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Youssef Saklawi @saklawimd.bsky.social · May 19

The best explanation I've seen on Prostate cancer
www.frontiersin.org/journals/onc...

The Hypothetical RabbitA common analogy for describing newly diagnosed prostate cancer patients is to think of turtles, rabbits, and birds. This is an analo...

www.frontiersin.org

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Reposted by Youssef Saklawi

The Clinical Problem Solvers @cpsolvers.bsky.social · May 16

🚨New podcast episode out NOW!🚨

Tune in as @madellenaconte.bsky.social , @saklawimd.bsky.social and Noah discuss a case presented by @asanchez.bsky.social and share their approach to hypercarbia. 🫁🩺

Listen here🎧➡️ clinicalproblemsolving.com/2025/05/16/e...

#MedSky #Clinicalreasoning #MedEd

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Reposted by Youssef Saklawi

Dr Mary Dahm 🩷💜💙 (she/her) @drmarydahm.bsky.social · Apr 15

This is an excellent event for anyone interest in #patientsafety #diagnosticsafety Alaska's 5th Annual Improving Diagnostic Accuracy in Medicine Conference
May 8, 2025 – May 9, 2025 web.cvent.com/event/649d23...

Home Days of Conference - Alaska's 5th Annual Improving Diagnostic Accuracy in Medicine Conference

web.cvent.com

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Youssef Saklawi @saklawimd.bsky.social · Apr 28

In ancient times we used to say people got sick because of bad air. In modern times we check a UA and call it a UTI. 👻

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Youssef Saklawi @saklawimd.bsky.social · Feb 16

I'm starting a #ClinicalReasoning starter pack! Please share and let me know if you want to be added 🥳🦋
go.bsky.app/TN3bntx

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Reposted by Youssef Saklawi

The Clinical Problem Solvers @cpsolvers.bsky.social · Feb 12

🧵 You're on call and get the dreaded "1/2 GPC in blood cultures positive"– what should you do next?
Our new #InfectiousDisease podcast episode is out! 🎙️ #IDSky #MedSky #MedEd
Let’s break it down step-by-step 👇

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Youssef Saklawi @saklawimd.bsky.social · Feb 6

Wohooo! Building a #ClinicalReasoning starter pack!! 🤓

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Reposted by Youssef Saklawi

The Clinical Problem Solvers @cpsolvers.bsky.social · Feb 6

Finally here! Officially on @bsky.app 🏥🧠 Excited to explore #ClinicalReasoning—follow along! #MedSky

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Reposted by Youssef Saklawi

Andrew Sanchez @asanchez.bsky.social · Jan 27

Aaaaand we're back!

Episode 5 of DxAtypia.com out now 🎉

@mikearcieri.bsky.social discusses a seemingly straightforward case of AKI... but the patient is then found to have tender bone lesions 🦴

Join us to learn how radiographic findings sometimes lead to more questions than answers!

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Reposted by Youssef Saklawi

Andrew Sanchez @asanchez.bsky.social · Jan 16

Some reflections on why we don't often think about the microbiologic DDx of pneumonia up front, & how to make diagnostic progress after initial empiric therapy failure.

How else can we think about this? 🤔

Help!

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Youssef Saklawi @saklawimd.bsky.social · Dec 18

Do you have a ddx for sterile pus & inflammation? 🤯
www.nejm.org/doi/full/10....

Case 22-2024: A 30-Year-Old Woman with Postpartum Fever, Abdominal Pain, and Skin Ulcers | NEJM

A 30-year-old woman was admitted 6 days after the birth of her first child because of fever and abdominal pain. New skin ulcers were noted. A diagnosis was made.

www.nejm.org

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Youssef Saklawi @saklawimd.bsky.social · Nov 15

9. Breaking Bad News - Phone vs. In-Person: No difference in patient outcomes between delivering bad news by phone vs. in person. PMID: 37552418
10. Swearing & Pain Tolerance Swearing was found to increase pain tolerance! PMID: 32425851

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Youssef Saklawi @saklawimd.bsky.social · Nov 15

8. Visual Hallucinations - Psychosis Association: Visual hallucinations more often linked to drug-induced than primary psychosis. Fun fact: 1 in 10 adults are afraid of clowns! Reveal yourselves. PMID: 37922514

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Youssef Saklawi @saklawimd.bsky.social · Nov 15

7. Strep Bacteremia & ID Consult: ID consult in strep bacteremia cases lowered mortality (NNT=18). PMID: 38525878

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Youssef Saklawi @saklawimd.bsky.social · Nov 15

6. Pip-Tazo vs. Cefepime in Sepsis: Pip-tazo was associated with higher mortality than cefepime in sepsis (NNH=20, retrospective). Theory: Pip-tazo impacts gut anaerobes. Consider pip-tazo for anaerobic/intra-abdominal concerns. PMID: 38739397

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Youssef Saklawi @saklawimd.bsky.social · Nov 15

4. Steroids in Severe CAP: In severe CAP (>6 LNC), steroids (hydrocortisone 160-200 mg daily for 7 days) offer mortality benefit. PMID: 37076606
5. Patient Satisfaction & Team Sitting: Adding a chair at the bedside nudged teams to sit with patients, increasing patient satisfaction. PMID: 38101923

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Youssef Saklawi @saklawimd.bsky.social · Nov 15

3. DC Summaries - PCP Preferences: PCPs prefer discharge summaries to include: to-do lists, incidental findings, justification for medication changes, and duration of treatments. Day-to-day notes can be omitted. PMID: 38010464

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Youssef Saklawi @saklawimd.bsky.social · Nov 15

1.⁠ ⁠LR vs. NS in Acute Pancreatitis: LR shows better outcomes than NS in acute pancreatitis (meta-analysis). Theory: LR suppresses inflammation. PMID: 38015322
2. UA & UTI Diagnosis UA with <20 WBC/hpf has a good NPV for UTI (but low PPV if >20 WBC/hpf; symptoms are essential). PMID: 38666412

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