By Adam Brochert MD
Jap Virginia clinical tuition, Norfolk. offers details at the USMLE Step 2 examination. positive factors comprise high-yield details, insurance with no being overwhelming, details on subspecialty subject matters coated in Step 2, and extra. Tables and illustrations all through. For scientific scholars. Softcover. DNLM: medical Medicine--Examination Questions.
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Extra info for Crush the Boards: The Ultimate USMLE Step 2 Review
If the test i s positive, treat wit11 ~netronidarole(if i t fails or i s not a clmice, 11SV V ~ l l C t J l l l ~ C ~ ~ l l ) . 4. l h not fiirgvt a l x w t iliabctic diarrhca, factitious diasrhca ( s ~ r r r t ~ p t i t i ~Iaxativi: ~us ahuse, m I r - ally hy iiicdical pcrsoiirwl), Iiyliertl~yniidisrn,and cokirectal caiicer as causa of diarrlwa. 5. Irrilahle bowel syiidromc (11%) i s a c o m m o n C ~ S of C GI complaints. l’aticiits arc anxiotis or ~iciisotica i d Iiavc a Iiistory of d i a r r l i r a aggravated hy str(:ss; I~l(iating;atidonrinal p a i n rclicved by ddecatioii; aiicl/or iiiiicris i n the stool.
C-6-PD deficiency: X~linked reccssivc (inales affrcted); iriost common iri Iilacks a r i d Mtditrrrauraus. l i i o k fiir sudden h r i i i o l y s i s o r aiiernia after fava ljeari OL'drrig rxposiirc ( ~ i i t i i i i a i a r i a l s ,salicylatrs, suHi drugs), o r a f c r in t i o n o r diahetic kctriacid( h d i c s and h i t c crlls are sven om pcripliera nvar. lliagiiosis i s i i i a d e enz,yiiic assay. iirgativc rtsuh hrcause all ,if the drlcr RBCs already have l i t : yoiiiiger RHCs arc n o t af tcd.
Note: I n all cascs ARF, dialysis m a y I)? required lndicatiorrs for dialysis irrclnrlc urciiric enceplialopathy, pericarditis, sever? metabolic acidosis (mtighly, pH i/ . rkalemia scverc enoirgh to cause arrliythnria. (if Nephrotic syndrome: proteinuria (> 3 . 5 grri/day), hyp~;~albunrinernia, r:dcina (classic exitin ple is rnorning periorbital edema), and lryperlipiderriia/lipiduria. Measure 14&Iioiirurine prolcin t o c1inr:h the diagnosis. a n d treat witli steroids. Causcs i n adults iricliiilc d i a l x t c s i n e l l i t u s , hepatitis €3, aiiiykridosis, Iiipu,s,and d r i i g s (gold, p c n i c i l l a ~ n i r ~ captopril) e.