Problem Representation An evolving summary of a patient’s clinical presentation that strives to identify (1) Clinical syndrome (signs/symptoms), (2) Context (relevant history/demographics), and (3) Temporal pattern to maximize diagnostic signal. When to use? • One-liner at start of Assessment and Plan • Calling a consultant • Signing out a patient for cross coverage • Educating a team at a rapid response Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset Dr. Anand Jagannath @AnandJag1 and Dr. Tyler Larsen @TylerLarsenMD #Problem #Representation #diagnosis #education #meded

Delirium Contributors - Differential Diagnosis Framework Dr. Satya Patel @SatyaPatelMD #Delirium #Differential #Diagnosis #Geriatrics #diagnosis #Encephalopathy

Subtypes of Serum Proteins Pre-albumin (Transthyretin) Albumin Globulins • Alpha-1: Alpha-1 antitrypsin, Serum amyloid A, Ceruloplasmin, Corticosteroid-binding globulin (Transcortin), Retinol-binding protein • Alpha-2: Haptoglobin, Ceruloplasmin, Protein C, Angiotensinogen • Beta: C3 and C4, Beta-2 microglobulin, Transferrin • Gamma: IgM, IgG, IgA, RF, CRP Dr. Satya Patel @SatyaPatelMD #Serum #Proteins #Subtypes #algorithm #classification #Types #hematology

Labs and Symptoms in VIPoma Dr. Satya Patel @SatyaPatelMD #VIPoma #VIP #diagnosis #algorithm

Antibiotic Options for Treating MRSA Infections PO: Doxycycline, Clindamycin, TMP-SMX, Linezolid IV: Linezolid, Vancomycin, Ceftaroline, Daptomycin, Tigecycline By Dr. Satya Patel @SatyaPatelMD and Casey Kaneshiro, MD @CKaneshiroMD #Antibiotics #MRSA #saureus #aureus #staph #pharmacology #management #microbiology #medications

Intern Pocket Cards - Increasing Levels of Care • Intensive Care Unit (ICU) • Intermediate Care/Step-Down Unit / Progressive Care Unit (PCU) • Long-Term Acute Care (LTAC) • Med-surg +/- telemetry • Skilled Nursing Facility (SNF) • Acute Rehabilitation Unit (ARU) • Residential Care Facility for the Elderly (RCFE) • Substance Rehabilitation • Section-8 Housing • Shelter • Home +/- Home Health Dr. Satya Patel @SatyaPatelMD Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset #Levels #Care #Disposition #Discharge #table #internship #comparison

Interpreting Kidney Biomarkers ↑ Creatinine: • AKI, CKD • Medications that lead to nephroprotective ↓ in GFR • Medications that ↓ renal tubular secretion of Cr • ↑↑↑ muscle mass ↑ Cystatin C: • AKI, CKD • Obesity • Inflammation • Corticosteroids • Hypo/hyperthyroidism ↓ eGFR: • ↑ age • ↑ creatinine • ↑ cystatin C Dr. Satya Patel @SatyaPatelMD #Biomarkers #Kidney #renal #diagnosis #laboratory #nephrology

Diabetes Mellitus Type 2 Inpatient Medication Guide Classes: Biguanide, Sulfonylurea, TZD, DPP-4 inhibitor, GLP-1 receptor agonist, SGLT2i, Meglitinide, α-glucosidase inhibitor Inpatient blood glucose goal 140-180 mg/dL Insulin Pearls: • Calculate total daily dose of insulin and adjust appropriately • Weight-based insulin 0.3-0.6 units/kg/day ~50% basal + ~50% mealtime • If NPO, stop mealtime insulin and reduce basal insulin by ~20% • Never completely discontinue basal insulin in Type 1 Diabetes Mellitus • Assess for presence of insulin pumps and continuous glucose monitors in Type 1 Diabetes Mellitus • If sliding scale insulin requirements are minimal, consider discontinuing it completely • Adjust insulin dose for renal dysfunction and older age Dr. Satya Patel @SatyaPatelMD Full Inpatient Pocket Cards Collection: https://bit.ly/pocketcardset #Diabetes #Mellitus #DM2 #Inpatient #Medications #pharmacology #comparison #table #endocrinology

Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department https://bit.ly/chestpainalgorithm #ACS #ChestPain #algorithm #emergency #cardiology #acute #coronary #syndrome

Calculating a Reticulocyte Index (RI) Reticulocyte Index = Absolute Reticulocyte Count / Maturation Correction Absolute Reticulocyte Count = % of reticulocytes x Patient's Hct / Normal Hct bit.ly/imfastfacts Satya Patel, MD @SatyaPatelMD #Reticulocyte #Index #RI #RPI #hematology #diagnosis #anemia