Study Hub

Internal Medicine

The final boss of the shelf. Cardio, pulm, GI, heme, renal, endo, neuro, rheum: every system you swore was its own subject, wearing one coat. Every Bone Wizardry deep-dive here, mapped by clinical system and stacked by how much it actually shows up.

Across every system, the exam keeps testing the same physician tasks: History & Physical / Diagnosis (25-30%), Diagnostic Technologies (25-30%), Management (20-30%), Health Promotion & Prevention (5-10%), and Scientific Mechanisms (10-20%). The pages below cover all five; jump to Read the Test for the diagnostic-technologies rail.

01

Cardiovascular & Circulatory

Yield 16-22%
Heart Murmurs
Cardio · Valvular
Mitral RegurgitationPro
Cardio · Valvular
Diastolic RumblePro
Cardio · Valvular
Wide S2 SplitPro
Cardio · Heart sounds
Paradoxical S2 SplitPro
Cardio · Heart sounds
Cardiomyopathies
Cardio · Myocardial
Frank-Starling Mechanism
Cardio · Mechanism
HemodynamicsPro
Cardio · Mechanism
Inferior MI + AV BlockPro
Cardio · ACS
Post-MI Complications TimelinePro
Cardio · ACS
MI ED Meds: MONA-BAHPro
Cardio · ACS management
Antiarrhythmics
Cardio · Arrhythmia mgmt
Lead I EKGPro
Cardio · Dx tech
Beta-BlockersPro
Pharm · HTN / IHD mgmt
Digoxin
Pharm · Rate / CHF mgmt
Renal Artery Stenosis & RAAS
Renal · Secondary HTN
Cholesterol Synthesis & RegulationPro
Biochem · Hyperlipidemia
HypertensionPro
Cardio · HTN management
Heart Failure
Cardio · HFrEF / GDMT
Atrial FibrillationPro
Cardio · Arrhythmia
Infective EndocarditisPro
Cardio · Valve infection
EKG Interpretation
Cardio · Dx tech
Congenital Heart Defects
Cardio · Congenital
Chronic Venous InsufficiencyPro
Cardio · Vascular
02

Respiratory

Yield 16-22%
Asthma vs COPD
Resp · Obstructive
Pneumonias
Resp · Infection
Lung Abscess
Resp · Infection
PE & DVT
Resp · Vascular
ARDS
Resp · Critical care
Acid-Base & ABGs
Resp · Dx tech
Pulm Physiology Hub
Resp · Mechanism
Sarcoidosis
Resp · Interstitial
Lung Cancers
Resp · Oncology
03

Heme / Onc / Immunology

Yield 13-18%
Anemias
Heme · Hub
Microcytic Anemias
Heme · Anemia
Macrocytic / Normocytic & PNH
Heme · Anemia
Iron Deficiency Workup
Heme · Dx tech
Lead Poisoning
Heme · Toxic
Coagulation & Bleeding Disorders
Heme · Coagulation
Coagulation Cascade
Heme · Mechanism
Hemophilia & Coag CascadePro
Heme · Coagulation
Platelet DisordersPro
Heme · Coagulation
Drugs of the Clotting CascadePro
Heme · Management
Multiple Myeloma & MGUS
Heme · Malignancy
Chromosomal Translocations
Heme · Malignancy
Hypersensitivity I-IV
Immuno · Allergy
Autoantibodies & Drug-Induced Lupus
Immuno · Dx tech
Primary ImmunodeficiencyPro
Immuno · Immunodeficiency
VasculitidesPro
Immuno · Vasculitis
Opportunistic Infections · CD4 Ladder
Micro · HIV / AIDS
HIV: Diagnosis & ARTPro
ID · HIV
Sepsis & Septic ShockPro
ID · Critical care
Meningitis
ID · CNS infection
Antimetabolites & Drug Interactions
Pharm · Chemo
Cancer Pathology
Path · Neoplasm
Where Cancer Lands
Path · Metastasis
Oncogenes & Tumor Suppressors
Path · Mechanism
The Psammoma Club
Path · Solid tumor
The Cancer Cascade
Path · Radiation
04

GI & Nutrition

Yield 12-16%
Crohn's vs UC
GI · IBD
Hepatitis Serologies
GI · Liver / Dx tech
The Liver's Hit List (HCC)
GI · Liver
Liver Metastases
GI · Liver
PSC vs PBC
GI · Biliary
Pancreas Eats Itself
GI · Pancreas
PPI-Induced HypergastrinemiaPro
GI · Upper GI
Zinc DeficiencyPro
GI · Nutrition
Wernicke + KorsakoffPro
Neuro · Thiamine deficiency
GERD, PUD & H. pyloriPro
GI · Upper GI
Cirrhosis & ComplicationsPro
GI · Liver
05

