By Eugene Toy, John Patlan
Real-Life circumstances for the interior drugs Clerkship and the USMLE Step three "...an first-class inner medication overview publication written particularly or scientific scholars of their scientific years. it truly is excellent for clerkships, sub-internships, shelf, and USMLE checks. Sized to slot in the pocket of a white coat for simple portability, this ebook deals an enticing and high-yield re-view of inner drugs. It promotes lively studying, utilizing sufferer shows and thought-provoking inquiries to inspire deeper considering medical difficulties. The layout might be cozy for an individual who has hung out at the wards studying from sufferers and interesting in problem-based learning....This booklet is very suggested to complement inner drugs clerkships and sub-internships and to arrange for shelf and USMLE exams."--Yale magazine of Biology & drugs you wish publicity to high-yield instances to excel at the inner drugs clerkship and the shelf-exam. Case documents: inner drugs offers 60 real-life instances that illustrate crucial recommendations in inner drugs. every one case contains a entire dialogue, scientific pearls, references, definitions of keywords, and USMLE-style assessment questions. With the program, you are going to examine within the context of actual sufferers, instead of simply memorize evidence. 60 medical instances, every one with USMLE-style questions medical pearls spotlight key innovations Primer on easy methods to procedure medical difficulties and imagine like a physician confirmed studying process improves your shelf-exam ratings
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Additional info for Case Files Internal Medicine, 3rd Edition (LANGE Case Files)
Aspirin is the first agent that should be used after oxygen and nitroglycerin. Aspirin use decreases mortality in the face of an acute coronary event. Because initial ECGs and cardiac enzymes may be normal in acute MI, serial studies are needed. Clinical assessment to exclude other causes of chest pain should be undertaken. CLINICAL CASES 35 Clinical Pearls ➤ Acute coronary syndromes (unstable angina or acute myocardial infarction) occur when a thrombus forms at the site of rupture of an atherosclerotic plaque and acutely occludes a coronary artery.
A series of neurohumoral responses develop, including activation of the renin-angiotensin-aldosterone axis and increased sympathetic activity, which initially may be compensatory but ultimately cause further cardiac decompensation. Symptoms may be a result of forward failure (low cardiac output or systolic dysfunction), including fatigue, lethargy, and even hypotension, or backward failure (increased filling pressures or diastolic dysfunction), including dyspnea, peripheral edema, and ascites. Some patients have isolated diastolic dysfunction with preserved left ventricular ejection fraction (LVEF>40%-50%), most often as a consequence of hypertension or simply of aging.
The carotid upstrokes have diminished amplitude. ➤ What is the most likely diagnosis? ➤ What test would confirm the diagnosis? 38 CASE FILES: I n t e r n a l M e d i c i n e ANSWERS TO CASE 2: Congestive Heart Failure due to Critical Aortic Stenosis Summary: A 72-year-old man complains of several weeks of worsening exertional dyspnea. He has experienced angina-like chest pressure with strenuous exertion and near-syncope while climbing a flight of stairs, and now he has symptoms of heart failure such as orthopnea and paroxysmal nocturnal dyspnea.
Case Files Internal Medicine, 3rd Edition (LANGE Case Files) by Eugene Toy, John Patlan