Cardiology
- ACLS: Cardiac Arrest & TTM cpr code blue asystole pea vfib vtach rosc defibrillate defibrillators shockable epinephrine airway reversible causes thrombolysis tPA hypothermia
- ACLS: Bradycardia code sinus heart av nodal blockers defibrillator pacing temp wire transcutaneous pacemaker atropine
- ACLS: Tachycardia code vtach svt ventricular monomorphic polymorphic DCCV cardiovert cardioversion unsynchronized
- ACLS: Defibrillation, Cardioversion, Pacing code cardiovert vfib vtach sinus unstable bradycardia defibrillator Zoll R pad placement pulseless unstable SVT pacing pacer
- EKG Interpretation ecg rate rhythm axis QRS irregular bundle branch blocks sokolow-lyon ischemia ST changes elevation depression sgarbossa wellens syndrome brugada LVH LBBB RBBB takotsubo cardiomyopathy printzmetal angina vasospasm J-point elevation osborn epsilon
- Narrow Complex Tachycardia mat psvt svt avrt avnrt ventricular junctional atrial sinus multifocal fibrillation flutter atrioventricular nodal re-entrant reentrant short long RP
- Wide Complex Tachycardia vtach nsvt ventricular aberrant conduction indeterminate axis AV dissociation concordance fusion beat capture beat brugada criteria monomorphic polymorphic torsades amiodarone magnesium mg lidocaine incessant storm
- Atrial Fibrillation & Flutter AFib Aflutter paroxysmal ziopatch holter DCCV cardioversion cardiovert anticoagulation warfarin DOAC NOAC amiodarone metoprolol beta blocker AV nodal ablation catheter chads2-vasc cha2ds2 has-bled apixaban rivaroxaban xarelto eliquis coumadin watchman reentrant
- QTc Prolongation prolonged
- Chest Pain acs stemi nstemi angina infarction troponin hstnt p2y12 aspirin clopidogrel ticagrelor prasugrel cangrelor
- Acute Coronary Syndrome acs pci cath lab nstemi unstable angina chest pain hsTNT troponin p2y12 switching bridging cabg st elevation depression ischemic ischemia biomarker myocardial infarction revascularization nitrates nitroglycerin heparin drip heart attack
- MI Complications myocardial infarction heart attack nstemi
- Cardiac Catheterization coronary lca rca pda lad des lcx
- Non-Invasive Cardiac Testing TTE stress treadmill spect pet cmri ccta coronary
- Echocardiography TTE parasternal apicalcardiac ultrasound
- Inpatient Heart Failure chf hfpef hfref cardiogenic shock cardiomyopathy
- Right Ventricular Failure sided RV death spiral heart
- Mechanical Circulatory Support & Transplant mcs iabp impella va-ecmo lvad heartmate heartware transplant
- Pulmonary Artery Catheterization right sided cardiac cvp pcwp pa line shock cordis
- Cardiac Devices: PPM, ICD, & CRT crt-p naspe pacemaker mode av block bradycardia
- Valvular Heart Disease as ar ai ms mr tr aortic mitral tricuspid stenosis regurgitation insufficiency valve replacement
- Pericardial Disease tamponade pericarditis pulsus paradoxus cvp pericardiocentesis colchicine
- Aortic Disease aaa taa aas abdominal thoracic dissection aneurysm ulcer imh pau debakey stanford
- Syncope reflex faint sfsr vasovagal orthostatic orthostasis cardiogenic
- Hypertensive Urgency & Emergency captopril labetalol hydralazine nitropaste nitroglycerin clevidipine
- Peripheral Artery Disease claudication abi acute limb ischemia ali viability pulseless
- Cardio-Oncology chemotherapy doxorubicin anthracycline myocarditis cardiotoxicity
- Outpatient CV Health HTN hypertension HLD hyperlipidemia aspirin statin primary care exercise diet cholesterol lipid obesity bmi
- Anti-Arrhythmic Medications anti-arrhythmic antiarrhythmic diuretic arrest chronotrope emergency
- Physical Exam and Telemetry Physical Exam Telemetry
Pulmonology & Critical Care
- Respiratory Distress dyspnea tachypnea cyanosis ricu stridor oxygen nrb nippv bipap intubation rapid
- Hypoxemia & Hypercarbia respiratory failure hypoventilation vq mismatch shunt dead space apnea a-a gradient pf p:f ratio pao2 pco2 fio2 diffusion
- Noninvasive Oxygenation & Ventilation oxygen nasal cannula nc oxymizer facemask venturi shovel non-rebreather nrb hfnc high flow high-flow spo2 cpap bipap nippv niv
- Mechanical Ventilation intubation ricu ample oxygentation fio2 rr VT tidal ac vc pc psv driving pressure assist volume auto-peep vili barotrauma volutrauma pip pplat remix extubation rsbi sat sbt
- Sedation abcde agitation sat sbt delirium rass opioids benzodiazepines fentanyl propofol precedexmedetomidine ketamine lorazepam midazolam versed ativan seroquel quetiapine haldol haloperidol
- ARDS P:F pf peep nippv hfnc ecmo low tidal volume ventilation ltvv vt pplat peep dyssynchrony atelectrauma 6p paralysis epoprostenol velitri prone perfusion
- ECMO va vv venoarterial venovenous harlequin cardiogenic shock ecpr
- Asthma and PFTsspirometry pef fev1 fvc egpa abpa mastocytosis intermittent mild persistent moderate severe omalizumab ics laba laba leukotriene lta theomphylline cromolyn dupilumab mepolimumab reslilimumab benralizumab tezepelumab albuterol duoneb prednisone mg magnesium bipap saba sama atrovent flovent advair symbicort ipratropium spo2 target nippv bipap
- COPD copd spirometry fev1 gold mMRC laba lama ics PDE4i azithro theophylline inhaler nippv albuterol ipratropium almeterol formoterol budesonide anoro ellipta spo2 smoking smoker
- Bronchiectasis & Hemoptysis cftr cystic fibrosis physiotherapy chest pt acapella pseudomonas lung ca massive asphyxiation ricu thoracic surgery
- Interstitial Lung Disease ipf cop anci aip mctd hypersensitivity pneumoconiosis amiodarone nivolumab pembrolizumab ipilimumab velcro crackles pft spirometry restrictive uip nsip pirfenidone nintedanib steroids
- VTE Diagnostics DVT PE venous thromboembolism pulmonary lmwh wells criteria perc pe-ct leni vq scan submassive non-massive
- VTE Management DVT PE venous thromboembolism pulmonary thrombolysis tpa pert iliofemoral distal unprovoked xarelto apixaban eliquis rivaroxaban edoxaban dabigatran lmwh lovenox alteplase cdt ivc filter
- Pulmonary Hypertension mpap pa pressure pvr ph pcwp portopulmonary cteph endothelin bosentan ambridsentan ino pde5 riociguat epoprostenol velitri selexipag treprostinil tadalafil sildenafil
