Austin Rezigh

649 posts

Austin Rezigh

Austin Rezigh

@RezidentMD

Nerd, IM physician, Eating afficionado. Tweets my own.

USA Katılım Mayıs 2019
329 Takip Edilen580 Takipçiler
Austin Rezigh
Austin Rezigh@RezidentMD·
@ASanchez_PS Might be completely wrong, but first pass instinct was that this represents an early repolarization pattern. Would make sure there is no personal or family history of arrhythmia or sudden cardiac death, but otherwise would search for other cause of the their chest symptoms.
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Andrew Sanchez
Andrew Sanchez@ASanchez_PS·
1. What is this ECG pattern? 🤔 2. Next diagnostic moves? 🤔
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Andrew Sanchez
Andrew Sanchez@ASanchez_PS·
Great ECG case with @monse_reyeslo today! ⚡️ A young human presented 6 months ago for palpitations, at which time baseline ECG available. 1 month PTA, presented for pleuritic CP, worse when flat/leaning forward → ECG #2 taken → given colchicine ⊕ ibuprofen ⊕ prednisone ...
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AHNIMres
AHNIMres@AHNIMres·
Allow us to reintroduce ourselves. We are thrilled to welcome our newly matched applicants, categorical and prelim! Congratulations, we are so lucky to have you join our program, and look forward to working together! 🤩🎉👏👏👏 #Match2026 #MedTwitter #MedStudentTwitter
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Ashley Miller
Ashley Miller@icmteaching·
Afterload 🧵 The physics of circulation part 5 Afterload is tricky to understand. It is not blood pressure. It is not SVR. It is not “how tight the arteries are.” To understand it, we need to separate three things that are routinely blurred.
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Ashley Miller
Ashley Miller@icmteaching·
Critical closing pressure - how it should guide personalised care If CCP is a threshold (not a pressure), the clinical aim is simple: 👉 keep arterioles open 👉 preserve flow continuity from pump → tissue Not chase MAP or SVR in isolation. doi.org/10.3390/jpm160…
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Jake Scott, MD
Jake Scott, MD@jakescottMD·
This claim keeps circulating no matter how many times it’s debunked, so let’s try again. The Shrestha et al Cleveland Clinic preprint found vaccinated employees had 27% higher flu rates. Sounds damning until you learn vaccinated employees were also tested at 27% higher rates. UPenn biostatistician @jsm2334 showed that when you correct for this testing bias, test positivity was actually ~20% lower in the vaccinated group. The “negative effectiveness” is an artifact of who got swabbed, not who got sick. This is a preprint, not peer-reviewed, from one healthcare workforce in one season. Meanwhile, observational data across millions of people consistently show flu vaccines reduce hospitalizations by 40-60% depending on strain match. And while we’re here: flu shots cannot cause the flu. The injected vaccine contains no live virus. When people say “I got the flu shot and then got sick,” they either caught something else (it’s cold season), experienced a normal immune response (mild fatigue, sore arm), or were already incubating an infection before the vaccine took effect.
Nicolas Hulscher, MPH@NicHulscher

MAJOR Cleveland Clinic study (n=53,402) finds flu shots DO NOT work — and actually INCREASE your risk of flu by +27%. RFK Jr. is right: the fewer people injecting infection promotors, the better.

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Ashley Miller
Ashley Miller@icmteaching·
🧵 Afterload, resistance, and why the heart isn’t “pushing against” pressure 👇
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Ashley Miller
Ashley Miller@icmteaching·
🧵 What drives blood flow – the heart or the vessels? Eminent physiologists have argued this for decades. The disagreement survives because of imprecise causality. Here’s the resolution 👇
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Ashley Miller
Ashley Miller@icmteaching·
🧵 Inlet impedance: the missing determinant of cardiac output 1/ What really limits cardiac output: the heart or the circulation delivering blood to it? This question has sparked heated arguments between physiologists for decades. To answer it, you first need to understand inlet impedance (Zin).
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AHNIMres
AHNIMres@AHNIMres·
🚨 FELLOWSHIP MATCH ALERT! 🚨 Our residents absolutely crushed the 2025 match: ❤️ Cardiology 🩸 Heme/Onc 🫁 Pulm/CCM 🦠 ID 🧪 Endocrinology 💩 GI 🤲 Rheumatology 🌟 And more - at some of the most prestigious programs nationwide. So proud. So grateful. So inspired. Let’s GO! 💥
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Ashley Miller
Ashley Miller@icmteaching·
🧵 Albumin in Critical Care: 70 Years, 700 Papers… Zero Benefit 1/ Albumin is the most studied fluid in critical care. Decades of trials. Endless meta-analyses. And yet – not a single clinically meaningful benefit. Here’s why the entire theory collapses once you understand Extended Starling. 👇
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The Clinical Problem Solvers
#MedTwitter #Match2025 Are you interested in knowing more about residency programs? Tomorrow, we will feature the Allegheny Internal Medicine Residency Program @AHNIMres 🗓️When: Tomorrow ⏲️Time: 9:00 AM PST / 12:00 PM EST 💻Where: Virtual, as always.
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AHNIMres
AHNIMres@AHNIMres·
Come check us out on the CPS VMR @ 12pm EST tomorrow, 11/15/2025 Featuring a case by @AjuVaniBabu @RezidentMD @TKapetanos @michaelturk6 @lexileea
The Clinical Problem Solvers@CPSolvers

#MedTwitter #Match2025 Are you interested in knowing more about residency programs? Tomorrow, we will feature the Allegheny Internal Medicine Residency Program @AHNIMres 🗓️When: Tomorrow ⏲️Time: 9:00 AM PST / 12:00 PM EST 💻Where: Virtual, as always.

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Elliot Tapper
Elliot Tapper@ebtapper·
Ascites management
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Elliot Tapper
Elliot Tapper@ebtapper·
Octreotide pearls 1. When a patient comes in with upper GI bleeding, you do NOT need a PPI with octreotide because “it may be an ulcer”. Both drugs raise the gastric pH to the same amount 2. Octreotide stops working after 3-6 days.
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Elliot Tapper
Elliot Tapper@ebtapper·
Ammonia is open to work
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Ashley Miller
Ashley Miller@icmteaching·
🧵 Part 2 — The Venous Return Curve 1️⃣ Last time, we fixed the cardiac function curve. Now let’s look at the other half of the story — venous return — and how the circulation really feeds the heart. #FOAMed #MedX #physiology
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Ashley Miller
Ashley Miller@icmteaching·
🧵 The Cardiac Function Curve — why it misleads (Part 1) 1/ The cardiac function curve is one of the most recognisable images in physiology. Unfortunately, it’s also one of the most misdrawn, mislabelled, and misunderstood. Let’s redraw it — and see what it really tells us about the circulation. #MedX #FOAMed #physiology
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