov
t.me/Crimeanwind/23…
Mar. 1:
2/ Many #Russian #Warships in #BlackSea
..#JointCoordinatingPressCenter of the #DefenseForces of the #South of #Ukraine, #NataliaHumenyuk on the air of the telethon.
According to her, the #Russian..continued
3/
#UkraineRussiaWar #Ships #Ukraine
t.me/Crimeanwind/23…
2/ Many #Russian #Warships in #BlackSea
..#JointCoordinatingPressCenter of the #DefenseForces of the #South of #Ukraine, #NataliaHumenyuk on the air of the telethon.
According to her, the #Russian..continued
3/
#UkraineRussiaWar #Ships #Ukraine
t.me/Crimeanwind/23…
#SCHNELLERADLER22
Ich hatte die Chance/das Vergnügen als Marineinfanterist den GefStd LLBrig 1 zu verstärken, um über die maritime Domäne zu beraten, die Verbindung zur Maritime Task Group sicherzustellen und möglichst viele FSchJg mit meinem Dienstgrad zu verwirren. #JOINT 1/x
Ich hatte die Chance/das Vergnügen als Marineinfanterist den GefStd LLBrig 1 zu verstärken, um über die maritime Domäne zu beraten, die Verbindung zur Maritime Task Group sicherzustellen und möglichst viele FSchJg mit meinem Dienstgrad zu verwirren. #JOINT 1/x
Ein paar lose Gedanken:
1. Die Marine agiert, nahezu ständig, #COMBINED und die Operationsführung als Task Group/Unit ist stark auf NATO-Doktrin ausgerichtet VS. Führungsprozess Landstreitkräfte (Heer).
Das beginnt mit Fernschreiben (SITREPS, INTREP, DIM) im txt-Format... 2/x
1. Die Marine agiert, nahezu ständig, #COMBINED und die Operationsführung als Task Group/Unit ist stark auf NATO-Doktrin ausgerichtet VS. Führungsprozess Landstreitkräfte (Heer).
Das beginnt mit Fernschreiben (SITREPS, INTREP, DIM) im txt-Format... 2/x
...über die Verwendung Militärscher Symbole im CONOPS, bis hin zur Befehlsgebung.
[P.S. im MilSymGenerator fehlen die vorgefertigten Symbole für Marineinfanterie]
2. #JOINT ist eine andere Herausforderung, da unterschiedliche Führungsprozesse verheiratet werden müssen. 3/x
[P.S. im MilSymGenerator fehlen die vorgefertigten Symbole für Marineinfanterie]
2. #JOINT ist eine andere Herausforderung, da unterschiedliche Führungsprozesse verheiratet werden müssen. 3/x
@MondayNightIBD @BassiMehak @abbvie @JanssenUS @ferring @TakedaPharma #PreConvo #IBDPoll1⃣
🆓#CME bit.ly/3wdwE7J
25y/oM w refractory #UlcerativeColitis undergo colectomy w IPAA. Takes acetaminophen PRN headaches & drinks a🍷glass w dinner. Presents for a routine f/up visit. labs: Alk Phos 250. What is the most likely cause of this AP?
🆓#CME bit.ly/3wdwE7J
25y/oM w refractory #UlcerativeColitis undergo colectomy w IPAA. Takes acetaminophen PRN headaches & drinks a🍷glass w dinner. Presents for a routine f/up visit. labs: Alk Phos 250. What is the most likely cause of this AP?
@MondayNightIBD @BassiMehak @abbvie @JanssenUS @ferring @TakedaPharma #PreConvo #IBDPoll2⃣
🆓#CME bit.ly/3wdwE7J
What is the most common extra-intestinal manifestation #EIM in patients living with #IBD?
🆓#CME bit.ly/3wdwE7J
What is the most common extra-intestinal manifestation #EIM in patients living with #IBD?
@MondayNightIBD @BassiMehak @abbvie @JanssenUS @ferring @TakedaPharma 1/⬆️ EIMs in #IBD
⭐️ CD > UC.
⭐️ Colon involvement
💣 Pathol:
⭐️ Direct result of bowel disease (e.g kidney stone from oxalate malabsorption )
⭐️ Influx of mononuclear cells activated in the intestine➡️another organ
⭐️ Systemic Immune activation independent of gut🔥
⭐️ CD > UC.