- Shock hypoxia hypotension map type b lactic acidosis lactate distributive hypovolemic cardiogenic obstructive sepsis sirs hemorrhagic bleed fluids warm cold wet dry tamponade ptx pe anaphylaxis stemi pert iabp impella va-ecmo
- Sepsis lactate shock septic sirs qsofa broad-spectrum antibiotics empiric gnr clindamycin cvp cvo2 uop lactic acidosis vasopressors norephinephrine levophed crbsi clabsi cvvh steroids esmolol
- Vasopressors norepinephrine levophed dopamine epinephrine dobutamine milrinone phenylephrine neosynephrine vasopressin methylene blue dobutamine dobutrex primacor isoproterenol isuprel shock vasoconstriction inotrophy chronotropy hypotension
- Toxicology acetaminophen salicylates opioids benzodiazepines anticholinergics atropine ccb calcium channel beta blocker digoxin tca lithium serotonin syndrome antidepressant ssri neuroleptic malignant syndrome nms etoh alcohol antifreeze ethylene glycol methanol windshield moonshine cocaine sympathomimetics amphetamines meth mdma cathinones bath salts carbon monoxide cholinergics organophosphates carbamate insecticide nicotine cyanide ghb cannabis spice k2 cannabinoid hagma anion gap osmolol gap activated charcoal dialyzable toxins quinine phenobarbital barbiturate INH isoniazid methotrexate alkalinization toxicity
- Interpretation of Chest Imaging chest CT CXR xray HRCT UIP NSIP honeycombing GGO PTX phtn imaging mediastinum rotation penetration fibrosis bronchiectasis
- Lung Transplant OLT lung transplant rejection acute cellular rejection ACR antibody-mediated rejection AMR chronic lung allograft dysfunction CLAD bronchiolitis obliterans BOS restrictive allograft syndrome RAS COPD ILD IPF
Gastroenterology
- Upper GI Bleeding UGIB EGD endoscopy hemorrhagic shock ulcer varices pud esophagitis gastritis dieulafoy avm mallory-weiss boerhaave aims65 ligament of treitz octreotide iv ppi h pylori
- Lower GI Bleeding LGIB diverticulosis colitis hemorrhoid polyp colorectal ibd hematochezia colonoscopy cscope lower endoscopy noblads angioectasia diverticular tagged rbc video capsule push enteroscopy cta ir angiography
- Abdominal pain
- GERD & Peptic Ulcer Disease heartburn dysphagia odynophagia reflux barretts esophagus esophageal stricture ppi h2ra omeprazole protonix ranitidine famotidine pepcid maalox pud duodenal h. pylori egd gastrin quadruple therapy amoxicillin clarithromycin
- Nausea & Vomitingvestibular vertigo motility scopalamine phrochlorperazine compazine ondansetron zofran aloxi palonosetron metoclopramide reglan haldol haloperidol dexamethasone decadron lorazepam ativan aprepitant emend dronabinol marinol cannabis hyperemesis
- Diarrhea norovirus clostridium difficile cmv ehec hus stool studies osmotic gap laxative steatorrhea tenesmus secretory functional malabsorption maldigestive malabsorptive celic iga anti-ttg hla-dq2 endomysial gluten elastase fecal fat
- Constipation, IBS, & Colonic Disorders slow transit ileus ibs ibs-d functional Rome IV ibs-c obstruction dre fobt anorectal manometry defecography transit sitz bath fiber laxatives PEG colace miralax senna lactulose mag citrate milk of magnesia mom bisacodyl dulcolax enema disimpaction diverticulosis colonoscopy cscope nulytely diverticulitis LLQ metamucil psyllium
- Motility Disorders oropharyngeal esophageal dysphagia esophagitis regurgitation stricture gastroparesis succussion splash gastric emptying ileus pseudo-obstruction ogilvie dilatation dilated loops functional ibs cannabis hyperemesis sphincter oddi cyclical vomiting functional dyspepsia irritable bowel
- Inflammatory Bowel Disease IBD crohn's crohns disease ulcerative colitis uc cd granulonas skip lesions rectum toxic megacolon fecal true-love witts montreal sulfasalazine mesalamine lialda tpmt azathioprine infliximab remicade adalimumab humira stelar uztekinumab entyvio vedolizumab xeljanz tofacitinib cyclosporine
- Intestinal Ischemia (2020) cramping pain hematochezia sma ima mesenteric acute colitis ischemic embolic splanchnic chronic
- Intestinal Disorders intestinal ischemia embolic splanchnic chronic mesenteric sma ima ileus obstruction ogilvie cramping pain
- Nutrition & Feeding malnutrition albumin oral enteral parenteral TPN PPN bariatric rygb dumping syndrome refeeding osmolite jevity nepro beneprotein ensure glucerna
- Weight & Weight Loss obesity metabolic syndrome bypass
- Pancreatitis gallstone alcohol etoh hyperTG hypertriglyceridemia ercp lipase alt igg4 gemfibrozil pseudocyst pancreatic necrosectomy creon bisap sirs mass ipmn mucinous
- Liver Chemistry Tests AST ALT hepatocellular cholestatic infiltrative alkphos alkaline phosphatase R ratio tbili dbili bilirubinemia direct indirect ischemia dili autoimmune hepatitis aih cirrhosis bile duct ggt fractionated alk-p
- Biliary Disease bile duct common hepatic cholelithiasis cholecystitis choledocholithiasis cholangitis gallstone gallbladder pancreatitis ileus fistula PBC PSC AMA MRI MRCP EUS ERCP ANCA IBD cholangiocarcinoma ursodiol cholestyramine choliangiopathy porcelain jaundice liver fluke
- Acute Liver Injury & Failure ALF ALI ascites king's college criteria hepatic encephalopathy coagulopathy LFT CMP hepatitis autoimmune AIH drug induced DILI acetaminophen viral HAV HBV HCV HDV HEV HSV EBV CMV VZV ASMA LKM-1 ANA budd-chiari Wilson's ceruloplasmin HELLP HLH biopsy transplant NAC n-acetylcysteine lactulose rifaxamin APAP AFLP alcoholic etoh
- Non-Alcoholic Fatty Liver Disease NAFLD Nonalcoholic Steatohepatitis NASH steatosis steatohepatitis steatofibrosis fibroscan vitamin e metabolic syndrome
- Viral Hepatitis HAV HBV HCV HDV HEV virus serology antibody antigen jaundice fever malaise HBsAG anti-HBS anti-HBc core surface seromarkers load VL
- Alcohol Related Liver Disease EtOH alcoholic hepatitis cirrhosis steatosis steatohepatitis steatofibrosis hepatomegaly encephalopathy maddrey's discriminant MDF MELD abstinence naltrexone pentoxifylline transplant
- End Stage Liver Disease cirrhosis ESLD VIBES ascites paracentesis SAAG SBP spontaneous bacterial peritonitis variceal bleeding UGIB hepatic encephalopathy hepatorenal HRS hepatocellular carcinoma HCC hydrothorax hepatopulmonary portopulmonary hypertension albumin
