BLOCK 1  July 7-7 - 2020          Click on below LINKS to see the Required Readings (Please Read before Roundings)

 

MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY
No lecture	7/7/20 Care of the Elderly Hospitalized Patient*   Blue Team - Primary Rounder	7/8/20 Acute Poisoning and Drug Toxicity*   Orange Team - Primary Rounder	7/9/20 Acute Meningitis*    Blue Team - Primary Rounder	7/10/20 Simulation 6:00am -   Dr. Waxman-even # Fridays
No lecture	7/14/20 Intracranial Hemorrhage*   Orange Team - Primary Rounder	7/15/20 Syncope*   Orange Team - RIC	7/16/20 Thyroid Emergencies*   Blue Team - Primary Rounder	7/17/20 Dr. McManus-odd # Fridays   CANCELLED TILL FURTHER NOTICE
No lecture	7/21/20 Consultation and Preoperative Care*   Orange Team - Primary Rounder	7/22/20 Acute Abdominal Pain*   Blue Team - RIC	7/23/20 Anemia and Transfusions*   Blue Team - Primary Rounder	7/24/20 Dr. Waxman-even # Fridays   M&M-noon to 1pm
No lecture	7/28/20 Pharmacology-Antibiotics and Antibiotic Stewardship* Shannon South	7/29/20 Sickle Cell Crisis*   Orange Team - Primary Rounder	7/30/20 LO 3 Inpatient Medicine Jeopardy   Orange and Blue Team RICS	7/31/20 Radiology 9:15am Dr. McManus-odd # Fridays. CANCELLED TILL FURTHER NOTICE

 

LO4    Updated: 6--29-2020 

 

1)    Acute Abdominal Pain (LO4): (updated 4/26/20)

a.  American Family Physician - “Diagnostic Imaging in Acute Abdominal Pain in Adults” April 1, 2015

https://www.aafp.org/afp/2015/0401/p452.pdf

“Common Questions About the Evaluation of Acute Pelvic Pain” January 1, 2016 -

https://www.aafp.org/afp/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=8~150 (REQUIRED READING)

                  

2)    Acute Meningitis (LO4): (updated 4/26/20)

a.  American Family Physician - “Aseptic and Bacterial Meningitis: Evaluation, Treatment and Prevention” September 21, 2017

https://www.aafp.org/afp/2017/0901/p314.pdf (REQUIRED READING)

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%2F71968&topicKey=ID%2F1290&search=meningitis%20treatment&source=outline_link&selectedTitle=1~150

 

3)    Acute Poisoning and Drug Toxicity (LO4) (updated 4/26/20)

a.  American Family Physician - “Synthetic Opioids Fuel Spike in US Drug Overdose Deaths” April 2, 2018

https://www.aafp.org/news/health-of-the-public/20180402mmwrsynthopioids.html

“Primary Care For Person’s Who Inject Drugs” January 15, 2019

https://www.aafp.org/afp/2019/0115/p109.pdf

“Urine Drug Tests: Ordering and Interpretation” January 1, 2019

https://www.aafp.org/afp/2019/0101/p33.pdf

b.  New England Journal of Medicine - “Management of Opioid Analgesic Overdose” July 12, 2012

http://www.nejm.org/doi/pdf/10.1056/NEJMra1202561

“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)

 

4)    Anemia and Transfusion Medicine (LO4) (updated 4/23/20)

a.  American Family Physician - “B12 Deficiency and Management” September 15, 2017;

https://www.aafp.org/afp/2017/0915/p384.pdf

“Anemia in Older Adults” October 1, 2018;

https://www.aafp.org/afp/2018/1001/p437.pdf

“Hemolytic Anemia: Evaluation and Differential Diagnosis” September 15, 2018;

https://www.aafp.org/afp/2018/0915/p354.pdf

b.  New England Journal of Medicine - “Iron-Deficiency Anemia” May 7, 2015;

http://www.nejm.org/doi/pdf/10.1056/NEJMra1401038

c.  Choosing Wisely - “Transfusion”;

http://www.choosingwisely.org/?s=transfusion

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%20in%20the%20hospital&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 (REQUIRED READING)

 

5)    Care of the Elderly Hospitalized Patient (LO4) (updated 4/23/20)

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

“Delirium in Older Persons: Evaluation and Management” August 1, 2014

https://www.aafp.org/afp/2014/0801/p150.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=code%20blue&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 4/26/20)

a.  American Family Physician - “Perioperative Cardiac Risk Reduction” February 1, 2012;

https://www.aafp.org/afp/2012/0201/p239.pdf                            

“Preoperative Testing Before Non-cardiac Surgery: Guidelines and Recommendations” March 15, 2015;                   

http://www.aafp.org/afp/2013/0315/p414.pdf

“Preoperative Assessment in Older Adults: A Comprehensive Approach”  August 15, 2018 -

https://www.aafp.org/afp/2018/0815/p214.pdf

b.  Cleveland Clinic Journal of Medicine - “2017 Update in Perioperative Medicine: 6 questions answered” November 2017;

https://mdedge-files-live.s3.us-east-2.amazonaws.com/files/s3fs-public/Document/October-2017/munyon_perioperativemedicineupdate.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%20evaluation%20for%20cardiac%20risk&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 (REQUIRED READING)

 

 

7)    Intracranial Hemorrhage (LO4) (updated 4/23/20)

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

“Rapid Blood Pressure Lowering in Patients with Acute Intracerebral Hemorrhage” June 20, 2013

https://www.nejm.org/doi/pdf/10.1056/NEJMoa1214609

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%20hemorrhage&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H1090503456 (REQUIRED READING)

 

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 4/26/20)

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/afp/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%20cell%20crisis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H2855835578 (REQUIRED READING)

 

10)    Syncope (LO4): (updated 4/23/20)

a.  American Family Physician - “Syncope: Evaluation and Differential Diagnosis” March 1, 2017

https://www.aafp.org/afp/2017/0301/p303.pdf

“Syncope Evaluation and Treatment Guidelines from ACC, AHA and HRS” April 1, 2018

https://www.aafp.org/afp/2018/0401/p478.pdf (REQUIRED READING)

b.  UpToDate- “Evaluation of Syncope in Adults”;

     http://www.uptodate.com/contents/evaluation-of-syncope-in-adults?source=search_result&search=syncope&selectedTitle=1%7E150#H50

 

11)     Thyroid Emergencies (LO4) (updated 4/26/20)

a.  American Family Physician - “Hyperthyroidism: Diagnosis and Treatment” March 1, 2016

     https://www.aafp.org/afp/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)

 

12)          LO4 Inpatient Medicine Jeopardy- (RICS)