Nervous System & Mental Health

Yield 8-12%
Stroke Syndromes
Neuro · Stroke
Cortical Stroke SyndromesPro
Neuro · Stroke
Brainstem Stroke SyndromesPro
Neuro · Stroke
Lenticulostriate StrokesPro
Neuro · Stroke
Intracranial HemorrhagesPro
Neuro · Stroke
Dementias
Neuro · Neurodegenerative
Parkinson DiseasePro
Neuro · Neurodegenerative
Movement DisordersPro
Neuro · Movement
Demyelinating Diseases
Neuro · Demyelinating
NMJ Disorders
Neuro · Neuromuscular
Spinal StenosisPro
Neuro · Spinal cord
Seizures & EpilepsyPro
Neuro · Cerebral
Idiopathic Intracranial HypertensionPro
Neuro · Cerebral
Cranial Nerve Lesions
Neuro · Peripheral
Schizophrenia & Mood Disorders
Psych · Mental health
The Mood Map: Antidepressants
Psych · Management
Antipsychotics, Mood Stabilizers & Anxiolytics
Psych · Management
Cluster A Personality Disorders
Psych · Mental health
Code Gray: The Agitated Patient
Psych · Management
06

Genitourinary / Renal

Yield 5-10%
AKI vs CKD
Renal · AKI / CKD
Nephrotic vs Nephritic
Renal · Glomerular
RTA Deep Dive
Renal · Tubular
Electrolyte Disorders
Renal · Fluid / lytes
Renal Artery Stenosis & RAAS
Renal · Vascular
Diuretic Sites & ToxicityPro
Renal · Management
Prostate Cancer Drugs
Pharm · GU oncology
07

Endocrine & Metabolism

Yield 5-7%
DKA vs HHS
Endo · Diabetes
Insulinoma & Hypoglycemia Workup
Endo · Diabetes
Antidiabetic Drug ClassesPro
Pharm · Management
Thyroid Disorders
Endo · Thyroid
Calcium, PTH & Vitamin D Axis
Endo · Parathyroid
Adrenal InsufficiencyPro
Endo · Adrenal
Adrenal Adenomas
Endo · Adrenal
Congenital Adrenal Hyperplasia
Endo · Adrenal
Pituitary Tumors, SIADH & DI
Endo · Pituitary
Gigantism (GH Excess)
Endo · Pituitary
MEN Syndromes
Endo · Tumor syndrome
The Pancreatic Villains
Endo · Islet tumors
Glucagonoma
Endo · Islet tumors
Hypothalamic & Pituitary Drugs
Pharm · Management
08

MSK & Rheumatology

Yield 5-7%
The Big 5 Autoimmune Diseases
MSK · Inflammatory
The Spondyloarthropathy QuartetPro
MSK · Seronegative
Autoantibodies & Drug-Induced Lupus
Immuno · Rheum serology
VasculitidesPro
Immuno · Vasculitis
Viscerosomatic Reflexes
OMM · Viscerosomatic
Low Back Pain
OMM · Somatic dysfunction
09

Integumentary

Yield 5-7%
Classic Derm Findings
Derm · Lesions
Skin Cancers
Derm · Oncology
Actinic Keratosis
Derm · Precancer
Hypersensitivity I-IV
Immuno · Atopic mechanism
10

Community Health & Prevention

Yield 5-7%
Prevention & Screening
IM · New module
Sensitivity, Specificity & Study Design
Biostats · Screening principles
Medical Interpreter Rules
Biostats · Communication
Medication Adherence
Endo · Behavioral
🔎

Read the Test

Dx Tech 25-30%

Diagnostic Technologies is the single heaviest physician task on the shelf. These pages cut across every system: the EKG, the ABG, the LFTs, the CBC, and the serology that the vignette hands you.

Acid-Base & ABGs
Read the ABG
Iron Deficiency Workup
Read the CBC / iron studies
Hepatitis Serologies
Read the serology panel
Autoantibodies
Read the rheum panel
Lead I EKGPro
Read the tracing
Sensitivity, Specificity & Study Design
Interpret the test
DyslipidemiaPro
IM · Statin intensity by risk
Urinary Tract InfectionsPro
IM · Cystitis vs pyelonephritis
OsteoporosisPro
IM · DEXA, FRAX, bisphosphonates
+