- Hepatorenal Syndrome AKI cirrhosis HRS MAP-directed octreotide midodrine norephinephrine vasopressin albumin
- Liver Transplant Evaluation MELD-Na king's kings college Milan criteria NASH hepatopulmonary portopulmonary hepatology hepatologist surgery LDLT
Nephrology
- Acute Kidney Injury aki creatinine egfr crcl UOP BUN urinalysis urine electrolytes chemistry fena feurea osmolarity osmolality proteinuria muddy brown casts red cell white eosinophiluria AIN renal US sediment ATN crystal microvascular glomerular tubulo-interstitial prerenal postrenal pre-renal post-renal
- Glomerular Disease nephrotic nephritic glomerulonephritis gn fsgs hematuria proteinuria minimal change membranous amyloidosis rpgn psgn c3gn mpgn iga nephropathy sle cryoglobulinemia hsp egpa churg-strauss wegener vasculitis gbm
- Chronic Kidney Disease crcl egfr kdigo microalbuminuria cockcroft-gault MDRD hyperparathyroidism uremia
- Dialysis and Transplant renal replacement therapy ultrafiltration hemodiafiltration aeiou ihd pd hemodialysis peritoneal crrt continuous cvvh avvh cvvhd cvvhdf scuf transplant
- Advanced Diuresis diuretics lasix thiazide chlorthalidone HCTZ furosemide torsemide loop metolazone bumex bumetanide fena acetazolamide spironolactone cirrhosis nephrotic syndrome CHF
- Acid-Base Disorders metabolic respiratory acidosis alkalosis rta proximal distal winters delta mixed acidemia alkalemia goldmark mudpiles
- Sodium Disorders hypotonic isotonic hypertonic siadh polydipsia hyponatremia hypernatremia fena feurea
- Potassium Disorders hyperkalemia hypokalemia muscle cramps paralysis conduction delays
- Magnesium & Phosphorus Disorders hypomagnesemia hypermagnesemia hypophosphatemia hyperphosphatemia mgso4 sulfate rickets osteomalacia fanconia
- IV Fluids & Electrolyte Repletion crystalloid colloid lactated ringers normal saline LR NS D5W dextrose plasmalyte water maintenance bolus albumin potassium magnesium phosphorus calcium kdur neutraphos kphos
- Urinalysis dipstick sediment microscopy nitrite leukocyte esterase le ketones casts muddy brown red white cell crystals phase contrast dysmorphic hyaline granular oval fat WBC RBC oxalate calcium proteinuria waxy eosinophiluria specific gravity
- The Nephron glomerulus afferent efferent arteriole ultrafiltrate proximal convoluted tubule PCT DCT distal thick ascending limb TAL principle cell alpha intercalated aldosterone spironolactone RTA AKI tubular osmotic gradient
Infectious Disease
- Empiric Antibiotics meningitis cap hap vap pneumonia endocarditis cholecystitis intra-abdominal infection sbp uti cauti osteomyelitis septic arthritis ssti cellulitis septic shock sepsis
- Gram Stain Interpretation gram positive negative acid fast fungi
- Multi-Drug Resistant Organisms mdro esbl ampc spice mispacem cre mrsa vrsa visa vre enterococcus
- Community Acquired Pneumonia cap curb-65 psi procalcitonin
- HAP/VAP & Aspiration Pneumonia hap pneumonitis ventilator
- Viral Respiratory Infections url lrti influenza rsv adenovirus
- Covid-19 covid tocilizumab dexamethasone remdesivir ARDS
- Head & Neck Infections ludwig lemierre retropharyngeal abscess carotid sheath
- Urinary Tract Infections dysuria cystitis uti cauti asymptomatic bacteruria
- Skin & Soft Tissue Infections cellulitis abscess necrotizing fasciitis diabetic foot ulcer
- Osteomyelitis bone biopsy
- Bloodstream Infections & Endocarditis endocarditis pneumonia uti osteomyelitis meningitis bacteremia blood culture PVE NVE native valve prosthetic aortic mitral pulmonary tricuspid vegetation tte tee
- Meningitis & Encephalitis kernig brudzinski csf lp lumbar puncture
- C. Difficile Infection cdiff clostridium colitis toxic megacolon toxin pcr fidaxomicin
- Invasive Fungal Infections fluconazole amphotericin echinocandin micafungin caspofungin galactomannan beta D glucan 1,3-BDG blastomycosis histoplasma cryptococcus candida pneumocystis pcp pjp aspergillus mucor rhizopus coccidioides
- Tuberculosis MTB latent RIPE rifampin isoniazid INH Tspot quantiferon gold
- HIV/AIDS & Opportunistic Infections CD4 PREP NPEP truvada STI ARV HAART IRIS MAC pneumocystis jirovecii PCP PJP toxoplasma HSV CMV PML cryptococcus candidiasis thrush
- Transplant ID stem cell HSCT solid organ candida PCP PJP CMV BKV virus strongyloides
- Sexually Transmitted Infections STI STD syphilis HSV herpes chlamydia gonorrhea trichomoniasis
- Travel Medicine malaria atovaquone diarrhea yellow fever rabies cholera vaccines
- Mpox monkeypox STI orthopoxvirus
- Ectoparasites scabies lice bedbugs
- Tick-Borne Diseases Lyme anaplasmosis ehrlichiosis babesiosis borrelia powassan RMSF rocky mountain spotted fever ixodes borrelia burgdorferi
- Fever of Unknown Origin FUO ESR CRP central drug cancer infection
- Rare Diseases malaria mosquito arbovirus dengue chikungunya zika west nile WNV leishmaniasis coxiella bartonella brucella leptospirosis q fever tularemia rickettsia murine scrub typhus helminth schistosomiasis trichinellosis strongyloidiasis typhoid meliodosis hantavirus toxoplasmosis
- Infectious Precautions hand hygiene cough gown contact plus droplet airborne N95 TB influenza
- Antimicrobial Dosing vancomycin
- MGB Antimicrobial Dosing Guidelines vancomycin
- MGH Antibiogram antibiogram antibiotics antimicrobial cost empiric resistance susceptibility AST MIC
Hematology
- Anemia & Pancytopenia CBC MCV reticulocytes retics special slide index ferritin TIBC B12 folate LDH haptoglobin DAT coombs coags iron deficiency inflammation AOCD AIHA thalassemia sideroblastic macrocytic microcytic normocytic underproduction destruction loss MAHA schistocytes spherocytosis warm cold lead copper sickle PNH peripheral target cell teardrop heinz howell-jolly bodies acanthocytes echinocytes HbS Hbg HbC HbF acute chest cell hydroxyurea pancytopenia
- Blood Smear Interpretation CBC MCV reticulocytes retics special slide index ferritin TIBC B12 folate LDH haptoglobin DAT coombs coags iron deficiency inflammation AOCD AIHA thalassemia sideroblastic macrocytic microcytic normocytic underproduction destruction loss MAHA schistocytes spherocytosis warm cold lead copper sickle PNH peripheral target cell teardrop heinz howell-jolly bodies acanthocytes echinocytes HbS Hbg HbC HbF acute chest cell hydroxyurea pancytopenia
