Banner Good Samaritan/Phoenix VA Medical Center
Internal Medicine Programs
An Educational Innovations Project Program
Welcome to the Banner Good Samaritan Medical Center Internal Medicine Residency Program website.
Another week has flown by & you are still doing GREAT! Sit down for a second and reflect on all the things you’ve learned this week. Here are some shared learning points from the VA, BGS and IMC:
· Inpatient diabetes management: calculate TDD (in units of insulin)—> use 50% as long acting and the other 50% as short acting divided TID w/meals. Even when NPO, we all need basal (even Joe Orme!!).
· Aortic stenosis & GIB —> think Heyde’s syndrome! Remember the mecha-nism is related to disruption of vwf multimers from shearing forces when moving through the stenotic aortic valve.
· Consider checking legionella urinary antigen in patients with CAP.
· Diverticul-OSIS causes painless rectal bleeding & diverticul-ITIS presents with LLQ pain and fever—not typically with BRBPR (bright red blood per rectum).
· Tension pneumo —> needle decompression... where?...Midclavicular line, 2nd intercostal space, ABOVE the rib.
· When treating patients with a DVT, think about when a CT angio is really necessary—will knowing whether a patient has a non-hemodynamically signifi-cant PE change your management?
It’s was a fun week, as always thanks for all your hard work!
Amanda, Bisi, Leigh Anne and Monica