2018 Internal Medicine Immersive Review Course Print Syllabus and eSyllabus

Please note: The eSyllabus does not contain page numbers.

 Gastroenterology: Page 10, Esophagus — Anatomy > Patient with Ulcerative Esophagitis

Text currently reads:

Patient with Ulcerative Esophagitis

  • Start with PPI daily
  • Rescope to assess healing and exclude Barrett esophagitis
  • If persistent esophagitis: Change PPI to bid
  • Indefinite maintenance treatment — Up to 80% recur off meds

Text should read:

Patient with Ulcerative Esophagitis

  • Start treatment with PPI twice daily
  • Repeat EGD to assess for healing and to exclude Barrett esophagitis
  • Indefinite maintenance treatment — Up to 80% recur off meds

Gastroenterology: Page 13, The Stomach > AR 14B

Text currently reads:

What is the appropriate management?

  1. Keep NPO to allow ulcer to heal
  2. Continue PPI bid for 8 weeks
  3. Continue PPI bid and check for H. pylori
  4. Refer to surgery for management of ulcer

Text should read:

What is the appropriate management?

  1. Keep NPO to allow ulcer to heal.
  2. Continue PPI bid for 8 weeks.
  3. Continue PPI bid, avoid NSAIDs, and check for H. pylori.
  4. Refer to surgery for management of ulcer.

Gastroenterology: Page 56, Liver > AR 78

Text currently reads:

A 25-year-old male with history of IV drug use presents with 2-week history of fatigue, RUQ pain, and yellowing of his eyes. He denies alcohol use.

Lab Studies:

WBC 5.0, Hgb 14, AST 1500, ALT 1634, TB 3.2

RUQ sonogram shows no masses, no gallstones,

Normal-sized CBD

Which of the following serologic pattern would confirm the diagnosis?

  1. HAV IgM+, HAV IgG+
  2. HBcAg IgM+, HBsAg+, HBeAg+
  3. HBcAg IgM+, HBsAg–

Text should read:

Which of the following serologic patterns would confirm the diagnosis?

  1. HAV IgM+, HAV IgG+
  2. HBcAb IgM+, HBsAg+, HBeAg+
  3. HBcAb IgM+, HBsAg–

 Gastroenterology: page 63, Liver > AR 91

Text currently reads:

A 66-year-old female with HCV and alcohol-induced cirrhosis is admitted for confusion. She has a known history of encephalopathy, history of variceal bleeding s/p EGD with banding × 3, and ascites (on diuretic therapy).

Medications at home: nadolol 20 mg daily, spirnolactone 100 mg daily, furosemide 40 mg daily

Vitals signs on admission: HR 88, BP 100/55, T 99.2° F (37.3° C) + asterixis, distended abdomen with fluid wave

Labs: WBC 15, Hgb 10.3, Cr 1.2, plts 55, TB 1.3

Diagnostic paracentesis: Cell count 900, 65% PMNs

Text should read:

A 66-year-old female with HCV and alcohol-induced cirrhosis is admitted for confusion. She has a known history

of encephalopathy, history of variceal bleeding s/p EGD with banding × 3, and ascites (on diuretic therapy).

Medications at home: nadolol 20 mg daily, spironolactone 100 mg daily, furosemide 40 mg daily

Vitals signs on admission: HR 88, BP 100/55, T 99.2° F (37.3° C)

+ asterixis, distended abdomen with fluid wave

Labs: WBC 15, Hgb 10.3, Cr 1.2, plts 55, TB 1.3, albumin 3.4

Diagnostic paracentesis: Cell count 900, 65% PMNs, albumin in ascitic fluid 2.1, total protein in ascitic fluid 2.4