Infected Terran
@infectedterran.bsky.social
ID doc in Philly. Lover of all things infectious, medical education, ethics and Starcraft.
You've heard of "door to balloon" time. But are you aware of the "Taco Bell to the loo" time? #dadjokeforlike4people
November 23, 2025 at 5:20 PM
You've heard of "door to balloon" time. But are you aware of the "Taco Bell to the loo" time? #dadjokeforlike4people
Reposted by Infected Terran
🆕🔥🦴 Our 2025 Update to @wiki-guidelines.bsky.social for the Management of Pyogenic Osteomyelitis in Adults 🌟 @bradspellberg.bsky.social
🔗 [link] #idsky
www.amjmed.com/article/S000...
🔗 [link] #idsky
www.amjmed.com/article/S000...
November 19, 2025 at 4:25 PM
🆕🔥🦴 Our 2025 Update to @wiki-guidelines.bsky.social for the Management of Pyogenic Osteomyelitis in Adults 🌟 @bradspellberg.bsky.social
🔗 [link] #idsky
www.amjmed.com/article/S000...
🔗 [link] #idsky
www.amjmed.com/article/S000...
Another great Farkas takedown
Contrast may cause anaphylacTOID reactions (not anaphyLAXIS)
(anaphylactoid rxns = angry mast cells spit out histamine; usually less severe than anaphylaxis)
Canadian guidelines: don't pre-treatment w/ steroid, give antihistamine
This makes physiological sense!
Thank you science! #1/3. #EMIMCC
(anaphylactoid rxns = angry mast cells spit out histamine; usually less severe than anaphylaxis)
Canadian guidelines: don't pre-treatment w/ steroid, give antihistamine
This makes physiological sense!
Thank you science! #1/3. #EMIMCC
Stop using steroids to pretreat CT contrast allergy
youtube.com/watch?v=h2Hv...
youtube.com/watch?v=h2Hv...
November 18, 2025 at 2:06 PM
Another great Farkas takedown
Reviewing applications for IM . My yearly reminder that I am extremely fortunate and would probably not get into residency in 2025. Holy crap these folks are impressive!
November 17, 2025 at 3:39 PM
Reviewing applications for IM . My yearly reminder that I am extremely fortunate and would probably not get into residency in 2025. Holy crap these folks are impressive!
Unless volunteered by the patient without any promoting, I am deeply skeptical of urinary frequency of suprapubic pain as symptoms of cystitis/UTI. Fight me.
November 16, 2025 at 5:00 PM
Unless volunteered by the patient without any promoting, I am deeply skeptical of urinary frequency of suprapubic pain as symptoms of cystitis/UTI. Fight me.
Just your weekly reminder
November 13, 2025 at 7:58 PM
Just your weekly reminder
Solid advice once more from the onion
November 10, 2025 at 7:25 PM
Solid advice once more from the onion
Re found this study which I now must have googled appropriately. Are the swedes just more based and goated? Look at that table comparing the guidelines and look at outcomes. At the very least its provocative.
academic.oup.com/cid/article/...
academic.oup.com/cid/article/...
Lumbar Puncture Performed Promptly or After Neuroimaging in Acute Bacterial Meningitis in Adults: A Prospective National Cohort Study Evaluating Different Guidelines
Swedish guidelines recommend prompt lumbar puncture (LP) liberally. Adherence to these guidelines was associated with decreased mortality and increased fav
academic.oup.com
November 7, 2025 at 7:16 PM
Re found this study which I now must have googled appropriately. Are the swedes just more based and goated? Look at that table comparing the guidelines and look at outcomes. At the very least its provocative.
academic.oup.com/cid/article/...
academic.oup.com/cid/article/...
Reposted by Infected Terran
🆕🔥State-of-the-Art Review with 🌟s @trubianojason.bsky.social : Antibiotic Allergy—A Multidisciplinary Approach to Delabeling #idsky
url: academic.oup.com/cid/article/...
url: academic.oup.com/cid/article/...
November 6, 2025 at 8:09 PM
🆕🔥State-of-the-Art Review with 🌟s @trubianojason.bsky.social : Antibiotic Allergy—A Multidisciplinary Approach to Delabeling #idsky
url: academic.oup.com/cid/article/...
url: academic.oup.com/cid/article/...
