By Ahmad Wagih Abdel-Halim
With the strain each scientific scholar faces in getting ready for the USMLE, time is of the essence while learning for the examination. Passing the USMLE: medical Knowledge is written with a good specialise in excessive yield details awarded in uncomplicated textual content and bulleted lists for max retention. This publication distills the great ocean of scientific technology to the main pertinent move of knowledge essential to effectively move this rigorous exam. geared up by way of uniqueness, this publication covers the most important subject matters in inner drugs, dermatology, obstetrics, gynecology, surgical procedure, pediatrics and psychiatry. The ebook is illustrated all through with charts, tables, graphs, line drawings and whole colour photos to assist in whole comprehension. Passing the USMLE: scientific Knowledge is an important examine consultant for any scholar desirous to locate all of the medical details they should move their examination in a single convenient resource.
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Additional info for Passing the USMLE: Clinical Knowledge
Coli-0157-H7, which causes bloody diarrhea followed by TTP like picture minus the fever and neurological symptoms. Diagnosis and treatment is the same as TTP. Chemotherapy combinations containing Mitomycin can also induce HUS. l Myelofibrosis l l l l Myeloproliferative Disorders Introduction l Biggest complication of following disorders is transformation into leukemia. Polycythemia l l Definition: It is excessive RBCs causing hyperviscosity syndrome. , Renal cell cancer. Clinical picture: 1. Plethora, facial flushing and itching: Gets worse after a warm shower.
Cephalhematoma, bleeding after circumcision. 2. Multiple ecchymosis and big joints hemorrhagic effusion. 3. Retroperitoneal hematoma: Patients can only present with femoral neuropathy (Unilateral leg pain, weakness and numbness). l l Diagnosis: Prolonged PTT, Normal PT, and Low factor VIII and/or IX. Treatment: Desmopressin DDAVP (Factor VIII rich substance). l l 1. Low platelets and elevated LDH. 2. Prolonged PT and PTT. 3. Low fibrinogen and elevated Fibrin degradation products (FDP). l l Idiopathic Thrombocytopenic Purpura (ITP) l l l l Mechanism: Immunologically generated antibodies IgG against platelets, mostly following a recent flu like illness.
Common in HIV. It is the most common form of idiopathic nephrotic syndrome in African Americans. 4. DM: Kimmelstiel-Wilson syndrome. First sign of diabetic nephropathy is glomerulosclerosis, which is detected by checking for microalbuminuria. 5. SLE: Wire loop lesions with subendothelial deposits. 6. Amyloidosis: Diagnosed by Congo red staining of abdominal pad of fat or peripheral nerve. Treatment: Colchicine. 7. Familial Mediterranean Fever (Fever + Serositis + Nephrotic): Treatment: Colchicine.