Discover and read the best of Twitter Threads about #vomiting

Most recents (5)

At the beginning of February 2022, #Biden warned that "if #Russia invades #Ukraine with tanks and troops, then there will be no more #NordStream2"
#ItsDone #NordStream: Fourth leak found as Russia and West trade blame over alleged sabotage of gas pipeline | Sep 29
- #EU and #US have stopped to directly accusing Russia, a #Kremlin official was rebuked after hinting that #Washington was #responsible.
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Read 42 tweets
Repeated abdominal pain and vomiting could be a sign of "Abdominal Epilepsy"

1/n
Abdominal pain & vomiting are common symptoms of many gastrointestinal disorders. However, in some patients, no obvious cause can be found despite extensive investigations.
Case report
#MedTwitter
2/n
22-year old woman presented with repeated episodes of epigastric #abdominal #pain associated with #vomiting of three months duration. Symptoms occurred almost on daily basis, more in evenings, post which she felt tired and lethargic. She was evaluated by gastroenterologist.
3/n
Extensive investigations- upper GI endoscopy, CT and ultrasound of abdomen, LFT, serum amylase, etc were normal. Symptomatic treatment also did not help. At this point she was referred for my opinion.
#gastroenterology #internalmedicine
Read 5 tweets
Amy Offutt, MD: Rickettsial & Related Diseases
• #RMSF Rocky Mountain Spotted Fever
• #Ehrlichiosis
• #Anaplasmosis
• #Qfever
• #Scrubtyphus
#ILADS2022 ImageImage
2/Offutt Ticks are the primary vectors for spotted fevers; some species may be spread by fleas and mites #ILADS2022 #RMSF #Richettsia
3/Offutt: #RMSF is the most severe rickettsial illness in the US with risk of death. Early treatment with #doxycycline is critical, regardless of age #ILADS2022 Image
Read 10 tweets
High levels of an #infection in #Massachusetts is causing both gastrointestinal (#diarrhoea, #vomiting) & respiratory (#cough, #sinus, #headache) symptoms WITHOUT typical fever or runny nose - School children & parents/guardians across #boston suburbs affected for last 3 weeks.
Note the CDC data suggests very little SARS-CoV-2 (Omicron) or influenza (flu) at this time in Massachusetts or Connecticut or New Hampshire. So diagnostic tests being used are not catching this circulating pathogen, or a seasonal coronavirus/norovirus/adenovirus is the culprit
According to the data on SARS-CoV-2-positive PCR tests there is very low levels of COVID-19 over last 3 weeks in Massachusetts, CT, NH, RI & VT. Yet there are several #school #children, #teachers and #parents with gastrointestinal & respiratory #infection symptoms in these states Image
Read 12 tweets
Weekend Digest

Name the pathogen

5 Clues
#Lymphocytosis
#Macrolide
Posttussive #vomiting
Respiratory #droplet
#VaccinesWork Image
2/
#Bordetella pertussis

Fastidious gram-negative coccobacillus

Transmit: respiratory droplets - highest transmission during the catarrhal stage
3/
#Bordetella pertussis

#Pertussis is a clinical diagnosis

Stages
1. catarrhal stage: similar to URI with mild cough and coryza
2. paroxysmal phase: classic s/s with cough paroxysms, an inspiratory whoop, and posttussive vomiting
3. convalescent stage: cough subsides
Read 5 tweets

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