Mayo Clinic Internal Medicine Board Review

Editor-in-chief: Christopher M. Wittich, MD, PharmD, Prof, Mayo Clinic

Christopher M. Wittich, MD, is a Consultant in the Division of General Internal Medicine at Mayo Clinic in Rochester, Minnesota and a Professor of Medicine at Mayo Clinic College of Medicine and Science

Jayanth Adusumalli, MBBS, MPH
Senior Associate Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Timothy R. Aksamit, MD Consultant, Division of Pulmonary and Critical Care Medicine, Mayo Clinic; Associate Professor of Medicine

Nandan S. Anavekar, MB, BCh Consultant, Department of Cardiovascular Diseases, Mayo Clinic; Professor of Medicine

Misbah Baqir, MBBS Consultant, Division of Pulmonary and Critical Care Medicine, Mayo Clinic; Assistant Professor of Medicine

Brent A. Bauer, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Professor of Medicine

Elena Beam, MD Senior Associate Consultant, Division of Infectious Diseases, Mayo Clinic; Assistant Professor of Medicine

Thomas J. Beckman, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Professor of Medicine and of Medical Education

Eduardo E. Benarroch, MD Consultant, Department of Neurology, Mayo Clinic; Professor of Neurology

Lori A. Blauwet, MD Consultant, Department of Cardiovascular Diseases, Mayo Clinic; Associate Professor of Medicine

Sara L. Bonnes, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Robert D. Brown Jr, MD, MPH Consultant, Department of Neurology, Mayo Clinic; Professor of Neurology

John B. Bundrick, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Associate Professor of Medicine

Elise C. Carey, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Associate Professor of Medicine

Rodrigo Cartin-Ceba, MD Consultant, Division of Pulmonary Medicine, Mayo Clinic Hospital, Phoenix, Arizona; Associate Professor of Medicine

Tony Y. Chon, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Jeremy M. Clain, MD Consultant, Division of Pulmonary and Critical Care Medicine, Mayo Clinic; Assistant Professor of Medicine

C. Scott Collins, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Nerissa M. Collins, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Brian A. Costello, MD Consultant, Department of Oncology, Mayo Clinic; Associate Professor of Oncology and Urology

Brian A. Crum, MD Consultant, Department of Neurology, Mayo Clinic; Associate Professor of Neurology

Daniel C. DeSimone, MD Senior Associate Consultant, Division of Infectious Diseases, Mayo Clinic; Assistant Professor of Medicine

Brian M. Dougan, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Instructor in Medicine

Matthew T. Drake, MD, PhD Consultant, Division of Endocrinology, Diabetes, Metabolism, & Nutrition, Mayo Clinic; Associate Professor of Medicine

Floranne C. Ernste, MD Consultant, Division of Rheumatology, Mayo Clinic; Assistant Professor of Medicine

Fernando C. Fervenza, MD, PhD Consultant, Division of Nephrology and Hypertension, Mayo Clinic; Professor of Medicine

Naseema Gangat, MBBS Consultant, Division of Hematology, Mayo Clinic; Assistant Professor of Medicine and Instructor in Oncology

Eric O. Gomez Urena, MD Senior Associate Consultant, Division of Infectious Diseases, Mayo Clinic Health System-Southwest Minnesota Region, Mankato, Minnesota; Assistant Professor of Medicine

Tufia C. Haddad, MD Consultant, Department of Oncology, Mayo Clinic; Associate Professor of Oncology

Anhar Hassan, MB, BCh Consultant, Department of Neurology, Mayo Clinic; Assistant Professor of Neurology

C. Christopher Hook, MD Consultant, Division of Hematology, Mayo Clinic; Associate Professor of Medicine and Instructor in Oncology

Joleen M. Hubbard, MD Consultant, Department of Oncology, Mayo Clinic; Associate Professor of Oncology

Ryan T. Hurt, MD, PhD Consultant, Division of General Internal Medicine, Mayo Clinic; Professor of Medicine

Vivek N. Iyer, MD Consultant, Division of Pulmonary and Critical Care Medicine, Mayo Clinic; Associate Professor of Medicine

Lyell K. Jones Jr, MD Consultant, Department of Neurology, Mayo Clinic; Professor of Neurology

Mithri R. Junna, MD Consultant, Department of Neurology, Mayo Clinic; Assistant Professor of Neurology

Ekta Kapoor, MBBS Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Kianoush B. Kashani, MD, MS Consultant, Division of Nephrology and Hypertension, Mayo Clinic; Professor of Medicine and Assistant Professor of Medical Education

