Discover and read the best of Twitter Threads about #pulmtwitter
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A thread on mechanics, logistics and reasons behind positive end expiratory pressure (PEEP) significance while handling patients on mechanical or non-invasive ventilation 🧵
#MedTwitter #EDTweeter #PulmTwitter @PulmPEEPs
#MedTwitter #EDTweeter #PulmTwitter @PulmPEEPs
PEEP is the air pressure that stays “WITHIN” the lungs after a person finishes exhaling. Now, this PEEP pressure is always greater than atmospheric pressure. It essentially prevents the alveoli’s to collapse and maintains the airways open.
CPAP is a non-invasive mode of ventilation which works by the same principal of PEEP, I.e. to provide end expiratory positive pressure
EPAP means expiratory positive airway pressure which works with the same logic & dynamics of PEEP, but is used for patients receiving BPAP
EPAP means expiratory positive airway pressure which works with the same logic & dynamics of PEEP, but is used for patients receiving BPAP
1) Welcome to a new #accredited #tweetorial on #Bronchiectasis (#NCFB or #bronchiectasis) & its management, by Christina Thornton MD (@Cthornton32), respirologist & clinician scientist in Calgary 🇨🇦. Follow along and earn 0.75h CE/#CME #physicians #nurses #NPs #PAs #pharmacists!
2) I am very excited to be among the founding faculty in this initiative! FOLLOW US for awesome expert-led education #pulmtwitter!
👍@BronchiectasisR @COPDFoundation @EMBARCnetwork @ELF @profJDchalmers @sunjayMD @DrHollyKeir @becleartoday @ephesians_1_7 @NTMinfo @AlibertiStefano
👍@BronchiectasisR @COPDFoundation @EMBARCnetwork @ELF @profJDchalmers @sunjayMD @DrHollyKeir @becleartoday @ephesians_1_7 @NTMinfo @AlibertiStefano
3) This program is supported by an educational grant from Insmed & is intended for healthcare professionals. Statement of accreditation and faculty disclosures at pulmonarymed-ce.com/disclosures/. CE/#CME credit from @academiccme.
Bench to bedside series: Lung COPD part 1/3
Respiratory histology (via @drawittoknowit)
Health & COPD Lung @TheLancet
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Respiratory histology (via @drawittoknowit)
Health & COPD Lung @TheLancet
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Bench to bedside series: Lung COPD part 2/3
2. #Pathophysiology of #COPD via @EricWong_MD
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
2. #Pathophysiology of #COPD via @EricWong_MD
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Bench to bedside series: Lung COPD part 3/3
#scRNAseq paper: Human distal airways contain a multipotent secretory cell that can regenerate alveoli
1. RASCs (new cell-type) + #stemcell properties in distal airways 2. faulty RASC-to-AT2 transformation in COPD
#Bioinformatics #MedEd
#scRNAseq paper: Human distal airways contain a multipotent secretory cell that can regenerate alveoli
1. RASCs (new cell-type) + #stemcell properties in distal airways 2. faulty RASC-to-AT2 transformation in COPD
#Bioinformatics #MedEd
Healthy Lung vs. Lung with Chronic Obstructive Pulmonary Disease (COPD)
h/t @PatologCritica
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #lung #COPD #INNOMed
h/t @PatologCritica
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #lung #COPD #INNOMed
Bench to bedside series: Lung COPD part 1/3
Respiratory histology (via @drawittoknowit)
Health & COPD Lung @TheLancet
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Respiratory histology (via @drawittoknowit)
Health & COPD Lung @TheLancet
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Bench to bedside series: Lung COPD part 2/3
2. #Pathophysiology of #COPD via @EricWong_MD
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
2. #Pathophysiology of #COPD via @EricWong_MD
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Middle aged patient presents with insidous onset, progressively worsening SOB.
Chest is full of wheezing and creps.
What is this?
#MedTwitter
Chest is full of wheezing and creps.
What is this?
#MedTwitter
This is the HRCT thorax.
This is a biopsy proven adenocarcinoma.
No GGO
No air bronchograms
Multiple coalescing nodules of various sizes --> s/o cannonball metastases.
#MedTwitter
#pulmtwitter
#oncology
#TB
#tuberculosis
No GGO
No air bronchograms
Multiple coalescing nodules of various sizes --> s/o cannonball metastases.
#MedTwitter
#pulmtwitter
#oncology
#TB
#tuberculosis
ABCDE steps to Chest X-RAY Interpretation
#pulmonary #pulmtwitter #pulmonology #respiratory #internalmedicine #TipsForNewDocs #MedEd #MedTwitter #medicine #medical #medicare #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #MedStudents #xray #Radiology
#pulmonary #pulmtwitter #pulmonology #respiratory #internalmedicine #TipsForNewDocs #MedEd #MedTwitter #medicine #medical #medicare #health #healthcare #FOAMed #ClinicalPearl #clinicaltips #MedStudents #xray #Radiology
What you are seeing in this video is paradoxical chest movement due to flail chest, let's explain this more extensively, 🧵:
Quick physiology revision:
This is the normal mechanism of breathing:
This is the normal mechanism of breathing:
During inspiration the diaphragm and the external intercostal muscles contract, causing an increase in the thoracic cavity volume. Pressure in the thorax decreases below atmospheric pressure, and air rushes in through the trachea.
