UGME Internal Medicine Core Knowledge Notes Rev BF June 2004
Cardiology
Dermatology
Endocrinology
Gastroenterology
General Internal Medicine
Geriatrics
Hematology
Infectious Diseases
Nephrology William Osler writing Principles and Practice of Medicine ca 1896 Neurology
Oncology and Palliative Care
Pharmacology and Toxicology
Pulmonary Medicine
Rheumatology
This collection of notes addresses some of the topics listed in the Internal Medicine Core knowledge and Clinical Skills Outline, and is an attempt to provide clinical perspective as well as pearls and pitfalls. It is NOT an exhaustive collection of core information. It is an ongoing initiative, and will be expanded, updated and revised over time. Like any information source, it will benefit from feedback and contributions by its users.
The outline is based on core knowledge and skills objectives identified by the Medical Council of Canada and as well as by Internists and Family Physicians in Region 10. The clinical practice guideline summaries have been provided by permission from the Alberta Medical Association Clinical Practice Guidelines Program. Cardiology Core Knowledge Revised June 04
Acute coronary syndromes Etiology Stable and unstable angina Basic management
Diagnosis and Management of Acute Myocardial Infarction
Cardiovascular Risk Reduction
Congestive Heart Failure and pulmonary edema Diagnosis and clinical presentation of right, left or bi-ventricular failure Differential diagnosis of pulmonary edema and shortness of breath Etiology and precipitating causes (determining etiology for more rational and effective management) Therapy and Prevention: drugs prolonging survival Prognosis Laboratory utilization: Chest X-ray, Echocardiography
Approach to Leg Edema Etiology/differential diagnoses List and interpret basic investigations
Heart sounds Murmurs and Valvular Heart Disease Clinical presentation and cardinal physical findings
Palpitations and arrhythmias Distinguish / benign palpitations and those associated with disease Atrial fibrillation: Clinical presentation, ECG recognition, stroke and embolic risk, Therapy Prevention and Harm Other complications (worsening heart failure) Stroke prophylaxis; Coumadin versus ASA
Clinical Skills (see Clinical Skills Section)