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
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! 👇
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?
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...
@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!
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 4:06 PM
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
Peter McCullough...
February 25, 2025 at 8:49 PM
Peter McCullough...
DxAtypia.com vacation over!
@mikearcieri.bsky.social presents a case of severely elevated transaminases that captures the perfect diagnostic arc 🌈
The social history is king here, & it isn't the only king in the room... 👑
@mikearcieri.bsky.social presents a case of severely elevated transaminases that captures the perfect diagnostic arc 🌈
The social history is king here, & it isn't the only king in the room... 👑
February 17, 2025 at 5:36 PM
DxAtypia.com vacation over!
@mikearcieri.bsky.social presents a case of severely elevated transaminases that captures the perfect diagnostic arc 🌈
The social history is king here, & it isn't the only king in the room... 👑
@mikearcieri.bsky.social presents a case of severely elevated transaminases that captures the perfect diagnostic arc 🌈
The social history is king here, & it isn't the only king in the room... 👑
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!
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!
January 27, 2025 at 2:06 PM
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!
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!
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!
How else can we think about this? 🤔
Help!
January 16, 2025 at 9:52 PM
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!
How else can we think about this? 🤔
Help!
Probably my favorite case of our podcast so far -- the ending leaves you with a pathophysiologic, analogic reasoning principle you can carry forward to distant problems.
@mikearcieri.bsky.social's brilliant case & teaching now available for you all at the links below!
@mikearcieri.bsky.social's brilliant case & teaching now available for you all at the links below!
January 13, 2025 at 1:50 PM
Probably my favorite case of our podcast so far -- the ending leaves you with a pathophysiologic, analogic reasoning principle you can carry forward to distant problems.
@mikearcieri.bsky.social's brilliant case & teaching now available for you all at the links below!
@mikearcieri.bsky.social's brilliant case & teaching now available for you all at the links below!
This is a work in progress. @djsmithers.bsky.social
December 31, 2024 at 3:05 PM
This is a work in progress. @djsmithers.bsky.social
#MedSky
Episode 3 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) out now!
A case of severe anemia challenges the classic board exam schemas: how can a common lab test trick us and help us at the same time?
👇 Come check it out 👇
Episode 3 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) out now!
A case of severe anemia challenges the classic board exam schemas: how can a common lab test trick us and help us at the same time?
👇 Come check it out 👇
December 30, 2024 at 4:08 PM
#MedSky
Episode 3 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) out now!
A case of severe anemia challenges the classic board exam schemas: how can a common lab test trick us and help us at the same time?
👇 Come check it out 👇
Episode 3 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) out now!
A case of severe anemia challenges the classic board exam schemas: how can a common lab test trick us and help us at the same time?
👇 Come check it out 👇
#ECGsky #EKGsky
Top is taken in patient with poorly-controlled diabetes presenting with unrelenting nausea & abdominal pain. CT abdomen negative, no diarrhea.
Presenting troponin 100 ng/L → 800s → down to 600s after diuresis for initial wet CXR.
Now hypertensive/normoxemic/stable labs...
Top is taken in patient with poorly-controlled diabetes presenting with unrelenting nausea & abdominal pain. CT abdomen negative, no diarrhea.
Presenting troponin 100 ng/L → 800s → down to 600s after diuresis for initial wet CXR.
Now hypertensive/normoxemic/stable labs...
December 21, 2024 at 6:40 PM
Hi #MedSky!
Episode 2 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) is out!
👇 Come check it out 👇
Episode 2 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) is out!
👇 Come check it out 👇
December 17, 2024 at 4:38 PM
Hi #MedSky!
Episode 2 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) is out!
👇 Come check it out 👇
Episode 2 of @mikearcieri.bsky.social & I's clinical reasoning podcast (Diagnostic Atypia) is out!
👇 Come check it out 👇
🍬 Approach to Hyperglycemia 🍬
Location, location location:
- In patients who are insulin deficient, the center of gravity is on the pancreas, which must have an issue with beta-cell quantity vs. function
- In patients with insulin resistance, the center of gravity is elsewhere (hormonal chaos)
Location, location location:
- In patients who are insulin deficient, the center of gravity is on the pancreas, which must have an issue with beta-cell quantity vs. function
- In patients with insulin resistance, the center of gravity is elsewhere (hormonal chaos)
December 7, 2024 at 7:28 PM
🍬 Approach to Hyperglycemia 🍬
Location, location location:
- In patients who are insulin deficient, the center of gravity is on the pancreas, which must have an issue with beta-cell quantity vs. function
- In patients with insulin resistance, the center of gravity is elsewhere (hormonal chaos)
Location, location location:
- In patients who are insulin deficient, the center of gravity is on the pancreas, which must have an issue with beta-cell quantity vs. function
- In patients with insulin resistance, the center of gravity is elsewhere (hormonal chaos)
Hi #MedSky!