- Thrombocytopenia ITP HIT TMA hemolysis schistocytes pseudo-thrombocytopenia anti-PF4 heparin-induced fondaparinux argatroban bivalirudin TTP HUS thrombocytopenic thrombotic purpura hemolytic uremic syndrome MAHA antiphospholipid syndrome APLAS HELLP DIC disseminated intravascular coagulation fibrinogen D-dimer cryo FFP O157:H7 E coli Shigella Nplate danazol Kasabach-mErritt Bernard Soulier
- Eosinophilia hypereosinophilia HES helminth protozoal strongyloides toxocariasis schistosomiasis ascaris filariasis trichinellosis ABPA aspergillus coccidio isospora HIV HTLV PDGFRA mastocytosis EGPA PAN IgG4 DRESS ABPA Hyper-IgE AIN Gleich tryptase eosinophilic endomyocarditis coronary arteritis pneumonia allergic bronchopulmonary aspergillosis EoE esophagitis EGE gastroenteritis myelodysplastic hypereosinophilic primary lymphocytic idiopathic imatinib
- Coagulation Disorders hemostasis VWD von willebrand DIC cirrhosis mixing study clotting factor deficiency inhibitor heparin aPTT PT-INR vitamin K factor VII XIII VIII XI Ashkenazi IX hemophilia warfarin-induced coumadin VTE unprovoked paget-schroetter may-thurner surgery immobility OCP antiphospholipid syndrome APLAS MPN PNH DOAC VKA LMWH lovenox Factor V leiden protein C S antithrombin III prothrombin G20210A APC resistance Sapporo skin necrosis dysfibrinogenemia
- Anticoagulation Agents heparin UFH VTE PPX ACS prophylaxis LMWH lovenox warfarin protamine sulfate acute enoxparin antithrombin III Xa IIa GFR fondaparinux arixtra aPTT anti-Xa activity argatroban HIT dabigatran idarucizumab CHA2DS2-VASC CHADS-VASC CHADS2 CVA TIA bridge factor V leiden nonvalvular atrial fibrillation AFib antiphospholipid syndrome APLAS VKA DOAC NOAC warfarin coumadin vitamin K INR Kcentra reversal dabigatran pradaxa direct thrombin inhibitor DTI non-valvular atrial fibrillation Afib VTE PPX idarucizumab edoxaban rivaroxaban xarelto apixaban eliquis savaysa lixiana bridging heparin malignancy obesity recurrent mechanical valve
- Anticoagulation Management heparin UFH VTE PPX ACS prophylaxis LMWH lovenox warfarin protamine sulfate acute enoxparin antithrombin III Xa IIa GFR fondaparinux arixtra aPTT anti-Xa activity argatroban HIT dabigatran idarucizumab CHA2DS2-VASC CHADS-VASC CHADS2 CVA TIA bridge factor V leiden nonvalvular atrial fibrillation AFib antiphospholipid syndrome APLAS VKA DOAC NOAC reversal warfarin coumadin vitamin K INR Kcentra dabigatran pradaxa direct thrombin inhibitor DTI non-valvular atrial fibrillation Afib VTE PPX idarucizumab edoxaban rivaroxaban xarelto apixaban eliquis savaysa lixiana bridging bridge heparin UFH LMWH lovenox malignancy obesity recurrent mechanical valve
- Transfusion Medicine ABO typing D antigen A/B Rh(D) anti-D antibody screening crossmatching type and screen T&S T&C apheresis plasmapheresis PLEX plasma exchange cytapheresis DAT coomb's coombs direct antiglobulin test HIT ITP TTP pRBC Hgb leukocyte reduction irradiation saline-washing AIHA MDS sickle cell platelets unit FFP fresh frozen plasma INR VKA coumadin warfarin cryoprecipitate fibrinogen VWF von willebrand antifibrinolytic Amicar aminocaproic acid tranexamic TXA albumin IVIG massive CCH alloimmune refractoriness jehovah's witnesses
- Transfusion Reactions AHTR acute fever febrile non-hemolytic sepsis urticaria hives anaphylactic anaphylactoid TRALI acute lung injury TACO post-transfusion-related transfusion-associated circulatory overload IVIG ABO kidd RH Kell Duffy DHTR delayed TA-GVHD graft vs host purpura HPA-1A
- Sickle Cell Disease sickle cell allele trait anemia disease SCT SCA SCD VOE acute pain episodes acute chest syndrome ACS Ellucid
Oncology
- Acute Leukemia peripheral smear auer rods FLT3 fish TLS peripheral flow cytometry HLA PRA induction complete remission consolidation surveillance myelogenous acute cutis sweet leukostasis t-AML s-AML cytogenetics 7+3 HiDAC AraC allo-HSCT APL promyelocytic APML ALL ATRA lymphocytic blinatumomab CAR-T
- Lymphoma LAD lymphadenopathy non-hodgkins disease reed-sternberg DLBCL follicular SLL CLL mantle MALT splenic MZL adult burkitt double-hit t(14:18) BCL2 t(11:14) cyclin D1 EBV cMYC HIV t(8:14) R-CHOP CAR-T ABVD BEACOPP BR CALGB CODOX-M IVAC CVP EPOCH hyperCVAD FCR
- Plasma Cell Disorders SPEP m-protein immunofixation sFLC serum free light chain kappa lambda ratio bence jones monoclonal polyclonal UPEP MGUS MM plasmacytoma CRAB waldenstrom's macroglobulinemia AL amyloidosis POEMS syndrome multiple meloma PET-CT R-ISS staging
- MDS & MPN myelodysplastic syndrome myeloproliferative neoplasms pseudo-pelger-huet ovalomacrocytosis benzene Down li-fraumeni diamond-blackfan polycythemia vera PV primary myelofibrosis MF essential thrombocythemia CML chronic myelogenous leukemia BCR-ABL imatinib JAK2 hairy cell myelomonocytic CMML mastocytosis hypereosinophilic HLH hemophagocytic lymphohistiocytosis
- Hematopoietic Cell Transplantation PBSCT HSCT stem autologous allogeneic GVT graft versus vs tumor lymphoma myeloma AML ALL MDS CML SCID aplastic anemia umbilical cord blood MRD matched unrelated donor MUD haploidentical myeloablative conditioning reduced intensity RIC GVHD mucositis SOS VOD DAH engraftment syndrome TRALI typhlitis
- CAR T-Cell Therapy CAR-T chimeric antigen receptor T cells CARs yescarta kymriah anti-CD19 CRS cytokine release syndrome tocilizumab CRES CARTOX-10 HLH MAS hemophagocytic lymphohystiocytosis
- Solid Organ Malignancies prostate cancer breast pancreas colon rectum adenocarcinoma transitional cell carcinosarcoma basal cell lymphoma stroma PSA gleason infiltrating ductal lobular ductal invasive mucinous tubular leuprolide HER2 BRCA exocrine FOLFIRINOX neuroendocrine FOLFOX CAPEOX FOLFIRI FOLFOXIRI KRAS NRAS MSI-H dMMR MSCLC SCC SCLC melanoma lung lentigo maligna acral lentigous BRAF MEK
