Block 12   06/23/23  7-2/23        Click on below LINKS to see the Required Readings (Please Read before Roundings)

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

 

No lecture

 

06/06/2023

Care of the Elderly Hospitalized Patient*

 Blue Team - Primary Rounder

06/07/2023

Acute Poisoning and Drug Toxicity*

06/09/2023

Acute Meningitis*

Blue Team - Primary Rounder

06/09/2023

Simulation 6:00 - 7:00am

Dr. Waxman

 

No lecture

 

 

06/13/2023

Intracranial Hemorrhage*

 

06/14/2023

Syncope* 

 RIC

06/15/2023

Thyroid Emergencies* 

Blue Team - Primary Rounder

06/16/2023

No lecture

 

 

 

No lecture

 

 

06/20/2023

Consultation and Preoperative Care*

06/21/2023

Acute Abdominal Pain*

Blue Team - RIC

06/22/2023

Anemia and Transfusions*

Blue Team - Primary Rounder

06/23/2023

M&M - noon to 1pm -

Dr. Bhat

 

 

No lecture

 

06/27/2023

Pharmacology - Antibiotics and Antibiotic Stewardship*

06/28/2023

Sickle Cell Crisis*

 

06/29/2023

LO 3 Inpatient Medicine Jeopardy

Blue Team RICS

06/30/2023

No lecture

 

LO4    Updated: 6-23-2023


1)  Acute Abdominal Pain (LO4) : (updated 5/12/21)
     a. American Family Physician - “Diagnostic Imaging in Acute Abdominal Pain in Adults” April 1, 2015
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2015/0401/p452.pdf
        “Common Questions About the Evaluation of Acute Pelvic Pain” January 1, 2016 -
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2016/0101/p41.pdf
     b. New England Journal of Medicine - “Mesenteric Ischemia” March 10, 2016 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1503884?articleTools=true
        “Diverticulitis” October 25, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1800468?articleTools=true
    c. Up-To-Date - “Evaluation of the Adult with Abdominal Pain in the Emergency Department”
        https://www.uptodate.com/contents/evaluation-of-the-adult-with-abdominal-pain-in-the-emergency-department?search=abdominal+pain&source=search_result&selectedTitle=8~15

        (REQUIRED READING)

2)  Acute Meningitis (LO4) :
(updated 4/30/21)
    a. American Family Physician - “Aseptic and Bacterial Meningitis: Evaluation, Treatment and Prevention” September 21, 2017
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/0901/p314.pdf (REQUIRED READING)
        “Cerebrospinal Fluid Analysis” April 1, 2021
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2021/0401/p422.pdf
    b. New England Journal of Medicine - “Acute Viral Encephalitis” August 8, 2018
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1708714?articleTools=true
    c. Up-To-Date - “Recommendations for empiric antimicrobial therapy for purulent meningitis based on patient age and specific predisposing condition”
(REQUIRED READING)
        https://www.uptodate.com/contents/image?imageKey=ID/71968&topicKey=ID/1290&search=meningitis treatment&source=outline_link&selectedTitle=1~150

3)  Acute Poisoning and Drug Toxicity (LO4)
(updated 4/30/21)
    a. American Family Physician - “Primary Care For Person’s Who Inject Drugs” January 15, 2019
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2019/0115/p109.pdf
        “Urine Drug Tests: Ordering and Interpretation” January 1, 2019
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2019/0101/p33.pdf
    b. New England Journal of Medicine - “Toxic Alcohols” January 18, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1615295?articleTools=true
        “Hazardous Chemical Emergencies and Poisonings” April 25, 2019 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1504690?articleTools=true
    c. Up-to-Date - “Initial Management of the Critically Ill Adult with an Unknown Overdose”
        https://www.uptodate.com/contents/initial-management-of-the-critically-ill-adult-with-an-unknown-overdose?search=drug+overdose&source=search_result&selectedTitle=2~150#H7708012   

        (REQUIRED READING)
        “General Approach to Drug Poisoning in Adults”
        https://www.uptodate.com/contents/general-approach-to-drug-poisoning-in-adults?search=drug+overdose&source=search_result&selectedTitle=1~150#H11
(REQUIRED READING)
    d. CDC - “Understanding the Epidemic-Opioid Overdose”
        https://www.cdc.gov/drugoverdose/epidemic/index.html

