Block 9    02/28/22- 4/3/22    Click on below LINKS to see the Required Readings (Please Read before Roundings)









No lecture




Atrial Fibrillation -

And other cardiac arrhythmias*


Orange Team - Primary Rounder




Acute Asthma*



Blue Team - RIC




Diabetic Emergencies*



Blue Team - Primary Rounder



Simulation 6:00am -

Dr. Waxman


B Level



No lecture



End of Life Care and Hospice*


Orange Team - Primary Rounder



Diarrhea-C difficile*


Orange Team-RIC



Alcohol and Drug Withdrawal*


Blue Team - Primary Rounder




Simulation 6:00am -

Dr. Waxman


B Level



No lecture



Complications of End Stage Liver Disease*


Orange Team- Primary Rounder




UTI’s and Pyelonephritis*


Blue Team-RIC




Hypertensive Urgency/Emergency*


Blue Team - Primary Rounder



Simulation 6:00am -

Dr. Waxman


M&M - noon



No lecture










Acute Gallbladder Disease*


Orange Team - Primary Rounder




LO 3 Inpatient Medicine Jeopardy


Orange and Blue Team RICS



Simulation 6:00am -

Dr. Waxman


B Level




LO3 ( Updated 3-4-2022 )


1) Acute Asthma (LO3) : (updated 1/24/22)
    a) American Family Physician - “Management of Acute Asthma Exacerbations” July 1, 2011;
        “Medications for Chronic Asthma” September 15, 2016;
        FPIN’s Clinical Inquiries “Intravenous Magnesium Sulfate for Acute Asthma Exacerbations” January 15, 2019;
        “More Evidence Against Antibiotics for Acute Asthma Exacerbations” August 1, 2019
    b) UpToDate - “Acute exacerbations of asthma in adults: Emergency department and inpatient management”

    c) New England Journal of Medicine - “Severe and Difficult-to-Treat Asthma in Adults” September 7, 2017;
        “Quadrupling Inhaled Glucocorticoid Dose to Abort Asthma Exacerbations” March 8, 2018

2) Acute Gallbladder Disease (LO3) :
(updated 1/24/22)
    a) American Family Physician - “Surgical and Non-Surgical Management of Gallstones” May 15, 2014:
    b) New England Journal of Medicine - “Acute Calculous Cholecystitis” - June 26, 2008
        “ERCP for Gallstone Pancreatitis” January 9, 2014:
    c) Up-To-Date - “Uncomplicated Gallstone Disease in Adults”;
“Acute Cholecystitis: Pathogenesis, Clinical Features and Diagnosis”;
        “Treatment of acute calculous cholecystitis”-


3) Alcohol and Drug Withdrawal (LO3) :
(updated 1/24/22)
    a) American Family Physician - “Outpatient Management of Alcohol Withdrawal Syndrome” - November 1, 2013;
    b) New England Journal of Medicine - “Recognition and Management of Withdrawal Delirium (Delirium Tremens)” - November 27, 2014
        “Electrolyte Disturbances in Patients with Chronic Alcohol-Use Disorder” - October 5, 2017;
        “Buproprion and Naltrexone in Methamphetamine Use Disorder - January 14, 2021
    c) UpToDate - “Management of Moderate and Severe Alcohol Withdrawal Syndromes” -   


4) Atrial Fibrillation and other cardiac arrhythmias (LO3) :
(updated 1/24/22
    a) American Family Physician - “Diagnosis and Management of Common Types of Supraventricular Tachycardia” November 1, 2015

        “Diagnosis and Treatment of Atrial Fibrillation” September 13, 2016
        Cochran for Clinicians: “Direct Oral Anticoagulants vs. Warfarin to Prevent Stroke and Embolic Events in Patients with Atrial Fibrillation and CKD” April 1, 2019
        Cochrane for Clinicians: “Effectiveness and Safety of Factor Xa Inhibitors in Patients with Atrial Fibrillation” October 1, 2019
    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)
    c) New England Journal of Medicine - “Catheter Ablation for Atrial Fibrillation with Heart Failure” February 1, 2018
        “Antithrombotic Therapy for Atrial Fibrillation with Stable Coronary Disease” September 19, 2019
        “Antithrombotic Therapy after Acute Coronary Syndrome or PCI in Atrial Fibrillation” April 18, 2019
        “Early or Delayed Cardioversion in Recent-Onset Atrial Fibrillation - April 18, 2019
        “Alcohol Abstinence in Drinkers with Atrial Fibrillation” January 2, 2020
        “Early Rhythm-Control Therapy in Patients with Atrial Fibrillation”- October 1, 2020
        “Cryoablation or Drug Therapy for Initial Treatment of Atrial Fibrillation”- November 16, 2020