@mikearcieri.bsky.social & I just launched a podcast for #Dx enthusiasts & clinical problem-solving reps🕵️
Come check us out on Apple/Spotify, & check out our website with episode-associated teaching! 🎙️
DxAtypia.com
@mikearcieri.bsky.social & I just launched a podcast for #Dx enthusiasts & clinical problem-solving reps🕵️
Come check us out on Apple/Spotify, & check out our website with episode-associated teaching! 🎙️
DxAtypia.com
December 4, 2024 at 8:21 PM
Hi #MedSky!
@mikearcieri.bsky.social & I just launched a podcast for #Dx enthusiasts & clinical problem-solving reps🕵️
Come check us out on Apple/Spotify, & check out our website with episode-associated teaching! 🎙️
DxAtypia.com
@mikearcieri.bsky.social & I just launched a podcast for #Dx enthusiasts & clinical problem-solving reps🕵️
Come check us out on Apple/Spotify, & check out our website with episode-associated teaching! 🎙️
DxAtypia.com
EXOGENOUS culprits of life-threatening disease include medications & infections.
Infection-related blistering is due to:
- Exotoxin production
- Pulse (+) ischemic limb syndrome (vasculitis, DIC)
- Local necrotizing destruction
Infection-related blistering is due to:
- Exotoxin production
- Pulse (+) ischemic limb syndrome (vasculitis, DIC)
- Local necrotizing destruction
November 27, 2024 at 5:14 PM
EXOGENOUS culprits of life-threatening disease include medications & infections.
Infection-related blistering is due to:
- Exotoxin production
- Pulse (+) ischemic limb syndrome (vasculitis, DIC)
- Local necrotizing destruction
Infection-related blistering is due to:
- Exotoxin production
- Pulse (+) ischemic limb syndrome (vasculitis, DIC)
- Local necrotizing destruction
The key pivot of this schema emphasizes a search for exogenous culprits of life-threatening disease, as these culprits must either be treated or avoided in the future.
🚨 This classification is very imperfect (e.g. numerous SJS/TEN cases are idiopathic) 🚨
🚨 This classification is very imperfect (e.g. numerous SJS/TEN cases are idiopathic) 🚨
November 27, 2024 at 5:14 PM
The key pivot of this schema emphasizes a search for exogenous culprits of life-threatening disease, as these culprits must either be treated or avoided in the future.
🚨 This classification is very imperfect (e.g. numerous SJS/TEN cases are idiopathic) 🚨
🚨 This classification is very imperfect (e.g. numerous SJS/TEN cases are idiopathic) 🚨
🫧 Approach to Blistering Skin Disorders 🫧
What? → Fluid-filled skin lesions occurring by 1 of 3 mechanisms:
1. Acantholysis
2. Spongiosis
3. Epidermal-dermal Dissociation
What? → Fluid-filled skin lesions occurring by 1 of 3 mechanisms:
1. Acantholysis
2. Spongiosis
3. Epidermal-dermal Dissociation
November 27, 2024 at 5:14 PM
🫧 Approach to Blistering Skin Disorders 🫧
What? → Fluid-filled skin lesions occurring by 1 of 3 mechanisms:
1. Acantholysis
2. Spongiosis
3. Epidermal-dermal Dissociation
What? → Fluid-filled skin lesions occurring by 1 of 3 mechanisms:
1. Acantholysis
2. Spongiosis
3. Epidermal-dermal Dissociation
Must-read paper on teaching Clinical Problem Solving in this week's MedEdModels' curriculum🕵️♀️
- Teach learners to recognize similarities between new problems & existing schema
- Encourage learners to extract the deeper elements of new problems
- Immediate > delayed feedback
- Teach learners to recognize similarities between new problems & existing schema
- Encourage learners to extract the deeper elements of new problems
- Immediate > delayed feedback
November 20, 2024 at 1:35 PM
Must-read paper on teaching Clinical Problem Solving in this week's MedEdModels' curriculum🕵️♀️
- Teach learners to recognize similarities between new problems & existing schema
- Encourage learners to extract the deeper elements of new problems
- Immediate > delayed feedback
- Teach learners to recognize similarities between new problems & existing schema
- Encourage learners to extract the deeper elements of new problems
- Immediate > delayed feedback
Face of a post-jog boy still traumatized by stairs
November 18, 2024 at 9:27 PM
Face of a post-jog boy still traumatized by stairs
Schema preview for this secret space
July 25, 2023 at 11:18 PM
Schema preview for this secret space