Posts authored during my second year of internal medicine residency training.
Medical residency training is an amazing opportunity, filled with a lot of stressful scenarios that test your knowledge and grit. I have had the pleasure of working with some excellent Fellows in the various subspecialty fields, including one in particular from the Critical Care Medicine department. Knowing that I am pursuing a Gastroenterology fellowship position, he went …
With the new year fast approaching, I felt that the weekly “New Horizon” photo challenge was apropos. Internal Medicine residency is a perpetual cerebral challenge, involving new and interesting medical cases and an abundance of clinical situations where knowledge is not only pushed to the limit, but expanded. I love what I do, and the …
As a senior internal medicine resident on night float and overnight call, I’m responsible for running to codes and rapid responses. Rapid responses at my institution are critical patient situations that require urgent bedside attention for things like symptomatic supraventricular tachycardia, new typical chest pain, hemodynamic instability, etc. Today after work, I wanted to brush up …
These patients tend to be very VOLUME SENSITIVE. Daily weight checks – get an accurate bathroom scale. No medications have proven mortality benefit. Treat causes Hypertension – lower the patient’s blood pressure Tachycardia – AV nodal blockade depending on etiology. Bibliography ACP MKSAP 17: Cardiovascular Medicine, pp. 32-34 Image credit (follow link)
Heart Failure with Reduced Ejection Fraction (also known as systolic heart failure) is broken up into two phases of treatment: the acute (on presentation to the hospital) and chronic (long-term to prevent re-hospitalization). Acute Exacerbation Treatment DIURETIC (urinate off all the excess fluid in a volume-overloaded patient) ACE inhibitor or Angiotensin Receptor Blocker (ARB) contraindicated if …
