#internalmedicine

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11 minutes ago

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DOAC: Direct Oral Anticoagulant 
Used for treatment of VTE or secondary prophylaxis of VTEs and for Afib stroke prophylaxis 
In this post, you will find the mechanism of action for DOAC, pharmacokinetics, clinical trials on DOAC, how to initiate doac or bridge to a doac, drug drug interactions, preop clearance while on a DOAC, and finally how to revert DOAC if hemorrhaging.

Source:

https://www.onlinejacc.org/content/accj/65/13/1340.full.pdf?download=true

Disclaimer: Only my views and not representative  of my training programs and institutions view. Only for educational purposes. 
Share, like and comment if u want me to continue doing these!

#foamed #medicine #internalmedicine #im #residency #medstudent #medicalschool #medschool #medicalstudent #nursing #nurses #nursingschool #medicalresident #mksap #icu #criticalcare #intensivecareunit #pharmacy #medicine #cardiology  #medicine #resident  #medicaleducation  #nursepractitioner #np #emt #healthcareproviders #emergencymedicine #erdoc #doac #cardiac

DOAC: Direct Oral Anticoagulant Used for treatment of VTE or secondary prophylaxis of VTEs and for Afib stroke prophylaxis In this post, you will find the mechanism of action for DOAC, pharmacokinetics, clinical trials on DOAC, how to initiate doac or bridge to a doac, drug drug interactions, preop clearance while on a DOAC, and finally how to revert DOAC if hemorrhaging. Source: https://www.onlinejacc.org/content/accj/65/13/1340.full.pdf?download=true Disclaimer: Only my views and not representative of my training programs and institutions view. Only for educational purposes. Share, like and comment if u want me to continue doing these! #foamed #medicine #internalmedicine #im #residency #medstudent #medicalschool #medschool #medicalstudent #nursing #nurses #nursingschool #medicalresident #mksap #icu #criticalcare #intensivecareunit #pharmacy #medicine #cardiology #medicine #resident #medicaleducation #nursepractitioner #np #emt #healthcareproviders #emergencymedicine #erdoc #doac #cardiac - 1 hour ago

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Fue un placer... JAJAJA #covid_19 #covid19 #sarscov2 #sarscovid19 #internalmedicine #infectology #infectologia

Fue un placer... JAJAJA #covid_19 #covid19 #sarscov2 #sarscovid19 #internalmedicine #infectology #infectologia - 2 hours ago

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What fun is work if you don’t have someone to match with 🖤❤️🖤
Black Scrubs + Watermelon Masks that we got yesterday and they are so much more comfortable and easier to get off and on! 🥂🙌🏽✖️
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#medicalstudent #healthy #motivation #workout #internalmedicine #healthcareprofessional #nurse #medicalassistant #healthprofessionals #nurses #fitness #anatomy #healthcareprofessionals #doctor #medicine #physician #pharmaceuticals #love #heathcare #doctors #healthyfood #medicalschool #medical #healthcareworkers #wellness #pharmacists #medstudent #health #medschool #beauty

What fun is work if you don’t have someone to match with 🖤❤️🖤 Black Scrubs + Watermelon Masks that we got yesterday and they are so much more comfortable and easier to get off and on! 🥂🙌🏽✖️ . . . . . . #medicalstudent #healthy #motivation #workout #internalmedicine #healthcareprofessional #nurse #medicalassistant #healthprofessionals #nurses #fitness #anatomy #healthcareprofessionals #doctor #medicine #physician #pharmaceuticals #love #heathcare #doctors #healthyfood #medicalschool #medical #healthcareworkers #wellness #pharmacists #medstudent #health #medschool #beauty - 2 hours ago

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Eating clean, helps your "RECOVERY TIME". Train hard and eat clean everyday. Stay healthy! "Cherry tomatoes and feta chicken salad!"
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#saladsofinstagram #eysalads #healthylifestyle #cleaneats #internalmedicine #internalhealth #discipline #mentalstrength #everydayfoods #coacheddie

Eating clean, helps your "RECOVERY TIME". Train hard and eat clean everyday. Stay healthy! "Cherry tomatoes and feta chicken salad!" . . . . . #saladsofinstagram #eysalads #healthylifestyle #cleaneats #internalmedicine #internalhealth #discipline #mentalstrength #everydayfoods #coacheddie - 2 hours ago

