Internal Medicine Training Notes and Survival Guide: An Insider’s Roadmap for the Journey from Resident to Attending Physician

The purpose of this unique title is to provide internal medicine residents and physicians, as well as other professionals engaged in internal medicine practice, with a single resource of comprehensive, abundantly helpful, time-saving training and practice notes. Developed by a now highly experienced hospitalist physician during his three years’ residency training in internal medicine, as well as during his current role as a practicing hospitalist, these notes provide a broad framework and tool not only for the learning and practicing of internal medicine after graduation from professional schools and during training, but after residency training as well. The majority of the notes were presented as one to a few sentences, rendering the information succinct and easy to digest. The notes also provide simple, key information in patient care including, but not limited to, the workup and management of a wide range of clinical scenarios. The book was divided into three general areas -- 1) daily notes taken during the author’s residency training (in the format of a diary with the original dates but updated knowledge and information), 2) notes for outpatient medicine and clinical subspecialties, and 3) notes as a hospitalist. The daily notes were based on knowledge and experiences the author learned from actual clinical cases (workup, medication regimen, patient education, and sometimes patient and family interactions). The notes for outpatient medicine and clinical subspecialties were based on specific topics/subspecialties and were heavily clinically oriented with a focus on patient care. The addition of notes as a hospitalist was based on the author’s duties as a hospitalist, which requires knowledge and understanding of acute neurological and neurosurgical issues, various types of cancers, and some common yet complicated or uncommon clinical scenarios of infectious diseases. A major contribution to the internal medicine education literature, Internal Medicine Training Notes and Survival Guide: An Insider’s Roadmap for the Journey from Resident to Attending Physician will appeal to a wide readership, including resident physicians, practicing physicians, physician assistants, and nurse practitioners in internal medicine. Preface Structure of the Book Intended Use Disclaimer Contents Part I: Diary Notes During Residency Training Chapter 1: The Journey Begins with the ICU and Cardiology Rotation Further Readings and References Chapter 2: The General Internal Medicine Floor Rotation Further Readings and References Chapter 3: A Brief Break at the Radiology Department Further Readings and References Chapter 4: A Quick Dive into the General Medicine Floor with an Emphasis on Cardiology Further Readings and References Chapter 5: First Taste of Being a Nocturnist Followed by a General Medicine Floor Rotation Further Readings and References Chapter 6: Immersion in the Infectious Disease World Further Readings and References Chapter 7: Deja Vu ICU Rotation Followed by a Miscellaneous Learning Rotation Further Readings and References Chapter 8: The Endocrinology World Further Readings and References Chapter 9: Back to General Internal Medicine Floor Rotation Further Readings and References Chapter 10: The ICU Observer, Nocturnist with Closed ICU, and Palliative Care Medicine 1 Special Procedures and the ICU Observer 2 Second Taste of Being a Nocturnist 3 Palliative Care and Ambulatory Medicine Further Readings and References Chapter 11: Sports Medicine, Rheumatology, Admitter, Followed by General Medicine Floor 1 Sports Medicine 2 Rheumatology Rotation, Admitter, Followed by General Medicine Floor Further Readings and References Chapter 12: Senior Resident at ICU and Back Being a Nocturnist 1 ICU as a Senior Resident 2 Back Being a Nocturnist Further Readings and References Chapter 13: The Last Year of Residency Training Further Readings and References Part II: Ambulatory Medicine Chapter 14: Behavioral Health Further Readings and References Chapter 15: Cardiovascular Health Further Readings and References Chapter 16: Diabetes and Thyroid Dysfunction and Anemia Further Readings and References Chapter 17: Respiratory Discomforts Further Reading and Reference Chapter 18: Chronic Pain Disorders Further Readings and References Chapter 19: Senior Health Further Readings and References Chapter 20: GERD, Dermatitis, and Eye Diseases Further Readings and References Chapter 21: Vaccination, HIV, and Women’s Health Further Readings and References Part III: Specialty Training for a General Internist Chapter 22: Hematology and Oncology Chapter 23: Pulmonology and Critical Care Chapter 24: Nephrology Chapter 25: Cardiology Chapter 26: Gastroenterology Chapter 27: Infectious Disease Chapter 28: Rheumatology Chapter 29: Endocrinology Chapter 30: Neurology Chapter 31: Dermatology Chapter 32: General Internal Medicine Chapter 33: Gynecology and Andrology Part IV: The Universal Admitter in Hospital Chapter 34: The Neurology Ward 1 Neurological Assessment, Airway, Ventilation, and Sedation 2 Neuromuscular Emergencies 3 Acute Ischemic Stroke 4 Acute Hemorrhagic Stroke 5 Elevated Intracranial Pressure and Brain Herniation 6 Meningitis