Course Readings

 

The following readings cover many of the symptoms and diseases you will encounter during the outpatient clerkship. The end of clerkship exam will ensure that you have processed this material effectively.

We also suggest using the textbook:  Internal Medicine Essentials for Clerkship Students 2, for general reading.

There are many other topics pertinent to outpatient medicine that are not included in this list. In addition to reading all these articles, you should read broadly about other symptoms and diseases you encounter in clinic. This is the best way to expand your knowledge of internal medicine.

Many of the links below will take you directly to a full text article. Some sites will then allow you to switch to pdf format if you wish. Other links will take you to a PubMed page on the UNC Health Sciences Library site. From there you can link to the full text articles. You will need to enter your Onyen and password if you wish to access the PubMed articles from outside the UNC system. If you do not know your Onyen, you can get help here. Let Carol Carden know if you are having any trouble accessing an article.

 

Study Guidelines for selected topics prior to dayback

Study GUIDE for Diabetes, Hypertension, Hyperlipidemia, Cancer Screening and Medication Interactions

Diabetes

ITC - Diabetes

Diabetes Guidelines

DM Articulate presentation

HTN

Hypertension

Cholesterol

Cholesterol Guidelines

ASCVD Risk Estimator

Med Decisions

Cancer Screening

Breast Cancer - http://www.uspreventiveservicestaskforce.org/uspstf09/breastcancer/brcanrs.htm
Prostate Cancer - http://www.uspreventiveservicestaskforce.org/prostatecancerscreening.htm
Colon Cancer - http://www.uspreventiveservicestaskforce.org/uspstf08/colocancer/colors.htm

Medication Interactions

DO QUESTION #5 FROM THE STUDY GUIDE - highly recommended

Palliative Care

Palliative Care Interactive Module

COPD

ITC - COPD

Osteoporosis

ITC - Osteoporosis

Venous Thromboembolism

Deep Venous Thrombosis, Annals of Internal Medicine, Sept 2, 2008

All of the above articles should be read before the dayback as you have an exam on them.

 

Atrial Fibrillation

ITC- Atrial Fibrillation

Thyroid Disease

ITC - Hypothyroidism

Depression

ITC - Depression

Pneumonia

ITC - Pneumonia

Anemia

Iron Deficiency Anemia

Anemia of Chronic Disease NEJM 2005; 352; 1011-23.

Osteoarthritis

ITC - Osteoarthritis

Tuberculosis

ITC - Tuberculosis

Headache

ITC - Migraine

Back Pain

ITC - Back Pain

Liver Disease

Pratt DS, Kaplan MM. Evaluation of Abnormal Liver-enzyme Results in Asymptomatic Patients. NEJM. 2000 Apr 27;342(17):1266-71.

Trowbridge RL, Rutkowski NK, Shonjania. Does the Patient have Acute Cholecystitis? JAMA. 2003;289:80-6.

Tobacco Abuse

ITC - Tobacco Use

Renal Failure

Singri N, Ahya SN, Levin ML. Acute Renal Failure. JAMA. 2003;289:747-51.

Chronic Kidney Disease

Learn to look at all different urine sediments

Nephrolithiasis

ITC - Nephrolithiasis

URI

Acute Sinusitis. Annal of Internal Medicine

GERD

ITC - GERD

Dysuria

Clinical Practice: Acute Uncomplicated urinary tract infection in Women. NEJM. 2003; 349: 259-66.

Does this Woman have an acute uncomplicated urinary tract infection? JAMA 2002; 287: 2701-10.

Chest Pain

Rational Clinical Exam: Is this Patient having a myocardial infarction?

Cough

Diagnosis and treatment of cough. NEJM: http://content.nejm.org/cgi/reprint/343/23/1715.pdf

Vaginitis

ITC - Vaginitis

Obesity

ITC - Obesity

 

Optional Readings:


How to read a Chest X-ray
This is an awesome reference; interactive.

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