To follow up this post, I looked up some of the available data and ran some numbers. Math isn't my forte so I had my senior partner look over them but please correct me if you see flaws @jonathanrydermd.bsky.social
Someone way smarter than me once posted the MIC math behind the 2g/12 ceftriaxone for strep pneumo meningitis and also a discussion of how many pt would need vanco to treat 1 CRO resistant S.pneumo. Anyone remember? @bradspellberg.bsky.social @jgpharmd.bsky.social
November 6, 2025 at 6:09 PM
To follow up this post, I looked up some of the available data and ran some numbers. Math isn't my forte so I had my senior partner look over them but please correct me if you see flaws @jonathanrydermd.bsky.social
Someone way smarter than me once posted the MIC math behind the 2g/12 ceftriaxone for strep pneumo meningitis and also a discussion of how many pt would need vanco to treat 1 CRO resistant S.pneumo. Anyone remember? @bradspellberg.bsky.social @jgpharmd.bsky.social
November 5, 2025 at 3:28 PM
Someone way smarter than me once posted the MIC math behind the 2g/12 ceftriaxone for strep pneumo meningitis and also a discussion of how many pt would need vanco to treat 1 CRO resistant S.pneumo. Anyone remember? @bradspellberg.bsky.social @jgpharmd.bsky.social
We should have a system like those "Prove you're not a robot" but for UA and culture. Like show me you know what a UTI is for realsies. Multiple choice and essay.
November 3, 2025 at 7:26 PM
We should have a system like those "Prove you're not a robot" but for UA and culture. Like show me you know what a UTI is for realsies. Multiple choice and essay.
Rejoice! For you are live in a timeline where Jeff Buckley's "Grace" exists.
October 29, 2025 at 11:23 AM
Rejoice! For you are live in a timeline where Jeff Buckley's "Grace" exists.
Hey #idsky. Working on a presentation and wanted to embed this graph but be able to move the lines at the website does. Theres an option to copy an html link. Anyone know how to embed this on powerpoint?
ourworldindata.org/grapher/meas...
ourworldindata.org/grapher/meas...
Rate of measles cases and deaths in the United States
The reported annual rate of new cases and deaths from measles, per 100,000 people in the population.
ourworldindata.org
October 28, 2025 at 3:23 PM
Hey #idsky. Working on a presentation and wanted to embed this graph but be able to move the lines at the website does. Theres an option to copy an html link. Anyone know how to embed this on powerpoint?
ourworldindata.org/grapher/meas...
ourworldindata.org/grapher/meas...
Because I hate copilot and most of its variations
October 24, 2025 at 12:10 PM
Because I hate copilot and most of its variations
Reposted by Infected Terran
Uncertainty is ubiquitous in the practice of medicine. A new review characterizes clinical uncertainty and shows how teachers can guide learners to recognize, manage, and communicate uncertainty in practice. Read the full review: nej.md/43xKSQX
@gdhaliwal1.bsky.social #MedSky #MedEd
@gdhaliwal1.bsky.social #MedSky #MedEd
October 22, 2025 at 9:40 PM
Uncertainty is ubiquitous in the practice of medicine. A new review characterizes clinical uncertainty and shows how teachers can guide learners to recognize, manage, and communicate uncertainty in practice. Read the full review: nej.md/43xKSQX
@gdhaliwal1.bsky.social #MedSky #MedEd
@gdhaliwal1.bsky.social #MedSky #MedEd
Thank you for the in depth, detailed, borderline Homeric in scale, message about your patient. I don't have time to read the first 8 chapters of War and Peace. At that point, just call me lol
October 21, 2025 at 8:21 PM
Thank you for the in depth, detailed, borderline Homeric in scale, message about your patient. I don't have time to read the first 8 chapters of War and Peace. At that point, just call me lol
Guilty as charged. And yet she's still a Swifty.
Cool Dad Raising Daughter On Media That Will Put Her Entirely Out Of Touch With Her Generation https://theonion.com/cool-dad-raising-daughter-on-media-that-will-put-her-en-1819572981/
October 17, 2025 at 2:17 PM
Guilty as charged. And yet she's still a Swifty.
At this point, my non work wardrobe boils down to Warhammer 40k, obscure bands and video game T-shirts. 13 year old me is very proud.
October 16, 2025 at 1:14 AM
At this point, my non work wardrobe boils down to Warhammer 40k, obscure bands and video game T-shirts. 13 year old me is very proud.
I want to know everything and anything about SBP, an entity that vexes and frustrates me, so I can annoy my hepatologist wife. Hit me with your best stuff #idsky
October 2, 2025 at 1:01 PM
I want to know everything and anything about SBP, an entity that vexes and frustrates me, so I can annoy my hepatologist wife. Hit me with your best stuff #idsky
I've been waiting for a pressing for years. Man I love this record so much.
September 29, 2025 at 3:01 PM
I've been waiting for a pressing for years. Man I love this record so much.
Great clinical conference today and first day of recruitment! Check out some of our cases from today.
Recruitment has started! Case conference today was fantastic as always. A few snippets:
1) Patient in the ICU who develops nosocomial PNA/VAP with areas of necrosis. Can you use a gram stain to guide empiric antibiotics? Why, glad you asked! Enter GRACE-VAP study
1) Patient in the ICU who develops nosocomial PNA/VAP with areas of necrosis. Can you use a gram stain to guide empiric antibiotics? Why, glad you asked! Enter GRACE-VAP study
September 12, 2025 at 3:38 PM
Great clinical conference today and first day of recruitment! Check out some of our cases from today.