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Top 6 criteria you should know before starting your Internal Medicine rotation

@kikisamsel

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Why it worked

The post provides highly valuable, concise, and visually organized medical information that is directly relevant to a specific audience (medical students and residents). The use of clear criteria and scoring systems makes complex topics easily digestible and shareable, driving engagement and saves.

Summary

This is a multi-slide post presenting medical criteria relevant to internal medicine rotations. It covers criteria for pleural effusions (Lights), pulmonary embolism (Wells), systemic inflammatory response syndrome (SIRS), community-acquired pneumonia severity (CURB-65), atrial fibrillation stroke risk (CHADS-Vasc), and bleeding risk in atrial fibrillation patients (HAS-BLED).

Structure

1Introduction to Internal Medicine rotation criteria
2Lights Criteria for pleural effusions
3Wells Criteria for pulmonary embolism
4SIRS Criteria
5CURB-65 Criteria for pneumonia
6CHADS-Vasc Criteria for anticoagulation
7HAS-BLED Criteria for bleeding risk

On-screen text

Top 6 criteria you should know before starting your Internal Medicine rotation LIGHTS CRITERIA for exudative pleural effusions 1. Pleural protein/serum protein > 0.5 2. Pleural LDH/serum LDH > 0.6 3. Pleural LDH >2/3 upper limit of normal for serum LDH If any of these are met, it is automatically exudative WELLS CRITERIA for pulmonary embolism • clinical signs of DVT (+3) •PE is most likely dx (+3) •HR > 100bpm (+1.5) •Immobilization >3d or surg within previous 4wks (+1.5) •Previous DVT or PE (+1.5) •Hemoptysis (+1) •Malignancy (+1) <2 = low probability 2-6 = moderate probability >6 = high probability SIRS CRITERIA systemic inflammatory response syndrome Temperature >100.4F or <96.8F HR >90 bpm Resp Rate > 20 bpm WBC count >12,000, <4,000, or >10% bands 2+ meets criteria Current infection + SIRS = SEPSIS CURB-65 CRITERIA community acquired pneumonia severity Confusion Urea (BUN > 19mg/dL) Respiratory Rate 30+ bpm Blood Pressure (systolic <90 or diastolic <60) Age 65+ 1 point each. 0-1 = outpatient tx 2 = consider hosp admit 3-5 = hospitalization CHADS-Vasc CRITERIA Afib stroke risk anti- coagulation CHF (+1) HTN (+1) Age 75+ (+2) DM (+1) Stroke, TIA, embolism (+2) Vascular disease (+1) Age 65-74 (+1) Sexual Category (female) (+1) 2+ in men or 3+ in women-> Oral anticoagulation recommended HAS-BLED CRITERIA 1yr risk major bleeding in Afib patients HTN (+1) Abnormal renal fxn (+1) Abnormal liver fxn (+1) Stroke hx (+1) Bleeding hx (+1) Labile INR (if on warfarin) (+1) Elderly >65 (+1) Drugs with bleeding predisposition (+1) Alcohol 8+ drinks/wk (+1) 3+ = high bleed risk

Original caption

Here are the Top 6 criteria I think you should know before starting your Internal Medicine rotation!!! There are many more, but in my opinion, these have come up the most for me during mine: •Lights Criteria for Pleural Effusions •Wells Criteria for Pulmonary Embolism probability •SIRS criteria •CURB-65 for CAP •CHADS-Vasc for Afib anticoagulation •HAS-BLED for Afib Bleeding Risk Good luck with Internal Medicine! #internalmedicine #medicalschool #medicalstudent #physicianassistant #paschool