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Andrew Sanchez

@asanchez.bsky.social

❓ Hospitalist @ BIDMC Teaching/Learning Dx πŸŽ™ Co-host of DxAtypia.com πŸ•΅πŸ½β€β™‚οΈ Clinical Problem Solvers, Schema Co-host

242 Followers  |  97 Following  |  123 Posts  |  Joined: 24.07.2023  |  2.2541

Latest posts by asanchez.bsky.social on Bluesky

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a nonfocal septic patient presents with the labs shown here πŸ‘‡

can you guess the diagnosis?

how would you treat this?

answer: same diagnosis as this case: emcrit.org/pulmcrit/sho... #EMIMCC

22.06.2025 12:26 β€” πŸ‘ 19    πŸ” 2    πŸ’¬ 5    πŸ“Œ 0

this is a super interesting case.

I don’t want to spoil it for you, so take a minute and go thru it.

In the wisdom of 20/20 hindsight, can you figure out what happened?? #EMIMCC 🧡 #1/2

12.05.2025 16:46 β€” πŸ‘ 8    πŸ” 1    πŸ’¬ 2    πŸ“Œ 0
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Episode 12: Diagnostic Dilemma - Acute "Red Leg" Diagnostic Atypia Β· Episode

Episode 12 is out! Join us as we discuss one of the most common problems we encounter as internists. Is this red leg infected or not? #MedSky @asanchez.bsky.social

12.05.2025 16:13 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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Episode 11: Diagnostic Dilemma - Back Pain & Dysuria Diagnostic Atypia Β· Episode

Episode 11 dropped today! How do we approach management of a symptomatic mass when we are unable to obtain a biopsy? Tune in this week for our thoughts. We'd love to hear your own! Teaching on the episode is available here: www.dxatypia.com/episodes/epi...
#MedSky

28.04.2025 16:38 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

AMK is the best!!! Tell her I say hey

22.04.2025 14:47 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Diagnostic Atypia Inspired by the Diagnosis community (e.g. The Clinical Problem Solvers), Drs. Michael Arcieri (@ArcieriMichael) and Andrew Sanchez (@ASanchez_PS) present a new podcast space for Dx enthusiasts to expe...

Post-episode reflections available at:

www.dxatypia.com

14.04.2025 14:01 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Episode 10: Guestpisode! - Pancytopenia Diagnostic Atypia Β· Episode

Listen on Spotify 🦻

open.spotify.com/episode/18Er...

14.04.2025 14:01 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Episode 10: Guestpisode! - Pancytopenia Podcast Episode Β· Diagnostic Atypia Β· 04/14/2025 Β· 40m

Listen on Apple 🍎

podcasts.apple.com/us/podcast/d...

14.04.2025 14:01 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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And we're back!

Dr. Maddy Conte joins us to discuss a case of pancytopenia 🦴

Come flex your blood smear skills! πŸ‘‡

14.04.2025 14:01 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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🚨New Schema Podcast Episode🚨

Tune in as @madellenaconte.bsky.social , @saklawimd.bsky.social and @asanchez.bsky.social walk us through their bradycardia schema as they tackle a case of bradycardia presented by Noah! πŸ«€πŸ©Ί

Use the link➑️ clinicalproblemsolving.com/2025/04/03/e...
#ClinicalReasoning

04.04.2025 01:51 β€” πŸ‘ 5    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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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?

31.03.2025 11:57 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
Posterior Occlusive Myocardial Infarction on Chronic Right Bundle Branch Block | Published in Journal of Brown Hospital Medicine By Andrew Sanchez, Omar El-Charif. An elderly woman with chronic RBBB presented in shock and was diagnosed with posterior myocardial infarction

New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social πŸ’€

bhm.scholasticahq.com/article/1337...

01.04.2025 13:11 β€” πŸ‘ 4    πŸ” 3    πŸ’¬ 2    πŸ“Œ 0

PS -- this is really a @pulmpeeps.bsky.social case πŸ˜‰

@pulmcrit.bsky.social
@imcrit.bsky.social

31.03.2025 11:57 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

@cpsolvers.bsky.social
@curiousclinpod.bsky.social
@coreimpodcast.bsky.social

31.03.2025 11:57 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Case images & case-associated teaching available at our website! πŸ”—

dxatypia.com

If you're enjoying the podcast, please give us a share & let your nerdy friends know about it! πŸ“£

We're really enjoying the ride & hope you are too!

31.03.2025 11:57 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Episode 9: Diagnostic Dilemma - Rapid Atrial Fibrillation & Subacute Dyspnea on Exertion Diagnostic Atypia Β· Episode

Listen on Spotify πŸ‘‚

open.spotify.com/episode/3p53...

