BLOCK 9   March 3, 2020 - March 27, 2020     Click on below LINKS to see the Required Readings (Please Read before Roundings)

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

No lecture

 

3/3/20

Atrial Fibrillation -

And other cardiac arrhythmias*

Orange Team - Primary Rounder

3/4/20

Acute Asthma*

 

Blue Team - RIC

3/5/20

Diabetic Emergencies*

 

Blue Team - Primary Rounder

 

3/6/20

Simulation 6:00am -

Dr. Waxman -

even numbered Fridays

No lecture

3/10/20

End of Life Care and Hospice*

 

Orange Team - Primary Rounder

3/11/20

Diarrhea-C difficile*

 

Orange Team - RIC

3/12/20

Alcohol and Drug Withdrawal*

 

Blue Team - Primary Rounder

3/13/20

Radiology -

Dr. McManus -

odd numbered Fridays

cancelled

 

M&M-noon to 1pm

 

No lecture

3/17/20

Complications of End Stage Liver Disease*

 Orange Team - Primary Rounder

3/18/20

UTI’s and Pyelonephritis*

 

Blue Team - RIC

3/19/20

Hypertensive Urgency/Emergency*

 

Blue Team - Primary Rounder

3/20/10

M&M-noon to 1pm

 

Simulation 6:00am -

Dr. Waxman -

even numbered Fridays

 

No lecture

3/24/20

Pharmacology-Anticoagulation and Anticoagulation Reversal

 

K. Milewski

3/25/20

Acute Gallbladder Disease*

 

 

Blue Team - Primary Rounder

3/26/20

LO 3 Inpatient Medicine Jeopardy

 

Orange and Blue Team RICS

3/27/20

Radiology -

Dr. McManus -

odd numbered Fridays

cancelled

 

 

LO3 ( Updated 2/6/2020 )

 

 

1)  Acute Asthma (LO3) : (updated 1/9/20)

  a)  American Family Physician - “Management of Acute Asthma Exacerbations” July 1, 2011;

       http://www.aafp.org/afp/2011/0701/p40.pdf

       FPIN’s Clinical Inquiries “Intravenous Magnesium Sulfate for Acute Asthma Exacerbations” January 15, 2019;

       https://www.aafp.org/afp/2019/0115/p127.pdf

  b)  UpToDate - “Acute exacerbations of asthma in adults: Emergency department and inpatient management” (REQUIRED READING)

       https://www.uptodate.com/contents/acute-exacerbations-of-asthma-in-adults-emergency-department-and-inpatient-management?search=acute%20asthma&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H304289086

  c)  New England Journal of Medicine - “Severe and Difficult-to-Treat Asthma in Adults” September 7, 2017;

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1608969

 

 

2)  Acute Gallbladder Disease (LO3) : (updated 1/9/20)

  a)  American Family Physician - “Surgical and Non-Surgical Management of Gallstones” May 15, 2014:

       http://www.aafp.org/afp/2014/0515/p795.pdf (REQUIRED READING)

  b)  New England Journal of Medicine - “Acute Calculous Cholecystitis”-June 26, 2008

       http://www.nejm.org/doi/pdf/10.1056/NEJMcp0800929

      “ERCP for Gallstone Pancreatitis” January 9, 2014:

       http://www.nejm.org/doi/pdf/10.1056/NEJMct1208450

  c)  Up-To-Date - “Uncomplicated Gallstone Disease in Adults”;

       http://www.uptodate.com/contents/uncomplicated-gallstone-disease-in-adults?search=gallbladder+disease&source=search_result&selectedTitle=1%7E150

      “Acute Cholecystitis: Pathogenesis, Clinical Features and Diagnosis”;

       http://www.uptodate.com/contents/acute-cholecystitis-pathogenesis-clinical-features-and-diagnosis?search=gallbladder+disease&source=search_result&selectedTitle=2%7E150

      “Treatment of acute calculous cholcystitis”-

       https://www.uptodate.com/contents/treatment-of-acute-calculous-cholecystitis?search=cholecystitis&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2

 

 

3)  Alcohol and Drug Withdrawal (LO3) : (updated 1/9/20)

  a)  American Family Physician - “Outpatiet Management of Alcohol Withdrawal Syndrome”- November 1, 2013;

       http://www.aafp.org/afp/2013/1101/p589.pdf

  b)  New England Journal of Medicine - “Recognition and Management of Withdrawal Delirium (Delirium Tremens)”- November 27, 2014; (REQUIRED READING)

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1407298

      “Electrolyte Disturbances in Patients with Chronic Alcohol-Use Disorder” - October 5, 2017;