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We are captivated by this cool science image! 😋
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What are the most challenging classes as a surgeon? 💎
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Share your ideas when discovering this informational medical information! 🔰
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#conciousness #nurselife #stylefashio #fitmominprogress #ayahuascaretreat #physicianassistantstudent #internalmedicine #fightnigh #babyplant #ohiostateuniversity #artistr #ootdhijabind #naturalwellness #healthychoic

We are captivated by this cool science image! 😋 . What are the most challenging classes as a surgeon? 💎 . Share your ideas when discovering this informational medical information! 🔰 . . . _ #conciousness #nurselife #stylefashio #fitmominprogress #ayahuascaretreat #physicianassistantstudent #internalmedicine #fightnigh #babyplant #ohiostateuniversity #artistr #ootdhijabind #naturalwellness #healthychoic - 2 hours ago

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free bagels w/ that strawberry cream cheese 7am just hit different...
#medicine #internalmedicine #internyear #residency #pgy1 #internyear #medicalmemes #medstudent #md

free bagels w/ that strawberry cream cheese 7am just hit different... #medicine #internalmedicine #internyear #residency #pgy1 #internyear #medicalmemes #medstudent #md - 2 hours ago

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Sorry for the lack of memes lately 😩🙏
...bone apple teeth 👌
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#resident #residency #medstudent #nurselife #pgy1 #intern #medicalschool #residencylife #residencymatch #residentlife #nursingstudent #clinic #nurse #doctor #familymedicine #premed #medschool #surgery #internalmedicine #medicalstudent #criticalcare #icunurse #emergencymedicine #pediatrics #hospital #obgyn #medicine #meme #memes #medicalmemes

Sorry for the lack of memes lately 😩🙏 ...bone apple teeth 👌 . . . #resident #residency #medstudent #nurselife #pgy1 #intern #medicalschool #residencylife #residencymatch #residentlife #nursingstudent #clinic #nurse #doctor #familymedicine #premed #medschool #surgery #internalmedicine #medicalstudent #criticalcare #icunurse #emergencymedicine #pediatrics #hospital #obgyn #medicine #meme #memes #medicalmemes - 2 hours ago

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Solidarity. It can’t stop here. 
#WhiteCoatsForBlackLives #BlackLivesMatter #NoToRacism 
#HackensackFam #DiversityAndInclusion #EmergencyMedicine #InternalMedicine #Pediatrics #Surgery #ObGyn #Everyone

Solidarity. It can’t stop here. #WhiteCoatsForBlackLives #BlackLivesMatter #NoToRacism #HackensackFam #DiversityAndInclusion #EmergencyMedicine #InternalMedicine #Pediatrics #Surgery #ObGyn #Everyone - 3 hours ago

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📌 𝐃𝐄𝐑𝐈𝐕𝐀𝐂𝐈𝐎𝐍𝐄𝐒 𝐃𝐄𝐋 𝐄𝐊𝐆 📌

Si te gustó dale ❤ y compártelo 🤓

#medicina #cardiologia #medicinahumana #medicinainterna #medico #enfermera #estudiantesdemedicina #resumenes #resumenesdemedicina #casoclínico #enfermedad #EKG #medicine #cardiology #humanmedicine #internalmedicine #doctor #nurse #medicinestudent #clinicalcase #clinicalcases #disease #infection #med #medlife #medstudent #EsSalud #ENAM #ENARM #ENARM2020

📌 𝐃𝐄𝐑𝐈𝐕𝐀𝐂𝐈𝐎𝐍𝐄𝐒 𝐃𝐄𝐋 𝐄𝐊𝐆 📌 Si te gustó dale ❤ y compártelo 🤓 #medicina #cardiologia #medicinahumana #medicinainterna #medico #enfermera #estudiantesdemedicina #resumenes #resumenesdemedicina #casoclínico #enfermedad #EKG #medicine #cardiology #humanmedicine #internalmedicine #doctor #nurse #medicinestudent #clinicalcase #clinicalcases #disease #infection #med #medlife #medstudent #EsSalud #ENAM #ENARM #ENARM2020 - 3 hours ago

