Andrew Sanchez
@asanchez.bsky.social
❓ Hospitalist @ BIDMC Teaching/Learning Dx
🎙 Co-host of DxAtypia.com
🕵🏽♂️ Clinical Problem Solvers, Schema Co-host
🎙 Co-host of DxAtypia.com
🕵🏽♂️ Clinical Problem Solvers, Schema Co-host
Reposted by Andrew Sanchez
a nonfocal septic patient presents with the labs shown here 👇
can you guess the diagnosis?
how would you treat this?
answer: same diagnosis as this case: emcrit.org/pulmcrit/sho... #EMIMCC
can you guess the diagnosis?
how would you treat this?
answer: same diagnosis as this case: emcrit.org/pulmcrit/sho... #EMIMCC
June 22, 2025 at 12:26 PM
a nonfocal septic patient presents with the labs shown here 👇
can you guess the diagnosis?
how would you treat this?
answer: same diagnosis as this case: emcrit.org/pulmcrit/sho... #EMIMCC
can you guess the diagnosis?
how would you treat this?
answer: same diagnosis as this case: emcrit.org/pulmcrit/sho... #EMIMCC
Reposted by Andrew Sanchez
this is a super interesting case.
I don’t want to spoil it for you, so take a minute and go thru it.
In the wisdom of 20/20 hindsight, can you figure out what happened?? #EMIMCC 🧵 #1/2
I don’t want to spoil it for you, so take a minute and go thru it.
In the wisdom of 20/20 hindsight, can you figure out what happened?? #EMIMCC 🧵 #1/2
ICU Stories:
A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started
A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started
May 12, 2025 at 4:46 PM
this is a super interesting case.
I don’t want to spoil it for you, so take a minute and go thru it.
In the wisdom of 20/20 hindsight, can you figure out what happened?? #EMIMCC 🧵 #1/2
I don’t want to spoil it for you, so take a minute and go thru it.
In the wisdom of 20/20 hindsight, can you figure out what happened?? #EMIMCC 🧵 #1/2
Reposted by Andrew Sanchez
Episode 12 is out! Join us as we discuss one of the most common problems we encounter as internists. Is this red leg infected or not? #MedSky @asanchez.bsky.social
Episode 12: Diagnostic Dilemma - Acute "Red Leg"
Diagnostic Atypia · Episode
open.spotify.com
May 12, 2025 at 4:13 PM
Episode 12 is out! Join us as we discuss one of the most common problems we encounter as internists. Is this red leg infected or not? #MedSky @asanchez.bsky.social
Reposted by Andrew Sanchez
Episode 11 dropped today! How do we approach management of a symptomatic mass when we are unable to obtain a biopsy? Tune in this week for our thoughts. We'd love to hear your own! Teaching on the episode is available here: www.dxatypia.com/episodes/epi...
#MedSky
#MedSky
Episode 11: Diagnostic Dilemma - Back Pain & Dysuria
Diagnostic Atypia · Episode
open.spotify.com
April 28, 2025 at 4:38 PM
Episode 11 dropped today! How do we approach management of a symptomatic mass when we are unable to obtain a biopsy? Tune in this week for our thoughts. We'd love to hear your own! Teaching on the episode is available here: www.dxatypia.com/episodes/epi...
#MedSky
#MedSky
And we're back!
Dr. Maddy Conte joins us to discuss a case of pancytopenia 🦴
Come flex your blood smear skills! 👇
Dr. Maddy Conte joins us to discuss a case of pancytopenia 🦴
Come flex your blood smear skills! 👇
April 14, 2025 at 2:01 PM
And we're back!
Dr. Maddy Conte joins us to discuss a case of pancytopenia 🦴
Come flex your blood smear skills! 👇
Dr. Maddy Conte joins us to discuss a case of pancytopenia 🦴
Come flex your blood smear skills! 👇
Reposted by Andrew Sanchez
🚨New Schema Podcast Episode🚨
Tune in as @madellenaconte.bsky.social , @saklawimd.bsky.social and @asanchez.bsky.social walk us through their bradycardia schema as they tackle a case of bradycardia presented by Noah! 🫀🩺
Use the link➡️ clinicalproblemsolving.com/2025/04/03/e...
