Published: 14 May 2020
Author(s): Priyanka Bhugra, Abhishek Maiti
Issue: July 2020
Section: Internal Medicine Flashcard

A 44-year- old man presented with dry cough, diffuse joint pain, fevers, and night sweats for one month and poor appetite and weight loss for three months. Physical examination showed hepatosplenomegaly. A chest computed tomogram (Panel A and B) showed diffuse miliary nodules. Sputum for acid fast bacilli was negative. Testing for HIV-1 was positive with a high viral load and a low CD4 count of 4/µL. Bronchoscopy with bronchoalveolar lavage was performed. Gomori methenamine-silver stain of the bronchoalveolar lavage specimen showed intracellular yeasts within macrophages with narrow-based budding (Panel C).

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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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