Deanne T. Kashiwagi, MD Consultant, Division of Hospital Internal Medicine, Mayo Clinic; Associate Professor of Medicine

Mary J. Kasten, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Associate Professor of Medicine

Jordan M. Kautz, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Instructor in Medicine

Cassie C. Kennedy, MD Consultant, Division of Pulmonary and Critical Care Medicine, Mayo Clinic; Assistant Professor of Medicine

John B. Kisiel, MD Consultant, Division of Gastroenterology and Hepatology, Mayo Clinic; Associate Professor of Medicine

Kyle W. Klarich, MD Consultant, Department of Cardiovascular Diseases, Mayo Clinic; Professor of Medicine

James P. Klaas, MD Consultant, Department of Neurology, Mayo Clinic; Assistant Professor of Neurology

Bhanuprakash Kolla, MD Senior Associate Consultant, Department of Psychiatry and Psychology, Mayo Clinic; Associate Professor of Psychiatry

Matthew J. Koster, MD Senior Associate Consultant, Division of Rheumatology, Mayo Clinic; Assistant Professor of Medicine

Carol L. Kuhle, DO, MPH Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Cadman L. Leggett, MD Consultant, Division of Gastroenterology and Hepatology, Mayo Clinic; Assistant Professor of Medicine

Konstantinos Leventakos, MD Senior Associate Consultant, Department of Oncology, Mayo Clinic; Assistant Professor of Medicine and of Oncology

Scott C. Litin, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Professor of Medicine

Amanda K. Lorenz, MD Senior Associate Consultant, Division of General Internal Medicine, Mayo Clinic; Instructor in Medicine

Shounak Majumder, MD Senior Associate Consultant, Division of Gastroenterology and Hepatology, Mayo Clinic; Assistant Professor of Medicine

Rekha Mankad, MD Consultant, Department of Cardiovascular Diseases, Mayo Clinic; Assistant Professor of Medicine

John C. Matulis III, DO, MPH Consultant, Division of Primary Care Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Robert D. McBane II, MD Chair, Division of Vascular Cardiology, Mayo Clinic; Professor of Medicine

Andrew McKeon, MB, BCh, MD Consultant, Departments of Laboratory Medicine and Pathology and Neurology, Mayo Clinic; Professor of Laboratory Medicine and of Neurology

Clement J. Michet Jr, MD Consultant, Division of Rheumatology, Mayo Clinic; Associate Professor of Medicine

Arya B. Mohabbat, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Timothy J. Moynihan, MD Emeritus Member, Department of Oncology, Mayo Clinic; Emeritus Professor of Oncology

Manpreet S. Mundi, MD Consultant, Division of Endocrinology, Diabetes, Metabolism, & Nutrition, Mayo Clinic; Associate Professor of Medicine

Michelle A. Neben Wittich, MD Consultant, Department of Radiation Oncology, Mayo Clinic; Assistant Professor of Radiation Oncology

Suzanne M. Norby, MD Consultant, Division of Nephrology and Hypertension, Mayo Clinic; Associate Professor of Medicine

Peter A. Noseworthy, MD Consultant, Department of Cardiovascular Diseases, Mayo Clinic; Associate Professor of Medicine

Brian A. Palmer, MD Consultant, Department of Psychiatry and Psychology, Mayo Clinic; Assistant Professor of Psychiatry; present address: Allina Health, Fridley, Minnesota

Lynne S. Peterson, MD Senior Associate Consultant, Division of Rheumatology, Mayo Clinic; Assistant Professor of Medicine

Sabrina D. Phillips, MD Consultant, Department of Cardiovascular Diseases, Mayo Clinic, Jacksonville, Florida; Associate Professor of Medicine

Alyx B. Porter, MD Consultant, Department of Neurology, Mayo Clinic, Phoenix, Arizona; Assistant Professor of Neurology

Katharine A. Price, MD Consultant, Department of Oncology, Mayo Clinic; Associate Professor of Oncology

Rajiv K. Pruthi, MBBS Consultant, Division of Hematology, Mayo Clinic; Associate Professor of Medicine

Qi Qian, MD Consultant, Division of Nephrology and Hypertension, Mayo Clinic; Professor of Medicine and of Physiology

John T. Ratelle, MD Consultant, Division of Hospital Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

William Sanchez, MD Consultant, Division of Gastroenterology and Hepatology, Mayo Clinic; Associate Professor of Medicine

Nicole P. Sandhu, MD, PhD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Carrie A. Schinstock, MD Consultant, Division of Nephrology and Hypertension, Mayo Clinic; Associate Professor of Medicine

Pankaj Shah, MD Consultant, Division of Endocrinology, Diabetes, Metabolism, & Nutrition, Mayo Clinic; Assistant Professor of Medicine