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1704724

  c)  UpToDate - “Management of Moderate and Severe Alcohol Withdrawal Syndromes” -

       http://www.uptodate.com/contents/management-of-moderate-and-severe-alcohol-withdrawal-syndromes?source=search_result&search=alcohol+withdrawal&selectedTitle=1~130

 

 

4)  Atrial Fibrillation and other cardiac arrhythmias (LO3) : (1/9/20)

  a)  American Family Physician - “Evaluation of Asymptomatic Atrial Fibrillation”- September 15, 2012;

       http://www.aafp.org/afp/2012/0915/od1.pdf

      “Diagnosis and Management of Common Types of Supraventricular Tachycardia” November 1, 2015;

       https://www.aafp.org/afp/2015/1101/p793.pdf 

      “Diagnosis and Treatment of Atrial Fibrillation” September 13, 2016;

       http://www.aafp.org/afp/2016/0915/p442.pdf

       Cochrane for Clinicians: “Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation” October 1, 2019;

       https://www.aafp.org/afp/2019/1001/p405.pdf

       Cochran for Clinicians: “Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD” April 1, 2019;

       https://www.aafp.org/afp/2019/0401/p422.pdf

  b)  Journal of the American College of Cardiology -

      “2019 AHA/ACC/HRS Focused Update of the 2014 Guideline for the Management of Patients with Atrial Fibrillation” (REQUIRED READING)

       https://www.acc.org/~/media/Non-Clinical/Files-PDFs-Excel-MS-Word-etc/Guidelines/2019/2019-Afib-Guidelines-Made-Simple-Tool.pdf

  c)  New England Journal of Medicine - “Evaluation and Initial Treatment of Supraventricular Tachycardia October 11, 2012;

       http://www.nejm.org/doi/pdf/10.1056/NEJMcp1111259

      “Catheter Ablation for Atrial Fibrillation with Heart Failure” February 1, 2018

       https://www.nejm.org/doi/pdf/10.1056/NEJMoa1707855?articleTools=true

      “Antithrombotic Therapy for Atrial Fibrillation with Stable Coronary Disease”

       September 19, 2019; https://www.nejm.org/doi/pdf/10.1056/NEJMoa1904143?articleTools=true

      “Antithrombotic Therapy after Acute Coronary Syndrome or PCI in Atrial Fibrillation” April 18, 2019:

       https://www.nejm.org/doi/pdf/10.1056/NEJMoa1817083?articleTools=true

      “Alcohol Abstinence in Drinkers with Atrial Fibrillation” January 2, 2020

       https://www.nejm.org/doi/pdf/10.1056/NEJMoa1817591?articleTools=true

 

 

5)  Complications of End Stage Liver Disease (LO3) : (updated 1/9/20)

  a)  American Family Physician - “Antibiotic Prophylaxis in Patients with Cirrhosis and Upper Gastrointestinal Bleeding” May 1, 2017;

       https://www.aafp.org/afp/2017/0501/p582.pdf

      “Cirrhosis: Diagnosis and Management” December 15, 2019; (REQUIRED READING)

       https://www.aafp.org/afp/2019/1215/p759.pdf

  b)  New England Journal of Medicine - “Rifaximin in the Treatment of Hepatic Encephalopathy” March 25, 2010;

       http://www.nejm.org/doi/pdf/10.1056/NEJMoa0907893

      “Treatment of Patients with Cirrhosis” August 25, 2016

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1504367

      “Hepatic Encephalopathy” October 27, 2016

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1600561

  c)  UptoDate - “Acute liver failure in adults: Management and prognosis” -

       https://www.uptodate.com/contents/acute-liver-failure-in-adults-management-and-prognosis?search=acute%20liver%20failure&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2

 

 

6)  Diabetic Emergencies-DKA and HHS (LO3) : (updated 1/9/20)

  a)  American Family Physician - “Diabetic Ketoacidosis: Evaluation and Treatment”- March 1, 2013 (REQUIRED READING)

       http://www.aafp.org/afp/2013/0301/p337.pdf

  b)  New England Journal of Medicine - “Electrolyte and Acid Base Disturbances in Patients with Diabetes Mellitus” August 6, 2015

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1503102

  c)  Up-to-Date - “Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Treatment”

       https://www.uptodate.com/contents/diabetic-ketoacidosis-and-hyperosmolar-hyperglycemic-state-in-adults-treatment?search=diabetic%20ketoacidosis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

 

 

