Inpatient General Medicine Ward

Acid-base disorders, Hyponatremia, Hypernatremia, Hypokalemia, Hyperkalemia

Acute Abdominal Pain

Acute and chronic renal failure

Acute monoarticular arthritis

Alcohol withdrawal syndrome

Anasarca/CHF/ascites/nephrotic syndrome

Anemia

Anorexia, constipation, diarrhea, nausea/emesis

Asthma and COPD exacerbations

Cellulitis/erysipelas/osteomyelitis/diabetic foot ulcers

Chest Pain

Clinical Medicine

Community-acquired pneumonia, aspiration pneumonia, institutionally-acquired pneumonia, and other forms of pneumonia

Coronary artery disease the use of non-invasive testing and consultants

Cough

CVA

Delirium

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Depression

Diverticulitis

Dizziness

Dyspnea

Diabetes mellitus out of control and Diabetic ketoacidosis

DVT / thromboembolism

Endocarditis

Exacerbations of systemic lupus erythematosus

Facial Pain

Headache

Hematochezia

Hypertensive urgency and emergencies, formerly called malignant hypertension

Hyperthyroidism

Hypothyroidism

Lower Extremity Edema

Meningitis, Encephalitis

Mental Status Changes

New Fever

New Rash

New onset atrial fibrillation

Obstipation/bowel obstruction

Sickle cell anemia disorders

Seizure

Stupor/Coma

Swollen Joint

Urinary tract infections, pyelonephritis, and urinary tract infections with sepsis

Weakness

Intensive Care

Acute ischemic syndromes

Cardiac arrhythmia’s

Cardiopulmonary arrest

Cardiac tamponade

Congestive heart failure

Coagulopathies

Drug overdose/toxicology emergencies

Upper or lower gastrointestinal bleeding

Hemodynamic instability

Hypertension

Hypothermia and Hyperthemia

Infectious diseases

Acute and chronic liver failure

Acid -base and metabolic emergencies

Pregnancy

Renal failure

Pulmonary embolism

Sepsis

Stroke

Transplant Complications

Ambulatory Medicine: Allergy/Immunology

Allergic asthma and non-allergic asthma

Allergic rhinitis and non-allergic rhinitis

Allergic rhinitis and non-allergic rhinitis

Acute and Chronic urticaria

Anaphylaxis

Anaphylaxis

Acute and Chronic Otitis Media

Acute and Chronic Sinusitis

Acute and Chronic Sinusitis

Common Variable Immunodeficiency

Common Variable Immunodeficiency

Contact dermatitis

Ambulatory Medicine: Dermatology

Acne

Alopecia

Atopic and contact dermatitis

Bacterial and fungal skin infections

Corns and calluses

Drug reactions

Eczema

Herpes simplex and zoster

Insect bites

Lichen planus

Lichen simplex

Pigmentation disorders

Pityriasis rosea

Psoriasis

Rosacea

Scabies

Skin cancer (See Also: Lecture)

Skin Cancer (See Also: Lecture)

Skin manifestations of serious systemic diseases

Urticaria

Warts

Ambulatory Medicine: Neurology

Epilepsy

Headaches, dizziness, etc.

Multiple sclerosis

Myasthenia gravis

Parkinson’s disease

Procedures: Be able to perform screening and a detailed neurological exam

Ambulatory Medicine: Cardiology/Radiology

Electrocardiograms

Treadmill testing

Cardiac scintigraphy

Stress electrocardiography

Identify abnormalities on ultrasounds, barium studies, CT scans, plain radiographs, etc.

Ambulatory Medicine: Musculoskeletal Medicine/Pain Management

Bursitis

Carpal tunnel syndrome

Crystal-induced arthropathies

Differential diagnosis of vasculitis fibromyalgia

Epicondylitis

Fibromyalgia

Giant cell arteritis

Inflammatory myopathies

Mixed connective tissue disease

Musculoskeletal Medicine Procedures

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

Myalgias

Osteoarthritis

Polymyalgia rheumatica

Rheumatoid arthritis

Soft tissue rheumatism

Spondyloarthropathies

Systemic Lupus erythematosus

Systemic sclerosis

Tendonitis

Ambulatory Medicine: Emergency Medicine

Abdonimal pain

Abnormal Uterine Bleeding

Altered Mental Status including coma

Cardiac dysrhythmias

Chest pain

Chest pain

Dizziness

Dyspnea

Emergency Medicine Procedures

Gastrointestinal Bleeding

Hypotension

Musculoskeletal Trauma

Severe Hypertension

Syncope

Ambulatory Medicine: Endocrinology

Amenorrhea and Impotence Polycystic Ovarian Syndrome (PCOs) and associated disorders (insulin resistance, metabolic syndrome, infertility)

Anatomic thyroid abnormalities (goiter, multinodular, etc.)

Anatomic thyroid abnormalities (goiter, multinodular, etc.)

Androgen and estrogen replacement therapies

Critical Hypocalcemia and Hypercalcemia Hyperparathyroidism Gynecomastia

Cushing’s syndromes and Adrenal insufficiency Incidental adrenal mass

Diabetes mellitus

Endocrinology Procedures

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.

