39. Perineum

Optional Reading Clinically Oriented Anatomy, 9th ed., Perineum section. The perineum is the inferior-most region of the trunk, located between the thighs and buttocks. In the anatomic position the perineum is partially hidden because the thighs are together. When the thighs are abducted, the perineum has a diamond shape. Due to the forward tilt of […]

38. Development of genital organs (internal and external genitalia)

Optional Reading The Developing Human: Clinically Oriented Embryology, 12th ed., chapter 12, Development of genital system section through Anomalies of uterine tubes, uterus, and vagina. The adult organs that will be discussed in this chapter are the gonads and the accessory sex organs. Male Female In the male, the gonad is the testis in the […]

Case Presentation Checklist

Case Presentations are a critical skill for your clerkship years and beyond. A quality case presentation efficiently and thoroughly presents the patient to your attendings. As you develop your knowledge, you will build and refine your assessment and plan. In your first year, your assessment and plan may be limited, but it is always good […]

37. The pleura and lungs

Optional Reading Moore, Clinically Oriented Anatomy, 9th ed., Viscera of thoracic cavity section through Clinical box: Pleurae, lungs, and tracheobronchial tree; The Developing Human: Clinically Oriented Embryology, 11th ed., chapter 10. Pleura and pleural sacs Pleura is a serous membrane associated with the lungs. Pleura comes in two varieties: Visceral pleura Visceral pleura invests each […]

36. The larynx

Optional Reading Moore, Clinically Oriented Anatomy, 9th ed., Viscera of neck: Larynx section through Nerves of larynx.  The larynx is an organ of the respiratory system and the part of the airway situated between the pharynx and trachea. It is located anterior to the lower pharynx and esophagus, between the levels of C-4 to C-6 […]

Psychiatry Resources

These resources will help you when you encounter patients with behavioral health needs, whether in a psychiatry setting or in a different clinical setting (e.g., family medicine, internal medicine, emergency medicine). Psychiatric history and physical  Identifying information or demographic data At minimum name and date of birth, single/married/divorced, race, reference to any prior inpatient or […]

Junctional Rhythm, Heart Block, and Pacemakers Worksheets

These worksheets are for self-study only. Answers will not be evaluated. Worksheet 9.1 Calculate the atrial and ventricular rates (as able), and identify the heart rhythm. Atrial rate Ventricular rate Diagnosis Check your answers Second degree AV block (2° AVB) Type I, Wenckebach, with four to three conduction. The PR interval gradually increases until a […]

9. Junctional Rhythm, Heart Block, and Pacemakers

In this material Self-study learning goals Define and identify the following: Junctional rhythm. 1° AV block. 2° AV block. Premature atrial contraction. Sinus arrest. Asystole. Complete heart block. Ventricular escape beats. Ventricular pacing. Atrial and ventricular sequential pacing. Atrial pacing.   Describe a clinical association or cause of: Junctional rhythm. 1° AV block. 2° AV […]

Ventricular Arrhythmias Worksheets

These worksheets are for self-study only. Answers will not be evaluated. Instructions and examples Instructions for Chapter 8 Worksheets For each arrhythmia, examine the whole strip and determine an atrial and ventricular rate. The P wave samples are not long enough to confirm the underlying rhythm is sinus or to be sure of the underlying […]

8. Ventricular Arrhythmias

In this material Self-study learning goals Define and identify the following: Premature ventricular contraction. Ventricular bigeminy. Ventricular trigeminy. Paired PVCs. Ventricular tachycardia. Ventricular fibrillation. Artifact. Torsade de pointe. Idioventricular rhythm.   Describe a clinical association or cause of: Premature ventricular contraction. Ventricular bigeminy. Ventricular trigeminy. Paired PVCs. Ventricular tachycardia. Ventricular fibrillation. Torsade de pointe. Idioventricular […]