By Eugene Toy, John Patlan
Real-Life instances for the interior drugs Clerkship and the USMLE Step three "...an very good inner drugs overview booklet written specifically or clinical scholars of their scientific years. it truly is excellent for clerkships, sub-internships, shelf, and USMLE tests. Sized to slot in the pocket of a white coat for simple portability, this booklet deals a fascinating and high-yield re-view of inner medication. It promotes energetic studying, utilizing sufferer shows and thought-provoking inquiries to inspire deeper brooding about medical difficulties. The layout may be cozy for an individual who has hung out at the wards studying from sufferers and interesting in problem-based learning....This publication is extremely prompt 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 circumstances to excel at the inner medication clerkship and the shelf-exam. Case records: inner drugs provides 60 real-life circumstances that illustrate crucial recommendations in inner medication. every one case contains a whole dialogue, scientific pearls, references, definitions of key phrases, and USMLE-style evaluate questions. With the program, you are going to examine within the context of genuine sufferers, instead of basically memorize proof. 60 scientific circumstances, each one with USMLE-style questions medical pearls spotlight key ideas Primer on the right way to method medical difficulties and imagine like a physician confirmed studying approach improves your shelf-exam ratings
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Extra resources for Case Files Internal Medicine, 3rd Edition (LANGE Case Files)
Reproduced, with permission, from Braunwald E, Fauci AS, Kasper DL, et al, eds. Harrison’s Principles of Internal Medicine. 16th ed. New York, NY: McGraw-Hill; 2005:1316. 26 CASE FILES: I n t e r n a l M e d i c i n e Sometimes when acute ischemia is limited to the subendocardium, ST-segment depression, rather than ST-segment elevation, develops. ST-segment elevation is typical of acute transmural ischemia, that is, a greater degree of myocardial involvement than in NSTEMI. From the ECG we can localize the ischemia related to a vascular territory supplied by one of the three major coronary arteries.
Some cognitive explanations and educational implications. Acad Med. 1999;74(10):138-143. Gross R. Making Medical Decisions. Philadelphia, PA: American College of Physicians; 1999. Mark DB. Decision-making in clinical medicine. , eds. Harrison’s Principles of Internal Medicine. 17th ed. New York, NY: McGraw-Hill; 2008:16-23. This page intentionally left blank SECTION Clinical Cases II This page intentionally left blank Case 1 A 56-year-old man comes to the emergency room complaining of chest discomfort.
NON–ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION (NSTEMI): MI, but without ST-segment elevation as defined below. May have other ECG changes, such as ST-segment depression or T-wave inversion. Previously referred to as non–Q wave or subendocardial MI. 1 mV in two or more contiguous leads. Previously referred to as Q-wave or transmural MI. THROMBOLYTICS: Drugs such as tissue plasminogen activator (tPA), streptokinase, and reteplase (rPA), which act to lyse fibrin thrombi in order to restore patency of the coronary artery.