Published: 14 July 2017
Author(s): Lai Yi-Chun
Issue: July 2017
Section: Internal Medicine Flashcard

This 22years old woman was admitted for left upper lung pneumonia. She denied any systemic disease and never smoked. After antibiotic with ceftriaxone 2g per-day intravenous injection, the clinical symptoms, such as fever, cough subsided. Chest x ray revealed gradually resolution of pneumonia patch. However, her tongue became black [Fig. 1a] after 5days ceftriaxone use. Even she cleaned her tongue base with toothbrush and mouthwash regularly, but the tongue color was still dark. We collected culture from tongue and yield candida dubliniensis [Fig.

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The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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What is internal medicine?

The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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