Inpatient General Medicine Ward

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Intensive Care

Ambulatory Medicine: Allergy/Immunology

Allergic rhinitis and non-allergic rhinitis

Anaphylaxis

Acute and Chronic Sinusitis

Common Variable Immunodeficiency

Ambulatory Medicine: Dermatology

Skin Cancer (See Also: Lecture)

Ambulatory Medicine: Neurology

Ambulatory Medicine: Cardiology/Radiology

Ambulatory Medicine: Musculoskeletal Medicine/Pain Management

Procedure: Perform joint aspiration of large synovial joints and be able to interpret synovial fluid analyses.

Procedure: Interpret plain radiographs and MRI

Procedure: Be able to inject into the shoulder, elbow, knee, or wrist joints

Procedure: Be able to inject into the subacromial, olecranon, trochanteric, and anserine bursae

Procedure: Be able to inject into the carpal tunnel

Procedures: Be able to perform a nerve blockepidural, or trigger point injection

Procedures: Be able to perform cryotherapy

Ambulatory Medicine: Emergency Medicine

Chest pain

Ambulatory Medicine: Endocrinology

Anatomic thyroid abnormalities (goiter, multinodular, etc.)

Procedure: Be able to perform nuclear medicine procedures, ultrasound studies and fine

needle aspiration biopsies.

Procedure: Be able to perform and understand DXA scans and results.

Hyponatremia and SIADH

Ambulatory Medicine: Nephrology

Acute and Chronic glomerulartubular and interstitial diseases

Ambulatory Medicine: Gastroenterology

  • Gastroenterology Procedures (sources for the following can be found by clicking here):
    • Upper and lower Barium contrast x-rays, recognizing ulcers, filling defects, masses, strictures, etc.
    • Ultrasonography
    • Computed tomography
    • Magnetic resonance imaging
    • Vascular, pancreatic, and biliary radiology
    • Nuclear imaging and isotopically based tests including breath analysis and cyanocobalamin absorption
    • Plain X-rays of the abdomen
    • RUQ ultrasound, recognizing common ultrasound abnormalities such as ascites, gallstones, intrahepatic biliary tract dilatation, and liver and abdominal absecesses.
    • Cholangiograms and pancreatograms and recognize stones, strictures, neoplasms, and the signs of chronic pancreatitis.

Disorders of the esophagus including esophagitisesophageal spasm, and achalasia

Malabsorption and maldigestion including mucosal diseases and pancreatic insufficiency

dditional Gastroenterology Procedures (sources for the following can be found by clicking here and viewing the “Gastroenterology Procedural Lecture Series” at the bottom of the page):

  • Flexible sigmoidoscopies to a depth of 60+ cm recognizing common colorectal pathology (hemorrhoids, polyps, and cancer)
  • Biopsies, manipulating forceps
  • Polypectomy, using both biopsy and snare techniques Sclerotherapy and banding with variceal hemorrhages Injection therapy, heater probe, and electorcautery with bleeding lesions of the upper and lower gastrointestinal tract
  • Invasive therapeutic techniques including transhepatic cholangiography and drainage, transhepatic liver biopsy, percutaneous gastrostomy placement, vascular embolization, and placement of internal proto-systemic shunts (TIPS)
  • Percutaneous endoscopic gastrostomy
  • Placement of feeding tubes
  • Placement of Sengstaken-Blakemore or Minnesota tubes for tamponade of bleeding varices
  • Percutaneous liver biopsy, identify suitable biopsy site by percussion/palpation or ultrasound
  • Paracentesis, indlucing the ability to diagnose ascites using percussion (shifting dullness) and ultrasound
  • Capsule Endoscopy
  • Basic endoscopy including: intubating the esophagus under direct visualization, understanding normal and post-surgical anatomy, and reaching the proximal small bowel during an upper endoscopy and the cecum during a colonoscopy in almost all patients.
  • pH studies and basic esophageal and anorectal motility studies.

Ambulatory Medicine: Hematology and Oncology

Ambulatory Medicine: Infectious Disease

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Ambulatory Medicine: Hepatology

Procedure: Be able to perform central line placement, thoracentesis, lumbar puncture, etc.

Procedure: Be able to perform high volume paracenteses

Ambulatory Medicine: Pulmonary