Hirsutism

Hyponatremia and SIADH

Hyponatremia and SIADH

Hypoituitaryism and Excess Pituitary Hormone Disorders

Hypothyroidism, Hyperthyroidism, Thyroiditis and Thyroid cancer

Impaired Fasting Glucose (IFG) and Glucose Intolerance (IGT)

Metabolic bone disorders

Obesity and the Metabolic Syndrome

Osteomalacia

Osteopenia and Osteoporosis

Paget’s disease

Pheochromocytoma

Pituitary Apoplexy and Empty Sella

Posterior Pituitary Dysfunction (SIADH, Diabetes Insipidus)

Primary Dyslipidemias

Primary, Secondary and Tertiary Hyperparathyroidism

Primary and Secondary Hypogonadism

Radiological evaluation of pituitary tumors

Secondary-Endocrine Hypertension (primary aldosteronism, pheochromocytoma, Cushing’s syndrome

Secondary hyperlipidemias

Thyroid storm and myxedema

Type 1 and Type 2 Diabetes

Vitamin D deficiency

Ambulatory Medicine: Nephrology

Acute and Chronic glomerular, tubular and interstitial diseases

Acute and Chronic glomerulartubular and interstitial diseases

Acute and Chronic Renal Failure

Diabetes Mellitus

Disorders of calcium and magnesium balances

Metabolic Syndrome

Potassium Balance

Primary and Secondary Hypertension

Simple and Mixed Acidosis

Simple and Mixed Alkalosis

Sodium Balance

Systemic Hypertension

Type 1 and Type 2 Diabetes

Ambulatory Medicine: Gastroenterology

Abdominal pain

Acute abdomen

Acute and Chronic pancreatitis

Acute gastrointestinal bleeding from the upper and lower GI tract

Acute hepatic failure

Advanced liver disease

Anatomy and blood supply of the gastrointestinal tract

Ascites

Barret’s/Non-Barret’s epithelium

Basic Gastroenterology Procedures

  • 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.

Biliary tract obstruction and cholangitis

Bowel wall edema (thumbprinting)

Bowel obstruction

Calcifications

Caustic ingestion and foreign body extraction

Constipation

Crohn’s disease, ulcerative colitis and proctitis

Diarrhea

Disorders of the esophagus

Disorders of the esophagus including esophagitisesophageal spasm, and achalasia

Dysphasia

Etiologies of hepatitis and cholestasis

Fecal impaction

Free air in the peritoneal cavity or mediastinum

Gastrointestinal bleeding

Geriatric gastroenterology GERD

Heartburn

Ileus

Immununologically-based diseases

Infectious diseases of viral, bacterial, mycotic, or parasitic etiology including HIV and its gastrointestinal manifestations

Intestinal obstruction

Intestinal motility disorders

Jaundice

Lesions

Malabsorption and maldigestion including mucosal diseases and pancreatic insufficiency

Malabsorption and maldigestion including mucosal diseases and pancreatic insufficiency

Mechanisms and sites of nutrient and electrolyte absorption by the small intestine and colon

Motility disorders of the gastrointestinal tract

Nausea and vomiting

Pathophysiology and treatment of portal hypertension

Premalignant and malignant processes

Regulation of gastric, pancreatic, biliary, and intestinal secretion

Role of the stomach, pancreas, and bile with respect to digestion

Severe diarrhea including acute presentations of IBD Intestinal ischemia

Volvulus

Additional Gastroenterology Procedures

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

Acute/Chronic Leukemia and Lymphoma

Anemia Overall

Bone Marrow Review

Brain metastasis

Breast cancer

Cervical cancer

Colon cancer

DIC

Febrile and Afebrile Neutropenic Disorders

Hypercalcemia

Lung cancer

Microcytic, macrocytic, and normocytic (including hemolytic) anemia

Myelodysplastic syndromes and myeloproliterative syndromes

Platelet dysfunction

Prostate cancer

Respiratory failure and effusions

SIADH

Skin cancers

Somatic and neutropathic

Spinal cord compression

Superior vena syndrome

Thrombocytopenia

TTP

Tumor lysis syndrome

Von Willebrand’s disease

Hematology/Oncology Procedures

Ambulatory Medicine: Infectious Disease

Bioterrorism

Bone and joint infections

Cardiovascular infections

Central nervous system infections

Chronic Wound Infections

Diarrhea

Endocarditis

Febrile Neutropenia

FUO

Gastrointestinal infections and food poisoning syndromes

Infections in acute leukemia and lymphoma

Infections of the eye

Infections in geriatric patients

Infections related to intravenous drug abuse

Infections related to trauma, burns, and human and animal bites

Infections of reproductive organs

Infections in Solid Organ Transplant Patients Multi-drug Resistant Organisms such as MRSA and VRE

Infections in travelers

Meningitis

Nosocomial and Community Acquired Pneumonia Cellulitis

Nosocomial infections

Peritonitis and other intra-abdominal infections

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Pleuropulmonary and bronchial infections

Rashes

Sepsis Syndrome

Skin and soft tissue infections

STD’s

Peritonitis and Other Intra-Abdominal Infections

Transplant-related infections, including bone marrow and solid organ

Upper respiratory tract infections

West Nile Virus

Viral hepatitis

Ambulatory Medicine: Hepatology

Ascites

Autonomic neuropathy

Hepatic hydrothorax

Hepatocellular carcinoma

Hepatopulmonary syndrome encephalopathy

Hepatorenal syndrome

Metabolic abnormalities

Nonalcoholic steatohepatitis (NASH)

Portal hypertensive bleeding

Pruritus

Spontaneous bacterial peritonitis

Viral hepatitis

Hepatology Procedures

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

Procedure: Be able to perform high volume paracenteses

Ambulatory Medicine: Pulmonary

Asthma

Community Acquired Pneumonia Histoplasmosis

COPD

Dyspnea

Lung cancer

Plural Effusion

Pulmonary Fibrosis Sleep Apnea Syndromes DVT/PTE

Sarcoidosis

Tuberculosis