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¿Sabes cuánto mide tu perímetro abdominal? 🙇🏻‍♀️ se mide fácilmente con una cinta métrica, estando de pie, con los pies juntos, los brazos a los lados. La cinta debe ir al rededor del abdomen a la altura del ombligo y sin presionar. Tomas aire profundo y en el momento en que botes el aire completamente es que debes medirlo. 🙇🏻‍♀️ si eres hombre esta medida debe ser: 94 cm y si eres mujer: 90 cm
🙇🏻‍♀️ por cada centímetro por encima de esta meta, lo ideal es disminuir 1 kilogramo de peso. 🙇🏻‍♀️ tener el perímetro abdominal aumentado es conocido como obesidad central y esto aumenta el riesgo de sufrir de infarto, diabetes, colesterol alto y trombosis, problemas del sueño, entre otras enfermedades. .
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#medlife #medicine #tips #obesity #healthylifestyle #healthylifestyle #internalmedicine #perimetroabdominal

¿Sabes cuánto mide tu perímetro abdominal? 🙇🏻‍♀️ se mide fácilmente con una cinta métrica, estando de pie, con los pies juntos, los brazos a los lados. La cinta debe ir al rededor del abdomen a la altura del ombligo y sin presionar. Tomas aire profundo y en el momento en que botes el aire completamente es que debes medirlo. 🙇🏻‍♀️ si eres hombre esta medida debe ser: 94 cm y si eres mujer: 90 cm 🙇🏻‍♀️ por cada centímetro por encima de esta meta, lo ideal es disminuir 1 kilogramo de peso. 🙇🏻‍♀️ tener el perímetro abdominal aumentado es conocido como obesidad central y esto aumenta el riesgo de sufrir de infarto, diabetes, colesterol alto y trombosis, problemas del sueño, entre otras enfermedades. . . . . #medlife #medicine #tips #obesity #healthylifestyle #healthylifestyle #internalmedicine #perimetroabdominal - 3 hours ago

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and in the last half hour of residency, my two week comatose patient wakes up ✌️
#internalmedicine #医者

and in the last half hour of residency, my two week comatose patient wakes up ✌️ #internalmedicine #医者 - 3 hours ago

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Player 2 has entered the game.

#youhaventseenmytrueformyet 
#vetschool #navle #vetmed #veterinary #dogs #dvm #veterinarian #vetstudent #vettech #vet #vetnurse #vetschool #vetlife #exoticmedicine #residency #internalmedicine #cats #clinicalyear #veterinarymedicine #studygram #veterinario #largeanimalvet #largeanimalmedicine #vettechlife #vetnurse #veterinarynurse #vettechsofinstagram #vetstagram

Player 2 has entered the game. #youhaventseenmytrueformyet #vetschool #navle #vetmed #veterinary #dogs #dvm #veterinarian #vetstudent #vettech #vet #vetnurse #vetschool #vetlife #exoticmedicine #residency #internalmedicine #cats #clinicalyear #veterinarymedicine #studygram #veterinario #largeanimalvet #largeanimalmedicine #vettechlife #vetnurse #veterinarynurse #vettechsofinstagram #vetstagram - 3 hours ago

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📌 𝐑𝐄𝐆𝐈𝐒𝐓𝐑𝐎 𝐃𝐄𝐋 𝐄𝐊𝐆 📌

Si te gustó dale ❤ y compártelo 🤓

#medicina #cardiologia #medicinahumana #medicinainterna #medico #enfermera #estudiantesdemedicina #resumenes #resumenesdemedicina #casoclínico #enfermedad #EKG #medicine #cardiology #humanmedicine #internalmedicine #doctor #nurse #medicinestudent #clinicalcase #clinicalcases #disease #infection #med #medlife #medstudent #EsSalud #ENAM #ENARM #ENARM2020

