Core rotation outpatient Internal Medicine

Unit 1

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Diabetes type I

• Up-to-date: Management of blood glucose in adults with type 1 diabetes mellitus
• Up-to-Date: cases illustrating problems with insulin therapy for type 1 diabetes mellitus

Diabetes type II

• Practical Insulin by ADA (book) (or Read “Insulin therapy in type 2 diabetes mellitus” AND “Management of blood glucose in adults with type 1 diabetes mellitus” from UptoDate)
  Medicine Algorithm by ADA

Diabetes cases to read from UpToDate:

• Up-to-date: Insulin therapy in type 2 diabetes mellitus
• Up-to-Date: Management of blood glucose in adults with type 1 diabetes mellitus
• Up-To-date: Interactive Diabetes case #17 – new diagnosis
• Up-To-date: Interactive Diabetes case #16 – deterioration
• Up-To-date: Interactive diabetes case #2: Switching from oral agents to insulin in type 2 diabetes

Unit 2

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Hypertension

• 2025 guidelines
• 2017 JNC guidelines made simple (PDF link)
• Up-to-Date: treatment of hypertension, older adults, especially isolated systolic, hypertension 

Hyperlipidemia

• Cholesterol guidelines at a glance ATP III
• Management of LDL-C in adults without cardiovascular disease – UpToDate
• Up-to-Date: Management of low-density lipoprotein cholesterol (LDL-C) in the secondary prevention of cardiovascular disease

Unit 3

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COPD and ASTHMA

• GOLD-2019 report (.pdf)
• COPD initial management algorithm
• Asthma management
• Spirometry
• Chest X-rays

NEPHROLOGY

• AKI and CKD in outpatient
• Hyponatremia
• Hypokalemia
• Hypercalcemia

Unit 4

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CARDIOLOGY

• Up-to-Date: Overview of primary prevention of coronary heart disease and stroke
• Up-to-date: Chronic coronary syndrome: Overview of care
• CHF (HFRef and HFpEF) from Up-to-date
• How to read EKGs
• Algorithm for tachycardia
• Algorithm for bradycardia

HEMATOLOGY

• Anemia
• Hemolytic anemia
• Neutropenia
• Lymphoma and leukemia

Unit 5

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Common Infections in Primary Care

• Up-to-date: Evaluation of acute pharyngitis in adults
• Up-to-date: Acute otitis media in adults
• Up-to-date: Uncomplicated acute sinusitis and rhinosinusitis in adults: Treatment
• Up-to-date: Acute sinusitis and rhinosinusitis in adults: Clinical manifestations and diagnosis
• Up-to-date: Acute bronchitis in adults
• Up-to-date: Diagnostic approach to community-acquired pneumonia in adults

Office Orthopedics

• Up-to-date: Physical examination of the shoulder
• Up-to-date: Physical examination of the knee
• Up-to-date: Musculoskeletal examination of the hip and groin
• Low Backache
• Knee injections
• Shoulder injections

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