By Adam Brochert
Japanese Virginia clinical university, Norfolk. offers details at the USMLE Step 2 examination. positive aspects comprise high-yield info, assurance with no being overwhelming, info on subspecialty themes lined in Step 2, and extra. Tables and illustrations all through. For scientific scholars. Softcover. DNLM: scientific Medicine--Examination Questions.
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5. Primary sclerosing cholangitis: young adults with iriflainniatory howcl disvase (usually ulcerative colitis); presents like cholangitis. 6. Cholangitis: Charcot's triad = fevcr, right upper quadraiii pairi, and jauiidicr. Treat with antibiotics, and remove stones surgically or endoscopically. Esophageal disorders: dysphagia is usually an esophageal complaint. Patients may present with atypical chest pain. 1. Achalasia: hypertensive lower rsophageal sphincter ( U S ) , iric nplcte relaxation of LIS, ant1 loss o r derangenient or peristalsis.
You can make a reasonable differential diagnosis if the came is not obvious. ow or absent haptoglobin (intravascular 1i~:molysis) Positive urohilinogen. hiliruhin, bernoglohin in urine (only conjugated Iiiliruhin appears in the urine, and hemoglobin appears only when haptoglobin has heen saturated, as in hrisk intravascular hemolysis) Causes of anemia: 1. lron deficiency (hypochromic, microcytic): the most c o m m ~ ncause of anemia in the U S . and low TIBC saturation. ~Vinsousyndrome (esophageal wel) prodncing dysphagia, iron deficiency anemia, and glossitis).
T i m i s or medicatioiis h a t interfere with howel Important points: 1. , n i c t a h d i c a c i ~ dosis, hyp~ikaici~ria), a coininon arid prcwiitahlt: c a i w C J ~ ti1 in iioderilcvveli~pc(lareas. 2. lh a rrctal cxaiii, kiok Ibr cicciilt bkmd in stold, ;urd exaiiriric s t o o l fiir ova o r parasites. (at c ~ n t e i i t(sreatorrhca), a n d wlritc 1,lood cclls. 3. l f t l i c patient has a history of‘autihiotic use, tliiuk ofC111striiIi111n difficile arid test tllc stool for (1. dilficile toxin.