TM Smith, D.O. FAAEM (@RosenelliEM) / X

TM Smith, D.O. FAAEM

22.2K posts

TM Smith, D.O. FAAEM

@RosenelliEM

United States

Joined February 2018

Pinned
TM Smith, D.O. FAAEM
@RosenelliEM
Apr 6
Nutrition education deserves to be the foundation for medical education. Thanks to @SecKennedy @EDSecMcMahon @HHSGov @usedgov @SamWatDC and all the participating medical schools for all their efforts in making this a reality
Secretary Kennedy
@SecKennedy
Apr 6
Last month, I had the pleasure of meeting with medical students from across the country to discuss the importance of nutrition education in medical schools. Nutrition is a key component in addressing the chronic disease epidemic to Make America Healthy Again.
00:00
582
TM Smith, D.O. FAAEM
@RosenelliEM
Jul 12, 2022
Grey turner sign: In a review of patients with severe acute pancreatitis who underwent CT imaging, The presence of these findings predicted organ failure and death with an overall mortality rate near 40%. statpearls.com/keywords/detai…
TM Smith, D.O. FAAEM
@RosenelliEM
May 2, 2022
Had a pt recently with multiple Dupuytren contractures in both hands. I took a closer look at his palms (be a palm reader like @DxRxEdu) & noted Palmar Erythema. My eyes then went to the chest and found spider angiomas @AndreMansoor
TM Smith, D.O. FAAEM
@RosenelliEM
Sep 28, 2021
Chronic Diarrhea? Get a Stool osmolar gap. It is calculated as 290 mOsm/kg − 2 × (stool Na + stool K). A normal gap is between 50 and 100 mOsm/kg @CPSolvers
TM Smith, D.O. FAAEM
@RosenelliEM
Dec 19, 2021
Radiographic signs specific for Methanol toxicity The image below shows bilateral symmetrical putaminal hyperintensities (the most characteristic radiological feature of methanol poisoning) ncbi.nlm.nih.gov/pmc/articles/P…
TM Smith, D.O. FAAEM
@RosenelliEM
Dec 5, 2021
Ever heard of thyroid acropachy? Me either It is a rare complication of autoimmune thyroid disease with characteristic imaging findings. On radiographs, it manifests as prominent irregular and spiculated periosteal new bone formation in the hands and feet.
TM Smith, D.O. FAAEM
@RosenelliEM
May 29, 2022
Ferritin Pearls in IDA: ✔️Serum ferritin levels directly correlate with total body iron stores & is very specific for iron deficiency. ✔️Iron deficiency is diagnosed < 15μg/L in patients > 5 years old. ✔️A ferritin level of 50 μg/L is used by many clinicians as a target level
TM Smith, D.O. FAAEM
@RosenelliEM
Dec 30, 2023
If your doctor tells you that your blood pressure at 130/85 is good. Tell them it isn’t good enough. SPRINT found that the lower target (less than 120 mm Hg) reduced cardiovascular events by 25 percent and reduced the overall risk of death by 27 percent.
Systolic Blood Pressure Intervention Trial (SPRINT) Study | NHLBI, NIH
From nhlbi.nih.gov
136K
TM Smith, D.O. FAAEM
@RosenelliEM
Apr 1, 2021
Compliment levels Low C3 = SLE (3 letters) Low C4 = cryo (4 letters) Hat tip @k_vaishnani
GIF
TM Smith, D.O. FAAEM
@RosenelliEM
Jul 6, 2020
A 31-year-old man presented with a rapidly progressive, burning pustular rash of 1 day's duration, along with malaise, nausea, and dizziness following a ct scan of the abd with contrast