NHRMC Internal Med

#nhrmcim Follow us for the latest on our Internal Medicine residency program's conferences, grand rounds, and IM updates.

[NHRMC Internal Med @NHRMC_IM]

Interesting topic for Journal Club this week, presented by @karasek_ryan. New therapy for #OSA from #NEJM https://t.co/911GAF4WyF

[NHRMC Internal Med @NHRMC_IM]

Journal Club this week - two of my favorite topics: Heart Failure and Re-Admissions https://t.co/QRoIfpJ3Ja

[NHRMC IM PD @CharinHanlon]

@NHRMC_IM #asthma #boardreview #meded

[NHRMC Internal Med @NHRMC_IM]

Red flag/warning symptoms for esophageal or gastric malignancy: Dysphagia, bleeding, anemia, weight loss, recurrent vomiting #IMConf

[NHRMC Internal Med @NHRMC_IM]

In IBD, do first screening colonoscopy 8-10 yrs after dx and repeat every 1-2 yrs unless isolated proctitis (then interval becomes 10 yrs)

[NHRMC Internal Med @NHRMC_IM]

Screening guidelines for familial syndromes for colon cancer #IMConf

[NHRMC Internal Med @NHRMC_IM]

High risk characteristics of colon polyps that require 3 yr f/u: size >1 cm, 3 or more tubular adenomas, villous or sessile polyp #IMConf

[NHRMC Internal Med @NHRMC_IM]

Colon hyperplastic adenomas < 1 cm have <1% per year of progression to malignancy #IMConf

[NHRMC Internal Med @NHRMC_IM]

If poor colon prep, must repeat screening colonoscopy right away, regardless of other findings #screeningguidelines #IMConf

[NHRMC Internal Med @NHRMC_IM]

For colon ca, USPSTF recs colonoscopy every 10 yrs or flex sig every 5 yrs with FOBT every 3 yrs or FOBT alone every year up to age 75

[NHRMC Internal Med @NHRMC_IM]

NSAIDS, particularly aspirin, are not recommended by USPSTF for prevention of colon cancer #screeningguidelines #IMConf

[NHRMC Internal Med @NHRMC_IM]

Risk factors for colon ca: fam history, hereditary syndromes, IBD, large/multiple/high grade polyps #IMConf #noonconf

[NHRMC Internal Med @NHRMC_IM]

Review of systolic murmurs, duke criteria, and jones criteria #rheumaticfever #morningreport #IMConf

[J. Alex Thomas, MD @SpinalConfusion]

The 90-second Cervical Foraminotomy: http://t.co/lRxdQhKdZS via @youtube

[NHRMC IM PD @CharinHanlon]

@NHRMC_IM Hanlon's Holiday Happy Hour on Friday 6pm, come ring in the holiday season!!

[NHRMC Internal Med @NHRMC_IM]

Abx most associated with c diff: clindamycin, flouroquinolone, penicillins. Also think about PPI and H2 blockers as risk factors. #IMconf

[NHRMC Internal Med @NHRMC_IM]

NAP1:B1 strain of c diff associated with higher toxin production, lower cure rate, increased rate of recurrence #IMConf #morningreport

[NHRMC Internal Med @NHRMC_IM]

@hildebrandj1 Congrats on matching to Heme/Onc at East Carolina University!

[NHRMC Internal Med @NHRMC_IM]

Screening test for hereditary spherocytosis is osmotic fragility testing but get better sensitivity by adding EMA and AGLT testing #IMConf

[NHRMC Internal Med @NHRMC_IM]

Dx hereditary spherocytosis: low/ normal MCV, high MCHC, high RDW, spherocytes on smear, evidence of hemolysis #IMConf