By Eugene Toy, Donald Briscoe, Bruce Britton, Joel John Heidelbaugh
REAL-LIFE circumstances FOR THE family members medication CLERKSHIP
You want publicity to high-yield instances to excel within the kin drugs clerkship and at the shelf examination. Case documents® kin medication offers 60 real-life instances that illustrate crucial thoughts in family members drugs. each one case encompasses a entire dialogue, medical pearls, references, definitions of keyword phrases, and USMLE-style overview questions. With the program, you’ll examine within the context of genuine sufferers, instead of only memorize facts.
· 60 circumstances with USMLE-style questions assist you grasp middle capabilities to excel within the clerkship and ace the shelf exams
· Clinical pearls spotlight key points
· Primer teaches you the way to procedure medical problems
· Proven studying approach maximizes your examination scores
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Consider short-term corticosteroids once septic arthritis is ruled out. Use immunosuppressive therapy with caution, especially in patients with diabetes mellitus. The preferred treatment for septic arthritis includes IV antimicrobials and surgery for drainage of the infected joint. Methicillin-resistant S aureus (MRSA) will usu ally require vancomycin, but coverage with antibiotics is dependent on the specific organisms isolated. Degenerative joint disease treatment involves mobility exercises, maintenance of adequate ROM, and weight loss, if appropriate.
What screening test(s) for cancer should be recommended? � What immunization(s) should be recommended? 22 CASE FILES: FAMILY MEDICINE ANSWERS TO CASE 1 :l Adult Male Health Maintenance Summary: A 52-year-old man with no active medical problems is being evaluated during an "annual physical:' He has no complaints on history and has a normal physical examination. • Recommended screening tests for cardiovascular conditions: Blood pressure measurement (screening for hypertension) and lipid measurement (screening for dyslipidemia) • Recommended screening tests for cancer: Fecal occult blood testing, flexible sigmoidoscopy (with or without occult blood testing), colonoscopy or double contrast barium enema to screen for colorectal cancer; there is insufficient evidence to recommend for or against universal prostate cancer screening by prostate-specific antigen (PSA) testing • Recommended immunizations: Tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) if he has not had one before and if it has been 10 years or more since he has had a tetanus-diphtheria (Td) vaccine, or if he requires booster protection against pertussis; influenza vaccine annually, in the fall or winter months ANALYSIS Objectives 1.
The three ways that microogranisms can infect joints include (1) direct penetration (surgery, bite, and trauma), (2) hematogenous spread from a distant infection, (3) extension from a nearby infected joint. Along with arthrocentesis with examination of synovial fluid, a blood culture, Gram stain and culture, CBC and erythrocyte sedimentation rate (ESR) should be obtained. Risk factors for infectious arthritis include alcoholism, malignancy, diabetes, hemodialysis, immunodeficiency (HIV), immunosuppressive drugs (corticoste roids), chronic medical conditions (endocrine, pulmonary or hepatic disease), hemophilia, and the use of intravenous drugs.