Internal Medicine — Junior Clerkship (Year 4)

Mount Kenya University, Department of Internal Medicine (unit code MBIM). Six units across three trimesters; the 6th-year senior clerkship topics are listed after.

Trimester 1 · Respiratory system

Weeks 1–6

• Wk 1–6 Pneumonia
• Wk 1–6 Asthma
• Wk 1–6 COPD
• Wk 1–6 Bronchiectasis
• Wk 1–6 Pleural effusion
• Wk 1–6 Pneumothorax
• Wk 1–6 Emphysema
• Wk 1–6 Pulmonary tuberculosis
• Wk 1–6 Lung cancer

Trimester 1 · Cardiovascular system

Weeks 7–12

• Wk 7–12 Hypertension
• Wk 7–12 Rheumatic heart disease
• Wk 7–12 Infective endocarditis
• Wk 7–12 Cardiomyopathy
• Wk 7–12 Heart failure
• Wk 7–12 Pericardial diseases
• Wk 7–12 Ischaemic heart disease
• Wk 7–12 Valvular heart disease
• Wk 7–12 Venous thromboembolism & pulmonary embolism
• Wk 7–12 Investigations in cardiology

Trimester 1 · Gastroenterology

Weeks 1–6

• Wk 1–6 Achalasia cardia
• Wk 1–6 Gastritis & GERD
• Wk 1–6 Peptic ulcer disease
• Wk 1–6 Upper GI bleeding
• Wk 1–6 Acute & chronic diarrhoea
• Wk 1–6 Cholera & bacillary dysentery
• Wk 1–6 Acute & chronic pancreatitis
• Wk 1–6 Cholelithiasis & cholecystitis
• Wk 1–6 Inflammatory bowel disease
• Wk 1–6 Malabsorption syndrome
• Wk 1–6 Hepatitis
• Wk 1–6 Acute & chronic liver failure
• Wk 1–6 Gastric carcinoma
• Wk 1–6 Hepatocellular carcinoma
• Wk 1–6 Pancreatic carcinoma
• Wk 1–6 Colorectal carcinoma
• Wk 1–6 HIV & the GIT
• Wk 1–6 Interpretation of abnormal LFTs

Trimester 1 · Haematology

Weeks 7–12 · Week 14: assessment test

• Wk 7–12 Iron deficiency anaemia
• Wk 7–12 Vitamin B12 deficiency anaemia
• Wk 7–12 Macrocytic / megaloblastic anaemia
• Wk 7–12 Anaemia of chronic disease
• Wk 7–12 Aplastic anaemia
• Wk 7–12 Bleeding disorders
• Wk 7–12 Haemoglobinopathies
• Wk 7–12 Haemolytic anaemias
• Wk 7–12 Myelodysplastic disorders

Trimester 2 · Renal

Weeks 1–6

• Wk 1–6 Acute kidney injury
• Wk 1–6 Fluid & electrolyte disorders
• Wk 1–6 Glomerular diseases
• Wk 1–6 Nephrotic syndrome
• Wk 1–6 Urinary tract infections
• Wk 1–6 Chronic kidney disease
• Wk 1–6 Tubulointerstitial diseases
• Wk 1–6 Renal stone disease
• Wk 1–6 Renal replacement therapy

Trimester 2 · Endocrinology

Weeks 1–12

• Wk 1–12 Diabetes mellitus
• Wk 1–12 Thyroid disorders
• Wk 1–12 Adrenal disorders
• Wk 1–12 Pituitary disorders
• Wk 1–12 Parathyroid gland disorders
• Wk 1–12 Infertility
• Wk 1–12 Hypogonadism / precocious puberty
• Wk 1–12 MEN syndromes

Trimester 2 · Rheumatology

Weeks 7–12 · Week 13: assessment

• Wk 7–12 Rheumatoid arthritis
• Wk 7–12 Systemic lupus erythematosus
• Wk 7–12 Systemic sclerosis
• Wk 7–12 Ankylosing spondylitis
• Wk 7–12 Seronegative spondyloarthropathies
• Wk 7–12 Mixed connective tissue disorders
• Wk 7–12 Fibromyalgia
• Wk 7–12 Gout & crystal arthropathies
• Wk 7–12 Osteoporosis
• Wk 7–12 Osteoarthritis

Trimester 3 · Infectious diseases

Weeks 1–10

• Wk 1–10 Sepsis
• Wk 1–10 HIV & AIDS
• Wk 1–10 HIV & the lung
• Wk 1–10 Lung abscess
• Wk 1–10 Malaria
• Wk 1–10 Leishmaniasis
• Wk 1–10 Trypanosomiasis
• Wk 1–10 Viral haemorrhagic fevers
• Wk 1–10 Intestinal nematodes
• Wk 1–10 COVID-19
• Wk 1–10 Bacterial infections
• Wk 1–10 Fungal infections
• Wk 1–10 Protozoal infections

Trimester 3 · Poisoning

Week 11 · Week 12 assessment · Week 13 revision · Week 14 end-of-year exams

• Wk 11 Approach to the poisoned patient
• Wk 11 Poisoning by pharmaceutical agents
• Wk 11 Drugs of abuse / misuse
• Wk 11 Chemicals and pesticides
• Wk 11 Environmental poisoning

6th year senior clerkship · Neurology

Weeks 1–12 · Week 13 revision · Week 14 CAT

• Wk 1–12 Headache
• Wk 1–12 Epilepsy
• Wk 1–12 Migraine
• Wk 1–12 Meningitis / meningoencephalitis
• Wk 1–12 Strokes
• Wk 1–12 Disorders of peripheral nerves
• Wk 1–12 Neurodegenerative disorders
• Wk 1–12 Disorders of the spinal cord
• Wk 1–12 Diseases of the neuromuscular junction
• Wk 1–12 Diseases of muscle

6th year senior clerkship · Oncology

Trimester 3, weeks 1–11

• Wk 1–11 Leukaemias
• Wk 1–11 Lymphomas
• Wk 1–11 Bladder & renal cancers
• Wk 1–11 Breast cancer
• Wk 1–11 Bone tumours
• Wk 1–11 Kaposi sarcoma
• Wk 1–11 Lower GIT cancers
• Wk 1–11 Hepatocellular carcinoma
• Wk 1–11 Prostate cancer
• Wk 1–11 Multiple myeloma & paraproteinaemias
• Wk 1–11 Cancer of the pancreas
• Wk 1–11 Gastric cancers
• Wk 1–11 Endocrine tumours of the GIT

6th year senior clerkship · Critical care medicine

Trimester 3, weeks 1–11 · Week 12 CAT

• Wk 1–11 Cardiogenic shock
• Wk 1–11 Respiratory failure
• Wk 1–11 Status epilepticus
• Wk 1–11 Status asthmaticus
• Wk 1–11 The unconscious patient
• Wk 1–11 Other medical emergencies
• Wk 1–11 Indications for escalation of care to HDU / ICU

6th year senior clerkship · Trimester 2 case discussions

• Weeks 1–4 Respiratory & cardiovascular system case discussions
• Weeks 1–4 Gastroenterology & renal case discussions
• Weeks 5–10 Endocrinology & rheumatology case discussions
• Weeks 5–10 Haematology & infectious disease case discussions
• Weeks 11–13 Therapeutics

Compiled by Abongo Davis · Ompath Study · shared for MBChB students at Mount Kenya University and other universities.