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Internal Medicine Essentials for Students

General Internal Medicine Section

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Test Interpretation (Chapter 27)

Use this glossary to define terms commonly used in test and data interpretation.

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Health Promotion, Screening, and Prevention (Chapter 28)

Immunization - Use this American College of Physicians web site to obtain up to date information on immunization recommendations, vaccine information, and practice tools.

USPSTF Recommendations - Review this table from the The United States Preventive Services Task Force on health maintenance interventions for the general population.

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Approach to Syncope (Chapter 29)

History - Review important elements of the history for patients with syncope.

Driving Recommendations - Review a list of recommendations for driving following diagnosis of various types of syncope.

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Depression (Chapter 30)

Geriatric Depression Scale - Use this survey to screen for depression in older adults.

Assessment of Suicide - Use this survey to assess suicidal ideation, intent, and risk.

PHQ - Use The Patient Health Questionnaire (PHQ) to screen for depression.

PHQ-9 - Use the PHQ-9 to assess and follow severity of depressive symptoms over time.

Edinburgh Postnatal Depression Scale (EPDS) - Use the EPDS screening tool for postpartum depression.

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Substance Abuse (Chapter 31)

Alcohol Screening Tests - View a screening survey to detect alcohol abuse problems.

Categories of Alcohol Use - View this survey to identify patterns of alcohol use.

Video Training - View this video training program from the National Institute on Alcohol Abuse and Alcoholism.

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Approach Low Back Pain (Chapter 32)

Diagnostic Imaging - read this article summarizing role for imaging in lower back pain

History and physical - view a table summarizing history and physical exam elements for back pain

Ankylosing Spondylitis - View an x-ray of the lumbar spine and pelvis showing ankylosing spondylitis.

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Approach to Cough (Chapter 33)

Pneumonia Prediction - Use this table to help predict the probability of pneumonia in acute cough illness.

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Smoking Cessation (Chapter 34)

Smoking Leadership Center - A national program office of the Robert Wood Johnson Foundation that aims to increase smoking cessation rates by assisting health professionals in their efforts to help patients.

Tutorial on Behavior Change - A slide presentation on counseling strategies.

Health Tips - Obtain pads of health tips on smoking cessation to distribute to patients.

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Obesity (Chapter 35)

Exercise Rx Tutorial - Review this document on how to write an exercise prescription.

Obesity Classification - Use this tool to classify obesity by BMI.

Exercise Rx - Use this form to write an individual exercise prescription.

BMI Calculator - Use this tool to calculate BMI.

Gastric Bypass - View this diagram of a gastric bypass procedure.

Gastric Banding - View this diagram of various gastric banding procedures.

Mylar rings - View this image of Mylar rings used for vertical-banded gastroplasty.

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Approach to Involuntary Weight Loss (Chapter 36)

History and Physical Examination - Review a table of history and physical examination elements for involuntary weight loss.

Drug Treatment - Review a table on drug treatment for weight loss.

Nutritional Syndromes - Review a table of the differential diagnosis of nutritional syndromes.

Nutrition Checklist - Use a patient administered checklist for nutritional assessment of older adults.

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Disorders of Menstruation and Menopause (Chapter 37)

Dysfunctional Uterine Bleeding - view this table for laboratory and imaging work up for dysfunctional uterine bleeding

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Common Dermatologic Disorders (Chapter 38)

Psoriasis Differential - Review a table of the differential diagnosis of chronic plaque psoriasis.

Pruritis - Review a table on the evaluation of pruritis.

Acne - Review a table of the medications for acne.

Herpes Zoster Differential - Review a table of the differential diagnosis of herpes zoster.

Herpes Zoster Treatment - Review a table of drug treatment for herpes zoster.

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Approach to Lymphadenopathy (Chapter 39)

Key points - Review key points in the evaluation of a patient with lymphadenopathy

Physical exam - Watch a video that demonstrates the full lymph node and spleen examination

Work up - Follow an algorithm for the work up of a patient with lymphadenopathy

Differential diagnosis - Scan an outline on differential diagnosis and work up for patients with lymphadenopathy

Diagram of lymph nodes - Review a map of lymph nodes and the immune system

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Comprehensive Geriatric Assessment (Chapter 40)

Confusion Assessment Method (CAM) - Use this table to diagnose delirium.

Geriatric Depression Scale (See Depression) - Use this survey to screen for depression in older adults.

Nutritional Syndromes - Review a table of the differential diagnosis of nutritional syndromes.

Nutrition Checklist for Older Adults - View a patient administered checklist for nutritional assessment of older adults.

Memory Loss - Review a table of the differential diagnosis of memory loss.

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Hypertension (Chapter 41)

Framingham Risk Scoring System (See Chronic Stable Angina Chapter) - 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.

Blood Pressure Measurement - Use this checklist to review the correct steps in blood pressure measurement.

Hypertension History Checklist - Use this checklist to help you obtain a focused hypertension history.

Compliance - Review this table to help you improve patient compliance.

Hypertensive Retinal Changes - View the retina of a patient with hypertension.

Renal Artery Stenosis - View an MRI angiogram of renal artery stenosis.

Electrocardiogram - View left ventricular hypertrophy on an electrocardiogram.