Nick Duca

@NoGunsInCanada They aren't perfect. Invasive to place. Changes can be difficult. Essentially the same infection risk.

@MaxHartMD Great that you're asking this. This makes me think of @DxRxEdu tweet about pseudodiagnoses that need additional workup to find the cause. Only other thing I would add to what's been said is abdominal imaging to rule out HCC or thrombosis.

@PaulNWilliamz Stone Cold Steve Austin immediately came to mind ...

Congrats @KaylaHartzDO on her first chief resident teaching session for our clerkship students! Excellent teaching on HFrEF, Afib, risks and benefits of AC. Not to mention outstanding board management on the old school blackboard! @aliachisty #MedTwitter

A Graphic Transformation: A Qualitative Study of Transformative Learning in Medical Trainees during COVID-19 Using Comics as Data Presentation tandfonline.com/doi/full/10.10…

@VipsMDMEd Very nice work Ben and all! Congrats on the publication!

@ZhexiLv1 Congratulations!!

This week, Drew and I: • Camped on the beautiful Assateague beaches • Visited Pittsburgh for the first time • Saw the view from my new apartment window • Got engaged!!!

Way to go, @NabeelAkhtarMD, on your @sgim presentation! So delighted to have you represent our @PennStateGIM fellowship in Orlando! Also featured is the amazing @jennmh2, mentor & fellowship director. Interested in #meded? Come join us in the sweetest place on earth! #sgim22

@ShantaZimmer @CUMedicalSchool We've all come here for Haylee!!!

Happy Match Day @CUMedicalSchool We are ready for you and oh, so proud! #mamagallina

To all the MS4, best of luck today on the #Match2022! From a program director standpoint, we were so inspired by you all during the recruitment session and we can’t wait to welcome you into our programs! @PennStIMchiefs @PennStateIMRes @PennSt_MedPeds @NickDuca57 @elianahempel

8/ Good luck to our matching fourth-year students tomorrow! #WeAre @PennStateIMRes Educators feel free to add your #IMpearls @NickDuca57 @BMcGillenMD @davidshoremd @VipsMDMEd

Good luck to all medical students finding out about MATCH today! WE ARE proud of you! @PennStIMchiefs

@MaxHartMD That last sentence killed me 🤣

@PSUIMReport @BMcGillenMD @KevinCChiang @natelong_11 @Jed_Gonzalo15 @myheroistrane @InternalMed_Res @FuturePedsRes Excellent advice and I agree with all of the points here. Summoning the PS Guru @RJMunyon

@NickDuca57 @BMcGillenMD @KevinCChiang @natelong_11 @Jed_Gonzalo15 @myheroistrane @InternalMed_Res @FuturePedsRes

1/ MS3 followers! It’s never too early to start thinking about what you’d like to write for your #match2023 ERAS personal statement (PS). A lot of people have trouble finding where to even start. Writer’s block is real! This 🧵 might help.

@PSUIMReport @BMcGillenMD @Navyavoleti When working up sepsis, keep UTI/urosepsis as a dx of exclusion. We've all missed serious occult infections (e.g cholangitis, septic joint, abscess) from anchoring on the "dirty UA". Also if S. aureus in the urine, think hematogenous (e.g endocarditis) rather than UTI.

10/ Students - what should you be looking for on a UA to tip you off that a UTI might be brewing? Educators - feel free to add your #IMpearls @NickDuca57 @BMcGillenMD @Navyavoleti

1/ 65yoF is in the hospital receiving abx for pneumonia. During pre-rounds, she tells you she has recently noticed ⬆️ urinary urgency/frequency and describes her urine as dark and cloudy. Vitals are stable. PE: + Suprapubic pain, no CVA tenderness What is the next best step?

@VipsMDMEd Power move: Pay no attention and continue rounds.

You’re rounding and you get a bloody nose under your mask… what do you do? #askingforafriend #ColoradoIsTooDry

Just want to share my appreciation for PSUCOM MS-IV students @MaxHartMD and @natelong_11 for their incredible work on the @PSUIMReport. What an amazing resource for our clerkship students! @eileen_moser @Jed_Gonzalo15 @mylesnickol #MedStudentTwitter

@jlkrasch @ChuangCynthia @PennStateGIM @SocietyGIM Congratulations @ChuangCynthia ! Simply the best.

WOW!!! Incredible news to end a wonderful #ProudtobeGIM week... CONGRATULATIONS to @ChuangCynthia on her Association of Chiefs & Leaders in GIM 2022 Chief Recognition Award! We @PennStateGIM already knew she was the best... grateful for @SocietyGIM's recognition of it too!

@PSUIMReport @PennStIMchiefs @BMcGillenMD This is a fantastic summary. It all comes down to putting the patient first and everything else falls into place. Follow up on @BMcGillenMD's suggestion: the most memorable emails come from PCPs who want to recognize a student's effort for going above and beyond at discharge.

10/ This is only a small list of ways you can stand out. Your team can help guide you through these tasks until you are comfortable completing them on your own! Educators, what are additional ways students can stand out on the wards? @PennStIMchiefs @NickDuca57 @BMcGillenMD

1/ Students, how can you succeed on your internal medicine rotation? This 🧵 will discuss ways you can stand out, getting great evaluations while maximizing your own learning and being an asset to your team! #MedTwitter #MedStudentTwitter #MedEd

@PSUIMReport @BMcGillenMD @sarahdudamd @KnowYourWishes Nice job with this case @MaxHartMD and @natelong_11 ! I encourage everyone to ask about inhaler adherence. An alarming number of patients will report difficulty in filling maintenance inhalers due to cost, a change in insurance drug coverage, or a combination of the two.

11/ Students - feel free to add any thoughts or questions! Educators, feel free to add your own pearls! #IMPearls #MedEd #MedTwitter @NickDuca57 @BMcGillenMD @sarahdudamd @KnowYourWishes

1/ #IMpearls #MedTwitter #MedStudentTwitter 64yoM presents to ED w/ increased SOB and a “cold” for last 3 days. ROS + for chronic cough. Diffuse wheezing on physical exam. CXR: