Daniel Restrepo, MD, FHM
banner
drdanrestrepo.bsky.social
Daniel Restrepo, MD, FHM
@drdanrestrepo.bsky.social
Internist/Clinician Educator/APD @MGH Medicine
Associate Editor @NEJM CPC
Assistant Professor @HMS

Diagnostic Reasoning, POCUS, Physical Exam
So excited to be included in my friend @dhruvkhullar.bsky.social’s amazing piece on AI and diagnosis.

Just to be mentioned in the same article as Dr. Dhaliwal is an honor itself.
How good is A.I. at making medical diagnoses? Good enough to help—and to hurt.

For @newyorker.com, I spent months talking to patients, doctors, and researchers about how we can make the most of a powerful new technology and how we can minimize the side effects.
If A.I. Can Diagnose Patients, What Are Doctors For?
Large language models are transforming medicine—but the technology comes with side effects.
www.newyorker.com
September 23, 2025 at 4:59 PM
Humble request…

Before commenting on a change in serum Creatinine, please ensure:

1) The change is >= 0.3mg/dL
2) You tell me what the BUN did as well.
September 23, 2025 at 4:37 PM
If a value in the patient’s chart is abnormal and you’re tempted to say “… but it’s stable” to adjudicate that nothing needs to be done…

I’d encourage you to have an explanation for it before commenting on its stability
August 23, 2025 at 11:44 AM
Wheels up to Vegas! Super excited for #SHM #Converge25

Who’s here?!

Giving a session with @adamrodmanmd.bsky.social where we will be using #AI to augment #clinicalreasoning

Will also be teaming up with @mededpocus.bsky.social, Erin Finn and Ann Marie Kumfer to meld #POCUS with reasoning!
April 20, 2025 at 10:54 PM
Well… I’m fully committed to @bsky.app. Closed down my Twitter account this week.

Tough decision given the wonderful people I’ve connected with and the great directions it took my career but I felt obligated to in the current climate.

Looking forward to the similar next phase with you on all here
February 15, 2025 at 2:13 PM
Reposted by Daniel Restrepo, MD, FHM
Case Record of the MGH: A 41-year-old man was evaluated for swelling in the ankles and syncope. CT of the chest showed bilateral mediastinal and hilar lymphadenopathy, as well as an 8-mm nodule in the right lower lobe. A diagnosis was made. Read the full case details: nej.md/42uhBaj

#MedSky
Case 4-2025: A 41-Year-Old Man with Syncope, Ankle Swelling, and Abnormal Chest Imaging | NEJM
A 41-year-old man was evaluated for swelling in the ankles and syncope. CT of the chest showed bilateral mediastinal and hilar lymphadenopathy, as well as an 8-mm nodule in the right lower ...
nej.md
February 2, 2025 at 2:14 PM
Another pinch me moment. A dream come true to discuss another one and then become an associate editor right afterwards

www.nejm.org/doi/full/10....
Case 4-2025: A 41-Year-Old Man with Syncope, Ankle Swelling, and Abnormal Chest Imaging | NEJM
A 41-year-old man was evaluated for swelling in the ankles and syncope. CT of the chest showed bilateral mediastinal and hilar lymphadenopathy, as well as an 8-mm nodule in the right lower ...
www.nejm.org
February 5, 2025 at 12:14 AM
Reposted by Daniel Restrepo, MD, FHM
🚨 #POCUS #IMPOCUS, SHM’s POCUS SIG is excited for our first webinar of 2025: Lung & DVT Pearls & Pitfalls

Come learn from experts Ria Dancel (UNC) & James Anstey (OHSU) on 2/3 @ 6PM EST

Free Registration: hospitalmedicine.zoom.us/meeting/regi...
Welcome! You are invited to join a meeting: Pearls & pitfalls of lung and lower extremity DVT POCUS image acquisition. After registering, you will receive a confirmation email about joining the meetin...
Please join the POCUS SIG for a one-hour webinar which will include a presentation by Dr James Anstey, Dr. Ria Dancel and other POCUS SIG Executive Council members who will discuss common pearls and p...
hospitalmedicine.zoom.us
February 1, 2025 at 8:45 PM
Mark my words, I will find this oxygen fairy that keeps putting people on supplemental oxygen without hypoxemia
January 18, 2025 at 12:55 PM
Vancomycin is the bay leaf of the antibiotic world. Gets included in everything, doesn’t do much and gets the same credit as the beta-lactams that are pulling the weight
December 29, 2024 at 11:44 PM
The ROI for lung ultrasound in terms of times it changes management compared to easiness of mastery is a no brainer

My ¢.02
There is no better bedside test for LVEDP assessment AND it can liberate you from relying on this crappy AP CXRs
1/
I love love LOVE scanning the heart 😍, but when it comes to bang for your buck for ultrasound novices, lung ultrasound is such a winner 🏆

It's time for another #POCUS basics #skeetorial 🧵

Let's talk about common pitfalls in #LungUltrasound and how to correct these ✔️

#emimcc
December 7, 2024 at 1:15 PM
Lotta cats on @bsky.app

Where are the dogs?!?
December 7, 2024 at 1:20 AM
Hot take: a large percentage of steroid tapers are completely made up
December 4, 2024 at 10:37 PM
So frequently people want to get into pathology without fundamentally being able to distinguish whether a view is adequate to even make a call.

Great thread!
1/
Back to the basics today: let's talk about common pitfalls in obtaining cardiac #POCUS images ❤️

Here are some very common image acquisition errors in basic views, as well as the simple moves to correct them ✅

🧵

#emimcc #POCUSky #echosky #MedSky
November 26, 2024 at 10:07 PM
No plan that requires antibiotics in the hospital is complete without asking “what can I do to prevent this from happening again”
November 25, 2024 at 10:49 AM