5) Complications of End Stage Liver Disease (LO3) :
(updated 1/24/22)
    a) American Family Physician - “Antibiotic Prophylaxis in Patients with Cirrhosis and Upper Gastrointestinal Bleeding” May 1, 2017
        “Cirrhosis: Diagnosis and Management” December 15, 2019
    b) New England Journal of Medicine - “Rifaximin in the Treatment of Hepatic Encephalopathy” March 25, 2010;
        “Treatment of Patients with Cirrhosis” August 25, 2016
        “Hepatic Encephalopathy” October 27, 2016
        “Acute on Chronic Liver Failure”- May 28, 2020
    c) UptoDate - “Acute liver failure in adults: Management and prognosis”-


6) Diabetic Emergencies-DKA and HHS (LO3) :
(updated 1/24/22)
    a) American Family Physician - “Diabetic Ketoacidosis: Evaluation and Treatment”- March 1, 2013
        “Hyperglycemic Hyperosmolar State”- December 1, 2017
    b) New England Journal of Medicine - “Electrolyte and Acid Base Disturbances in Patients with Diabetes Mellitus” August 6, 2015
    c) Up-to-Date - “Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: Treatment”


7) Diarrhea-and C difficile: (LO3)
(updated 1/24/22)
    a) American Family Physician - “Acute Diarrhea in Adults”- February 1, 2014
        “Infectious Diarrhea: ISDA Updates Guidelines for Diagnosis and Management” May 15, 2018
        “Clostridioides difficile Infection” Update on Management” February 1, 2020-
        “Chronic Diarrhea in Adults: Evaluation and Differential Diagnosis” April 15, 2020-
    b) New England Journal of Medicine - “Acute Infectious Diarrhea in Immunocompetent Adults” April 17 2014
        “Clostridium Difficile Infection” April 16, 2015
        “Oral Rehydration Solutions for the Treatment of Acute Watery Diarrhea”- December 1, 2017
        “Trends in U.S. Burden of Clostridioides difficile Infection and Outcomes” April 2, 2020-
    c) UpToDate - “Approach to the adult with acute diarrhea in resource-rich settings”;


8) Hypertensive Emergencies: (LO-3)
(updated 1/24/22)
    a) American Family Physician - “Severe Asymptomatic Hypertension: Evaluation and Treatment” April 15, 2017
        “Common Questions About the Initial Management of Hypertension” February 1, 2015
    b) New England Journal of Medicine -
        “Acute Severe Hypertension” November 7, 2019;
    c) Uptodate - “Evaluation and treatment of hypertensive emergencies in adults”-
        “Hypertensive emergencies: Malignant hypertension and hypertensive encephalopathy in adults”-
    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)”- February 5, 2014

9) End of Life Care and Hospice (LO3)
(updated 1/24/22)
    a) American Family Physician - “The Hospice Referral” May 1, 2014
    b) New England Journal of Medicine - “Palliative Care for the Seriously Ill” August 20, 2015
        “Comfort Care for Patients Dying in the Hospital” December 24, 2015
    c) “Clinical Practice Guidelines for Quality Palliative Care 4th edition: Care of the Patient Nearing the End of Life” (National Consensus Project) 2018:


10) Pharmacology-Anticoagulation: (LO3) (updated 1/24/22)
    a) American College of Cardiology (ACC) expert consensus on management of bleeding in patients on oral anticoagulants

        can be found in J Am CollCardiol 2020 Aug 4;76(5):594.
    b) Ortel TL, Neumann I, Ageno W, et al. American Society of Hematology 2020 guidelines for management of venous thromboembolism:

        treatment of deep vein thrombosis and pulmonary embolism. Blood Advances. 2020;4(19):4693-4738.  Available at:
    c) CHEST Guideline and Expert Panel Report “Antithrombotic Therapy for VTE Disease”
    d) Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients:

        A Statement for Healthcare Professionals from the Neurocritical Care Society, endorsed by the Society for Critical Care Medicine and the American Association.           

    e) Journal of the American Heart Association - “Direct Oral Anticoagulant Use: A Practical Guide to Common Clinical Challenges” - June 15, 2020

    f)  Lyman GH, Carrier M, Ay C, et al. American Society of Hematology 2021 guidelines for management of venous thromboembolism:

         prevention and treatment in patients with cancer. Blood Advances. 2021;5(4):927-974. Available at: 

11) UTI and Pyelonephritis (LO3):
(updated 1/24/22)
    a) American Family Physician - “Dysuria: Evaluation and Differential Diagnosis in Adults” November 1, 2015;
        “Acute Pyelonephritis in Adults: Rapid Evidence Review”- August 1, 2020
    b) New England Journal of Medicine -  “Urinary Tract Infections in Older Men” February 11, 2016
        “A Program to Prevent Catheter - Associated Urinary Tract Infection in Acute Care” - June 2, 2016
        “Acute Pyelonephritis in Adults” January 4, 2018
    c) Up-to-Date “Urinary tract infection associated with urethral catheters”;

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