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SPECIALTY GUIDE: INTERNAL MEDICINE · KDIGO 2024 & ADA Standards of Care Compliant

Internal Medicine Clinical Note: Chronic Disease & Multimorbidity Workflow

🩺 Revisão Médica: Comitê de Algoritmos Clínicos e Médico ClinIQ 📅 Última atualização: 23 Ekim 2026 ⏱️ 8 min de leitura 👥 Médicos emergencistas, internistas, residentes e estudantes de medicina

Principais Conclusões Clínicas

  • Over 60% of outpatient internal medicine consultations involve multimorbid patients requiring problem-oriented documentation.
  • Chronic kidney disease staging via CKD-EPI eGFR and urine albumin-to-creatinine ratio (UACR) dictates glycemic medication safety.
  • ClinIQ automates clinical risk index calculations including FIB-4, MELD, and CKD-EPI with direct EHR clipboard transfer.

1. Problem-Oriented Outpatient Internal Medicine Notes

Internal medicine progress notes require systematic problem prioritization, reconciling polypharmacy against changing organ function and guideline targets.

Perguntas Clínicas Frequentes

Q: How often should HbA1c be evaluated in stable diabetic patients?

At least twice annually in patients meeting treatment goals; quarterly in patients whose therapy has changed or who are not meeting glycemic targets.

Diretrizes Clínicas e Referências

  1. American Diabetes Association. Standards of Care in Diabetes—2024. Diabetes Care. 2024;47(Suppl. 1):S1-S343.