By Carlos Ayala MD FACS, Brad Spellberg MD FIDSA
This moment variation of forums and Wards: A overview for the USMLE Steps 2 & three deals the knowledge essential to overcome the USMLE. This crucial overview publication, written in a succinct, high-yield define layout, gains seventy five fresh, board-formatted Q&As and covers every one self-discipline of medication showing at the USMLE Steps 2 & three, together with dermatology, radiology, and ophthalmology.
Read or Download Boards and Wards: A Review for the USMLE, Steps 2 and 3 PDF
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Extra resources for Boards and Wards: A Review for the USMLE, Steps 2 and 3
DDx = transfusion reaction, malignant hyperthermia, or prior infxn b. Malignant hyperthermia i. , halothane, isoflurane & succinylcholine ii. Tx = dantrolene, cooling measures, ICU monitoring 2. Postoperative fever a. Mnemonic for causes: the 5Ws i. Wind (lungs) ii. Water (urinary tract) iii. Wound iv. Walking (DVT) v. Wonder drug (drug reaction) b. Immediate postoperative fever includes atelectasis, streptococcus & clostridium wound infections & aspiration pneumonia c. 1-2 days postoperatively look for indwelling vascular line infection, aspiration pneumonia & infectious pneumonia d.
Immediate postoperative fever includes atelectasis, streptococcus & clostridium wound infections & aspiration pneumonia c. 1-2 days postoperatively look for indwelling vascular line infection, aspiration pneumonia & infectious pneumonia d. Tx = encourage early postoperative ambulation, incentive spirometry use post-operatively, treat infections with appropriate antibiotics TRAUMA GENERAL 1. Trauma is the major cause of death in those under age 40 2. management broken into primary & secondary surveys PRIMARY SURVEY =ABCDE 1.
The Glasgow Coma Scale should be performed Finding Points Finding Points Eye opening Motor response Spontaneous 4 To command 6 To voice 3 Localizes 5 To stimulation (pain) No response 2 1 Verbal response Oriented Confused Incoherent Incomprehensible No response 5 4 3 2 1 Withdraws Abnormal flexion Extension No response 4 3 2 1 GCS < 8 indicates severe neurologic injury, intubation must be performed to secure airway 4. Deaths from abdominal trauma are usually from sepsis due to hollow viscus perforation or hemorrhage if major vessels are penetrated 5.