Case Files Internal Medicine by Eugene C. Toy, John T. Patlan

By Eugene C. Toy, John T. Patlan

Sixty high-yield inner drugs situations is helping scholars sharpen their diagnostic and problem-solving talents. The Case records sequence is an award-winning studying procedure confirmed to enhance shelf-exam ratings and clerkship functionality. not like different books out there, this sequence is helping scholars study within the context of actual sufferers rather than easily memorizing. Case records inner drugs teaches scholars the right way to increase their diagnostic and problem-solving talents as they paintings via sixty high-yield scientific instances. each one case incorporates a whole dialogue, scientific pearls, references, and USMLE-style evaluation questions with solutions. The 5th version has been up to date to incorporate a brand new Case Correlations characteristic which highlights differential prognosis and similar instances within the ebook.

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Pleural effusion, Hampton’s hump (a distal wedge-shaped infarct), and Westermark’s sign (hyperlucency in the region of lung supplied by the infarcted artery) What is the most common ECG finding in a patient with PE? Sinus tachycardia What is the classic ECG finding in a patient with PE? S1Q3T3 (S wave in lead I, Q wave and invertedT in lead III) What are modified Well’s criteria for DVT/PE risk stratification? 5 points each: tachycardia, hospitalized in past month/surgery, past hx of DVT 1 point each: hemoptysis, malignancy 0-1 = low risk (rule out w/ neg D-dimer) 2-6 = intermediate risk >7 = high risk (treat w/ positive LE Doppler US) What two diagnostic tests are commonly used to diagnose PE?

Initially warfarin induces a hypercoagulable state (by inactivating proteins C and S), which may cause skin necrosis. What methods are used for long-term prophylaxis for patients at risk of developing DVT? Warfarin or IVC filter What is an alternative to warfarin for outpatient DVT prophylaxis? Low-molecular-weight heparin What type of tumors commonly cause a DVT by inducing a hypercoagulable state? Adenocarcinomas What commonly used medication increases the risk of DVT? Oral contraceptives What is the most common genetic disease that predisposes to the development of DVT?

Fever (97%), fatigue (90%), lymphadenopathy (50%-77%), pharyngitis (73%), transient rash (40%-70%), or headache (30%-60%) How is AIDS defined? CD4+ 200 cells/mL or serologic evidence of AIDS-defining illness What mutation may confer resistance to infection with HIV? avium-intracellulare (MAC complex) Viral Herpes simplex virus (HSV), varicella-zoster virus (VZV) (shingles), cytomegalovirus (CMV) (retinitis), JC virus (PML), Epstein-Barr virus (EBV) (B-cell lymphoma), and human herpesvirus (HHV)-8 (Kaposi sarcoma) Protozoal Toxoplasma (encephalopathy), and Cryptosporidium (severe watery diarrhea) State the typical CD4+ count associated with each of the following HIV complications: TB becomes more common 400 cells/mL Serious opportunists are first seen 200 cells/mL Toxoplasmosis, cryptococcosis 100 cells/mL MAC, CMV, and cryptosporidiosis 50 cells/mL What constitutes highly active antiretroviral therapy (HAART)?

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