- Chemotherapy & Toxicities 5-fluorouracil capecitabine cytarabine HiDAC gemcitabine mercaptopurine fludarabine hydroxyurea methotrexate pemetrexed busulfan ifosfamide melphalan carmustine cyclophosphamide dacarbazine cisplatin carboplatin oxaliplatin bleomycin mitomycin tamoxifene raloxifene anastrozole letrozole exemestane fulvestrant megestrol leuprolide goserelin flutamide nilutamide bicaludamide anthracyclines daunorubicin epirubicin doxorubicin mitoxantrone ironotecan topotecan etoposide paclitaxel docetaxel vinblastine vincristine trastazumab pertuzumab rituximab bevacizumab cetuximab panitumumab aldesleukin denileukin thalidomide IFN-alpha ATRA arsenic azacytidine decitabine imatinib dasatinib nilotinib gefitinib erlotinib crizotinib vemurafenib cobimetinib dabrafenib trametinib encorafenib binimetinib lapatinib neratinib sorafenib sunitinib bortezomib cabozantinib olaparib rucaparib niraparib palbociclib ribociclib abemaciclib anti-folate alkylating agent topoisomerase mitotic inhibitor immunomodulators immunotherapy tyrosine kinase PARP CDK4,6
- Inpatient Chemotherapy 5-fluorouracil capecitabine cytarabine HiDAC gemcitabine mercaptopurine fludarabine hydroxyurea methotrexate pemetrexed busulfan ifosfamide melphalan carmustine cyclophosphamide dacarbazine cisplatin carboplatin oxaliplatin bleomycin mitomycin tamoxifene raloxifene anastrozole letrozole exemestane fulvestrant megestrol leuprolide goserelin flutamide nilutamide bicaludamide anthracyclines daunorubicin epirubicin doxorubicin mitoxantrone ironotecan topotecan etoposide paclitaxel docetaxel vinblastine vincristine trastazumab pertuzumab rituximab bevacizumab cetuximab panitumumab aldesleukin denileukin thalidomide IFN-alpha ATRA arsenic azacytidine decitabine imatinib dasatinib nilotinib gefitinib erlotinib crizotinib vemurafenib cobimetinib dabrafenib trametinib encorafenib binimetinib lapatinib neratinib sorafenib sunitinib bortezomib cabozantinib olaparib rucaparib niraparib palbociclib ribociclib abemaciclib anti-folate alkylating agent topoisomerase mitotic inhibitor immunomodulators immunotherapy tyrosine kinase PARP CDK4,6
- Immune Checkpoint Inhibitors ICI PD-1 CTLA-4 CTLA4 PD1 PD-L1 PDL1 ipilimumab nivolumab pembrolizumab atezolizumab durvalumab avelumab melanoma NSCLC RCC urothelial gastric HCC irAEs immunotherapy skin hypophysitis toxicity colitis pneumonitis myocarditis hepatitis
- Oncologic Emergencies tumor lysis syndrome TLS uric acid ALL AML CML burkitt NHL DLBCL cairo-bishop criteria rasburicase allopurinol hyperviscosity leukostasis metastatic epidural spinal cord compression spine MRI brain mets metastases ICP increased intracranial tumor dexamethasone SVC
- Febrile Neutropenia ANC neutrophil PMN sepsis translocation GNR MASCC risk index cefepime vancomycin NCCN guidelines CLABSI CRBSI prophylaxis bactrim TMP-SMX famvir famciclovir
Geriatrics & Palliative Care
- Polypharmacy failure to thrive FTT delirium IADL katz instrumental activities of daily living polypharmacy anticholinergics benzodiazepines antipsychotics clonidine alpha blocker sulfonylurea PPI NSAID PAML
- Geriatric Assessment & Frailty comprehensive geriatric assessment CGA MOCA Mini-Cog RUDAS Timed up and go test gait speed test HCP Home Safety Assessment ADL
- Pain Management acetaminophen NSAID opioid somatic visceral musculoskeletal inflammatory neuropathic morphine suboxone methadone dilaudid hydromorphone fentanyl oxycodone oxycontin mu agonist partial antagonist PCA constipation sedation pruritis respiratory depression diversion cross tolerance pseudo-addiction
- Comfort Focused Care & Hospice CMO hospice palliative anxiety secretions insomnia GIP
- ACP Code Status Discussions serious illness conversation SIC prognostic awareness ACP note family meeting DNR DNI MOLST rehab SNF living will HCP healthcare proxy GIP general inpatient hospice at home
- End of Life & Pronouncement CMO comfort measures only chaplaincy family meeting neob new England organ bank donation report air hunger vent withdrawal next of kin NOK cause of death paperwork medical examiner autopsy
- Organ Donation (2020) DBD DCD NEOB new England bank donor living dead donor rule DDR
- Geriatric AssessmentGeriatric Assessment
- Elder AbuseSigns Reporting
Rheumatology
- Approach to Rheumatologic Disease arthritis connective tissue disease MCTD vasculitis rheumatoid psoriatic reactive enteropathic SLE lupus sjogren systemic sclerosis polymyositis dermatomyositis large vessel medium small inflammatory gout
- Autoantibodies rheumatoid factor citrullated RF CCP ANA dsDNA histone RNP smith ss-a/ro ss-b/la ACA SCl-70 rna pol III fibrillarin PM-SCl Jo-1 Mi-2 MDA-5 TIF1g SRP HMGCR PR3 MPK p-ANCA c-ANCA pANCA cANCA cryoglobulin
- Arthritis articular non-articular non-inflammatory acute chronic seropositive seronegative spondylitis spondylarthropathies psoriatic bursitis tendonitis infectious septic gonococcal hemarthrosis reactive crystal gout rheumatoid psoriatic psoriasis fibromyalgia connective tissue MCTD SLE lupus sjogren CPPD RA ankylosing enteropathic reactive osteoarthritis DJD viral
- Connective Tissue Diseases SLE lupus mixed MCTD sjogren's sicca dsDNA SSA SSB Ro La Jo1 Mi2 MDA5 centromere Scl-70 RNA pol III fibrillarin aldolase CK myositis dermatomyositis inclusion body systemic sclerosis scleroderma CREST Raynaud telangiectasia sclerodactyly anti-RNP UCTD overlap
- Vasculitis immune complex small medium large vessel IgA cryoglobuleinemia C1q complement polyarteritis nodosa kawaski anti-GBM anca-associated microscopic polyangiitis MPA GPA EGPA Wegener churg-strauss granulomatosis eosinophilic takayasu giant cell arteritis biopsy angiography GCA TA PMR PAN thromboangiitis obliterans buerger's disease c-ANCA p-ANCA PR3 MPO henoch-schonlein HSP purpura
- Miscellaneous Rheumatologic Disease behcet oral genital ulcer vasculitis familial Mediterranean fever FMF MEFV AOSD adult onset still's disease salmon rash yamaguchi criteria fibromyalgia
- Rheumatologic Medications azathioprine Imuran cyclophosphamide Cytoxan hydroxychloroquine HCQ plaquenil leflunomide LFM arava methotrexate MTX rheumatrex trexall otrexup rasuvo mycophenolate mofetil MMF cellcept sulfasalazine 5-asa azulfidine apremilast otezla PDE4 tofacitinib xeljanz JAK inhibitor abatacept anakinra belimumab cankinumab rituxan rituximab tocilizumab secukinumab ustekinumab stelara ivig adalimumab humira remicade infliximab golimumab certolizumab etanercept steroid steroids