More Internal Medicine Deep-Dives

Newly wired in
ALSPro
Neuro · Motor neuron disease
Huntington DiseasePro
Neuro · Neurodegenerative
Normal Pressure Hydrocephalus
Neuro · Reversible dementia
Brain TumorsPro
Neuro · Neuro-oncology
Spinal Cord SyndromesPro
Neuro · Cord localization
Conus vs Cauda EquinaPro
Neuro · Cord emergency
Restless Leg SyndromePro
Neuro · Movement / sleep
AIDS Dementia ComplexPro
Neuro · HIV encephalopathy
Aphasias
Neuro · Stroke localization
Neurodegeneration Decoder
Neuro · Synthesis
Eating Disorders
Psych · Mental health
Trauma & PTSD Disorders
Psych · Mental health
Toxidromes & Antidotes
Pharm · Poisoning / AMS
Tyramine CrisisPro
Pharm · MAOI reaction
Botulism
ID · Neuromuscular toxin
Wilson DiseasePro
GI · Metabolic liver disease
E. coli vs Shigella
ID · Infectious diarrhea
Platelet Plug FormationPro
Heme · Mechanism
Chapman Points
OMM · Viscerosomatic chart
Autonomic Spinal Levels
OMM · Sympathetic / parasympathetic
+

To Be Added

Blueprint gaps

Topics the Internal Medicine boards test that do not yet have a Bone Wizardry deep-dive. On the build list.

Cardiovascular & Circulatory Stable angina and chronic CAD stress-testing strategy, Pericarditis, pericardial effusion, and cardiac tamponade, Peripheral arterial disease and claudication, Syncope evaluation: cardiac vs vasovagal vs orthostatic, SVT and VT recognition and acute management.
Respiratory Pleural effusion and Light's criteria (transudate vs exudate), Solitary pulmonary nodule evaluation, Interstitial lung disease (IPF, hypersensitivity pneumonitis), Obstructive sleep apnea, Pulmonary hypertension and cor pulmonale, Tuberculosis: active disease and latent infection screening.
Heme / Onc / Immunology Aplastic anemia and pancytopenia workup, Hypercoagulable states and antiphospholipid syndrome, Myeloproliferative neoplasms (polycythemia vera, ET, myelofibrosis), Myelodysplastic syndrome, Transfusion reactions, Oncologic emergencies: tumor lysis, SVC syndrome, cord compression, malignant hypercalcemia, Tumor markers and cancer screening panels, Fever of unknown origin workup, Skin and soft tissue infections: cellulitis, necrotizing fasciitis, Osteomyelitis and septic arthritis, Clostridioides difficile and healthcare-associated infections, Sexually transmitted infections: syphilis, gonorrhea, chlamydia, Influenza and respiratory viral illness, Sickle cell disease and vaso-occlusive crisis.
GI & Nutrition Upper and lower GI bleeding evaluation, Irritable bowel syndrome, Alcoholic and nonalcoholic fatty liver disease, Celiac disease and malabsorption, Dysphagia: achalasia, esophageal cancer, strictures, Clostridioides difficile colitis, Hereditary hemochromatosis and iron overload, Acute mesenteric ischemia, Pancreatic adenocarcinoma and Courvoisier sign.
Nervous System & Mental Health Delirium evaluation and management, Peripheral neuropathy workup, Spinal cord compression and increased intracranial pressure red flags, Encephalitis: HSV and autoimmune.
Genitourinary / Renal Benign prostatic hyperplasia evaluation and medical therapy, Diabetic nephropathy and hypertensive nephrosclerosis, Rhabdomyolysis, Indications for dialysis, Polycystic kidney disease, Renal cell carcinoma.
Endocrine & Metabolism Chronic diabetic complications: retinopathy, neuropathy, nephropathy, Thyroid nodule and thyroid cancer evaluation, Thyroid storm and myxedema coma, Paget disease of bone, Metabolic syndrome and obesity, Carcinoid syndrome and serotonin-secreting tumors.
MSK & Rheumatology Rheumatoid arthritis and DMARD therapy, Osteoarthritis, Gout and pseudogout (crystal arthropathies), Polymyalgia rheumatica and giant cell arteritis, Septic vs crystal vs inflammatory arthritis differentiation, Polymyositis and dermatomyositis, Fibromyalgia, Antiphospholipid antibody syndrome.
Integumentary Severe cutaneous drug reactions: SJS, TEN, and DRESS, Bullous dermatoses: pemphigus vulgaris vs bullous pemphigoid, Psoriasis and psoriatic disease.
Community Health & Prevention Obesity, metabolic syndrome, and nutrition disorders, Geriatric syndromes: falls, frailty, polypharmacy, incontinence, Perioperative and preoperative cardiac risk assessment, Shock classification and resuscitation, Palliative care, hospice, and goals-of-care decisions, Common ambulatory complaints: fatigue, weight loss, edema, dizziness, Patient safety and quality improvement.
Bone Wizardry is an independent educational resource for visual learning in the medical sciences. It is not affiliated with, endorsed by, or sponsored by any licensing or examination board, contains no real or recalled examination questions, and does not guarantee any educational or examination outcome.