#ClinicalReasoning
Tune in as @madellenaconte.bsky.social , @saklawimd.bsky.social and @asanchez.bsky.social walk us through their bradycardia schema as they tackle a case of bradycardia presented by Noah! 🫀🩺
Use the link➡️ clinicalproblemsolving.com/2025/04/03/e...
#ClinicalReasoning
April 4, 2025 at 1:51 AM
🚨New Schema Podcast Episode🚨
Tune in as @madellenaconte.bsky.social , @saklawimd.bsky.social and @asanchez.bsky.social walk us through their bradycardia schema as they tackle a case of bradycardia presented by Noah! 🫀🩺
Use the link➡️ clinicalproblemsolving.com/2025/04/03/e...
#ClinicalReasoning
Tune in as @madellenaconte.bsky.social , @saklawimd.bsky.social and @asanchez.bsky.social walk us through their bradycardia schema as they tackle a case of bradycardia presented by Noah! 🫀🩺
Use the link➡️ clinicalproblemsolving.com/2025/04/03/e...
#ClinicalReasoning
Reposted by Andrew Sanchez
Episode 9 of Diagnostic Atypia features another brilliant @mikearcieri.bsky.social discussion, this time on Rapid Atrial Fibrillation ⚡️
The CXR is normal, but SpO2 92%. Are you done?
The CXR is normal, but SpO2 92%. Are you done?
March 31, 2025 at 11:57 AM
Episode 9 of Diagnostic Atypia features another brilliant @mikearcieri.bsky.social discussion, this time on Rapid Atrial Fibrillation ⚡️
The CXR is normal, but SpO2 92%. Are you done?
The CXR is normal, but SpO2 92%. Are you done?
New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social 💀
bhm.scholasticahq.com/article/1337...
bhm.scholasticahq.com/article/1337...
Posterior Occlusive Myocardial Infarction on Chronic Right Bundle Branch Block | Published in Journal of Brown Hospital Medicine
By Andrew Sanchez, Omar El-Charif. An elderly woman with chronic RBBB presented in shock and was diagnosed with posterior myocardial infarction
bhm.scholasticahq.com
April 1, 2025 at 1:11 PM
New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social 💀
bhm.scholasticahq.com/article/1337...
bhm.scholasticahq.com/article/1337...
Episode 9 of Diagnostic Atypia features another brilliant @mikearcieri.bsky.social discussion, this time on Rapid Atrial Fibrillation ⚡️
The CXR is normal, but SpO2 92%. Are you done?
The CXR is normal, but SpO2 92%. Are you done?
March 31, 2025 at 11:57 AM
Episode 9 of Diagnostic Atypia features another brilliant @mikearcieri.bsky.social discussion, this time on Rapid Atrial Fibrillation ⚡️
The CXR is normal, but SpO2 92%. Are you done?
The CXR is normal, but SpO2 92%. Are you done?
Reposted by Andrew Sanchez
The question I've been asked most as we endure the legal dumpster fire that is the Trump Administration is, "What can we do about it when it's not election season?" @timothynoah.bsky.social has an outstanding essay in the @newrepublic.com addressing that question. newrepublic.com/article/1931...
Fighting Back: A Citizen’s Guide to Resistance
Ordinary people have more power than they know.
newrepublic.com
March 28, 2025 at 6:25 PM
The question I've been asked most as we endure the legal dumpster fire that is the Trump Administration is, "What can we do about it when it's not election season?" @timothynoah.bsky.social has an outstanding essay in the @newrepublic.com addressing that question. newrepublic.com/article/1931...
Reposted by Andrew Sanchez
In the API-CAT trial involving patients with active cancer and venous thromboembolism, extended anticoagulation with reduced-dose apixaban was noninferior to full-dose apixaban for preventing recurrent thromboembolic events. Full results: nej.md/41YkRZK
#ACC25 | @accintouch.bsky.social
#ACC25 | @accintouch.bsky.social
March 29, 2025 at 2:35 PM
In the API-CAT trial involving patients with active cancer and venous thromboembolism, extended anticoagulation with reduced-dose apixaban was noninferior to full-dose apixaban for preventing recurrent thromboembolic events. Full results: nej.md/41YkRZK
#ACC25 | @accintouch.bsky.social
#ACC25 | @accintouch.bsky.social
Reposted by Andrew Sanchez
Can a #MedEd #Podcast improve your OSCE score? Yes—and now it’s published!
