Internal Medicine Residency Readings: July - Dec 2022

Acute Indications for Dialysis "AEIOU"

• - Acidosis

• - Electrolytes (e.g., hyperkalemia)

• - Intoxication (e.g., methanol, lithium, ASA, ethylene glycol)

• - Volume Overload

• - Uremia

Diseases and Pathophysiology in Nephrology. In: Huppert LA, Dyster TG. eds. Huppert’s Notes: Pathophysiology and Clinical Pearls for Internal Medicine. McGraw Hill; 2021. Accessed December 06, 2022. https://accessmedicine.mhmedical.com/content.aspx?bookid=3072&sectionid=257402583 

Gravity and Parity

"The patient’s obstetric history is concisely communicated via her gravity and parity. The term gravid means “pregnant”; gravida is the total number of pregnancies that a women has had, regardless of the outcome. Parity is the number of delivered or completed pregnancies (independent of gestational age or pregnancy location in the case of ectopic gestation). Parity is expressed by means of 4 components:

1. Term deliveries: occurring at or beyond 37 weeks’ gestation

2. Preterm deliveries: having given birth to an infant (alive or deceased) at or beyond 20 weeks’ gestation (based on obstetric dating and/or the first day of the LMP)

3. Abortions: pregnancies ending prior to 20 weeks, either induced or spontaneous; ectopic gestations are included in this determination

4. Living children

When gravidity and parity are calculated as part of the obstetric history, multiple gestation is designated as a single event; however, each infant is included in the living child component of parity determination."

Bernstein HB. Normal Pregnancy & Prenatal Care. In: DeCherney AH, Nathan L, Laufer N, Roman AS. eds. CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e. McGraw Hill; 2019. Accessed November 22, 2022. https://accessmedicine.mhmedical.com/content.aspx?bookid=2559&sectionid=206957929

Instructions:  

1. Access NEJM Resident 360 via Himmelfarb Library to create a free personal account using your @gwu.edu email address.  
2. After creating your account, you may access via the library or by direct access to NEJM Resident 360.

Access: NEJM Interactive Cases

Access: NEJM Videos in Clinical Medicine

Summaries of recent studies + commentary on clinical significance.

Learn how to use Browzine, NEJM Journal Watch, journal and database alerts, and podcasts to keep up with new medical information!

Keeping Up with Health Sciences Information

"Try to read something medical every day. This will help you to stay abreast of new developments and provide an opportunity to become reacquainted with things that you've learned and forgotten. Medicine is less about achieving mastery then it is about reinforcing old lessons. Our individual "knowledge tanks" leak information on a daily basis. There is no way to plug the hole. Instead, you must continually replenish by adding to the top."

Goldberg, C. (2018). A few thoughts before you go... Practical Guide to Clinical Medicine. https://meded.ucsd.edu/clinicalmed/thoughts.html