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Step-Up to Medicine (Step-Up Series) by Steven S. Agabegi, Elizabeth D. Agabegi

By Steven S. Agabegi, Elizabeth D. Agabegi

Step-Up to drugs is your lifeline for the scientific years of clinical institution. This publication used to be initially written by means of third-year clinical scholars trying to find definitely the right assessment book—not discovering it out there, they wrote it themselves! Now in its 3rd variation, Step-Up to Medicine boils down the complete scope of confirmed pathology in one creative device. every one aspect is customized for fast content material absorption, and an all-new, full-color inside differentiate parts for even speedier, extra effective evaluation. And, Step-Up to Medicine, third edition provides two sorts of self-assessment—the forms of questions you are going to wonder as a clinician plus USMLE-style perform questions. This assessment booklet delivers simply the Step-Up to the medication clerkship, accompanying shelf checks, and USMLE Step 2 that you simply need! NEW good points for this blockbuster edition:<ul type="disc"> • Full-color, up to date inside layout brings the content material to you in a rousing, memorable style.
• Full-color, up to date artwork software illustrates concepts while an image says it best—plenty of medical pictures additionally complement topics.
• New content material on evidence-based medication retains you present and trained to steer your scientific determination making. 
• accelerated content material on drug dosing is extra the place relevant. 
 CLASSIC good points scholars swear by:<ul type="disc"> • entire insurance of high-yield clinical subject matters guarantees you're attempt ready
• scientific Pearls packing containers assist you “file away” medical drugs connections for convenient retrieval at try time
• quickly Hits glimmering within the margins spotlight hugely testable material—just see how the sparks fly at try time
 BONUS fabric and learn resources:<ul type="disc"> • publication with the totally searchable textual content is on the market through thePoint .
• NEW three hundred USMLE-style questions offer one other technique of self-assessment and perform for these exams
• NEW Audio clips of breath and center sounds additionally on hand on thePoint

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Extra info for Step-Up to Medicine (Step-Up Series)

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Electrical alternans (see definition below under Cardiac Tamponade) suggests a massive pericardial effusion and tamponade. 4. CT scan or MRI—very accurate, but often unnecessary given the accuracy of an echocardiogram 5. Pericardial fluid analysis—may clarify the cause of the effusion a. Treatment 1. Depends on patient’s hemodynamic stability 2. Pericardiocentesis is not indicated unless there is evidence of cardiac tamponade. Analysis of pericardial fluid can be useful if the cause of the effusion is unknown.

No delta waves because conduction occurs retrograde over the accessory pathway. Supraventricular tachycardias (AFib or atrial flutter) • Usually, AV node only allows certain impulses to get to ventricles. With an accessory pathway, all or most of the impulses may pass to the ventricles. A fast ventricular rate may occur and cause hemodynamic compromise. B. Diagnosis 1. Treatment 1. , of the accessory pathway) is an effective treatment. Medical options include procainamide or quinidine. 2. , digoxin, verapamil) because they may accelerate conduction through the accessory pathway.

Initial test of choice—should be performed whenever CHF is suspected based on history, examination, or CXR. Useful in determining whether systolic or diastolic dysfunction predominates, and determines whether the cause of CHF is due to a pericardial, myocardial, or valvular process. c. Estimates EF (very important): Patients with systolic dysfunction (EF < 40%) should be distinguished from patients with preserved left ventricular function (EF > 40%). Shows chamber dilation and/or hypertrophy 3.

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