FAMILY / RURAL MEDICINE
There’s not much to
put here since each preceptor has his/her own quirks. Some locations are very pediatrics oriented,
some have an obstetrics component, while others may be your typical “doc in the
box.” Talk to your big sibs and other
fourth years to get the scoop on which locations to choose because you will
definitely have a better experience with some preceptors than others.
Your rural month is
pass-fail, although you do have a project to complete and type up. This can be as involved or simple as you
want it to be. Again, talk to your big
sibs and classmates who have done the rural rotation to see what they did.
Another thing to
keep in mind is that if you do your family month in a “rural” location, you
will be paid $500 for that month.
Completion of the
DXR cases is “required.”
Useful
Mnemonics
A = Atelectasis
E = Effusion (small, unilateral)
I = Infarct (wedge shaped)
O = Oligemia (Westermark’s sign)
U = Upriding diaphragm (Hampton’s hump)
A = Acidosis
E = Electrolytes (hyperkalemia)
I = Ingestions (salicylates, alcohol,
amphetamines,
lithium,
theophyline)
O = Overload (volume)
U = Uremia (chronic renal failure)
Rx of Pulmonary
Edema / Volume Overload
U = Upright (sit)
N = Nitropaste (¯ preload)
L = Lasix
O = Oxygen (nasal cannula, etc.)
A = ACE inhibitor (¯ afterload)
D = Diuretic
M = Morphine (¯ smothering/dyspnea; vasodilator)
E = Enalaprat (IV ACE inhibitor)
Most common bugs
causing UTIs
Klebsiella
E. coli
Enterobacter
Proteus mirabilis
Generic
Differential Diagnosis Mnemonic
Vascular
Infection
Trauma
Allergy/ Autoimmune
Metabolic / Musculoskeletal
Iatrogenic/ Ingestions
Neoplasm
Special
Degenerative / Drugs
Congenital