📌 𝐑𝐄𝐆𝐈𝐒𝐓𝐑𝐎 𝐃𝐄𝐋 𝐄𝐊𝐆 📌 Si te gustó dale ❤ y compártelo 🤓 #medicina #cardiologia #medicinahumana #medicinainterna #medico #enfermera #estudiantesdemedicina #resumenes #resumenesdemedicina #casoclínico #enfermedad #EKG #medicine #cardiology #humanmedicine #internalmedicine #doctor #nurse #medicinestudent #clinicalcase #clinicalcases #disease #infection #med #medlife #medstudent #EsSalud #ENAM #ENARM #ENARM2020 - 4 hours ago

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Same Day Appointments Available!  #seeyourdoctor #internalmedicine #covington #conciergemedicine #northshoresbest

Same Day Appointments Available! #seeyourdoctor #internalmedicine #covington #conciergemedicine #northshoresbest - 4 hours ago

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🚨 Expression of Concern ⚠️
El estudio de Mehra y cols publicado en #TheLancet que habíamos publicado en esta cuenta, y que motivó a que la #OMS #WHO retirara la recomendación de uso de Hidroxicloroquina en #COVID19 y se detuvieran los estudios en curso con #HCQ ha levantado suspicacias por el manejo de la data recolectada, en específico por una empresa llamada #Surgisphere. 
En la última edición de #TheLancet que salió ayer 3 de junio, fue publicado este comentario de parte de los editores de la revista, que encendió las alarmas sobre la validez de la data y del estudio, y también levantó suspicacias sobre cómo fue el proceso de evaluación por parte de la revista para la publicación del artículo.
#BreakingNews: hoy jueves, la evidencia de manipulación de los datos ha sido tan contundente, que 3 de los autores han retractado el artículo de forma oficial! 
#clinicamedica #medicinainterna #internalmedicine

🚨 Expression of Concern ⚠️ El estudio de Mehra y cols publicado en #TheLancet que habíamos publicado en esta cuenta, y que motivó a que la #OMS #WHO retirara la recomendación de uso de Hidroxicloroquina en #COVID19 y se detuvieran los estudios en curso con #HCQ ha levantado suspicacias por el manejo de la data recolectada, en específico por una empresa llamada #Surgisphere . En la última edición de #TheLancet que salió ayer 3 de junio, fue publicado este comentario de parte de los editores de la revista, que encendió las alarmas sobre la validez de la data y del estudio, y también levantó suspicacias sobre cómo fue el proceso de evaluación por parte de la revista para la publicación del artículo. #BreakingNews : hoy jueves, la evidencia de manipulación de los datos ha sido tan contundente, que 3 de los autores han retractado el artículo de forma oficial! #clinicamedica #medicinainterna #internalmedicine - 4 hours ago

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3 of 3 | Working in MICU this week and seeing so many patients struggle to breath because of COVID  infection has given me a new appreciation for nature, clean air and ability to breathe freely
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#covidcovidgoaway #tiredoflosingpatients #freshair #feelingthankful #pleaseprayformypatiente #medicine #internalmedicine #nature #hiking #freshair #cleanair #keepyourbodymoving

3 of 3 | Working in MICU this week and seeing so many patients struggle to breath because of COVID infection has given me a new appreciation for nature, clean air and ability to breathe freely . . . . . #covidcovidgoaway #tiredoflosingpatients #freshair #feelingthankful #pleaseprayformypatiente #medicine #internalmedicine #nature #hiking #freshair #cleanair #keepyourbodymoving - 4 hours ago

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2 of 3 | Working in MICU this week and seeing so many patients struggle to breath because of COVID  infection has given me a new appreciation for nature, clean air and ability to breathe freely
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#covidcovidgoaway #tiredoflosingpatients #freshair #feelingthankful #pleaseprayformypatiente #medicine #internalmedicine #nature #hiking #freshair #cleanair #keepyourbodymoving

2 of 3 | Working in MICU this week and seeing so many patients struggle to breath because of COVID infection has given me a new appreciation for nature, clean air and ability to breathe freely . . . . . #covidcovidgoaway #tiredoflosingpatients #freshair #feelingthankful #pleaseprayformypatiente #medicine #internalmedicine #nature #hiking #freshair #cleanair #keepyourbodymoving - 4 hours ago

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1 of 3 | Working in MICU this week and seeing so many patients struggle to breath because of COVID  infection has given me a new appreciation for nature, clean air and ability to breathe freely
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#covidcovidgoaway #tiredoflosingpatients #freshair #feelingthankful #pleaseprayformypatiente #medicine #internalmedicine #nature #hiking #freshair #cleanair #keepyourbodymoving

