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Andrew Sanchez

@asanchez.bsky.social

❓ Hospitalist @ BIDMC Teaching/Learning Dx 🎙 Co-host of DxAtypia.com 🕵🏽‍♂️ Clinical Problem Solvers, Schema Co-host

123 Posts247 Follower97 Folgt
josh farkas 💊@pulmcrit.bsky.social · last yr.

this is a super interesting case. I don’t want to spoil it for you, so take a minute and go thru it. In the wisdom of 20/20 hindsight, can you figure out what happened?? #EMIMCC 🧵 #1/2

@IM_Crit_@imcrit.bsky.social · last yr.

ICU Stories: A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started

Dominique Guerrot@dguerrot.bsky.social · last yr.

Can a #MedEd #Podcast improve your OSCE score? Yes—and now it’s published! This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to: 🎧 +3.5 OSCE score boost 💪 Better self-perception of clinical skills (42% vs 16%) ✅ 96% would use the podcast again 👉🏼 doi.org/10.1186/s129...

Evaluating podcasts as a tool for OSCE training: a randomized trial using generative AI-powered simulation - BMC Medical Education

Introduction Objective Structured Clinical Examinations (OSCEs) are critical for assessing clinical competencies in medical education. While traditional teaching methods remain prevalent, this study i...

doi.org

Andrew Sanchez@asanchez.bsky.social · 2y ago

Great article Importantly, while ICI pneumonitis reviews mention that radiographic presentations can be multifactorial, very few mention UNILATERAL-predominant presentation of ICI pneumonitis... 🔥

@IM_Crit_@imcrit.bsky.social · 2y ago

2. When a patient is admitted to the ICU for acute respiratory failure & the chest CT scan findings are concerning for ICI pneumonitis, the first step is to rule out infection quickly The radiologic patterns of immune checkpoint-induced pneumonitis can be summarized as:

Zaven Sargsyan@sargsyanz.bsky.social · 2y ago

I've never been to an M&M about kidney injury attributable to iodinated contrast. I've been to several M&Ms for adverse outcomes from missed/delayed diagnoses because people hesitated to use IV contrast for fear of what we now know to be a ghost

Joel Topf@kidneyboy.bsky.social · 7y ago

So without a randomized clinical trial this is what we are left with. The highest quality epidemiology studies are unable to detect any increase in AKI, so those bumps in creatinine following contrast are almost certainly run of the mill AKI and not contrast induced AKI.

Willy Frick@willyhfrick.bsky.social · 2y ago

Recent emotional case that made a big impact on me. I don’t have all the answers. Tell me what you think. Lit review at the bottom #ECGsky #medsky #cardiosky hqmeded-ecg.blogspot.com/2025/03/pati...

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

hqmeded-ecg.blogspot.com

Andrew Sanchez@asanchez.bsky.social · 2y ago

@notion.com really charging me $134.49 for accidentally sharing with students a link to my notebook intended for simple viewing: no projects, simple mistake. Great service, Notion! You maintain great fairness & consistency in taking people's money!

Bild
Andrew Sanchez@asanchez.bsky.social · 2y ago

ILD DDx is hard. I've tried to summarize it all in this note w/ many nested pages. ddx-notebook.notion.site/Interstitial...

Interstitial Lung Disease (ILD) | Notion

Signature ✍️

ddx-notebook.notion.site

NEJM.org@nejm.org · 2y ago

A 37-year-old man presented with a 10-month history of dry cough, fatigue, and dry mouth. Chest radiography showed reticular opacities at the lung bases and cystic lucencies in both lungs. Read the full case details: nej.md/42OwR1U #MedSky #PulmSky

Images in Clinical Medicine Lymphoid Interstitial Pneumonia Panel A: A chest radiograph showing reticular opacities at the lung bases and cystic lucencies in both lungs. Panel B: CT of the chest showing well-demarcated, thin-walled peribronchovascular cysts, predominantly in the lower lungs, as well as mild ground-glass opacities and subpleural reticulation.