and Encephalitis 7 Targeted Temperature Management 8 Acute Spinal Cord Injuries 9 Status Epilepticus Further Readings and References Chapter 35: Advanced EKG for Hospitalist 1 General Sequence in EKG Readings 2 Sinoatrial Node Dysfunction 3 Repolarization Abnormalities and STEMI 4 Conduction System Blocks 5 Tachyarrhythmias 6 Wave Morphology 7 Blood Supply of the Heart Further Readings and References Chapter 36: Hematology and Oncology for Hospitalist 1 Basic Theories 2 Oncologic Urgencies and Emergencies 3 Treatment for Various Types of Cancers Multiple Myeloma Lung Cancer Colorectal Cancer Gastroesophageal Cancer, Hepatobiliary Carcinoma, and Pancreatic Cancer Neuroendocrine Tumor (NET) Breast Cancer Cervical Cancer and Ovarian Cancer Lynch Syndrome Myelodysplastic Syndrome Leukemia Lymphoma Head and Neck Cancer Genitourinary Cancer Prostate Cancer Testicular Cancer Renal Cell Carcinoma Bladder Cancer Thyroid Cancer Further Readings and References Chapter 37: The Infectious Disease Consultation 1 Central Nervous System Infections Meningoencephalitis Aspergillus cerebritis Lyme Meningitis Aseptic Meningitis Versus Lyme Meningitis Bacterial Meningitis 2 Intra-abdominal Infections Polymicrobial Bacteremia from Intra-abdominal Source Tubo-Ovarian Abscess (TOA) Polymicrobial Pelvic Abscess Status Post Peritoneal Dialysis Catheter Removal MRSA Peritonitis from Peritoneal Dialysis Catheter Peritoneal Dialysis (PD)-Associated Peritonitis Fecal Peritonitis MRSA Seroma Infection Complicated Intraabdominal Infection Strep Intermedius Intraabdominal Abscess 3 Pancreatic Pseudocyst Infections Sepsis from Intra-abdominal Source + Infected Pancreatic Pseudocyst Infected Necrotizing Pancreatitis 4 Diabetic Infections, Osteomyelitis Actinomyces Foot Infection and Polymicrobial Bacteremia Necrotizing Diabetic Left Foot Infection with Myositis: Polymicrobial Wound Infection Osteomyelitis with no Tissue Growth Diabetic Foot Ulcer, Cellulitis, and Osteomyelitis of the Left Leg Toe Osteomyelitis, Cellulitis, and Diabetic Foot Ulcer of the Right Foot Fournier’s Gangrene of the Scrotum Guidelines for Necrotizing Soft Tissue Infections Skin and Soft Tissue Infection (SSTI) General Information SSTI Differential Diagnoses 5 Other Skin and Musculoskeletal Infections Recurrent Cellulitis in an Obese Patient MRSA Abscess of the Hand Methicillin Susceptible Staphylococcus aureus (MSSA) Abscess and Bacteremia Septic Prepatellar Bursa Right Knee Pyogenic Arthritis of the Knee Right Hand Mid Palmar and Thenar Area Abscess with Right Middle Finger Flexor Tenosynovitis Right Foot Osteomyelitis with Surgical Tissue Culture Positive for Streptococcus agalactiae Rhizomucor Infection and Abscess of the Third Digit of the Right Hand MSSA Bacteremia + Acute Encephalopathy + Right Hip Prosthetic Joint Infection with Surrounding Abscess Streptococcal Bacteremia with Left Wrist Streptococcal Arthritis Cellulitis of the Left Lower Extremity + Infected Venous Stasis Ulceration of the Left Leg on the Lateral Aspect 6 Endocarditis Enterococcus Endocarditis Enterococcus Endocarditis, Discitis Enterococcus faecalis Bacteremia with Possible Mitral Valve Endocarditis MSSA Bacteremia + Native Valve Endocarditis Enterococcus faecalis Bacteremia + Native Mitral Valve Endocarditis Prosthetic Valve Endocarditis Due to Enterococcus 7 Complicated Urinary Tract Infections (UTIs) Extended Spectrum Beta-Lactamase E. coli Bacteremia and Complicated UTI ESBL Bacteremia and UTI Recurrent UTI with Concerns for Chronic Prostatitis Right Hydronephrosis, Hydroureter, and Nephrolithiasis Enterobacter Cloacae Complex Bacteremia + Acute Pyelonephritis Associated with Bilateral Hydronephrosis/Left Ureteral Stent Recurrent Complicated UTI Due to Providencia rettgeri in the Setting of Bilateral Hydronephrosis Left Staghorn Calculi, and Urostomy MSSA Bacteremia and Bacteriuria MSSA Bacteremia and Bacteriuria UTI Prophylaxis 8 Pulmonary Infections Mycobacterium Avium in Sputum Mycobacterium Avium Intracellulare (MAI) Infection Streptococcus Bacteremia and Associated with Community-Acquired Pneumonia Secondary to Streptococcus pneumonia Aspergillus Pneumonia (on Methotrexate and High-Dose Steroids) Loculated Pleural Effusion Empyema Right-Sided Necrotizing Pneumonia Bilateral Interstitial Infiltrate Possible Pneumonia + Idiopathic Thrombocytopenic Purpura + Hepatitis B Core Antibody Positive Right Middle Lobe Lung Abscess Extensive Ground Glass Changes in CT Scan 9 Bacteremia and Back Pain Streptococcus dysgalactiae Bacteremia MSSA Bacteremia with Low Back Pain MSSA Bacteremia and Low Back Pain L1–S1 Large Epidural Abscess + L4–L5 Discitis/Osteomyelitis + Streptococcus Intermedius Bacteremia Epidural Abscess 10 Fungemia Hospital-Acquired Candidemia (Candida albicans) High-Grade Candida glabrata Bacteremia + Right-Sided Pyelonephritis Secondary to Candida glabrata + Hydronephrosis Due to Right Ureteral Calculi MSSA Bacteremia and Fungemia (Candidemia albicans) Candidemia 11 Other Infections Pregnant Acalculous Cholecystitis Nocardiosis Ring-Enhancing Brain Lesion, Vasogenic Edema Rim-Enhancing Cystic Lesion from Neurocysticercosis Mastoiditis C. Diff Colitis Gram Negative Bacteremia Sepsis with Pasteurella bacteremia Herpes Zoster’s Ophthalmicus of the Right Eye Further Readings and References Index