Internal Medicine Essentials for Clerkship Students
Cardiovascular Section
Chest Pain (Chapter 1)
Estimating Probability of Coronary Artery Disease - Use this table to estimate the pretest probability of coronary artery disease.
ECG Web Maven - Use this web-based tutorial to develop and up-grade “ECG literacy.”
Mediastinal Widening - View an x-ray showing mediastinal widening.
Pneumothorax - View an x-ray of a hydropneumothorax.
Acute Myocardial Infarction - View an electrocardiogram of an acute myocardial infarction.
Chronic Stable Angina (Chapter 2)
Framingham Risk Scoring System - Use this tool to assign categories of cardiovascular risk based upon LDL cholesterol level and other major risk factors. This resource uses the Macromedia Flash Player.
Mortality Risk - View this table to estimate 1 year mortality rates for patients with coronary artery disease.
Diagnostic Stress Test - View the table to determine which diagnostic stress test is best suited for individual patients.
Post-Test Probabilities - View this table to estimate post-test probability of coronary artery disease based upon exercise electrocardiogram results.
Coronary Revascularization - View this table of indications for coronary artery revascularization.
ECG Web Maven - Use this web-based tutorial to develop and up-grade “ECG literacy.”
Acute Coronary Syndrome (Chapter 3)
Risk Stratification for Acute Coronary Syndrome - Use this table to classify and plan management for patients with acute coronary syndrome.
Medical Therapy - Review this table of medical therapy for acute ST elevation myocardial infarction.
Contraindications to Fibrinolysis – Review this table of contraindications and cautions for fibrinolysis in acute ST segment myocardial infarction.
ECG Web Maven - Use this web-based tutorial to develop and up-grade “ECG literacy.”
Estimating Probability of Coronary Artery Disease - Use this table to estimate the pretest probability of coronary artery disease.
Supraventricular Arrhythmias (Chapter 4)
Atrioventricular nodal reentry tachycardia (AVNRT) - View the mechanism of AVNRT.
Atrioventricular Reentrant Tachycardia (AVRT) - View the mechanism of AVRT (WPW syndrome).
Differential Diagnosis of Supraventricular Arrhythmias - View the table to differentiate supraventricular arrhythmias based upon ECG features.
ECG Web Maven - Use this web-based tutorial to develop and up-grade “ECG literacy.”
Risk of Stroke - View this table to estimate the risk of stroke due to atrial fibrillation.
Electrocardiographic Recording Devices - View a table of electrocardiographic recording devices to diagnose supraventricular tachycardia.
Ventricular Arrhythmias (Chapter 5)
ECG Web Maven - Use this web-based tutorial to develop and up-grade “ECG literacy.”
Ventricular Arrhythmia Causes - Review a table of cardiac abnormalities and other factors associated with ventricular arrhythmias and sudden cardiac death.
Indications for Intracardiac Defibrillator (ICD) - Review a table of indications for an ICD.
Cardiac Arrest - View an algorithm for the management of ventricular fibrillation.
Sudden Cardiac Death - Review these “Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death.”
Heart Failure (Chapter 6)
Differential Diagnosis of Heart Failure - View this table for a differential diagnosis of heart failure.
Differential Diagnosis of Dyspnea - View this table for a differential diagnosis of heart failure mimics causing dyspnea.
Heart Failure Radiograph - View this x-ray of a patient with heart failure.
Pathophysiology - View this schema illustrating the pathophysiology of heart failure.
Valvular Heart Disease (Chapter 7)
Endocarditis Prophylaxis - Access the revised guidelines for prevention of infective endocarditis.
Murmur Characteristics - View a table on the auscultatory characteristics of selected murmurs.
Aortic Stenosis Auscultation - View a video and listen to the murmur of aortic stenosis. [Note: May take 20-30 seconds to open.]
Mitral Regurgitation Auscultation - View a video and listen the murmur of chronic mitral regurgitation. [Note: May take 20-30 seconds to open.]
Mitral Stenosis Auscultation - View the video and listen to the murmur of mitral stenosis. [Note: May take 20-30 seconds to open.]
Aortic Stenosis - View a table of the differential diagnosis of aortic stenosis.
Aortic Regurgitation - View a table of the differential diagnosis of aortic regurgitation.
Mitral Regurgitation - View a table of the differential diagnosis of mitral regurgitation.
Mitral Prolapse - View a table of the differential diagnosis of mitral prolapse.
Mitral Stenosis - View a table of the differential diagnosis of mitral stenosis.