M. Rizwan Sohail, MD Consultant, Division of Infectious Diseases, Mayo Clinic; Professor of Medicine

Marius N. Stan, MD Consultant, Division of Endocrinology, Diabetes, Metabolism, & Nutrition, Mayo Clinic; Associate Professor of Medicine

Amaal J. Starling, MD Consultant, Department of Neurology, Mayo Clinic, Scottsdale, Arizona; Assistant Professor of Neurology

Christopher R. Stephenson, MD Senior Associate Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Jacob J. Strand, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Karna K. Sundsted, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Seth R. Sweetser, MD Consultant, Division of Gastroenterology and Hepatology, Mayo Clinic; Associate Professor of Medicine

Aaron J. Tande, MD Consultant, Division of Infectious Diseases, Mayo Clinic; Assistant Professor of Medicine

Zelalem Temesgen, MD Consultant, Division of Infectious Diseases, Mayo Clinic; Professor of Medicine

Carrie A. Thompson, MD Consultant, Division of Hematology, Mayo Clinic; Associate Professor of Medicine

Jon C. Tilburt, MD Consultant, Division of General Internal Medicine, Mayo Clinic; Professor of Biomedical Ethics and of Medicine

Farris K. Timimi, MD Consultant, Department of Cardiovascular Diseases, Mayo Clinic; Assistant Professor of Medicine

Pritish K. Tosh, MD Consultant, Division of Infectious Diseases, Mayo Clinic; Associate Professor of Medicine

Ericka E. Tung, MD Consultant, Division of Primary Care International Medicine, Mayo Clinic; Assistant Professor of Medicine

Brianna E. Vaa Stelling, MD Senior Associate Consultant, Division of General Internal Medicine, Mayo Clinic; Assistant Professor of Medicine

Gerald W. Volcheck, MD Chair, Division of Allergic Diseases, Mayo Clinic; Associate Professor of Medicine

Andrea E. Wahner Hendrickson, MD Consultant, Department of Oncology, Mayo Clinic; Assistant Professor of Oncology and of Pharmacology

Kenneth J. Warrington, MD Chair, Division of Rheumatology, Mayo Clinic; Professor of Medicine

Colin P. West, MD, PhD Consultant, Division of General Internal Medicine, Mayo Clinic; Professor of Medicine, of Medical Education, and of Biostatistics

Jennifer A. Whitaker, MD, MS Research Collaborator, Division of Infectious Diseases, Mayo Clinic

Carilyn N. Wieland, MD Consultant, Department of Dermatology, Mayo Clinic; Associate Professor of Dermatology and of Laboratory Medicine and Pathology

Christopher M. Wittich, MD, PharmD Consultant, Division of General Internal Medicine, Mayo Clinic; Professor of Medicine

Lily C. Wong-Kisiel, MD Consultant, Department of Neurology, Mayo Clinic; Associate Professor of Neurology

Kerry Wright, MBBS Consultant, Division of Rheumatology, Mayo Clinic; Assistant Professor of Medicine

"This outstanding text begins with reasonable, practial study preparation and then goes on to the reasonable, practical study methods [and] the practical management of the wide range of illness that a prudent Board Certified Internist might well be reasonably expected to recognize and then provide reasonable and prudent primary healthcare ... I plan to reasonably recommend this outstanding text to all of my/our student candidates for our our U.S.M.L.E. Step 3 as well as all of my/our resident candidates for Certification/Recertification by our American Board of Internal Medicine {our A.B.I.M.}. With humility and with respect I will further reasonably recommend this outstanding text to our candidates for Certification-Recertification by our American Board of Emergency Medicine, our American Board of Family Medicine, and our American Board of Psychiatry & Neurology." - Josh Grossman, Colonel {r}, U.S. Army Medical Corps, M.D., FACP, U.S. Army Medical Corps [Review from previous edition]

"Robert Ficalora has applied his extensive expertise in graduate medical education, board preparation and adult learning with the talent and clinical expertise of many Mayo physicians to produce a focused, organized, well-rounded board preparation book the goals parallel the structure of the ABIM certification exam. The material is presented in a focused manner for the 21st century learner, with key points highlighted and many figures, tables, and diagrams. This is not only a content review for any individual preparing as a first time test taker or an MOC exam taker; it is a true guide for the individual, with great tips and words of wisdom. I encourage my own residents to use it now and will use myself again in 5 more years!" - Stephanie Ann Call, MD MSPH {r}, Associate Professor, Program Director, Internal Medicine, Virginia Commonwealth University [Review from previous edition]