Block 12 6-3 6-28 2024 Click on below LINKS to see the Required Readings (Please Read before Roundings)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
6-3
No lecture
6-4
Care of the Elderly Hospitalized Patient*
Blue Team - Primary Rounder
6-5
Acute Poisoning and Drug Toxicity*
6-6
Blue Team - Primary Rounder
6-7
Simulation 6:00 - 7:00am
Dr. Waxman6-10
No lecture
6-11
6-12
6-13
Blue Team - Primary Rounder
6-14
Simulation 6:00 - 7:00am
Dr. Waxman
6-17
No lecture
6-18
Consultation and Preoperative Care*
6-19
Blue Team - RIC
6-20
Blue Team - Primary Rounder
6-21
Simulation 6:00 - 7:00am
Dr. Waxman
M&M - noon to 1pm - Dr. Bhat
6-24
No lecture
6-25
Pharmacology-Antibiotics and Antibiotic Stewardship*
PharmD
6-26
6-27
LO 3 Inpatient Medicine Jeopardy
Blue Team RICS
6-28
Simulation 6:00 - 7:00am
Dr. Waxman
LO4 Updated: 06- 02- 2024
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”;20evaluation&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2
“Evaluation of cardiac risk prior to noncardiac surgery”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, 2017https://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 2015https://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=intracranialhemorrhage&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=subarachnoidhemorrhage&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, 2017https://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 cellcrisis&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, 2016https://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)