7)  Diarrhea-and C difficile: (LO3) (updated 1/9/20)

  a)  American Family Physician - “Acute Diarrhea in Adults”- February 1, 2014:

       http://www.aafp.org/afp/2014/0201/p180.pdf

      “Infectious Diarrhea: ISDA Updates Guidelines for Diagnosis and Management” May 15, 2018

       https://www.aafp.org/afp/2018/0515/p676.pdf

  b)  New England Journal of Medicine - “Acute Infectious Diarrhea in Immunocompetent Adults” April 17 2014;

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1301069

     “Clostridium Difficile Infection” April 16, 2015;

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1403772

  c)  UpToDate - “Clostridium difficile in adults: Treatment”;

       http://www.uptodate.com/contents/clostridium-difficile-in-adults-treatment?source=search_result&search=cdiff&selectedTitle=1%7E150#H3

      “Approach to the adult with acute diarrhea in resource-rich settings”; “REQUIRED READING”

       https://www.uptodate.com/contents/approach-to-the-adult-with-acute-diarrhea-in-resource-rich-settings?search=diarrhea%20adult&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H659511455

 

 

8)  Hypertensive Emergencies: (LO-3) (updated 1/9/20)

  a)  American Family Physician - “Severe Asymptomatic Hypertension: Evaluation and Treatment” April 15, 2017;

       http://www.aafp.org/afp/2017/0415/p492.pdf

      “Common Questions About the Initial Management of Hypertension” February 1, 2015;

       http://www.aafp.org/afp/2015/0201/p172.pdf

  b)  New England Journal of Medicine - “Acute Severe Hypertension” November 7, 2019; (REQUIRED READING)

       https://www.nejm.org/doi/pdf/10.1056/NEJMcp1901117?articleTools=true

  c)  Uptodate - “Evaluation and treatment of hypertensive emergencies in adults” -

       http://www.uptodate.com/contents/treatment-of-specific-hypertensive-emergencies?source=see_link

      “Hypertensive emergencies: Malignant hypertension and hypertensive encephalopathy in adults”-

       http://www.uptodate.com/contents/hypertensive-emergencies-malignant-hypertension-and-hypertensive-encephalopathy-in-adults?source=related_link#H6

  d)  JAMA - “2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults:

       Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)”:

       http://jama.jamanetwork.com/article.aspx?articleid=1791497

 

 

9)  End of Life Care and Hospice (LO3) (update 1/9/20)

  a)  American Family Physician - “The Hospice Referral” May 1, 2014

       http://www.aafp.org/afp/2014/0501/p745.pdf

  b)  New England Journal of Medicine - “Palliative Care for the Seriously Ill” August 20, 2015

       http://www.nejm.org/doi/pdf/10.1056/NEJMra1404684

      “Comfort Care for Patients Dying in the Hospital” December 24, 2015 (REQUIRED READING)

       https://www.nejm.org/doi/pdf/10.1056/NEJMra1411746?articleTools=true

  c)  “Clinical Practice Guidelines for Quality Palliative Care 4th edition: Care of the Patient Nearing the End of Life” (National Consensus Project) 2018:

       http://nchpc.conferencespot.org/67968-nchpc-1.4266595/t0018-1.4266728/f0018-1.4266729/a072-1.4266741

 

 

10)  Pharmacology-Anticoagulation: (LO4) (updated 4/21/18)

  a.  CHEST Guideline and Expert Panel Report “Antithrombotic Therapy for VTE Disease”

       https://doi.org/10.1016/j.chest.2015.11.026 (REQUIRED READING)

  b.  2017 ACC Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants

       http://www.onlinejacc.org/content/early/2017/11/10/j.jacc.2017.09.1085

 

 

11)  UTI and Pyelonephritis (LO3): (updated 1/9/20)

  a)  American Family Physician - “Dysuria: Evaluation and Differential Diagnosis in Adults” November 1, 2015;

       https://www.aafp.org/afp/2015/1101/p778.pdf

  b)  New England Journal of Medicine - “Uncomplicated Urinary Tract Infection” March 15, 2012

       http://www.nejm.org/doi/pdf/10.1056/NEJMcp1104429

      “Urinary Tract Infections in Older Men” February 11, 2016

       https://www.nejm.org/doi/pdf/10.1056/NEJMcp1503950?articleTools=true

      “Acute Pyelonephritis in Adults” January 4, 2018;  (REQUIRED READING)

       http://www.nejm.org/doi/pdf/10.1056/NEJMcp1702758

  c)  Up-to-Date “Urinary tract infection associated with urethral catheters” ;

            http://www.uptodate.com/contents/urinary-tract-infection-associated-with-urethral-catheters?source=search_result&search=urinary+tract+infection&selectedTitle=3%7E150

 

 

12)  “LO 3 Hospital Medicine Jeopardy” (LO3) (RICS)