Enhancing the med student experience on the Internal Medicine services at Penn State Hershey Medical Center. Delivering daily pearls for students! #IMpearls
Feb 18, 2022 • 12 tweets • 6 min read
1/12 Looking to stand out on your residency application? Letters of recommendation (LoR) are crucial! This thread is geared towards MS3/4s & will include some strategies & tips for finding letter writers and helping them (help you)! #MedTwitter#MedStudentTwitter#Match2023
2/12 Do not underestimate the power of a strong LoR! Residency programs that conduct a holistic review of course look at multiple aspects of an applicant’s file. However, letters of recommendation consistently rank as one of the most important factors.
Feb 17, 2022 • 6 tweets • 4 min read
1/6 #IMpearls
56yoF with obesity and T2DM presents to the ED with lethargy and AMS. ROS + for weight loss and polydipsia
Labs: Na 128, glucose 720, serum osm 322
U/A: 3+ glucose and mild ketonuria
ABG: pH 7.32, bicarb 23. VS stable.
What is the dx and best initial treatment?
2/6 Mild ketonuria does not necessarily mean DKA! According to the @AmDiabetesAssn the diagnostic criteria for DKA includes:
- pH < 7.30
- Bicarbonate < 18 and
- Glucose > 250
The key differentiating feature is the 𝗽𝗿𝗲𝘀𝗲𝗻𝗰𝗲/𝗮𝗯𝘀𝗲𝗻𝗰𝗲 𝗼𝗳 𝗸𝗲𝘁𝗼𝗮𝗰𝗶𝗱𝗼𝘀𝗶𝘀.