⭐️ Colon involvement
💣 Pathol:
⭐️ Direct result of bowel disease (e.g kidney stone from oxalate malabsorption )
⭐️ Influx of mononuclear cells activated in the intestine➡️another organ
⭐️ Systemic Immune activation independent of gut🔥
😱Video of New Zealand PM 'smoking crack'😱
#Real or #fake? Let’s find out. 👇👇👇 1/...
#OSINT 🔎
#Verification 📹
#SpeurJeMee? 🧐 #HowToOSINT
#Real or #fake? Let’s find out. 👇👇👇 1/...
#OSINT 🔎
#Verification 📹
#SpeurJeMee? 🧐 #HowToOSINT
On 1 Oct. someone posts a video on #Twitter.
We see two videos superimposed. According to the caption , we would see the New Zealand Prime Minister Jacinda Ardern twice.
At the top she appears to be talking to #BillGates and at the bottom she appears to be using #crack. 🔞2/.
We see two videos superimposed. According to the caption , we would see the New Zealand Prime Minister Jacinda Ardern twice.
At the top she appears to be talking to #BillGates and at the bottom she appears to be using #crack. 🔞2/.
Ambassador Huang, allow me to recommend:
The #China #MaritimeMilitia #Bookshelf--
andrewerickson.com/2021/03/the-ch…
Includes multiple official items from your own government on your nation's #ThirdSeaForce.
China is often more transparent in #Chinese :)
Truth best limits "speculation"
The #China #MaritimeMilitia #Bookshelf--
andrewerickson.com/2021/03/the-ch…
Includes multiple official items from your own government on your nation's #ThirdSeaForce.
China is often more transparent in #Chinese :)
Truth best limits "speculation"
And here's #China's own official state media documenting progress of its #MaritimeMilitia... in plain #English!
english.chinamil.com.cn/news-channels/…
News Channels/China Military News
Maritime militia increases drills, expands in scope
Source: China Daily Editor: Yao Jianing
2016-02-02 17:16
english.chinamil.com.cn/news-channels/…
News Channels/China Military News
Maritime militia increases drills, expands in scope
Source: China Daily Editor: Yao Jianing
2016-02-02 17:16
But don't take my word for it, read #ChinaDaily:
"As the People's Liberation Army upgrades its navy, commissioning dozens of new ships under a watchful global eye,a less noticed force,China's maritime militia, is also improving its operational capability."
english.chinamil.com.cn/news-channels/…
"As the People's Liberation Army upgrades its navy, commissioning dozens of new ships under a watchful global eye,a less noticed force,China's maritime militia, is also improving its operational capability."
english.chinamil.com.cn/news-channels/…
#DeepikaPadukone: #No_Hasty_Actions_Please
Warning: #Hash_tags in this article are purely coincidental and aren't meant to be taken seriously. Do not Google their meanings. You will end up on same page.
(1/N)
Warning: #Hash_tags in this article are purely coincidental and aren't meant to be taken seriously. Do not Google their meanings. You will end up on same page.
(1/N)
While the whole Hindu Right Wing is baying for Deepika Padukone's blood, I have a different take. I cannot shun this responsibility to post my thoughts about Deepika. I advocate no #Hash_Tea actions against her. Let me elaborate.
(2/N)
(2/N)
We should never forget Deepika is a woman of #substance. She is made of sterner #stuff. She's managed to create her own identity away from her father's shadow and done her best to #weed out nepotism in cinema field.
(3/N)
(3/N)
Refreshing that the Boston U report described in this article supports what many physicians tell me in the clinic 👉 Immunosuppressive drugs palliate inflammatory symptoms short-term...but can exacerbate many of these same symptoms over longer time periods:nbcnews.com/news/amp/ncna1…
2/2 The report found that #corticosteroid shots in the hips and knees may accelerate the progression of #osteoarthritis and potentially even hasten the need for #joint replacement surgeries in the long run
3/3 “While patients may report temporary pain relief from the #corticosteroid injections, injections may be detrimental in the long run...They may actually harm your knee or your #hip” - Dr. Ali Guermazi, Professor of radiology at Boston University School of Medicine
