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© Virginia Mason Internal Medicine Residency 2024
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Virginia Mason Internal Medicine Residency Primary Care Clinic Didactics
66 Episodes
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Reviewing the differential for and initial evaluation for elevated LFTs in a hepatocellular and cholestatic pattern based on severity of elevation as well as indications for Hepatology referral.
Reviewing the screening guidelines for osteoporosis and the nonpharmacological and pharmacological management of low bone mass/osteopenia and osteoporosis in the primary care setting,
Reviewing general recommendations for medication management of common chronic and acute conditions seen in primary care in patients who are or may become pregnant as well as patients who are breastfeeding along with recommended resources to refer to for further questions.
Reviewing how to screen for advanced liver disease and cirrhosis, preventative care for patients with cirrhosis and general management for decompensated cirrhosis presentations as well as managing medications for other conditions in the setting of cirrhosis in primary care. Also reviewing management of alcohol use disorder in cirrhosis.
Reviewing when and how to evaluate leukopenia and thrombocytopenia in primary care
Reviewing the spectrum of diagnoses from age related to mild cognitive impairment to dementia regarding evaluation and management in the primary care setting
Reviewing the updated AUA guidelines for work up of microscopic and gross hematuria in the primary care setting
Reviewing guidelines for bariatric surgery and short-term and long-term post operative management
Reviewing the various forms of abnormal uterine bleeding, how to utilize the PALM-COEIN mnemonic in developing your differential based on presentation and age and treatment of chronic and acute causes of AUB.
Review of guidelines for evaluation of breast masses and other localized breast concerns and initial management of benign conditions such as breast pain and hyperprolactinemia from medications
Reviewing most recent guidelines on categorizing, evaluating and treating atrial fibrillation including rate versus rhythm control and anticoagulation.
Reviewing key points in taking a sexual history, current recommendations for STI screening and prevention and review of treatment of common STIs such as gonorrhea, chlamydia, syphilis and herpes.
Reviewing diagnosis and outpatient treatment tools to approach the discussion of and management of alcohol use disorder with patients
An overview of hospice including an in-depth review of the services included with hospice, determining when it is appropriate to refer your patient to hospice and answers to some frequently asked questions by patients and providers navigating the service
How to evaluate and manage TIAs and strokes in the outpatient setting including criteria for a TIA to be managed in clinic versus in the hospital, management of underlying causes of TIAs and strokes and guidelines for post-TIA and stroke management
Reviewing the updates to primary prevention in cholesterol management with the new PREVENT calculator and how to apply it
Reviewing current recommendations for selecting which cardiac stress test would be appropriate for various clinical evaluations for possible CAD/angina
Reviewing the current guidelines for diagnosis, treatment and more long-term follow up of pelvic inflammatory disease.Note - initially mentioned ceftriaxone dose for empiric treatment for PID was prior recommendation, corrected later in the episode
Reviewing current guidelines for diagnosing and treating gout acutely and chronically and the 3 primary presentations of pseudogout
An overview of diagnosing multiple sclerosis in the primary care setting and complications of multiple sclerosis that are often seen in primary care
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