By Conrad Fischer
A new option to excel at the inner drugs Clerkship from Conrad Fischer!
Top Shelf: crucial studying for the inner medication Clerkship makes use of Conrad Fischer’s detailed approach to distilling complicated thoughts into obtainable, high-yield narrative to maximise your retention and strengthen your functionality at the clerkship and shelf exam. Fischer doesn’t simply offer you what you want to “get via” -- he is helping you actually comprehend the perform of inner medication -- so that you gives you impressive sufferer care and ace the shelf examination. This detailed paintings encapsulates Conrad Fischer’s greater than 20 years’ board overview school room event into one score-boosting, memory-enhancing textual content.
· Numerous scientific photos and tables relief retention
· Sidebars summarize key issues for simple review
· Tips supply centred studying and spotlight flawed resolution offerings to avoid them from being repeated on tests or in the course of rounds
Read Online or Download Essential Learning for the Internal Medicine Clerkship PDF
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Extra resources for Essential Learning for the Internal Medicine Clerkship
Example text
Her LDL level is 145 mg/dL. 20 Ch a p t e r 3 : Ca r d i o l o g y What is the best management o her lipid level? a. b. c. d. e. No management needed Fat-restricted diet Cholestyramine Niacin Atorvastatin Answer: The correct answer is (a). This is a di cult question or many test takers. The goal o therapy or this patient is an LDL below 160 mg/dL. The patient has only a single risk actor and no coronary artery disease equivalents such as diabetes. The risk actors that are used in terms o hyperlipidemia are hypertension, tobacco smoking, amily history, and older age, de ned as above age 45 or a man and above age 55 or a woman.
Only a very small percentage o patients with CHF are ever admitted to the hospital with pulmonary edema. Most are at home with slowly progressive disease. Even when admitted with pulmonary edema, only small percentages die. Most are relieved with diuretics, nitrates, and morphine, and ultimately discharged. CHF and low EF is a cause o arrhythmia. The lower the EF, the more likely the person is to develop an arrhythmia. Hence, most patients who die o CHF do not make it to the hospital; they die suddenly at home o an arrhythmia, which can be brought on by ischemia.
We know that the answer is not ischemia i the question describes pain that: • Changes with respiration • Changes with bodily position • Is associated with chest wall tenderness Pain that changes with position, respiration, or palpation is non-ischemic 95% o the time. It is not necessary to have all 3 o these eatures present to exclude CAD. Each o them alone has a very high negative predictive value or CAD. On your test, a 95% negative predictive value is acceptable. In clinical practice, a 5% alse negative rate is not acceptable.