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Internal Medicine: The guide to residency., by Amer Y Sayed
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This book will give you the information you need on the most common symptoms and their diagnosis while increasing your confidence during residency. As medicine can be detailed and sometimes complicated, it is challenging to apply years of medical education in just a few minutes. This guide is designed to make an Internal Medicine Resident successful, but will be an effective supplement for any of the following disciplines: -Family Medicine Residents -Third & Fourth Year Medical Students -Nurse Practitioners -Physician Assistants -Any Clinical Residency Internship Table of Contents Preface Foreword Cardiopulmonary 1. Chest pain 2. Shortness of breath 3. Congestive heart failure 4. Coronary Artery Disease 5. Cough 6. Hypertension 7. Arrhythmia 8. Atrial Fibrillation 9. Asthma & COPD 10. Pneumonia 11. Medical Intensive Care Unit/Hypotension/Cardiac Arrest 12. Acute respiratory failure & basics for oxygen therapy 13. Cardiology diagnostics & interventions 14. Hemoptysis Gastroenterology 15. Abdominal Pain 16. Nausea & vomiting 17. GI bleed 18. Diarrhea 19. Constipation Infectious Disease 20. Antibiotics 21. Fever 22. White blood count 23. Immune status 24. Cellulitis & Osteomyelitis 25. Infective endocarditis 26. Clostridium difficile infection 27. Methicillin-Resistant Staphylococcus Aureus Nephrology 28. Acute kidney injury/Chronic Kidney Disease/End stage Renal Disease 29. Urinary tract infection 30. Volume Overload 31. Volume Depletion 32. Electrolyte imbalances Neurology 33. Falls, syncope, & loss of consciousness 34. Altered Mental Status 35. Headaches 36. Pain Geriatric 37. Geriatric medicine 38. Palliative/supportive care & hospice care Miscellaneous 39. Diabetes mellitus 40. Anticoagulation 41. Anemia 42. Night float 43. Alarming findings 44. IV lines, IV fluids, Foley catheters & contrast material 45. Medicine facts (side effects, onset of side effects, & off-label therapeutic uses) 46. Medical vs. Surgical Management 47. Home vs. floor vs. MICU triage 48. Outpatient Medicine 49. Diet & Physical/Occupational Therapy 50. Diseases and diagnosis need high suspicion 51. Cost-effective medicine 52. Refer to specialist & inpatient consultation 53. Common unclear diagnoses 54. Different approaches for common problems 55. Social support & social history 56. Incidental findings & mildly abnormal tests 57. Medical futility 58. Cascade of actions for common problems Abbreviations List of medications commonly used References
- Sales Rank: #669566 in Books
- Published on: 2015-06-05
- Original language: English
- Number of items: 1
- Dimensions: 8.50" h x .72" w x 5.50" l, .89 pounds
- Binding: Paperback
- 316 pages
Review
Dr. Sayed has authored a help manual for beginning house officers. It is an example of his ability to identify practical knowledge gaps that he experienced and sees others experiencing and to take the necessary creative steps to fill that gap. It is an exemplary effort that could make impressive contributions to training programs.
Max Stachura, MDProfessor of MedicineEndocrinology Division�Georgia Regents University
"Straightforward and covering all the essentials, this book is a must-have for any resident in internal medicine trying to build a good foundation but doesn't know where to begin. I have found myself referencing Dr. Sayed's book often; in fact, it will remain in my white coat pocket as a resident - a testament to its utility and practicality."
Brian Le, MD
Georgia Regents University Resident
"A concise, easy-to-read manual designed to give insightful information to the medicine intern. A great reference book for night float and wards. I would recommend this book to any PGY-1!"
