Topics Discussed During the Internal Medicine Rotation at Cleveland Clinic in February/March 2008

This is a list of the topics discussed (or to be discussed) during the internal medicine rotation with residents and medical students at Cleveland Clinic:

Treatment of AIDS-related Neutropenia by Dr. Dimov
DKA management by Dr. Zysek. See a typical case
Atelectasis as source of fever by Dr. Dimov
Pre-renal ARF, HCTZ and FENa. See a case discussion by Dr. Dimov
Indications for DVT prophylaxis in inpatients by Dr. Dimov
Progressive multifocal leukoencephalopathy (PML) in HIV/AIDS - prognosis and treatment by Dr. Mekuria
Use of IV Flagyl in patients with C. diff. by Dr. Mekuria
Value of repeating stool test in resolving C. diff. infection by Dr. Mekuria
Workup of thyroid nodule by Dr. Chooljian
Rates of medication errors among depressed and burnt out residents by Dr. Dimov
How do you define prolonged immobilization?
How Do You Treat VIP Patients?
Diagnosis and treatment of PE by A. Brady
Hampton Hump in Pulmonary Embolism
Discussion of JNC 7, physician card (PDF) by Dr. Dimov
Treatment of hypertension in African Americans (UpToDate link) by Dr. Dimov
ABCD of Hypertension Treatment in Different Ethnic Groups by Dr. Dimov
Hydralazine use in HTN by Dr. Dimov
How to start insulin therapy in diabetes mellitus type 2? by Dr. Dimov
How many "organ"-renal syndromes are recognized? by Dr. Dimov
GLP-1 receptor agonist (Byetta) and DPP-4 Inhibitors for Treatment of Diabetes by Dr. Batal/Dr. Dimov
Nicotine patch use in patients with AFib with RVR by Dr. Chooljian
Perioperative evaluation: mnemonic PASS/HIP and 8 short cases. New perioperative guidelines for noncardiac surgery (ACC, Medscape) by Dr. Dimov
Upper extremity DVT -- causes and treatment by P. Blake
What percentage of patients with a PICC line develop upper extremity DVT? by P. Blake
Choice of antihypertensive medications in aortic stenosis by Dr. Zysak
A Systematic Approach to Electrocardiogram (EKG) Interpretation by Using 2 Mnemonics: A RARE PQRST/DR III EEE by Dr. Dimov
How to stay up-to-date with the medical literature: a suggested approach by Dr. Dimov
Acid-base Balance Cases and Calculators by Dr. Dimov
ATN pathology and diagnosis by A. Brady
AIN diagnosis and treatment by Dr. Batal
Difficult to control asthma - what to do after ICS/LABA/LTRA have failed by Dr. Dimov
When to Use Xolair (Omalizumab) in Asthma? by Dr. Dimov
Mind maps for asthma treatment by Dr. Dimov
Guidelines for treatment of DVT/PE by Dr. Dimov
Podcasts in medicine and residency noon conferences by Dr. Dimov

To be discussed in the future

New treatments for primary pulmonary hypertension by A. Brady
Which patient population would benefit from hydralazine? by Dr. Mekuria
What is SAPHO syndrome? by Dr. Mekuria
How to use acetazolamide to correct hypercapnia in OSA and COPD? by Dr. Dimov
CHADS2 Score Determines Who Needs Anticoagulation in Atrial Fibrillation by Dr. Dimov
Web 2.0 in Medicine (from Google Presentations) by Dr. Dimov
Treatment of hypernatemia by Dr. Dimov

Topics from previous rotations

Different IV catheters and related complications
RTA type 1, 2, 4 by Dr. Dimov
SIADH - causes and diagnostic criteria, click for cases 1, 2
Aortic Stenosis and Preoperative Evaluation for Noncardiac Surgery
New guidelines for prevention of bacterial endocarditis
Treatment of hyperkalemia and hypokalemia - what questions to ask nurses when called about high or low K+, when to to give IV K+ instead of PO K+, etc.
Contrast-induced nephropathy
Indications for LP in patients with dementia
Difference between temporary and permanent IVC filters. Source: UpToDate 15.3

The list will be updated periodically as new topics are added by the end of the month. As you can see from the links above, a blog can be used as an educational portfolio for both personal learning and teaching.

Click here to submit suggestions for future topics.

Further reading:
Topics Discussed During the Internal Medicine Rotation at Cleveland Clinic in October/November 2007. CasesBlog, 10/2007.
Topics Discussed During the Internal Medicine Rotation at Cleveland Clinic in September 2007
Using a Blog to Build an Educational Portfolio. CasesBlog, 1/2007.
DB’s thoughts on being a clinical educator. DB’s Medical Rants, 11/2007.
Attending Rounds. DB’s Medical Rants, 02/2008.
Happiness. DB’s Medical Rants, 03/2008.

Updated: 03/06/2008

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