Endocrinology
- Outpatient Type 2 Diabetes Management pre-diabetes a1c metformin insulin basal prandial sulfonylurea glipizide glimepiride thiazolidinedione TZD exenatide byetta liraglutide victoza dulaglutide trulicity sitagliptin Januvia saxagliptin onglyza linagliptin tradjenta GLP-1RA DPP-4 SGLT-2 SGLT2i canagliflozin empagliflozin dapagliflozin pioglitazone
- Inpatient Diabetes Management Humalog novolog glulisine apidra lispro humulin novolin NPH glargine lantus levemir detemir tresiba degludec hypoglycemia basal prandial bolus LISS sliding scale T1DM
- DKA & HHS diabetic ketoacidosis hyperosmolar hyperketotic hyperglycemia state ketones beta hydroxybutyrate kussmaul fruity breath acetone polydipsia polyuria insulin drip MICU pancreas
- Adrenal Insufficiency ACTH primary secondary AI cortisol cortisone hypopituitarism cosyntropin stim aldosterone stress dose steroids dexamethasone glucocorticoid PJP HPA hydrocortisone prednisone methylprednisolone fludrocortisone
- Pituitary Disorders hypothalamus Sheehan apoplexy ipilimumab autoimmune prolactinoma hyperprolactinemia ACTH GH TSH LH FSH adenoma carbamazepine SIADH salt tablets fluid restriction somatostatin tolvaptan hypertonic diabetes insipidus DI central nephrogenic desmopressin DDAVP
- Osteoporosis osteopenia t-score FRAX fragility DEXA DXA bone densitometry bisphosphonates denosumab teriparatide PTHrP RANKL vitamin D calcium alendronate risendronate
- Calcium Disorders hypercalcemia corrected osteitis fibrosa cystica bones stones groans HPTH hyperparathyroidism hyperPTH PTHrP SCC myeloma calcitonin bisphosphonates denosumab hypocalcemia trousseau chvostek hypoparathyroidism hypoPTH PO4 phosphate vitamin D gluconate rickets calcitriol vitD2 vitD3
- Thyroid Disorders TFT sick euthyroid TSH FT4 T3 free TPO levothyroxine synthroid hashimoto's thyroiditis lymphocytic amiodarone radioiodine pretibial myxedema coma exophthalmos graves goiter radiation toxic adenoma thyroidectomy total hypothyroidism hyperthyroidism coma storm methimazole PTU wolff-chaikoff
- Male Hypogonadism testosterone klinefelter cryptorchidism infertility spermatogenesis pituitary PSA
Allergy & Immunology
- Drug & Contrast Allergies adverse reaction ADR intolerance idiosyncrasy pseudoallergy anaphylactoid hypersensitivity type I II III IV Ag-IgE cytotoxic immune complex t cell mediated wheal hives angioedema DRESS SJS desensitization test dose penicillin cephalosporin benadryl diphenhydramine beta lactam R group taxane platinum allopurinol TEN syndrome aspirin NSAID AERD
- Angioedema & Anaphylaxis urticaria hereditary histamine bradykinin ASA NSAID CCB beta lactam ACE-I ACEI ARB C1 esterase C4 IgE-mediated tryptase albuterol benadryl diphenhydramine methylprednisolone mast cell allergic conjunctivitis rhinitis sinusitis hypersensitivity pneumonitis occupational lung disease eosinophilic esophagitis atopic dermatitis eczema
- Delayed Rash & Organ Injury (2019) DILI AIN drug-induced liver acute interstitial nephritis morbilliform rash AGEP acute generalized exanthematous pustulosis SJS TEN stevens-johnson syndrome toxic epidermal necrolysis DRESS reaction eosinophilia systemic symptoms BSA p-ANCA pANCA vasculitis
- Primary Immunodeficiency complement classical lectin phagocytic chediak-higashi CGD LAD SCN SCID WAS severe combined wiskott aldrich digeorge IgA deficiency CVID common variable XLA hyper-IgM encapsulated neisseria neutrophil lymphocyte T cell Th1 Th17 hypogammaglobulinemia X-linked agammaglobulinemia autoimmune AIRE APS-1 interferon gamma IFNG
- Mast Cell Disorders mast C3a C5a TNF urticaria angioedema histamine mastocytosis tryptase IgE
Neurology
- Altered Mental Status AMS AEIOU TIPS glasgow coma arousal command brainstem reflexes FSG FSBG glucose hypoglycemia secondary subacute LP lumbar puncture NCHCT head encephalopathy
- Delirium acute brain failure circadian melatonin restraints hyperactive hypoactive CAM long QTc haldol haloperidol seroquel quetiapine olanzapine zyprexa zydis
- Dementia IADLs MOCA MMSE alzheimer lewy body parkinsonism frontotemporal ache inhibitor NMDA levodopa carbidopa primary progressive aphasia rapidly cortical ribboning MRI EEG limbic encephalitis autoantibodies FLAIR donepezil memantine
- Headache & Vertigo tension migraine caffeine butalbital POUND aura abortive preventive sumatriptan dihydroergotamine DHE topiramate propranolol central peripheral dizziness dizzy HINTS dix hallpike saccade nystagmus BPPV benign positional paroxysmal labyrinthitis vestibular neuritis meniere metoclopramide prochlorperazine compazine meclizine
- Stroke & TIA CVA NIHSS stat head NCHCT IV tPA IAT criteria intra-arterial LSW last seen well ischemic hemorrhagic ICH NCCTH ASA plavix clopidogrel DAPT anticoagulation warfarin atorvastatin cardioembolic ACA MCA PCA TTE PFO symptomatic carotid stenosis amaurosis fugax CTA MRA infective endocarditis carotid vertebral artery dissection cerebral venous sinus thrombosis CTV MRV hypercoagulable transient attack ABCD2
- CNS Emergencies ICH intracranial hemorrhage epidural subdural subarachnoid intraparenchymal hemorrhages SAH AVM IPH amyloid EDH SDH stat neurosurgery ICP elevated herniation cushing's triad fixed dilated pupil hypertensive encephalopathy PRES posterior reversible cord compression
- Seizures status epilepticus epilepsy EEG clonic tonic atonic myoclinic PNES psychogenic non-epileptic stroke ischemia hemorrhage LP brain MRI NCHCT NCCTH LTM ativan lorazepam diazepam AED anti-epileptic levetiracetam VPA valproic valproate tumor keppra depakote fosphenytoin dilantin lamotrigine lamictal topirate topamax lacosamide vimpat carbamazepine tegretol
- Weakness & Neuromuscular Disorders UMN LMN EMG NCS transverse myelitis MRI spine brain spinal cord anterior horn cell radiculopathy ALS polio acute flaccid peripheral neuropathy GBS CIDP lyme myasthenia gravis MG lambert-eaton botulism inclusion body polymyositis dermatomyositis guillain-barre AIDP LEMS mysathenic crisis