This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to:
🎧 +3.5 OSCE score boost
💪 Better self-perception of clinical skills (42% vs 16%)
✅ 96% would use the podcast again
👉🏼 doi.org/10.1186/s129...
This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to:
🎧 +3.5 OSCE score boost
💪 Better self-perception of clinical skills (42% vs 16%)
✅ 96% would use the podcast again
👉🏼 doi.org/10.1186/s129...
Evaluating podcasts as a tool for OSCE training: a randomized trial using generative AI-powered simulation - BMC Medical Education
Introduction Objective Structured Clinical Examinations (OSCEs) are critical for assessing clinical competencies in medical education. While traditional teaching methods remain prevalent, this study i...
doi.org
March 25, 2025 at 11:26 AM
Can a #MedEd #Podcast improve your OSCE score? Yes—and now it’s published!
This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to:
🎧 +3.5 OSCE score boost
💪 Better self-perception of clinical skills (42% vs 16%)
✅ 96% would use the podcast again
👉🏼 doi.org/10.1186/s129...
This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to:
🎧 +3.5 OSCE score boost
💪 Better self-perception of clinical skills (42% vs 16%)
✅ 96% would use the podcast again
👉🏼 doi.org/10.1186/s129...
Reposted by Andrew Sanchez
Tune in for a discussion of falls & more! Teaching points from the episode are available at www.dxatypia.com/episodes/epi...
Episode 8: Diagnostic Dilemma - Falls in a Young Man
Diagnostic Atypia · Episode
open.spotify.com
March 17, 2025 at 10:20 PM
Tune in for a discussion of falls & more! Teaching points from the episode are available at www.dxatypia.com/episodes/epi...
Great article
Importantly, while ICI pneumonitis reviews mention that radiographic presentations can be multifactorial, very few mention UNILATERAL-predominant presentation of ICI pneumonitis... 🔥
Importantly, while ICI pneumonitis reviews mention that radiographic presentations can be multifactorial, very few mention UNILATERAL-predominant presentation of ICI pneumonitis... 🔥
2. When a patient is admitted to the ICU for acute respiratory failure & the chest CT scan findings are concerning for ICI pneumonitis, the first step is to rule out infection quickly
The radiologic patterns of immune checkpoint-induced pneumonitis can be summarized as:
The radiologic patterns of immune checkpoint-induced pneumonitis can be summarized as:
March 17, 2025 at 8:39 PM
Great article
Importantly, while ICI pneumonitis reviews mention that radiographic presentations can be multifactorial, very few mention UNILATERAL-predominant presentation of ICI pneumonitis... 🔥
Importantly, while ICI pneumonitis reviews mention that radiographic presentations can be multifactorial, very few mention UNILATERAL-predominant presentation of ICI pneumonitis... 🔥
A case of "gravity is winning" masterfully dissected by Mike🚶
Episode 8 of www.dxatypia.com out now...
Episode 8 of www.dxatypia.com out now...
March 17, 2025 at 8:05 PM
A case of "gravity is winning" masterfully dissected by Mike🚶
Episode 8 of www.dxatypia.com out now...
Episode 8 of www.dxatypia.com out now...
Reposted by Andrew Sanchez
Check out the newest episode in our Clinical Unknown Series with Rabih Geha 🎧
Embark on this diagnostic journey with us using the link below 👇
bit.ly/4hsfo2N
Embark on this diagnostic journey with us using the link below 👇
bit.ly/4hsfo2N
March 13, 2025 at 7:14 PM
Check out the newest episode in our Clinical Unknown Series with Rabih Geha 🎧
Embark on this diagnostic journey with us using the link below 👇
bit.ly/4hsfo2N
Embark on this diagnostic journey with us using the link below 👇
bit.ly/4hsfo2N
Reposted by Andrew Sanchez
I've never been to an M&M about kidney injury attributable to iodinated contrast.
