By Tao Le
The best-selling USMLE Step 2 CS assessment book--now thoroughly up-to-date to mirror the newest examination format!
- 44 full-length perform instances that simulate the genuine exam--including pediatric and cell interviews in addition to prompt ultimate statements for every case
- A revised and elevated set of minicases representing universal proceedings, designed that can assist you swiftly advance a suite of differential diagnoses
- Updated content material in response to suggestions from contemporary U.S. and overseas attempt takers
- Step-by-step innovations for interacting with standardized sufferers, together with "difficult sufferers"
- Detailed descriptions of high-yield actual examination maneuvers that may win you issues with out costing time
- Time administration recommendation to maximise your medical encounters
- Proven research and examination thoughts from scholars who handed the exam
Read Online or Download First Aid for the USMLE Step 2 CS PDF
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Extra info for First Aid for the USMLE Step 2 CS
He has a heritage of IV drug abuse and sharing needles. HIV, acute retroviral syndrome Infectious mononucleosis Hepatitis Viral pharyngitis Streptococcal tonsillitis/ scarlet fever Secondary syphilis CBC with peripheral smear HIV antibody and viral load CD4 count number Monospot attempt Throat tradition VDRL/RPR AST/ALT/bilirubin/ alkaline phosphatase forty six yo F provides with fever and sore throat. Pharyngitis (bacterial or viral) Mycoplasma pneumonia Acute HIV an infection Infectious mononucleosis Throat swab for tradition and speedy streptococcal antigen Monospot try CBC Serologic try (cold agglutinin titer) for Mycoplasma HIV antibody and viral load MINICASES Presentation COUGH/SHORTNESS OF BREATH Key background Acute/subacute vs. power, elevated frequency of cough if continual, timing; presence/description of sputum, presence of hemoptysis; linked signs (constitutional, URI, postnasal drip, dyspnea, wheezing, chest soreness, heartburn); exacerbating and assuaging components, exposures; smoking background; historical past of lung disorder, posttussive emesis, or middle failure; bronchial asthma; drugs (especially ACE inhibitors). 102 COUGH/SHORTNESS OF BREATH (cont’d) Key actual examination important indicators ± pulse oximetry; examination of nasal mucosa, oropharynx, middle, lungs, lymph nodes, and extremities (clubbing, cyanosis, edema). Differential Workup 30 yo M offers with shortness of breath, cough, and wheezing that irritate in chilly air. He has had numerous such episodes long ago four months. bronchial asthma GERD Bronchitis Pneumonitis overseas physique CBC CXR height ﬂow dimension PFTs Methacholine problem try fifty six yo F offers with shortness of breath and a efficient cough that has lasted for a minimum of three months every year over the last 2 years. She is a heavy smoker. COPD—chronic bronchitis Bronchiectasis Lung melanoma Tuberculosis CBC Sputum Gram stain and tradition CXR PFTs CT—chest PPD fifty eight yo M offers with 1 week of pleuritic chest soreness, fever, chills, and cough with purulent yellow sputum. he's a heavy smoker with COPD. Pneumonia COPD exacerbation (bronchitis) Lung abscess Lung melanoma Tuberculosis Pericarditis CBC Sputum Gram stain and tradition CXR CT—chest ECG PPD 25 yo F offers with 2 weeks of nonproductive cough. 3 weeks in the past she had a sore throat and a runny nostril. extraordinary pneumonia Reactive airway affliction URI-associated cough (“postinfectious”) Postnasal drip GERD CBC triggered sputum Gram stain and tradition CXR IgM detection for Mycoplasma pneumoniae Urine Legionella antigen sixty five yo M provides with worsening cough for the previous 6 months observed by way of hemoptysis, dyspnea, weak spot, and weightloss. he's a heavy smoker. Lung melanoma Tuberculosis Lung abscess COPD Vasculitis (eg, Wegener’s granulomatosis) Interstitial lung sickness CHF CBC Sputum Gram stain, tradition, and cytology CXR CT—chest PPD ANCA Bronchoscopy Echocardiography MINICASES Presentation 103 MINICASES COUGH/SHORTNESS OF BREATH (cont’d) Presentation Differential Workup fifty five yo M offers with elevated dyspnea and sputum construction for the previous three days.