- Neuroprognostication coma cerebral performance category CPC brain death areflexia EEG apnea paralysis dementia therapeutic hypothermia ROSC status myoclonus absent brainstem reflexes SSEP somatosensory evoked potentials neuron specific enolase NSE CT head MRI DWI quantitative ADC
Psychiatry
- Psychosis MSE AMS MOCA delusions hallucinations echolalia tangentiality derailing disorganized speech verbigeration mutism auditory visual AVH schizophrenia schizoaffective bipolar malingering substance PSUD delirium clozapine depakote lithium valproate valproic lamotrigine restraint quetiapine seroquel haloperidol haldol parkinsonism olanzapine benztropine diphenhydramine benadryl dystonia thorazine
- Agitation clozapine depakote lithium valproate valproic lamotrigine restraint quetiapine seroquel haloperidol haldol parkinsonism olanzapine benztropine diphenhydramine benadryl dystonia thorazine
- Consent, Capacity, & Legal valid informed emergency competency understand communicate documenting surrogate decision-maker HCP healthcare proxy rogers guardianship court temporary involuntary hospitalization section 12a 12b 35 pink paper
- Catatonia, NMS, & Serotonin Syndrome retarded excited mania mutism malignant hyperthermia NCSE PRES anti-NMDAR encephalitis SLE lupus bush-francis BFCRS immobility negativism amantadine memantine neuroleptic syndrome ECT electroconvulsive therapy rigidity SSRI serotonergic neuromuscular hyperactivity SNRI TCA MAOI hunter's criteria toxicity cyproheptadine
- Depression, Anxiety, & PTSD MDD PHQ-9 PHQ9 PHQ-2 PHQ-2 escitalopram sertraline SSRI TCA MAOI bupropion trazodone SNRI wellbutrin lexapro prozac paroxetine duloxetine venlafaxine GAD-7
- Alcohol Use Disorder & Withdrawal AUD EtOH GABA glutamate noradrenergic dopamine phenobarbital benzodiazepine ativan lorazepam delirium tremens DTs valium librium wernicke-korsakoff caine criteria thiamine korsakoff
- Opioid Use Disorder & Withdrawal OUD methadone suboxone buprenorphine illegal prescription naloxone narcan fentanyl utox overdose bridge clinic partial agonist antagonist COWS
- Other Substance Use Disorders EtOH alcohol salicylate acetaminophen TCA full UTox benzodiazepines barbiturate urine fentanyl VPAIN PCP phencyclidine cannabinoids amphetamines cocaine buprenorphine suboxone methadone oxycodone xanax alprazolam librium chlordiazepoxide klonopin clonazepam diazepam valium ativan lorazepam spice K2 bath salt hyperemesis syndrome hot showers THC BZD
- Drug Testing drug test fentanyl false EtOH alcohol salicylate acetaminophen TCA full UTox benzodiazepines barbiturate urine fentanyl VPAIN PCP phencyclidine cannabinoids amphetamines cocaine buprenorphine suboxone methadone oxycodone xanax alprazolam librium chlordiazepoxide klonopin clonazepam diazepam valium ativan lorazepam spice K2 bath salt
Primary Care
- Health Screening & Maintenance ASCVD DM ASA diabetes HTN HLD obesity diet exercise colorectal cscope low dose chest CT skin cancer HIV HCV HBV latent TB depression EtOH AUD tobacco smoking violence abuse DV IPV AAA prostate PSA cancer testicular breast cervical STI contraception osteoporosis BRCA mammography colonoscopy papanicolau smear GC/CT chlamydia gonococcal STI MSM SMW ASCUS LSIL HSIL AGC cytology HPV influenza TDAP PCV13 PPSV23 Varicella zoster HPV MMR zostavax shingrix gardasil MMR HAV meningococcus MenACWY MenB Hib
- Health Equity & Insurance
- Transgender Health
- LGBTQ Health (2020) MSM HIV AIDS treponemal GC CT NAAT HAV HPV PrEP PEP TDF-FTC truvada breast cervical SMW sexual minority women STI pap screen transgender non-conforming cisgender non-binary genderqueer hormone therapy fertility masculinizing testosterone estradiol androgen spironolactone transmasculine transfeminine
- Women’s Health vulvar vaginal AUB vaginitis bacterial BV candidiasis candida trichomonas contact lichen LSC planus sclerosis abnormal uterine uHCG ovulatory PCOS OCP mirena polycystic ovary anovulation infertility fallopian dysplasia endometriosis menopause contraception amenorrhea SERM nuva-ring xulane IUD kyleena skyla nexplanon depot-provera micronor copper paraguard condom progestin estrogen levonorgestrel TVPUS TVUS LMP abortion UI urinary incontinence prolapse fistula pessary stress urge
- Men's Health bph luts psa terazosin doxazosin tamsulosin alfuzosin silodosin finasteride dutasteride tadalafil palmetto turp tuna tumt ed viagra levitra cialis stendra avanafil testicular scrotal epididymitis orchitis uti dysuria cancer hydrocele varicocele
- Sleep Medicine
- HEENT Concerns conjunctivitis cornea glaucoma iritis uveitis scleritis endophthalmitis subconjunctival episcleritis vision haloes proptosis ciliary pupil adenovirus HSV VZV orbital diplopia preseptal otorrhea tympanic eardrum vertigo otalgia sinusitis otitis eustachian cholesteatoma mastoiditis Ramsay zoster tinnitus Meniere schwannoma aduiometry hearing
- Nodules adrenal pheochromocytoma cushing hyperaldosteronism adrenocortical cancer malignant adrenalectomy thyroid TSH FT4 free T3 FT3 FNA fine needle aspiration ultrasound US cystic incidental pulmonary lung screening CT scan chest smoking emphysema
- Musculoskeletal Pain knee shoulder lower back lumbar opioids MSK ACL PCL MCL meniscus meniscal lachman mcmurray Xray X-ray MRI osteoarthritis OA glucosamine popliteal baker Osgood-Schlatter bursitis gout AC dislocation tendinitis tendonitis tendinopathy tendonopathy rotator cuff syndrome Neer Hawkins drop arm empty can glenohumeral subacromial teres supraspinatus infraspinatus adhesive capsulitis frozen trauma axial radicular sciatica disk herniation stenosis red flags cauda equina osteopenia CT tramadol gabapentin SOAPP massPAT contract MME
- Immigrant & Refugee Health
- Climate Change & Health
- Respiratory Complaints (2020) chronic cough subacute smoker asthma GERD UACS upper airway syndrome CXR post-nasal drip allergic rhinitis reflux epigastric URI viral infection ACE-I ACEI rhinosinusitis strep pneumoniae pharyngitis coryza GAS group A epiglottitis peritonsillar abscess Centor criteria cepacol
