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Procedures Commonly Performed by Internists

Procedures Commonly Performed by Internists is a topic covered in the Harrison's Manual of Medicine.

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Internists perform a wide range of medical procedures, although practices vary widely among institutions and by specialty. Internists, nurses, or other ancillary health care professionals perform venipuncture for blood testing, arterial puncture for blood gases, endotracheal intubation, and flexible sigmoidoscopy, and insert IV lines, nasogastric (NG) tubes, and urinary catheters. These procedures are not covered here, but require skill and practice to minimize pt discomfort and potential complications. Here, we review more invasive diagnostic and therapeutic procedures performed by internists—thoracentesis, lumbar puncture, and paracentesis. Many additional procedures are performed by specialists and require additional training and credentialing, including the following:

  • Allergy: skin testing, rhinoscopy
  • Cardiology: stress testing, echocardiograms, coronary catheterization, angioplasty, stent insertion, pacemakers, electrophysiology testing and ablation, implantable defibrillators, cardioversion
  • Endocrinology: thyroid biopsy, dynamic hormone testing, bone densitometry
  • Gastroenterology: upper and lower endoscopy, esophageal manometry, endoscopic retrograde cholangiopancreatography, stent insertion, endoscopic ultrasound, liver biopsy
  • Hematology/oncology: bone marrow biopsy, stem cell transplant, lymph node biopsy, plasmapheresis
  • Pulmonary: intubation and ventilator management, bronchoscopy
  • Renal: kidney biopsy, dialysis
  • Rheumatology: joint aspiration

Increasingly, ultrasound, CT, and MRI are being used to guide invasive procedures, and flexible fiberoptic instruments are extending the reach into the body. For most invasive medical procedures, including those reviewed below, informed consent should be obtained in writing before beginning the procedure.

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Citation

Loscalzo, Joseph, et al., editors. "Procedures Commonly Performed By Internists." Harrison's Manual of Medicine, 19th ed., McGraw Hill Inc., 2017. harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623170/all/Procedures_Commonly_Performed_by_Internists.
Procedures Commonly Performed by Internists. In: Loscalzo J, Jameson JL, Longo DL, et al, eds. Harrison's Manual of Medicine. 19th ed. McGraw Hill Inc.; 2017. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623170/all/Procedures_Commonly_Performed_by_Internists. Accessed April 21, 2019.
Procedures Commonly Performed by Internists. (2017). In Loscalzo, J., Jameson, J. L., Longo, D. L., Hauser, S. L., Fauci, A. S., & Kasper, D. L. (Eds.), Harrison's Manual of Medicine. Available from https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623170/all/Procedures_Commonly_Performed_by_Internists
Procedures Commonly Performed By Internists [Internet]. In: Loscalzo J, Jameson JL, Longo DL, Hauser SL, Fauci AS, Kasper DL, editors. Harrison's Manual of Medicine. McGraw Hill Inc.; 2017. [cited 2019 April 21]. Available from: https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623170/all/Procedures_Commonly_Performed_by_Internists.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Procedures Commonly Performed by Internists ID - 623170 ED - Loscalzo,Joseph, ED - Jameson,J Larry, ED - Longo,Dan L, ED - Hauser,Stephen L, ED - Fauci,Anthony S, ED - Kasper,Dennis L, BT - Harrison's Manual of Medicine UR - https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623170/all/Procedures_Commonly_Performed_by_Internists PB - McGraw Hill Inc. ET - 19 DB - Harrison's Manual of Medicine DP - Unbound Medicine ER -