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U01.01.113 Hyperammonemia U01.01.113 Summary: Why ammonia crosses the blood-brain barrier, the role of glutamate and glutamine in cerebral edema, and how to treat acute nitrogen toxicity.

Hyperammonemia: Neurotoxic Nitrogen
#USMLEStep1 #MedEd #Biochemistry #Hyperammonemia #LiverFailure #Metabolism #Step1Prep #HighYield #MedSchool #Neurotoxicity #Gastroenterology #Pediatrics #InternalMedicine #FutureDoctor #StudyGram #MedTwitter #Anki #BoardExams #MedicalStudent #FirstAid #MedicalScho

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U01.01.109 Lactase deficiency A comprehensive review of U01.01.109 Lactase Deficiency. Explore why the loss of brush-border disaccharidases leads to bloating and gas, the clinical impact of post-viral enteritis on lactose digestion, and how to differentiate intolerance from milk allergy.

🥛 The Dairy Dilemma: Mastering Lactase Deficiency! 🥛
#USMLEStep1 #MedEd #Biochemistry #GIPhysiology #LactoseIntolerance #LactaseDeficiency #Step1Prep #HighYield #MedSchool #Nutrition #InternalMedicine #FutureDoctor #StudyGram #MedTwitter

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🩺 Pulmonology session at #MIRCIM

Latest insights on COPD, asthma & pneumothorax management — practical, evidence-based updates for everyday clinical care.

📅 May 9 | 11:10–12:35
📍 Kraków & online

👉 www.mircim.one

#Pulmonology #RespiratoryCare #InternalMedicine #MedicalEducation

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📢 Last call for abstracts!

⏳ Deadline: April 16, 2026

Don’t miss your chance to present your research at #MIRCIM2026 and connect with an international medical community.

👉 my.ebm.one/mircim/call-...

#CallForAbstracts #MedicalResearch #InternalMedicine #MIRCIM

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New article to read! Stopping or continuing chronic #antihypertensive therapy during hospitalization.

➡️ Discontinuing chronic antihypertensive therapy during hospitalization was associated with increased risks of AKI and mortality.

🔗 doi.org/10.1111/joim.70093

#internalmedicine

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New review to read! Immune endotypes in #tuberculosis: Keys to decoding disease complexity.

➡️ From the symposium Mycobact 2024: The 11th International Conference on the Pathogenesis of Mycobacterial Infections.

🔗 doi.org/10.1111/joim.70092

#Mycobact2024 #InternalMedicine

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New article to read from @ki.se! Flare risk after oral #glucocorticoid bridging with #methotrexate or intra-articular bridging with triple therapy in early #rheumatoid arthritis.

🔗 doi.org/10.1111/joim.70094

#InternalMedicine #RA

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A longitudinal study published in the Journal of General Internal Medicine found that female physicians leave practice 15 years earlier than their male counterparts (64 vs 49 years old) on average. #WomenInMedicine #InternalMedicine

https://ow.ly/yRKN50YFAXS

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And of course Mitchell Katz's first target is #breastcancer because who gives a shit if AI misses a terminal diagnosis in a female, we're expendable (unfortunately, yes, this guy actually has a #medical degree and did #internalmedicine residency, though I suspect he hasn't practiced in 30 years)

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#FamilyMedicine: Sat 4/18 4pm EST bit.ly/4suuGtP
#ICU: Sun 4/19, 12pm EST bit.ly/4scjdPN
#InternalMedicine: Sun 4/19, 5pm EST bit.ly/4boKnfd

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We’re pleased to announce that #MIRCIM2026 has received the Honorary Patronage of the Minister of Health, Jolanta Sobierańska-Grenda.

A recognition of its role in advancing medical education & healthcare.

📅 May 7–9
📍 Kraków & online
👉 www.mircim.one

#InternalMedicine

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🚨 LAST DAY for Early Bird!

Final chance to join #MIRCIM2026 at the best price — don’t wait.

