Patrick Fadden MD FACP

Academic Hospitalist @richmondVAMC @vcuinternalmed, contributing editor @hdx, enjoy #meded #physicalexam, aspiring #POCUS tweets = opinion/not medical advice

[Patrick Fadden MD FACP @ptfaddenMD]

(1/9) #Physicalexam #Tweetorial @VCU_IMRes Cardiac auscultation is all about identifying normal from abnormal sounds. Like any skill this takes practice. In 1904 Dr Charles W. Larned published how to “mimic” heart sounds
Here is how to practice without a patient or even a heart!

[Patrick Fadden MD FACP @ptfaddenMD]

@interconsulta @VCU_IMRes @Bedsidemedicine @StanfordMed25 @NateWarnerMD @AndreMansoor Absolutely!

[Patrick Fadden MD FACP @ptfaddenMD]

(1/8) #PhysicalExam #tweetorial
60 y/o hx of seizures & cirrhosis presenting after seizure & found to have distended abdominal wall veins. What is the cause? @VCU_IMRes @bedsidemedicine @StanfordMed25 @NateWarnerMD @AndreMansoor @PresRCPEdin (Consent was obtained per protocol)

[Patrick Fadden MD FACP @ptfaddenMD]

@doctornikkid @Stanford_GI @LindaNguyenMD @WRayKimMD @PaulYKwo Congrats Nikki!

[Skyler Lentz @SkylerLentz]

🧪Can you have a metabolic acidosis with a normal plasma bicarbonate?

Lessons learned from a case

👇

#FOAMed #foamcc

1/

[Andrew Sanchez @ASanchez_PS]

Really nice new website & podcast covering core inpatient medicine topics: Point of Care Medicine 🩺

Incoming interns should definitely check this out, as there are helpful templates for new admits, workup, etc. specific to particular chief concerns!

https://t.co/M1v31Zpzfl

[Patrick Fadden MD FACP @ptfaddenMD]

@medmanny @ReenaHem Congratulations @ReenaHem!!! - your so awesome 😎

[Patrick Fadden MD FACP @ptfaddenMD]

@AnandJag1 @MSebaskyMD @SimerjotJ @ucsdim @CharlieGoldberg @eb_sladek @LizzyHastie @AshleyScanlonMD @dj_suto @srmkidney @JaclynVargasMD This is great Anand! Best of luck!

[Patrick Fadden MD FACP @ptfaddenMD]

@mikethtseng @AASLDFoundation @VCU_IMRes Nice job Michael!!

[Patrick Fadden MD FACP @ptfaddenMD]

@AvrahamCooperMD @RGottliebSmith @JulieZiobro Great topic @AvrahamCooperMD once again! - is there anything on keto and peripheral neuropathy? Was wondering if the gaba hypothesis plays out outside the CNS

[Patrick Fadden MD FACP @ptfaddenMD]

@cderekleiner Will be thinking of you and your family, so sorry Derek

[Nikita Chadha, D.O. @nchadha3]

1/ My first Twitter 🧵, let’s get started!

A brief review of the three most common types of porphyria. They are Porphyria cutanea tarda (PCT), Acute intermittent porphyria (AIP), and erythropoietic protoporphyria (EPP). #Tweetorial #MedTwitter @VCU_IMRes

[Clement Lee, MD, MSc @ClementLeeMD]

1/11
Rapid Response Series, #2: Hypotension

So in medical school we were all shown a table like this to learn shock, which made my eyes roll back. 🙄 When I’m called about hypotension, I don’t have time to recall a table.⏱️ #MedTwitter #TipsForNewDocs

[VCU IM Residency @VCU_IMRes]

(1/12) Hey #MedTwitter! Are you ready for another #Back2Bedside tweetorial? If you are interested in learning about evidence based physical exam diagnosis of the thyroid, then read along! We love to use the 5 minute moment technique championed by @Bedsidemedicine

🧵A thread

[Patrick Fadden MD FACP @ptfaddenMD]

@AnandJag1 this is so so great! Cognitive apprenticeship… intellectual streaking…first time learning these terms! Love the tweetorial. Hey @VCU_IMRes @VCUIMClerkship @NateWarnerMD @RabiaQaiser3 check this out!

[Anand Jagannath @AnandJag1]

#Medtwitter, last week I posted about a talk I gave on teaching #clinicalreasoning

As promised, the accompanying #tweetorial

Come explore with me!
1/10
https://t.co/kJzOlIZRPq

[Patrick Fadden MD FACP @ptfaddenMD]

We are listening @DxRxEdu @rabihmgeha! @RabiaQaiser3 no joke, hearing your voice brought a tear to my eye! So happy for you and all of the success you are making - miss you tons over here!

[Rabia Qaiser @RabiaQaiser3]

⁦@rabihmgeha⁩ ⁦@DxRxEdu⁩ thank you so much for the opportunity! ⁦@ptfaddenMD⁩, ⁦@NateWarnerMD⁩ and my incredible VA family and ⁦@VCU_IMRes⁩ ⁦⁦@vcuhospitalmed⁩ do listen! You won’t be disappointed. https://t.co/et7s0aSqpR

[VCU IM Residency @VCU_IMRes]

Are you ready for another #Back2Bedside tweetorial? This time we tackle "Lymph Node Exam"! Read on for info on best technique, evidence based interpretation and a fun historical fact!

#medtwitter #meded #physicalexam @AndreMansoor @ptfaddenMD @NateWarnerMD @MedTweetorials

[Patrick Fadden MD FACP @ptfaddenMD]

@VCU_IMRes @bqueenhoo @cderekleiner @rva_IntMedPD @vcuhospitalmed Thank you @VCU_IMRes!

[André Martin Mansoor @AndreMansoor]

1/10
A 26 y/o woman presents with migratory arthritis. Started with a red and hot foot/ankle. Then went to the knee. Overuse, she was told. When ice/rest did not help, she went to the hospital.

An arthrocentesis procedure was performed.

[VCU IM Residency @VCU_IMRes]

(1/7) We LOVE our physical exam tweetorials! We're back with another #Back2Bedside thread!
How confident are you in your physical exam skills of "endocarditis"?

Read along to learn more! 🧵

@AndreMansoor @ptfaddenMD @NateWarnerMD @SocietyHospMed @Dr_Mike_Stevens @cderekleiner

[Patrick Fadden MD FACP @ptfaddenMD]

Biphasic pulsations of the liver from severe TR!! really cool @VCUIMClerkship

[VCU IM Residency @VCU_IMRes]

(2/7) Endocarditis has both cardiac and extra-cardiac manifestations.

In cases of tricuspid regurgitation, make sure you evaluate your patient's liver! A Q-tip can help you visualize the pulsations often seen with severe TR

[Patrick Fadden MD FACP @ptfaddenMD]

@VCUIMClerkship just talked about MIST criteria last week in student report - MINT maybe more to think over! Thanks! @ASanchez_PS @AaronLBerkowitz @rabihmgeha

[Andrew Sanchez @ASanchez_PS]

Approach to Altered Mental Status, revisited! Pearls on stroke subtypes via @AaronLBerkowitz, Pre- vs. Intra-brain via @rabihmgeha.