Bench to bed series: Lung COPD part 1/3
1. #Respiratory #histology (via @drawittoknowit)
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
1. #Respiratory #histology (via @drawittoknowit)
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Bench to bed series: Lung COPD part 2/3
2. #Pathophysiology of #COPD via @EricWong_MD
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
2. #Pathophysiology of #COPD via @EricWong_MD
#4KMedEd #meded #foamed #medtwitter #MedEd #MedTwitter #Pulmtwitter #scRNAseq #Bioinformatics
Bench to bed series: Lung COPD part 3/3
#scRNAseq paper: Human distal airways contain a multipotent secretory cell that can regenerate alveoli
1. RASCs (new cell-type) + #stemcell properties in distal airways 2. faulty RASC-to-AT2 transformation in COPD
#Bioinformatics #meded
#scRNAseq paper: Human distal airways contain a multipotent secretory cell that can regenerate alveoli
1. RASCs (new cell-type) + #stemcell properties in distal airways 2. faulty RASC-to-AT2 transformation in COPD
#Bioinformatics #meded
This balloon is heavily hyper inflated. Diameter is larger than the trachea itself. Be suspicious and look from above!
#Tracheostomy management is just as important as the insertion itself. Here’s a previously poorly fit apparatus. Balloon at 96cmH20 on arrival. Here is about a 3-4 cm posterior membrane tracheal defect at level of previous balloon.
1/7 Spacers confused me, so I wanted to sort them out. Let’s start with a question - what type of inhalers can benefit from a spacer?
#MedTwitter #FOAMed #MedEd #MedStudentTwitter #PulmTwitter
#MedTwitter #FOAMed #MedEd #MedStudentTwitter #PulmTwitter
2/7 Metered dose inhaler (MDIs) are best used with a spacer! Pressurized devices were invented far earlier, but the technology was adapted to treat asthma in the form of an MDI in 1957 by Riker Labs. smithsonianmag.com/innovation/his…
3/7 MDIs have various advantages and disadvantages, some of which can be mitigated by spacers.
rc.rcjournal.com/content/50/9/1…
rc.rcjournal.com/content/50/9/1…
1/12 The jump from classroom teaching to clinical rotations is made tougher by the fact that physicians have illness-specific frameworks for presentations and documentation. Let's explore a bunch of them (feedback is most welcome)!
#MedTwitter #MedEd #FOAMed
#MedTwitter #MedEd #FOAMed
2/12 Let's start with anemia. It is ideal if you report the baseline Hgb and an interpretation of the MCV. #HemeTwitter
3/12 For VTEs, it is helpful to tell the listener/reader if you think it is provoked vs. unprovoked. A hypercoagulable work-up should not be sent routinely.
Related to my last live tweet: Lung Disease Challenges in Myositis: Diagnosis, Treatment, and Screening
#ACR20 #ACRambassador
#ACR20 #ACRambassador
From Dr. Danoff--a pulmonologist's perspective
HRCT is incredibly important!
-Different ILD patterns predict outcomes and response to therapy
-Look for non-ILD findings that impact diagnosis and treatment: esophageal dilation, pulmonary artery dilation, pleuritis, tumors
HRCT is incredibly important!
-Different ILD patterns predict outcomes and response to therapy
-Look for non-ILD findings that impact diagnosis and treatment: esophageal dilation, pulmonary artery dilation, pleuritis, tumors
As a rheumatologist, NEVER forget that ILD can come first in myositis. With ILD + myositis specific antibody, you should have an extremely high suspicion for myositis even if there isn't extrapulmonary disease (yet). #rheumtwitter #ildtwitter
Today I'm going to do a #Tweetorial on non-resolving pneumonia (NRP)! These are a series of pearls on a prior #MorningReport case that I gave earlier this year. We are going to cover definitions, differential diagnosis/schema & workup of NRP #IDTwitter #PulmTwitter
So first off, what is non-resolving pneumonia (NRP)?
It is a bit vague, but it's a lack of resolution of symptoms or radiographic findings over an expected time period despite appropriate antibiotic treatment.
It is a bit vague, but it's a lack of resolution of symptoms or radiographic findings over an expected time period despite appropriate antibiotic treatment.
Let's separate this term from "recurrent PNA", which consists of multiple episodes with symptom free intervals & radiologic clearance (e.g. aspiration PNA).
We will avoid the topic of "what is a pneumonia anyway?"
We will avoid the topic of "what is a pneumonia anyway?"
