By Eugene Toy, John Patlan
Real-Life circumstances for the inner medication Clerkship and the USMLE Step three "...an very good inner drugs overview ebook written in particular or clinical scholars of their scientific years. it's excellent for clerkships, sub-internships, shelf, and USMLE checks. Sized to slot in the pocket of a white coat for simple portability, this publication bargains an attractive and high-yield re-view of inner drugs. It promotes energetic studying, utilizing sufferer displays and thought-provoking inquiries to motivate deeper pondering scientific difficulties. The structure should be cozy for someone who has hung out at the wards studying from sufferers and fascinating in problem-based learning....This e-book is extremely 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 situations to excel at the inner medication clerkship and the shelf-exam. Case records: inner medication provides 60 real-life circumstances that illustrate crucial innovations in inner medication. every one case features a whole dialogue, medical pearls, references, definitions of key phrases, and USMLE-style assessment questions. With the program, you will examine within the context of actual sufferers, instead of basically memorize proof. 60 scientific instances, every one with USMLE-style questions scientific pearls spotlight key suggestions Primer on find out how to strategy medical difficulties and imagine like a physician confirmed studying process improves your shelf-exam rankings
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Additional resources for Case Files Internal Medicine, 3rd Edition (LANGE Case Files)
Smoking cessation, aspirin and clopidogrel, beta-blockers, and statins all reduce the rate of events and reduce mortality. ➤ After myocardial infarction, angioplasty can be performed to reduce ischemia and anginal symptoms. Bypass surgery may be indicated for patients with multivessel stenosis and impaired systolic function to reduce symptoms and prolong survival. ➤ The ECG can indicate the location of the ischemia or infarction: anterior (leads V2 through V4), lateral (leads I, aVL, V5, and V6), inferior (leads II, III, and aVF), and posterior (R waves in leads V1 and V2).
The goal of secondary prevention after myocardial infarction is to prevent recurrent cardiac events and death. Smoking cessation, aspirin and clopidogrel, beta-blockers, and statins all reduce the rate of events and reduce mortality. ➤ After myocardial infarction, angioplasty can be performed to reduce ischemia and anginal symptoms. Bypass surgery may be indicated for patients with multivessel stenosis and impaired systolic function to reduce symptoms and prolong survival. ➤ The ECG can indicate the location of the ischemia or infarction: anterior (leads V2 through V4), lateral (leads I, aVL, V5, and V6), inferior (leads II, III, and aVF), and posterior (R waves in leads V1 and V2).
Jugular venous pressure appears normal. Auscultation of the chest reveals clear lung fields, a regular rhythm with an S4 gallop, and no murmurs or rubs. A chest radiograph shows clear lungs and a normal cardiac silhouette. The ECG is shown in Figure 1–1. ➤ What is the most likely diagnosis? ➤ What is the next step in therapy? V1 V4 V2 V5 V3 V6 Figure 1–1. Electrocardiogram. Reproduced, with permission, from Braunwald E, Fauci AS, Kasper DL, et al, eds. Harrison’s Principles of Internal Medicine.