When your medical school is on an island weekends look a bit different. Students & faculty joined Galvestonians at #UTMB Preventative Medicine Initiative Heart & Sole 5K, one of the experiences that comes with training here, learning & taking part in community
#MedThreads #MedEd
ALT A group of people running a marathon on a paved path near a body of water. The sky is partly cloudy, and the runners are in athletic attire, with bib numbers pinned to their shirts.
ALT Two people are standing on a coastal path, each holding handmade signs. The water and beach are visible in the background under a clear blue sky.
ALT People running in a charity race on a sunny day by the beach, with a Ferris wheel and other amusement park rides visible in the background.
ALT A person jogging along a beachside path, wearing headphones and athletic wear. The ocean is to the left, with a clear blue sky above.
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Not in the same way as it was before this chap took over.
#MedSky and #MedThreads are OK but just don't have the same feel as MedTwitter when it was at its peak.
My feeling is that we have to rough it out and at some point normal service may resume...
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📿 Medical Pearl
Category: Nephrology: Kidney Disease Diagnosis and Management > Glomerulonephritis: Causes, Diagnosis, and Management > Viral-Associated Glomerulonephritis
For patients with nephrotic syndrome and findings consistent with membranous nephropathy, always investigate for secondary causes, particularly chronic viral infections like hepatitis B. A kidney biopsy is crucial, as immunofluorescence demonstrating hepatitis B surface antigen within glomerular immune deposits confirms HBV-associated glomerulonephritis. Unlike primary membranous nephropathy, this secondary form requires specific etiologic treatment. The most appropriate management is *potent antiviral therapy* (e.g., entecavir or tenofovir) to suppress HBV replication. This approach halts antigen production, allowing gradual resolution of immune complex deposition, which ultimately improves proteinuria and preserves kidney function, often independent of liver disease severity. Co-management with hepatology is key.
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#MedThreads #LabMedicine #MedEdTwitter
@MedSchTeaching @GlomerularGeek
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*Generated by AI. May contain errors. Use at own risk. Full disclaimer: endlessmedical.academy/auth?…
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📿 Medical Pearl
Category: Nephrology: Kidney Disease Diagnosis and Management > Glomerulonephritis: Causes, Diagnosis, and Management > Pregnancy-Associated Glomerulonephritis
Preeclampsia's multisystemic manifestations, including hypertension and proteinuria, stem from a fundamental placental issue. Abnormal placentation leads to placental hypoperfusion and oxidative stress, triggering the release of anti-angiogenic factors like soluble fms-like tyrosine kinase-1 (sFlt-1) into maternal circulation. sFlt-1 sequesters vascular endothelial growth factor (VEGF) and placental growth factor (PlGF), critical for maintaining endothelial integrity. This VEGF withdrawal particularly impacts glomerular endothelial cells, causing swelling and loss of fenestrations, a non-immune injury termed glomerular endotheliosis. This widespread endothelial dysfunction underscores how placental health critically dictates maternal systemic vascular health in preeclampsia.
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#HTN #MedThreads #DailyMedEd
@First10EM @JGIMtweets
Dig deeper on this topic at endlessmedical.ai, where multiple AI models debate, cross-check references, and verify calculations to give you the most updated and accurate medical information with minimal hallucinations and errors.
*Generated by AI. May contain errors. Use at own risk. Full disclaimer: endlessmedical.academy/auth?…
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2 Nov 2025
8️⃣ So next time jab aisa ho… yaad rakhna,
yeh koi bhoot nahi —
bas tumhara dimaag aur sharir ek hi लय me nahi hain. 🧠💤
#MedThreads #SleepScience #HealthSimplified
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8 Oct 2025
Correct answer:
**Percutaneous transluminal balloon angioplasty of the right renal artery without stent placement performed at the local hospital by the available interventionalist**
Both the 2011 American College of Cardiology Foundation/American Heart Association guideline on peripheral artery disease and the 2017 European Society of Cardiology guideline on peripheral arterial diseases state that renal artery revascularisation may be considered in patients who exhibit resistant hypertension, recurrent flash pulmonary oedema, or a rise in serum creatinine after initiation of a renin–angiotensin-system inhibitor—the exact clinical scenario here. Endovascular therapy is favoured over open surgery because it can be performed under local anaesthesia with lower peri-operative morbidity.
For ostial atherosclerotic renal artery stenosis, the same documents give primary stenting a class I recommendation because it improves acute luminal gain and lowers restenosis. Nevertheless, both guidelines note that balloon angioplasty alone carries a class IIb (“may be considered”) recommendation when stents are unavailable, unaffordable or outside the skill set of the operator, provided an adequate residual gradient is achieved and follow-up is arranged.
In this hospital the consumables for plain angioplasty—a sheath, guidewire and appropriately sized balloon catheter—are stocked, and an experienced interventionalist is present today. Local treatment therefore eliminates travel expenses, consultation fees and the logistical barriers of referral, while addressing an urgent risk of recurrent pulmonary oedema. Potential complications such as arterial dissection, thrombosis or rapid restenosis are recognised, but the procedure can be repeated at modest incremental cost if hypertension rebounds. In the context of immediate need, lack of budget for a stent, and the absence of a tertiary vascular centre, balloon-only angioplasty is the most pragmatic and guideline-concordant strategy for improving blood-pressure control and preserving renal function.
#MedThreads #CriticalCare #Surgery #InternalMedicine #HealthForAll #Hospitalist #GlobalSurgery
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*Generated by AI. May contain errors. Use at own risk. Full disclaimer: endlessmedical.academy/auth?…
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6 Aug 2025
SUPER THREAD ON 25 NAIL ABNORMALITIES
Nail findings can be confusing, so I've included images.Bookmark this thread for diagnosing nail issues!
Source: @aafp et al.
(1/n)
#MedTwitter @IhabFathiSulima
#MedEd #USMLE #NEETPG
#Dermatology #MedThreads
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