Internal Medicine Archives - Page 10 of 12

A Definitive Acid-Base Disorders Worksheet

3 May, 201728 August, 2012 by Mark Yoffe, MD

This Acid-Base Disorders Worksheet is one of the best acid-base algorithms I have ever seen. It is an adaptation from Joshua Steinberg MD, sent to me today by Dr. Dontu, academic hospitalist at York Hospital, York PA.

Book Review: Instant Workups, A Clinical Guide to Medicine

4 October, 201414 August, 2012 by Mark Yoffe, MD

Learners, particularly medical students and junior residents, sometimes have difficulty translating disease-based knowledge of pathology, pathophysiology and laboratory medicine to complaint-based real world medicine. They might know, for example, what “classic” acute heart failure is supposed to look like, but they might have some trouble wrapping their minds around the question of how to approach a patient who comes with … Read more

Iatrogenically-Mediated Glucocorticoid Deficiency

17 August, 201524 May, 2012 by Mark Yoffe, MD

Iatrogenically-mediated glucocorticoid deficiency Iatrogenically-mediated glucocorticoid deficiency is a condition that occurs when prescribed glucocorticoids are abruptly withdrawn. Signs and symptoms include weakness, nausea, vomiting and hypotension. Secondary adrenal failure is an inferior and confusing term for what should be more appropriate termed iatrogenically-mediated glucocorticoid deficiency, Secondary adrenal failure incorrectly implies that all of the hormones made by the adrenal gland, including mineralocorticoids and adrenal … Read more

Multiple Endocrine Neoplasia (MEN) Syndromes – Mnemonic

16 July, 202623 May, 2012 by Mark Yoffe, MD

Multiple endocrine neoplasia (MEN) syndromes comprise MEN1, MEN2A, and MEN2B. MEN1 features pituitary adenomas, parathyroid hyperplasia, and pancreatic tumors. MEN2A involves calcitonin, calcium, and catecholamines leading to hypercalcemia and hypertension. MEN2B is characterized by a marfanoid habitus and mucosal neuromas. Each syndrome presents distinct clinical features.

Examination of the lymph nodes by Dr. Saul Rosenberg

7 September, 201422 May, 2012 by Mark Yoffe, MD

This demonstration of the examination of the lymph nodes by Dr. Saul A. Rosenberg, Professor of Medicine (Emeritus) at Stanford University School of Medicine and a lymphoma specialist, is outstanding. Hat tip: Stanford 25. Lymph node exam 1 from Blake Charlton on Vimeo. Lymph Node Exam #2 from Blake Charlton on Vimeo. Lymph Node Exam #3 from … Read more

Physical Examination of the Spine and Extremities by Stanley Hoppenfeld

30 July, 201517 May, 2012 by Mark Yoffe, MD

There are very few medical books in existence about which one can be tempted to declare, “I doubt whether in my lifetime there will ever be another book about this topic that is as good as this one.” In fact, I know only one medical book about which a statements like this might be said … Read more

Back Pain: a “Worst First” Approach

17 July, 201516 May, 2012 by Mark Yoffe, MD

When it comes to back pain, think of the worst, i.e. the most dangerous ones, first. That way you won’t miss anything critical, either in real life or on the Boards. Cardiovascular Upper back pain: consider acute coronary syndrome or thoracic aortic dissection Lower back pain: consider abdominal aortic aneurism or rupture (older smoker) and retroperitoneal hematoma. … Read more