- Outpatient Cardiovascular Health
- Asthma and PFTs
- COPD
- GERD & PUD
- Chronic Kidney Disease
- HIV/AIDS & Opportunistic Infections
- Travel Medicine
- Frailty & Polypharmacy
- Pain Management
- Arthritis
- Outpatient Diabetes
- Thyroid Disorders
- Dementia
- Headache & Vertigo
- Depression & Anxiety
- Alcohol Withdrawal
- Opioid Use Disorder & Withdrawal
- Post-Acute Care
- Outpatient Decision Aids
Consultants / Surgical
- Calling Consults surgery ophtho psychiatry toxicology transplant vascular ACT AMS diabetes ethics transfusion page
- Perioperative Medicine cardiac risk goldman index gupta carp bridge vte prophylaxis preoperative beta blocker acei arb antiplatelet aspirin
- Dermatology rash steroids topical allergic contact dermatitis cellulitis calciphylaxis cutaneous GVHD eczema atopic erythema multiforme erythroderma HSV herpes simplex zoster pressure injury ulcers purpura fulminans psoriasis seborrheic stasis venous tinea pedis urticaria vasculitis fixed drug eruption anaphylaxis AGEP exanthematous SJS TEN DRESS
- Surgery SBO small bowel obstruction adhesions intussusception volvulus necrotizing fasciitis ischemic limb vascular ABI compartment syndrome fasciotomy Churchill intra-abdominal
- Urology symptomatic urolithiasis nephrolithiasis kidney stone stenting percutaneous nephrostomy PCNs renal colic tamsulosin gross hematuria obstruction catheter retention urinary BPH hydronephrosis hydroureter foley CBI SPT urojet
- ENT MEEI epistaxis nosebleed stridor acute sinusitis oxymetazoline racemic epinephrine supraglottic heliox larynx trachea
- Ophthalmology snellen MEEI sclera uvea ciliary EOM IOP NPDR PDR PVD retinal detachment slit lamp keratitis cataract vision loss glaucoma drops ophthalmoscope red eye blepharitis conjunctivitis uveitis dry eye corneal abrasion keratopathy anisocoria horners syndrome subconjunctival endophthalmitis
- OBGYN obstetrics gynecology obgyn ob gyn uterus endometrium pregnancy ectopic eclampsia preeclampsia HELLP
Radiology
- Uploading Outside Studies with LifeImage
- Radiology Basics Xray X-ray CT computed tomography MRI hounsfeld unit HU windowing leveling contrast brightness CTPE phases contrast T1 T2 flair safety device implant
- Contrast iodine iodinated gadolinium rectal IV PO pregnancy breastfeeding induced nephropathy nephrogenic systemic fibrosis reaction premedication allergies allergic prehydration
- Protocols CTPE dissection contrast stat urgent routine overnight read DVT CTA coronary arterial CTV MRV retroperitoneal hematoma ED trauma cervical spine appendicitis stone hematuria urogram cystogram tumor NPO fluoroscopy barium swallow UGI series nuclear medicine tagged RBC VQ HIDA PET fasting sugar acute stroke head spine MRI thoracic
- Interpretation of Common Studies xray x-ray ct mri CXR central line placement pulmonary edema pneumothorax KUB abdominal NGT OGT small bowel obstruction pneumoperitoneum air diaphragm RUQUS cholecystitis gallstone sonographic murphys DVT LENI duplex
Procedures
- Ultrasound Basics frequency gain depth attenuation transducer probe B-mode D-mode doppler M-mode motion echogenic hyperechoic hypoechoic anechoic pneumothorax sector seashore barcode sign pulmonary embolism edema pericardial effusion tamponade paracentesis ascites
- Ultrasound-Guided Peripheral IV transverse technique longitudinal needle tip catheter
- Central Line Placement CVC ultrasound guidance RIJ LIJ internal jugular catheter ICA guide wire pneumothorax subclavian infraclavicular supraclavicular trendelenberg femoral cordis introducer retroperitoneal bleed embolism
- Arterial Line Placement ABG pressors monitoring BP radial catheter A-line allen modified doppler ultrasound guide wire
- Intraosseous Line Placement power driver tibia humerus
- Paracentesis LVP ascites diagnostic large volume SBP
- Arthrocentesis knee hip synovial fluid septic arthritis crystal arthropathy hemarthrosis joint effusion therapeutic corticosteroid injection pseudogout
- Lumbar Puncture LP CSF meningitis subarachnoid encephalitis pleocytosis tube cryptococcal fungal TB tuberculosis VP shunt
- Thoracentesis chest tube diagnostic therapeutic effusion pleural hemothorax empyema complicated parapneumonic pneumothorax edema pulmonary chylothorax
- Pericardial Drain effusion tamponade pericardiocentesis
- Fluid Analysis LP CSF studies labs meningitis pleocytosis tube cryptococcal fungal TB tuberculosis ascites cerebrospinal paracentesis LVP diagnostic SBP CNNA NNBA SAAG peritonitis spontaneous bacterial pleural effusion lights criteria LDH protein thoracentesis transudative transudate exudative exudate hydrothorax hepatic empyema PMN
- Tube Management NGT nasogastric SBO decompression wall suction dobhoff enteroflex gastrostomy G-tube gastrojejunostomy tube feeds J-tube GJ-tube foley catheter urinary CBI continuous bladder irrigation hematuria prostatectomy SPT suprapubic chest tube water seal
- Exposures & Needle Sticks occupational health OHS HBC HCV HIV post-exposure prophylaxis PEP
Logistics
- Monitoring & Prophylaxis cardiac monitoring telemetry spO2 O2 saturation low medium moderate high risk DVT prophylaxis VTE 30 rule pharmacologic lovenox heparin UFH fondaparinux SQH GI coagulopathy PPI omeprazole GIB
- Peri-Procedural Anticoagulation anticoagulation aspirin clopidogrel ticagrelor warfarin doac dabigatran rivaroxaban apixaban edoxaban heparin enoxaparin lovenox UFH bivalirudin argatroban dalteparin fondaparinux
- Senior On Encounters code hypotension Hs and Ts ABCDEFG acute hypoxemia tachycardia bradycardia seizure AMS tPA emergency numbers pagers
- Post-Acute Care LTAC acute rehab long term care hospital IRF inpatient rehab facility SNF skilled nursing home health hospice masshealth medicare
- Microaggressions, Bias, Patient-Directed Discharges and ICE microaggression racism bias sexism homophobia AMA patient-directed discharge dynamics ICE immigration undocumented illegal DHS police
- Discharge Summaries checklist order reconciliation medication AVS summary summary DC provider follow-ups
- WBapp 2024-25 – Managing Editors: Enoch Chung and Alex Hoffner-Heinike