4)  Anemia and Transfusion Medicine(LO4)
(updated 5/13/21)
    a. American Family Physician - “B12 Deficiency and Management” September 15, 2017;
      
  https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/0915/p384.pdf
        “Anemia in Older Adults” October 1, 2018;
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2018/1001/p437.pdf
        “Hemolytic Anemia: Evaluation and Differential Diagnosis” September 15, 2018;
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2018/0915/p354.pdf
    b. New England Journal of Medicine - “Microcytic Anemia” October 2, 2014 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1215361?articleTools=true
        “Iron-Deficiency Anemia” May 7, 2015;
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1401038
        “Aplastic Anemia” October 25, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1413485?articleTools=true
        “Anemia of Inflammation” September 19, 2019 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1804281?articleTools=true
    c. Choosing Wisely-“Blood Transfusions for Anemia in the Hospital” 2018 -
        https://www.choosingwisely.org/wp-content/uploads/2018/02/Blood-Transfusions-For-Anemia-In-The-Hospital-ASH.pdf
    d. Up-To-Date - “Indications and Hemoglobin Thresholds for Red Blood Cell Transfusion in Adults”;
        http://www.uptodate.com/contents/indications-and-hemoglobin-thresholds-for-red-blood-cell-transfusion-in-the-adult?search=transfusion&source=search_result&selectedTitle=1~150#H27123843
        “Approach to the Patient with a Suspected Acute Transfusion Reaction”;
        http://www.uptodate.com/contents/approach-to-the-patient-with-a-suspected-acute-transfusion-reaction?search=transfusion&source=search_result&selectedTitle=5~150
        “Approach to the Adult with Anemia”
        https://www.uptodate.com/contents/approach-to-the-adult-with-anemia?search=anemia in the hospital&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
  

        (REQUIRED READING)

5)  Care of the Elderly Hospitalized Patient (LO4)
(updated 5/12/21)
    a. American Family Physician - “Choosing Wisely-Don’t use restraints with an older hospitalized patient”

        https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=220
        “Evaluating Medical Decision-Making Capacity in Practice” July 1, 2018 -
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2018/0701/p40.pdf
        “Preoperative Assessment in Older Adults: A Comprehensive Approach” August 15, 2018 -
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2018/0815/p214.pdf
        “Preoperative Evaluation and Frailty Assessment in Older Patients” Dec. 15, 2020 -
        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2020/1215/p753.pdf
    b. Up-to-Date - “Prognosis and Outcome Following Sudden Cardiac Arrest in Adults”
        https://www.uptodate.com/contents/prognosis-and-outcomes-following-sudden-cardiac-arrest-in-adults?

        search=codeblue&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4#H3
        “Hospital Management of Older Adults”
        https://www.uptodate.com/contents/hospital-management-of-older-adults?search=elderly+hospitalized&source=search_result&selectedTitle=1~150
(REQUIRED READING)

6)  Consultative Medicine and Preoperative Exam (LO4) :
(updated 5/12/21)
    a. American Family Physician - “Preoperative Testing Before Non-cardiac Surgery: Guidelines and Recommendations” March 15, 2015;
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2013/0315/p414.pdf
        “Preoperative Assessment in Older Adults: A Comprehensive Approach” August 15, 2018
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2018/0815/p214.pdf
    b . Cleveland Clinic Journal of Medicine - “2017 Update in Perioperative Medicine: 6 questions answered” November 2017;
        https://www.ccjm.org/content/ccjom/84/11/863.full.pdf
    c. New England Journal of Medicine - “Cardiac Complications in Patients Undergoing Major Non-cardiac Surgery” December 3. 2015
        http://www.nejm.org/doi/pdf/10.1056/NEJMra1502824
    d. UptoDate - “Overview of the principles of medical consultation and perioperative medicine”
        https://www.uptodate.com/contents/overview-of-the-principles-of-medical-consultation-and-perioperative-medicine
(REQUIRED READING)
        “Preoperative medical evaluation of the healthy patient”;

        https://www.uptodate.com/contents/preoperative-medical-evaluation-of-the-healthy-adult-patient?search=preoperative%

        20evaluation&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2
        “Evaluation of cardiac risk prior to noncardiac surgery”

        https://www.uptodate.com/contents/evaluation-of-cardiac-risk-prior-to-noncardiac-surgery?search=preoperative evaluation for cardiac    

        risk&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 (REQUIRED READING)

7)  Intracranial Hemorrhage(LO4)
(updated 4/30/21)
    a. New England Journal of Medicine - “Subarachnoid Hemorrhage” July 20, 2017

