Internal medicine Lectures, books,Mcqs & usmle💊

MER Primary Care Conferences Internal Medicine for Primary Care Endo Gyn Psych Rheum Aug 02-06, 2026 MER Primary Care Conferences Internal Medicine for Primary Care Endo Gyn Psych Rheum Aug 02–06, 2026 Internal Medicine for Primary Care: Endocrinology / Gynecology / Psychiatry / Rheumatology The Internal Medicine for Primary Care: Endocrinology/Gynecology/Psychiatry/Rheumatology conference is a continuing medical education program organized by Medical Education Resources (MER). This multidisciplinary program provides practical, evidence-based updates across endocrinology, gynecology, psychiatry, and rheumatology for primary care professionals. The conference will take place August 2–6, 2026,… https://medicalamboss.com/product/mer-primary-care-conferences-internal-medicine-for-primary-care-endo-gyn-psych-rheum-aug-02-06-2026/

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✈️Complicated UTI (cUTI) : Infection in patients with risk factors for infection, treatment failure, or serious outcomes, including: Male sex Pregnancy Postmenopause Children with features of atypical pediatric UTI Significant anatomical or functional abnormalities Immunosuppression Renal failure Metabolic disorders (e.g., diabetes) Infection associated with recent instrumentation or medical devices, e.g.: Cystoscopy Indwelling catheters Drainage devices (e.g., ureteral stents, nephrostomy tubes) Healthcare-associated UTIs

✈️Uncomplicated UTI Infection in nonpregnant, premenopausal women without further risk factors for infection, treatment failure, or serious outcomes

✈️Indications for surgery consult in IE include: Prosthetic valve IE Valve dysfunction causing heart failure Uncontrolled infection (e.g., enlarging vegetation, persistent bacteremia) Perivalvular extension or complications (e.g., abscess, pseudoaneurysm, fistula, heart block) IE due to difficult to treat organisms (e.g., fungi, MDRO) High embolic risk (e.g., mobile vegetation ≥ 10 mm, recurrent embolism)

✈️Surgery is required in 50–60% of patients with IE.

✈️Antibiotic therapy is contraindicated in EHEC because it does not improve the disease course and may increase the risk of developing HUS.

✈️Thrombocytopenia, hemolytic anemia, and acute kidney injury are the typical triad for HUS.

✈️Do not use antibiotics if EHEC is suspected. Obtain diagnostic studies and monitor for signs of HUS. Enterohemorrhagic Escherichia coli (EHEC)

✈️Infants born to HBsAg-positive individuals should receive 1 dose of HBIG and the first dose of HBV vaccine within 12 hours of birth.

✈️HBV infection is not an indication for cesarean delivery.

✈️Hepatitis B vaccination is recommended for all pregnant individuals who have not been previously vaccinated.

✈️HCV infection alone is not an indication for cesarean delivery.

✈️Most acute hepatitis B infections in adults are self-limited. Antiviral therapy is not routinely indicated.

✈️Intravenous administration of vancomycin is ineffective for C. difficile infection because vancomycin is insufficiently excreted into the colon.

✈️PPIs should be discontinued 1–2 weeks prior to most H. pylori testing modalities to minimize rates of false-negative results. However, some types of testing, e.g., histology, are not affected by recent PPI treatment.

✈️Typhoid fever must always be considered in cases of persistent fever of unknown origin and a history of travel to an endemic region.

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