I've been to several M&Ms for adverse outcomes from missed/delayed diagnoses because people hesitated to use IV contrast for fear of what we now know to be a ghost
I've been to several M&Ms for adverse outcomes from missed/delayed diagnoses because people hesitated to use IV contrast for fear of what we now know to be a ghost
So without a randomized clinical trial this is what we are left with. The highest quality epidemiology studies are unable to detect any increase in AKI, so those bumps in creatinine following contrast are almost certainly run of the mill AKI and not contrast induced AKI.
March 11, 2025 at 2:35 PM
I've never been to an M&M about kidney injury attributable to iodinated contrast.
I've been to several M&Ms for adverse outcomes from missed/delayed diagnoses because people hesitated to use IV contrast for fear of what we now know to be a ghost
I've been to several M&Ms for adverse outcomes from missed/delayed diagnoses because people hesitated to use IV contrast for fear of what we now know to be a ghost
Reposted by Andrew Sanchez
Academic freedom and independence still live. Thank you, Georgetown University, for teaching our Justice Department about the 1st Amendment!
March 7, 2025 at 2:34 PM
Academic freedom and independence still live. Thank you, Georgetown University, for teaching our Justice Department about the 1st Amendment!
Reposted by Andrew Sanchez
This table from @drjmluther.bsky.social needs to be disseminated more widely
(We added it to our @cmaj-jamc.bsky.social 5 things for that reason www.cmaj.ca/content/196/...)
#NephMadness
(We added it to our @cmaj-jamc.bsky.social 5 things for that reason www.cmaj.ca/content/196/...)
#NephMadness
March 3, 2025 at 12:24 PM
This table from @drjmluther.bsky.social needs to be disseminated more widely
(We added it to our @cmaj-jamc.bsky.social 5 things for that reason www.cmaj.ca/content/196/...)
#NephMadness
(We added it to our @cmaj-jamc.bsky.social 5 things for that reason www.cmaj.ca/content/196/...)
#NephMadness
Reposted by Andrew Sanchez
Recent emotional case that made a big impact on me. I don’t have all the answers. Tell me what you think. Lit review at the bottom
#ECGsky #medsky #cardiosky
hqmeded-ecg.blogspot.com/2025/03/pati...
#ECGsky #medsky #cardiosky
hqmeded-ecg.blogspot.com/2025/03/pati...
Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
March 8, 2025 at 3:04 PM
Recent emotional case that made a big impact on me. I don’t have all the answers. Tell me what you think. Lit review at the bottom
#ECGsky #medsky #cardiosky
hqmeded-ecg.blogspot.com/2025/03/pati...
#ECGsky #medsky #cardiosky
hqmeded-ecg.blogspot.com/2025/03/pati...
@notion.com really charging me $134.49 for accidentally sharing with students a link to my notebook intended for simple viewing: no projects, simple mistake.
Great service, Notion! You maintain great fairness & consistency in taking people's money!
Great service, Notion! You maintain great fairness & consistency in taking people's money!
March 8, 2025 at 4:05 AM
@notion.com really charging me $134.49 for accidentally sharing with students a link to my notebook intended for simple viewing: no projects, simple mistake.
Great service, Notion! You maintain great fairness & consistency in taking people's money!
Great service, Notion! You maintain great fairness & consistency in taking people's money!
Reposted by Andrew Sanchez
This CDC "survey" getting sent to grantees is wild yall.
This is some serious "Kiss my Ring" level bullshit.
This is some serious "Kiss my Ring" level bullshit.
March 7, 2025 at 2:50 PM
This CDC "survey" getting sent to grantees is wild yall.
This is some serious "Kiss my Ring" level bullshit.
This is some serious "Kiss my Ring" level bullshit.
Reposted by Andrew Sanchez
Come check out our first Guestpisode!
Helloooo #MedSky!
Our first Guestpisode! featuring Dr. Alec Rezigh is here! 🤝
The differential is blown wide open by some abnormal imaging. Are you ready to correlate clinically?
We are the Diagnostic Atypia podcast 👇
@mikearcieri.bsky.social
@asanchez.bsky.social
Our first Guestpisode! featuring Dr. Alec Rezigh is here! 🤝
The differential is blown wide open by some abnormal imaging. Are you ready to correlate clinically?
We are the Diagnostic Atypia podcast 👇
@mikearcieri.bsky.social
@asanchez.bsky.social
March 3, 2025 at 4:46 PM
Come check out our first Guestpisode!