        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1605827
        “Intensive Blood Pressure Lowering in Patients with Acute Cerebral Hemorrhage” September 15, 2016
        https://www.nejm.org/doi/pdf/10.1056/NEJMoa1603460
    b. Stroke - “Guidelines for the Management of Spontaneous Intracerebral Hemorrhage” July 2015

        https://www.ahajournals.org/doi/epub/10.1161/STR.0000000000000069
    c. Up-To-Date - “Spontaneous Intracerebral Hemorrhage: Treatment and Prognosis”
     
  https://www.uptodate.com/contents/spontaneous-intracerebral-hemorrhage-treatment-and-prognosis?search=intracranial

        hemorrhage&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H1090503456 (REQUIRED READING)
        “Non-aneurysmal subarachnoid hemorrhage”
        https://www.uptodate.com/contents/nonaneurysmal-subarachnoid-hemorrhage?search=subarachnoid hemorrhage&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=3
        “Aneurysmal subarachnoid hemorrhage-treatment and prognosis”
        https://www.uptodate.com/contents/aneurysmal-subarachnoid-hemorrhage-treatment-and-prognosis?search=subarachnoid

        hemorrhage&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2

8)  Pharmacology: Infectious Disease-Antimicrobial Stewardship (LO4)
(updated 5/20/19)
    a. Joint Commission - “New Antimicrobial Stewardship Standard” July 2016;
        https://www.jointcommission.org/-/media/enterprise/tjc/imported-resource-assets/documents/new_antimicrobial_stewardship_standardpdf.pdf?db=web&hash=69307456CCE435B134854392C7FA7D76
    b. RMC “Empiric Antibiotic Guidelines” updated 2018;
        http://midwest.medcity.net/documentation/hospitals/rmc/RMC_Empiric_Guidelines.pdf
    c. IDSA-Infectious Disease Society of America - “Combating Antimicrobial Resistance-Policy Recommendations to Save Lives” May 2011;
        https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3738230/
    d. Association for Professionals in Infection Control and Epidemiology - “Section 10: Antimicrobial Stewardship and Clostridium difficile Infection:

        A Primer for the Infection Preventionist” pages 73-80, 2013
        https://apic.org/Resource_/EliminationGuideForm/59397fc6-3f90-43d1-9325-e8be75d86888/File/2013CDiffFinal.pdf

9)  Sickle Cell Crisis (LO4)
(updated 5/13/21)
    a. American Family Physician - “Management of Sickle Cell Disease: Recommendations from the 2014 Expert Panel Report (of National Heart, Blood and Lung Institute)” December 15, 2015
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2015/1215/p1069.pdf
    b. New England Journal of Medicine - “Sickle Cell Disease” April 20, 2017

        https://www.nejm.org/doi/pdf/10.1056/NEJMra1510865
    c. Up-To-Date - “Overview of the clinical manifestations of sickle cell disease”
        https://www.uptodate.com/contents/overview-of-the-clinical-manifestations-of-sickle-cell-disease?search=sickle cell

        crisis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H2855835578 (REQUIRED READING)

10)  Syncope (LO4) :
(updated 4/30/21)
    a. American Family Physician - “Syncope: Evaluation and Differential Diagnosis” March 1, 2017
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2017/0301/p303.pdf
        “Syncope Evaluation and Treatment Guidelines from ACC, AHA and HRS” April 1, 2018
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2018/0401/p478.pdf (REQUIRED READING)
        “Canadian Syncope Risk Score: Validated Risk Stratification Tool” March 15, 2021
       
https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2021/0315/p375.pdf
    b. UpToDate - “Evaluation of Syncope in Adults”;

        http://www.uptodate.com/contents/evaluation-of-syncope-in-adults?source=search_result&search=syncope&selectedTitle=1~150#H50

11)  Thyroid Emergencies(LO4)
(updated 4/30/21)
    a. American Family Physician - “Hyperthyroidism: Diagnosis and Treatment” March 1, 2016

        https://www.aafp.org/dam/brand/aafp/pubs/afp/issues/2016/0301/p363.pdf
    b. New England Journal of Medicine - “Myxedema” February 19, 2015 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMicm1403210?articleTools=true
        “Graves’ Disease” October 20, 2016 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMra1510030?articleTools=true
        “Subclinical Hyperthyroidism” June 21, 2018 -
        https://www.nejm.org/doi/pdf/10.1056/NEJMcp1709318?articleTools=true
    c. Up-To-Date - “Thyroid Storm”
        https://www.uptodate.com/contents/thyroid-storm?search=thyroid+storm&source=search_result&selectedTitle=1~150#H7
(REQUIRED READING)
        “Laboratory assessment of thyroid function”
      
 https://www.uptodate.com/contents/laboratory-assessment-of-thyroid-function?search=thyroid function tests&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

12)  LO4 Inpatient Medicine Jeopardy - (RICS)