Internal Medicine — Old Core Academic Day Lectures (Until Sep 2023)

Evaluating volume status and choosing IV fluids

Teaching

Competencies covered in this activity

1. Practise medicine within their defined scope of practice and expertise
1.3. Apply knowledge of the clinical and biomedical sciences relevant to Internal Medicine
1.3.8. Pharmacology as it relates to pharmacokinetics, pharmacodynamics, mechanism of action, routes of delivery and elimination, and adverse effects of medications
1.3.8.1. Analgesics
1.3.8.2. Antimicrobials
1.3.8.3. Cardiovascular medications
1.3.8.4. Endocrine medications
1.3.8.5. Immune modulating therapies
1.3.8.6. Neuropsychiatric medications
1.3.8.7. Respiratory medications
1.3.8.8. Systemic therapies for cancer
1.3.8.9. Drugs commonly used recreationally
1.3.8.10. Supplementary and complementary medications
1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management
1.4.13. Medical aspects of specific situations
1.4.13.1. Common medical emergencies
1.4.13.1.1. Life-threatening cardiac, respiratory, gastrointestinal, metabolic, neurologic and other organ system dysfunction and abnormalities
1.4.13.1.2. Hyperthermia / hypothermia
1.4.13.1.3. Shock, including knowledge and identification of the different etiologies
1.4.13.1.4. Cardio-respiratory arrest
1.4.13.1.5. Poisoning
1.4.13.1.6. Severe drug reactions including but not limited to anaphylaxis and toxic epidermal necrolysis
1.4.13.1.7. Complications of chemotherapy
1.4.13.1.7.1. Febrile neutropenia
1.4.13.1.7.2. Tumour lysis syndrome
1.4.13.2. Peri-operative assessment and management
1.4.13.2.1. Hypertension as well as heart, lung, metabolic, and kidney diseases
1.4.13.2.2. Anticoagulants and anti-platelet agents
1.4.13.2.3. Prophylaxis for infection
1.4.13.2.4. Prophylaxis for venous thromboembolism
1.4.13.3. Occupational considerations
1.4.13.3.1. Assessment of fitness to work
1.4.13.4. Medical aspects of mental illness and addiction
1.4.13.4.1. Depression presenting as physical illness
1.4.13.4.2. Effects of depression on the course of medical disease
1.4.13.4.3. Effects and side effects of psychiatric medications
1.4.13.4.4. Substance use, abuse and withdrawal
1.4.13.5. Pregnancy
1.4.13.5.1. Pregnancy induced change in blood volume, hemodynamics, and cardio-respiratory and renal physiology
1.4.13.5.2. Findings and investigations
1.4.13.5.2.1. Abnormal liver tests
1.4.13.5.2.2. Proteinuria
1.4.13.5.3. Pre-existing medical conditions
1.4.13.5.3.1. Hypertension
1.4.13.5.3.2. Valvular heart disease
1.4.13.5.3.3. Asthma
1.4.13.5.3.4. Disorders of glucose homeostasis including diabetes mellitus
1.4.13.5.3.5. Seizure disorders
1.4.13.5.3.6. Venous thromboembolic disease
1.4.13.5.3.7. Infectious diseases including HIV and hepatitis
1.4.13.5.4. Disorders with onset during pregnancy
1.4.13.5.4.1. Hypertensive disorders
1.4.13.5.4.2. Cardiomyopathy
1.4.13.5.4.3. Liver diseases
1.4.13.5.4.4. Seizures
1.4.13.5.4.5. Thrombocytopenia
1.4.13.5.5. Therapies
1.4.13.5.5.1. Endocarditis prophylaxis
1.4.13.5.5.2. Drug prescribing in pregnancy and post-partum period
1.4.13.6. The elderly
1.4.13.6.1. Symptoms
1.4.13.6.1.1. Constipation
1.4.13.6.1.2. Depression
1.4.13.6.1.3. Delirium
1.4.13.6.1.4. Falls and immobility
1.4.13.6.1.5. Frailty and failure to thrive
1.4.13.6.1.6. Gait instability
1.4.13.6.1.7. Urinary and fecal incontinence
1.4.13.6.2. Disorders
1.4.13.6.2.1. Dementia including Alzheimer’s disease, Lewy-body, vascular, and frontal lobe dementias
1.4.13.6.2.2. Nutritional deficiencies
1.4.13.6.2.3. Neglect/abuse
1.4.13.6.3. Therapies
1.4.13.6.3.1. Rational drug prescribing
1.4.13.7. End of life
1.4.13.7.1. Symptoms
1.4.13.7.1.1. Constipation
1.4.13.7.1.2. Delirium
1.4.13.7.1.3. Dyspnea
1.4.13.7.1.4. Nausea and vomiting
1.4.13.7.1.5. Pain
1.4.13.7.2. Disorders
1.4.13.7.2.1. Nutritional deficiencies
1.4.13.7.3. Therapies
1.4.13.7.3.1. Use of opioids and other medications
1.4.13.7.3.2. Principles of palliative care and medical aid in dying (MAID)