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AMERICAN COLLEGE OF PHYSICIANS
CLERKSHIP DIRECTORS IN INTERNAL MEDICINE ACP
INTERNAL MEDICINE Essentials
for
Clerkship Students
INTERNAL MEDICINE Essentials
for
Clerkship
Students 2
Patrick C. Alguire, MD, FACP DIRECTOR
EDUCATION AND CAREER DEVELOPMENT AMERICAN COLLEGE OF PHYSICIANS EDITOR-IN-CHIEF
Associate Publisher and Manager, Books Publishing: Tom Hartman Production Supervisor: Allan S. Kleinberg
Senior Production Editor: Karen C. Nolan Editorial Coordinator: Angela Gabella Design: Michael E. Ripca
Copyright 2009 by the American College of Physicians. All rights reserved. No part of this publication may be reproduced in any form by any means (electronic, mechanical, xerographic, or other) or held in any information storage or retrieval systems without written permission from the College.
Printed in the United States of America Printed by Sheridan Books
Composition by Scribe, Inc. (www.scribenet.com)
ISBN: 978-1-934465-13-4
The authors and publisher have exerted every effort to ensure that the drug selection and dosages set forth in this book are in accordance with current recommendations and practice at the time of publication. In view of ongoing research, occasional changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, however, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This care is particularly important when the recommended agent is a new or infrequently used drug.
09 10 11 12 13 / 10 9 8 7 6 5 4 3 2 1
Section Editors
Thomas M. DeFer, MD, FACP Clerkship Director
Division of Medical Education Department of Internal Medicine Washington University School of Medicine St Louis, Missouri
D. Michael Elnicki, MD, FACP Director, Ambulatory Medicine Clerkship
Director, Section of General Internal Medicine University of Pittsburgh School of Medicine UPMC Shadyside
Pittsburgh, Pennsylvania
Sara B. Fazio, MD
Assistant Professor, Harvard Medical School Director, Core I Medicine Clerkship Division of General Internal Medicine
Beth Israel Deaconess Medical Center Boston, Massachusetts
James L. Sebastian, MD, FACP Director of Student Teaching Programs Department of Medicine
Medical College of Wisconsin
Clement J. Zablocki Veterans Affairs Medical Center
Milwaukee, Wisconsin
Mark J. Fagan, MD Clerkship Director Department of Medicine
Alpert Medical School of Brown University Providence, Rhode Island
Contributors
Arlina Ahluwalia, MD
Clinical Assistant Professor of Medicine Stanford University School of Medicine Clerkship Site Director
Palo Alto VAHCS Palo Alto, California
Eyad Al-Hihi, MD, FACP Associate Professor of Medicine
Clerkship Director, Ambulatory Medicine
Section Chief, Division of General Internal Medicine Medical Director, Internal Medicine Clinics
Truman Medical Center-Hospital Hill University of Missouri-Kansas City School of
Medicine
Kansas City, Missouri
Erik K. Alexander, MD, FACP Director, Medical Student Education Brigham & Women’s Hospital Assistant Professor of Medicine Harvard Medical School
Boston, Massachusetts
Irene Alexandraki, MD, FACP Assistant Professor of Medicine University of Florida College of Medicine Jacksonville, Florida
Mark R. Allee, MD, FACP Assistant Professor of Medicine Department of Internal Medicine
University of Oklahoma College of Medicine
Oklahoma City, Oklahoma
Hugo A. Alvarez, MD, FACP Associate Professor of Medicine Sub-Internship Director
Clerkship Site Director, Department of Medicine Rosalind Franklin University of Medicine and Science Mount Sinai Hospital
Chicago, Illinois
Alpesh N. Amin, MD, MBA, FACP Medicine Clerkship Director
Associate Program Director, IM Residency University of California, Irvine
Irvine, California
Mary Jane Barchman, MD, FACP, FASN Associate Professor of Medicine
Section of Nephrology and Hypertension Director, Introduction to Medicine Course Clerkship Director, Internal Medicine
Brody School of Medicine at East Carolina University Greenville, North Carolina
Seth Mark Berney, MD, FACP Professor of Medicine
Chief, Section of Rheumatology
Director, Center of Excellence for Arthritis and Rheumatology
Health Sciences Center
Louisiana State University School of Medicine
Shreveport, Louisiana
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