Internal medicine (@IMmemorandum) header
Internal medicine (@IMmemorandum) profile picture

Only medicine

Joined March 2012
Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)Photo by Internal medicine (@IMmemorandum)
Adult-onset Still's disease (AOSD)
14
1
58
3,546
MASLD Management in Adults:
6
24
2,082
GLP-1 receptor agonists are emerging as a potential therapeutic option for obstructive sleep apnea (OSA).
1
6
1,779
ABG interpretation
1
110
1
402
10,929
Raynaud phenomenon
1
3
1,632
Tophus of the ear in this patient with tophaceous gout.
4
1,830
⚡ Migraine treatment works best when it is early, decisive, and individualized: ✓ Treat at the first sign ✓ Use an adequate initial dose ✓ Choose a nonoral route for significant nausea/vomiting ✓ Consider preventive therapy when attacks are frequent or difficult to control
1,801
AGA Clinical Practice Update on Management of Clostridioides difficile Infection in Adults:
22
83
3,711
SGLT2 inhibitors may modestly improve glucose and weight in type 1 diabetes, but they increase the risk of diabetic ketoacidosis—including euglycemic DKA. Their use requires careful patient selection, education, ketone monitoring, and sick-day precautions.
7
1,781
🩸 ASH 2026 Guidelines: Key Ferritin Thresholds for Diagnosing Iron Deficiency—With or Without Anemia
66
222
8,999
Shawl sign in dermatomyositis: Poikilodermatous eruption on the upper back in a patient with dermatomyositis.
5
957
All patients who test positive for active H. pylori infection (ie, have a positive nonserologic test) should be offered treatment. Exception if there is contraindications to treatment (eg, pregnancy)
2
1
1,003
Time to positivity of HIV diagnostic tests
39
2
113
Causes of unintentional weight loss
56
7
157
Long-distance Travel & VTE prophylaxis #ASH18 Guidelines – at Barcelona, Spain
21
50
Internal medicine retweeted
Replying to @IMmemorandum
Up to 70% will not have the classic triad on presentation (and MRI not very sensitive either). Diagnose based on response to empiric IV thiamine (500mg q8h)
3
6
20
Thiamine deficiency manifesting as Wernicke encephalopathy : ● Nystagmus ● Ophthalmoplegia ● Ataxia ● Confusion
2
77
1
206
Peripheral neuropathy: differential STAGLAND: 👉Sarcoid 👉Thyroid 👉Amyloid 👉Guillian-Barre 👉Lead 👉Alcohol 👉Nutritional 👉Drugs/Diabetes
1
97
4
238
Dose dependence of thiazide-induced side effects " bendrofluazide in relation to daily dose "
7
25