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Patrick Ching<p>Ocular <a href="https://med-mastodon.com/tags/syphilis" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>syphilis</span></a> can occur during any stage of infection, including tertiary syphilis. It is bilateral in 50% of cases <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a></p>
Patrick Ching<p><a href="https://med-mastodon.com/tags/syphilis" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>syphilis</span></a> may present as multiple painful ulcers in up to 30% of persons w primary infection <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a></p>
Patrick Ching<p>Presence of crystals in synovial fluid does NOT exclude septic arthritis <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a></p>
Patrick Ching<p>HHV6 is almost never the etiology of <a href="https://med-mastodon.com/tags/encephalitis" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>encephalitis</span></a> in immunocompetent patients<br><a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/MedEd" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedEd</span></a></p>
Patrick Ching<p>Meningoencephalitis and brain abscess (ring-enhancing lesions) are common manifestation of <a href="https://med-mastodon.com/tags/Trypanosoma" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Trypanosoma</span></a> cruzi reactivation in advanced <a href="https://med-mastodon.com/tags/HIV" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HIV</span></a> patients <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/Chagas" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Chagas</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/MedEd" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedEd</span></a></p>
Patrick Ching<p>Helminths cause <a href="https://med-mastodon.com/tags/eosinophilia" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>eosinophilia</span></a>; protozoans do not<br><a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/MedEd" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedEd</span></a></p>
Patrick Ching<p>👉 <a href="https://med-mastodon.com/tags/rabies" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>rabies</span></a> can incubate for a year or more<br>👉 If risk exposure has occurred, it is never too late to start post-exposure prophylaxis<br>👉 According to both WHO and CDC guidelines, a decision to vaccinate is a decision to use RIG as the vaccine will not kick in for several weeks<br><a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/MedEd" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedEd</span></a></p>
Patrick Ching<p>Elderly and catheterized patients have a high incidence of asymptomatic bacteriuria. Abnormal UA in asymptomatic patient does NOT necessarily require treatment.<br><a href="https://med-mastodon.com/tags/AsymptomaticBacteriuria" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AsymptomaticBacteriuria</span></a> <a href="https://med-mastodon.com/tags/medicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicine</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/AntimicrobialStewardship" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AntimicrobialStewardship</span></a> <a href="https://med-mastodon.com/tags/AntimicrobialResistance" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AntimicrobialResistance</span></a></p>
Patrick Ching<p>Symptoms that do NOT warrant investigation for <a href="https://med-mastodon.com/tags/UTI" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>UTI</span></a> include change in the color, odor, or consistency of the urine<br><a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/MedEd" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedEd</span></a> <a href="https://med-mastodon.com/tags/medicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicine</span></a> <a href="https://med-mastodon.com/tags/AntimicrobialStewardship" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>AntimicrobialStewardship</span></a></p>
Patrick Ching<p>In pregnant women with fever and unexplained severe <a href="https://med-mastodon.com/tags/hepatitis" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>hepatitis</span></a>, disseminated <a href="https://med-mastodon.com/tags/HSV" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>HSV</span></a> infection should be considered. Start empiric IV acyclovir pending confirmation. <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/medicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicine</span></a> <a href="https://med-mastodon.com/tags/Gastrodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Gastrodon</span></a></p>
Patrick Ching<p>Pts w presumed <a href="https://med-mastodon.com/tags/COPD" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>COPD</span></a> exacerbation that are unresponsive to conventional tx (steroids, abx, bronchodilators) should be evaluated for <a href="https://med-mastodon.com/tags/pulmonary" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>pulmonary</span></a> <a href="https://med-mastodon.com/tags/embolism" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>embolism</span></a> <a href="https://med-mastodon.com/tags/PE" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PE</span></a> <a href="https://med-mastodon.com/tags/medicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicine</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a> <a href="https://med-mastodon.com/tags/Pulm" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Pulm</span></a> <a href="https://med-mastodon.com/tags/PulmCC" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>PulmCC</span></a> :lung:</p>
Patrick Ching<p>Topiramate is a carbonic anhydrase inhibitor that causes ⬇️ urinary citrate excretion &amp; formation of alkaline urine that favor the creation of calcium phosphate :renal: stones <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/MedEd" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedEd</span></a> <a href="https://med-mastodon.com/tags/medicine" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>medicine</span></a> <a href="https://med-mastodon.com/tags/nephrology" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>nephrology</span></a> <a href="https://med-mastodon.com/tags/NephMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>NephMastodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a></p>
Patrick Ching<p>Hepatocellular <a href="https://med-mastodon.com/tags/carcinoma" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>carcinoma</span></a> may develop in chronic <a href="https://med-mastodon.com/tags/hepatitis" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>hepatitis</span></a> B infections in the absence of <a href="https://med-mastodon.com/tags/cirrhosis" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>cirrhosis</span></a> <a href="https://med-mastodon.com/tags/MedMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>MedMastodon</span></a> <a href="https://med-mastodon.com/tags/IDMastodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IDMastodon</span></a> <a href="https://med-mastodon.com/tags/Gastrodon" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>Gastrodon</span></a> <a href="https://med-mastodon.com/tags/IMPearls" class="mention hashtag" rel="nofollow noopener noreferrer" target="_blank">#<span>IMPearls</span></a></p>