By Tao Le
344 circumstances provide the side you must ace the USMLE Step 2 CK!
This robust casebook is full of 344 exam-type scientific instances that train you ways to paintings via questions about the examination. Completedly up to date in line with scholar suggestions, it contains active-recall questions and solutions that toughen key concepts.
- 344 high-yield cases--94 NEW! --written through scholars who aced the examination
- circumstances emphasize board-relevant illnesses and ideas
- Open-ended lively bear in mind questions and solutions educate you to paintings via circumstances and reinformce must-know proof and ideas
- Two-column layout for simple self-quizzing
- a hundred+ photographs, diagrams, and tables supplement the instances
- equipped an analogous methods as First relief for the USMLE Step 2 CK and First relief Q&A for the USMLE Step 2 CK to facilitate parallel study
Read Online or Download First Aid Cases for the USMLE Step 2 CK, PDF
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Extra resources for First Aid Cases for the USMLE Step 2 CK,
McGraw-Hill, 2009: Fig. ) 32 TA B L E 1- 3 . Major Cardiac Murmur Characteristics + VENOUS MURMUR TIMING LOCATION SPECIFIC SIGNS RETURN Mitral regurgitation Holosystolic PMI Handgrip + Tricuspid regurgitation Holosystolic R&L MSB Inspiration + (Carvallo’s sign) HOCM Early/midsystolic LLSB – Handgrip − Mitral prolapse Midsystolic LLSB/PMI + Handgrip − Aortic stenosis Midsystolic RUSB Crescendo-decrescendo + ASD Late systolic VSD Holosystolic LLSB + Handgrip Aortic regurgitation Early diastolic LUSB Squatting Fixed split S2 Valsalva Head bobbing CARDIOLOGY Wide pulse pressure Decrescendo Pulmonic stenosis Early systolic LMSB Inspiration Crescendo-decrescendo Mitral stenosis Middiastolic PMI in lateral decubitus + Opening snap with inspiration Tricuspid stenosis Middiastolic R&L MSB – Opening snap with inspiration PDA Continuous Machinery murmur Increase afterload—handgrip.
Hemodynamically unstable patients should be intubated and undergo transesophageal echocardiography (TEE) at the bedside. Intravenous β-blockers should be titrated to the lowest tolerable blood pressure. Patients may present with hypotension for a variety of reasons, including blood loss, cardiac tamponade, or cardiac muscle failure; therefore, inotropic agents should be avoided until the etiology of hypotension is established. Deﬁnitive management in this patient with a presumed Stanford type A dissection is prompt surgical repair.
Results of physical examination are unremarkable. X-ray of the chest reveals clear lungs with a normal-sized heart and mediastinum. An ECG is shown in Figure 1-5. CARDIOLOGY ᭤ CASE 19 FIGURE 1-5. ; Roberts R, King SB III, Nash IS, Prystowsky EN, assoc. eds. Hurst’s The Heart, 11th ed. New York: McGraw-Hill, 2004: Fig. ) Ⅲ What is the most likely diagnosis? 30 In this patient with “tight” chest pain, diabetes, a history of angina, a family history of heart disease, and an ECG showing ST-segment elevation in leads V1–V3, aVL, and aVR (see Figure 1-5), the most likely diagnosis is an acute anterior wall myocardial infarction (MI).