1 of 3 | Working in MICU this week and seeing so many patients struggle to breath because of COVID infection has given me a new appreciation for nature, clean air and ability to breathe freely . . . . . #covidcovidgoaway #tiredoflosingpatients #freshair #feelingthankful #pleaseprayformypatiente #medicine #internalmedicine #nature #hiking #freshair #cleanair #keepyourbodymoving - 4 hours ago

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First and foremost this is a painting in my home done by my Grandma.  @lindamae51 .  It hangs in full display for fam and friends to appreciate. 🙏🏻 to my Grandparents for showing me the arts like #painting #oilpainting #oilpastel .
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General issues abt hunting:
- remember gun safety.  All of Mommy’s stories abt shooting always start with safety.  That is live ammo at use and guns are not toys.
- my family in #montana grew up #shootingguns and #fishing .  It allowed the family of 5 not to have to buy meat so 💰 could be spent on other items. .
- NOTE: not just humans are at risk for infections while hunting.  If hunting dogs 🐶 are participating then they are at risk too! ************************************************************
Case 1: A hunter in #florida kills a wild boar 🐗 (feral swine). 2 to 4 wks later he has a fever.  The fever goes up and then down.  He complains that he also has some back pain esp with the fever.
Q1️⃣ What is possible infection?
Q2️⃣ How did the hunter most likely get the infection?
Q3️⃣ Drug of choice (DOC) for tx?
Q4️⃣ What % of persons infected have joint issues? ************************************************************
Case 2: A different hunter was going after deer 🦌 in #northdakota ! The hunter caught one and skilled it with great skill.
Q1️⃣ The hunter complained approx 4d later of a ulcerated lesion on her/his thumb with scant pus. What is the infection?
Q2️⃣ How could the infxn have been prevented?
Q3️⃣ DOC?
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#hunter #greatprarie #preppingmeat #frugal #infection #skinlesions #ulceroglandular #emergencymedicine #internalmedicine #infectiousdisease #infectiousdiseases #infectious #medicine #physician #physicianassistant #medicalstudent #physicianassistantstudent #nurse #nursing #nursingstudent @codyhorn33 @jarelyshdzmd @hareeshsingam @itsmaya3 @katyal806 .

First and foremost this is a painting in my home done by my Grandma. @lindamae51 . It hangs in full display for fam and friends to appreciate. 🙏🏻 to my Grandparents for showing me the arts like #painting #oilpainting #oilpastel . ************************************************************ General issues abt hunting: - remember gun safety. All of Mommy’s stories abt shooting always start with safety. That is live ammo at use and guns are not toys. - my family in #montana grew up #shootingguns and #fishing . It allowed the family of 5 not to have to buy meat so 💰 could be spent on other items. . - NOTE: not just humans are at risk for infections while hunting. If hunting dogs 🐶 are participating then they are at risk too! ************************************************************ Case 1: A hunter in #florida kills a wild boar 🐗 (feral swine). 2 to 4 wks later he has a fever. The fever goes up and then down. He complains that he also has some back pain esp with the fever. Q1️⃣ What is possible infection? Q2️⃣ How did the hunter most likely get the infection? Q3️⃣ Drug of choice (DOC) for tx? Q4️⃣ What % of persons infected have joint issues? ************************************************************ Case 2: A different hunter was going after deer 🦌 in #northdakota ! The hunter caught one and skilled it with great skill. Q1️⃣ The hunter complained approx 4d later of a ulcerated lesion on her/his thumb with scant pus. What is the infection? Q2️⃣ How could the infxn have been prevented? Q3️⃣ DOC? ************************************************************ #hunter #greatprarie #preppingmeat #frugal #infection #skinlesions #ulceroglandular #emergencymedicine #internalmedicine #infectiousdisease #infectiousdiseases #infectious #medicine #physician #physicianassistant #medicalstudent #physicianassistantstudent #nurse #nursing #nursingstudent @codyhorn33 @jarelyshdzmd @hareeshsingam @itsmaya3 @katyal806 . - 4 hours ago

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