Ryan Keen, MD
Georgia Regents University Resident
From the Author
Preface
This guidebook is written to assist in the transition between medical school and internal medicine residency; it is designed to highlight the most common clinical cases presented and how best to manage them. The topics have been carefully chosen to cover common differential diagnoses to common symptoms. This book will give you a quick summary of what you need clinically to know about them as well as challenges you may encounter in the process. Ideally, this handbook can�be read�in 1-2 weeks and consulted at any time during residency, but especially during internship.�
�
By reading this guide, written by current internal medicine residents, the reader will benefit from residents' actual experiences, both successes�and missteps, which can aid�the reader�with patient care and case management. The guide includes managing the common clinical problems that patients are admitted for so the intern or the resident will feel confident and display more accuracy in examining the patient, obtaining medical history, writing a thorough and useful history and physical with appropriate work-up.�
�
Unlike the other few available guide or pocket books, this one will NOT address unnecessary and hard-to-remember details you may NOT need in day-to-day practice in order to deliver the most high-yield information in short period of time. Since�fourth-year medical students�may have only one to two months of internal medicine training, they may become less familiar in managing common diseases after months of training in�other�specialties�(NOT to mention the time traveling during match season and relocation takes). This book will prove to be efficient and effective even during this busy time.�
�
The focus of this guide will be the common explanations for chest pain like acute coronary syndrome, pulmonary�embolism;�hyper/ hyponatremia, lower/ upper GI bleed, different types of�pneumonia, atrial fibrillation, CHF, and so on. The primary resources and references we have used�include�Harrison's Principles of Internal Medicine, the�Washington Manual of Medical Therapeutics, several published articles on internal medicine, and other resources. This book offers�years of experience from�residents and attendings, keeping�you, a recent medical�graduate, in mind. I must reiterate that the input of the�attendings who took time to be a part of this project�was�crucial. This finished guidebook is a culmination of real clinical experience you will encounter presented in an easy-to-reference format written by the fresh perspective and experience of your fellow internal medicine residents.�
From the Inside Flap
45. Medicine facts (side effects, onset of side effects, & off-label therapeutic uses) Common facts for common meds commonly used:
�
� QT interval prolongation: can be caused by a lot of meds like quinolones, antiarrhythmic meds (amiodarone/tykosin/procainamide), psychiatry meds (fluoxetine/quetiapine/haldol), pain meds (methadone), & a lot of others. This can evolve to torsades de pointes (TdP), which is a unique V tachycardia. Monitor QTc before & on a regular basis after starting & consider stopping the meds if QTc >500-550. Check K & Mg & replete as needed. Treat TdP w/ ↑ dose IV Mg along w/ ACLS.
� �Statins: ↑ Creatine kinase (from muscles) & AST/ALT. Statins can help maintaining sinus rhythm after a fib cardioversion (ACE inhibitors can help as well maintaining sinus rhythm), but it is still NOT used for that purpose alone.
� �Pregnancy & antiemetics: non-pharmacological methods are preferred like eating small meals, avoiding strong odors, getting enough sleep, & avoiding fatigue. Evidence is insufficient regarding the safety of most of the meds. Many class C antiemetic meds are prescribed during pregnancy when benefits> risks. Meds: multivitamins, Zofran, Phenergan, Reglan, & Meclizine.
� Cirrhosis & Tylenol: up to 2 g/day is safe (up to 4g/day in healthy person). Toxicity is when levels are up to 10-15 g/day. Acetylcysteine is the antidote.
� Cirrhosis & increased Ammonia: Use Lactulose (laxatives, monitor) & Rifaximine (abx). NO need to monitor Ammonia levels & follow up clinical response (up titrate lactulose dose to target 3-4 bowel movements)
� Pulmonary HTN & Remodulin (peripheral prostacyclin vasodilator) infusion pump: do NOT hold because rebound pulm HTN may occur & could be catastrophic.
� Metoprolol & Coreg for A fibTx: both can rate control the heart. Coreg has alpha-1 blocking activity & can cause HoTN (metoprolol causes less HoTN). So choose coreg if you want to control HTN along w/ slowing the rate.�
Most helpful customer reviews
7 of 7 people found the following review helpful.
Highly recommend!
By Adam
I was looking for one thing to read before I start residency but a lot of the materials out there seem like it will take too long to read and may be counterproductive because it gets too detailed--not this book. This book is the perfect balance of information presented in an easily absorbed format. It's like having a refresher on the last 4 years of medical school AND getting a sneak peek of what I am going to see during 3 years of residency. Exactly what I wanted and needed. Highly recommend.
5 of 5 people found the following review helpful.
but is a very nice and easy quick guide to be kept in your ...
By alk984
Finally, a straight forward, concise and user friendly guide for residents. As a recently graduated IM resident, I wish I had this book in my intern year to help guide me. Obviously, it is not meant to be a comprehensive resource, but when you are on the hustle and bustle of the wards (especially before morning report/rounds) this guide really helps with formulating a plan. I stress "helps" because it shouldn't be used as a sole source for decision making, but is a very nice and easy quick guide to be kept in your lab coat. Has all the bread and butter medicine case and then more. Would definitely recommend all med students on IM/FM rotations and IM interns (and even residents) to maintain a copy of this book in their lab coat at all times!! Great job!
4 of 4 people found the following review helpful.
An excellent book to read in the intern year
By feras mohder
An excellent book to read in the intern year. It covered at least 90% of the topics and diseases that mostly you will see during residency. And each topic was written in a way easy to read and digest . you will get an idea about hospital way in managing patients, not the way we learned during study in order to answer exam questions.
Excellent book for excellent author!!
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