31.03.2025 11:57 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Episode 9: Diagnostic Dilemma - Rapid Atrial Fibrillation & Subacute Dyspnea on Exertion Podcast Episode Β· Diagnostic Atypia Β· 03/31/2025 Β· 42m

Listen on Apple 🍏

podcasts.apple.com/us/podcast/d...

31.03.2025 11:57 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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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?

31.03.2025 11:57 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

"Supervised, in-hospital anterior wall infarction" 😬

30.03.2025 14:08 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Fighting Back: A Citizen’s Guide to Resistance Ordinary people have more power than they know.

The question I've been asked most as we endure the legal dumpster fire that is the Trump Administration is, "What can we do about it when it's not election season?" @timothynoah.bsky.social has an outstanding essay in the @newrepublic.com addressing that question. newrepublic.com/article/1931...

28.03.2025 18:25 β€” πŸ‘ 1195    πŸ” 458    πŸ’¬ 36    πŸ“Œ 41
A graph showing the cumulative incidence of recurrent venous thromboembolism (primary efficacy outcome) among patients who received apixaban at a reduced (2.5 mg) or full (5.0 mg) dose twice daily for 12 months.

A graph showing the cumulative incidence of recurrent venous thromboembolism (primary efficacy outcome) among patients who received apixaban at a reduced (2.5 mg) or full (5.0 mg) dose twice daily for 12 months.

In the API-CAT trial involving patients with active cancer and venous thromboembolism, extended anticoagulation with reduced-dose apixaban was noninferior to full-dose apixaban for preventing recurrent thromboembolic events. Full results: nej.md/41YkRZK

#ACC25 | @accintouch.bsky.social

29.03.2025 14:35 β€” πŸ‘ 18    πŸ” 8    πŸ’¬ 1    πŸ“Œ 1
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Evaluating podcasts as a tool for OSCE training: a randomized trial using generative AI-powered simulation - BMC Medical Education Introduction Objective Structured Clinical Examinations (OSCEs) are critical for assessing clinical competencies in medical education. While traditional teaching methods remain prevalent, this study i...

Can a #MedEd #Podcast improve your OSCE score? Yesβ€”and now it’s published!

This RCT by V.Dupont et al. shows that listening to #NephrOdio leads to:
🎧 +3.5 OSCE score boost
πŸ’ͺ Better self-perception of clinical skills (42% vs 16%)
βœ… 96% would use the podcast again

πŸ‘‰πŸΌ doi.org/10.1186/s129...

25.03.2025 11:26 β€” πŸ‘ 18    πŸ” 9    πŸ’¬ 2    πŸ“Œ 0
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Episode 8: Diagnostic Dilemma - Falls in a Young Man Diagnostic Atypia Β· Episode

Tune in for a discussion of falls & more! Teaching points from the episode are available at www.dxatypia.com/episodes/epi...

17.03.2025 22:19 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
Unilateral Pneumonitis and Hydropneumothorax Following Pembrolizumab | Published in Journal of Brown Hospital Medicine By Andrew Sanchez, Peter Kahn & 2 more. A rare unilateral presentation of immune checkpoint inhibitor pneumonitis complicated by hydropneumothorax.

...Epidemiologically-speaking, systemic toxicity = bilateral presentation of disease.

However, unilateral disease does not = rule-out of systemic toxicity

We described this clear-cut case hereπŸ‘‡

bhm.scholasticahq.com/article/3974...

17.03.2025 20:39 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Great article

Importantly, while ICI pneumonitis reviews mention that radiographic presentations can be multifactorial, very few mention UNILATERAL-predominant presentation of ICI pneumonitis... πŸ”₯

17.03.2025 20:39 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

@cpsolvers.bsky.social

17.03.2025 20:05 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Preview
Diagnostic Atypia Inspired by the Diagnosis community (e.g. The Clinical Problem Solvers), Drs. Michael Arcieri (@ArcieriMichael) and Andrew Sanchez (@ASanchez_PS) present a new podcast space for Dx enthusiasts to expe...

Post-episode reflections available at

www.dxatypia.com

17.03.2025 20:05 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
Preview
Episode 8: Diagnostic Dilemma - Falls in a Young Man Diagnostic Atypia Β· Episode

🦻 Spotify

open.spotify.com/episode/6V8P...

17.03.2025 20:05 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Episode 8: Diagnostic Dilemma - Falls in a Young Man Podcast Episode Β· Diagnostic Atypia Β· 03/17/2025 Β· 42m

🍏 Apple

podcasts.apple.com/us/podcast/d...

17.03.2025 20:05 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

@asanchez is following 20 prominent accounts