📅 May 7–9
📍 Kraków & online

3 days • 60+ lectures • global experts

⏳ Ends TODAY
👉 my.ebm.one/mircim

#InternalMedicine

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Men's health isn't just about the 'big' events. It's about monitoring waist-to-hip ratios, cardiovascular risk, and sleep quality for hormonal balance. Prevention is the ultimate 'quick win' for long-term vitality. #MensHealth #PreventiveCare #InternalMedicine

#MensHealth #PreventiveCare

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Up to 40% of GLP-1 weight loss is muscle. This slows your metabolism and causes long-term fatigue. Protect yourself with 0.7g-1g protein per pound and 3x weekly resistance training. Don't just lose weight—save your muscle. #GLP1 #Nutrition #InternalMedicine

#GLP1 #Nutrition

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Catching up on e-mails, and new #CEO of #ACP (American College of Physicians, the blanket umbrella organization for #InternalMedicine) is a Black male physician, an HBCU (Howard) grad whose research is on #healthdisparities and #SDOH (social determinants of health). Good political statement in 2026

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1 in 6 adults struggle with chronic constipation. Most think 'daily' is the only healthy metric, but the medical standard for 'normal' is actually anywhere from 3x daily to 3x weekly. Quality and comfort matter more than the clock. #guthealth #internalmedicine #nutrition

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There is an independent #bookstore at DCA and I looked longingly at the books, then remembered I have 72 hrs to finish my #InternalMedicine #boards questions for the quarter and still haven’t done my taxes 😬

Adulting sucks

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I was like, I cannot do #ABIM #InternalMedicine boards questions I need to finish in 72 hours to keep my board certification in the leg pit 😂

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📖 BJHM 2026-Volume 87,Issue 3 | NOW LIVE

🥂🙆‍♀️ We'd like to invite you to explore the latest research and insights in our journal.

👉Tap in: imrpress.com/journal/BJHM...

#InternalMedicine #Medicine #HospitalMedicine #MedSky #AcademicSky

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Medical 'normal' lab ranges are population averages, not your personal peak. You can have 'normal' iron or thyroid levels and still suffer from subclinical symptoms. Always advocate for 'optimal' over 'average' results. #InternalMedicine #HealthTips #PreventiveCare

#InternalMedicine #HealthTips

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Sleep regularity matters more than sleep duration for mortality risk. Consistency in your circadian rhythm beats 'catching up' on weekends every time. Use wearables to track HRV trends, not to diagnose sleep stages. If sleep issues persist 3x weekly, see a doctor. #SleepHealth #InternalMedicine #...

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🚨 Final days for Early Bird!

Last chance to join #MIRCIM2026 at the best price.

📅 May 7–9
📍 Kraków & online

3 days • 60+ lectures • global experts • on-demand access

⏳ Ends March 31
👉 my.ebm.one/mircim

#InternalMedicine

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RJIM is now on Google Scholar 🎉🎊

We’re a 501(c)(3) non-profit journal with
no mandatory APCs
sometimes paid peer review

Open to case reports and original research in #InternalMedicine

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Build a strong foundation in medicine and elevate your clinical expertise 🩺

👉 Register Now: tauedu.org/pg-medicine/... and start your journey with Texila today!

#Texila #TexilaPG #InternalMedicine #FellowshipInInternalMedicine #MRCP #MRCPTraining #FRCP #NeetPG #StudyMedicine

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Good news for anybody who like me has been procrastinating in starting #InternalMedicine LKA (longitudinal knowledge assessment)- finally started with 10 days left before they expire, and..these questions are easy. Far easier than I expected 😂 (or maybe I'm just better at doctoring 10 years later)

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Most unfilled/empty slots by state
#InternalMedicine
Montana - 40.9%
Idaho - 30.8%

#FamilyMedicine-
New Hampshire - 45.5%
Montana - 33.3%
Oregon - 32.2%
South Carolina - 30.1%
Puerto Rico - 28.6%
Arizona - 28.3%
Ohio - 28.2%

West Virginia - 27%
Wyoming- 26.7%
North Dakota - 26.3%
Arkansas - 26%

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Number of unfilled #residency positions ie missing future #doctors in these fields
- #FamilyMedicine - 899
- #InternalMedicine - 537
- #Pediatrics - 175
- #EmergencyMedicine - 140
- #Psychiatry - 65

Smaller numbers for other specialties, but 1,816 doctors we’ll never have thanks to Stephen Miller

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#Residency Match:
“in 2026, foreign-born IMGs requiring visa sponsorship had match rate of 54.4%, a five-year low, compared with 67.9% for foreign-born IMGs not requiring sponsorship”
- 1.6% decrease in #InternalMedicine fill rate
- 0.9% decrease in #Pediatrics
- 1.4% decrease in #FamilyMedicine

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#MatchDay2026 has arrived! We're excited to welcome newly-placed #InternalMedicine physicians into the next stage of their journey.

Share your #Matchday results with us using the tag #ProudToBeGIM to spread the good news!

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Your sleep quality is often a family trait. Genetics play a major role in insomnia risk and circadian rhythms. If your parents struggled with sleep, early evaluation is key to preventing chronic fatigue. Don't wait for exhaustion to become your 'normal.'

#SleepScience #InternalMedicine

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