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Neurology Cerebral Contusion Subdural Hematoma Epidural Hematoma 243
Master the Boards: USMLE Step 3 Treatment Treatments for various head traumas are as follows: Steroids do not help intracranial hemorrhage. ·· Concussion: None ·· Contusion: Admit, but vast majority get no treatment. ·· Subdural and epidural: Large ones are drained; small ones are left alone to reabsorb on their own. ·· Large intracranial hemorrhage with mass effect: -- Intubation/hyperventilation to decrease intracranial pressure. Decrease pCO 2 to 28–32, which will constrict cerebral blood vessels. -- Administer mannitol as an osmotic diuretic to decrease intracranial pressure. -- Perform surgical evacuation. Stress Ulcer Prophylaxis Patients with any of the following conditions should receive proton pump inhibitors as prophylaxis against stress ulcer: ·· Head trauma ·· Burns ·· Endotracheal intubation with mechanical ventilation Subarachnoid Hemorrhage (SAH) Look for the following symptoms: ·· Sudden, severe headache ·· Stiff neck ·· Photophobia ·· Loss of consciousness (LOC) in 50 percent of patients ·· Focal neurological deficits in 30 percent of patients SAH is like the sudden onset of meningitis with a LOC but without fever. Basic Science Correlate Mechanism of Blood Causing Symptoms in SAH Blood is an irritant. It irritates the meninges in SAH and simulates meningitis. It stimulates the bowel and causes diarrhea with melena. Blood is cathartic. 244
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THIRD EDITION Master the Boards USM
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THIRD EDITION Master the Boards USM
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Dedication To the Reader, This book
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Table of Contents Acknowledgments .
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About the Authors Conrad Fischer, M
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Infectious Diseases 1 Introduction
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Infectious Diseases Anaerobes ··
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Infectious Diseases -- Adverse effe
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Infectious Diseases Basic Science C
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Infectious Diseases Otitis Media Ke
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Infectious Diseases Diagnostic Test
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Infectious Diseases Cellulitis Look
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Infectious Diseases KOH Prep Basic
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Infectious Diseases Treatment Treat
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Infectious Diseases Lymphogranuloma
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Infectious Diseases Answer: D. Perf
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Infectious Diseases Pyelonephritis
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Infectious Diseases Duke’s Criter
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Infectious Diseases Endocarditis Pr
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Infectious Diseases Basic Science C
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Infectious Diseases Maintenance the
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Infectious Diseases A 43-year-old m
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Infectious Diseases Treatment ··
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Allergy and Immunology 2 Anaphylaxi
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Allergy and Immunology Answer: This
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Allergy and Immunology Treatment Li
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Pulmonology 5 Asthma Asthma present
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Pulmonology Nonacute Asthma 1. Best
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Pulmonology -- Chemistry: Increased
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Pulmonology Diagnostic Testing A ch
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Pulmonology Diagnostic Testing ··
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Pulmonology Pulmonary Embolism (PE)
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Pulmonology Basic Science Correlate
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Pulmonology ·· If pleurodesis fai
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Pulmonology Treatment ·· Ventilat
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Pulmonology Specific Associations P
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Pulmonology Interferon gamma releas
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Hematology 7 Anemia All forms of an
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Hematology Microcytic Anemia Diagno
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Hematology Answer: B. The anemia of
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Hematology answer antiparietal cell
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Hematology Treatment ·· Next best
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Hematology Treatment ·· Best init
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Hematology Pyruvate Kinase Deficien
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Hematology A pregnant woman comes w
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Hematology Myelodysplasia This cond
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Hematology Smudge cell (found in CL
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Hematology Diagnostic Testing Initi
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Hematology Aplastic Anemia This con
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Hematology Distinguishing Types of
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Hematology Clotting Factor Deficien
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Gastroenterology 8 Esophageal Disor
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Gastroenterology Diagnostic Testing
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Gastroenterology CCS Tip: How do I
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Page 226 and 227: Gastroenterology Treatment Treat wi
Page 228 and 229: Gastroenterology When is a “virtu
Page 230 and 231: Gastroenterology Treatment Antibiot
Page 232 and 233: Gastroenterology Why not use the NG
Page 234 and 235: Gastroenterology Diagnostic Testing
Page 236 and 237: Gastroenterology Other symptoms inc
Page 238 and 239: Gastroenterology Most accurate test
Page 240 and 241: Gastroenterology Vaccination Vaccin
Page 242 and 243: Gastroenterology Primary Biliary Ci
Page 244: Gastroenterology Diagnostic Testing
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Page 308 and 309: Section 2 Preventive Medicine Cance
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Page 312 and 313: Section 3 Dermatology Bullous and B
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Dermatology Erythema Multiforme (EM
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Dermatology Infections Fungal Infec
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Dermatology Impetigo This is a supe
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Dermatology Paronychia This is an i
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Dermatology Syphilis Both primary a
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Dermatology Toxin-Mediated Diseases
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Dermatology They are removed with l
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Dermatology Treatment ·· Preventi
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Section 4 Surgery contributing auth
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Surgery Abdominal Trauma A 24-year-
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Surgery A man is hit over the head
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Surgery ·· Diagnosis: CT scan sho
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Surgery Pneumoperitoneum in a child
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Surgery Obstruction Suspect obstruc
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Surgery Acute Pancreatitis Suspect
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Surgery Ischemia Always consider th
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Surgery Obstructive Jaundice Caused
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Surgery Preoperative and Postoperat
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Surgery The following table shows t
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Surgery Nutritional support should
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Surgery Basic Science Correlate Ven
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Surgery Basic Science Correlate Edw
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Surgery Hypertrophic Pyloric Stenos
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Surgery ·· Closed reduction is th
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Surgery ·· Rupture of the Achille
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Surgery Ankylosing Spondylitis This
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Surgery Testicular Torsion Testicul
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Surgery Vascular Surgery A 48-year-
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Surgery A 65-year-old man presents
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Surgery Patient Safety Catheter-Ass
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Section 6 Obstetrics contributing a
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Obstetrics Screening Test Diagnosti
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Obstetrics Third Trimester A 38-yea
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Obstetrics • Perform further step
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Obstetrics Abruptio Placenta Placen
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Obstetrics Management ·· Test for
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Obstetrics Treatment ·· Antiviral
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Obstetrics Syphilis If the case des
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Obstetrics Prevention ·· Hepatiti
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Obstetrics Treatment ·· Blood pre
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Obstetrics Management of Specific C
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Obstetrics Routine Monitoring in Di
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Obstetrics ·· Medical abortion th
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Obstetrics Ectopic Pregnancy The mo
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Obstetrics Symmetric IUGR Asymmetri
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Obstetrics Ferning pattern of amnio
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Obstetrics Umbilical Cord Prolapse
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Obstetrics A 31-year-old primigravi
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Obstetrics -- Carboprost is a prost
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Section 7 Gynecology contributing a
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Gynecology ·· Mammography (> 50 y
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Gynecology A 68-year-old woman visi
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Gynecology Leiomyoma Three layers f
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Gynecology Postmenopausal Bleeding
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Gynecology Prepubertal or Postmenop
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Gynecology When is screening starte
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Gynecology Invasive Cervical Cancer
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Gynecology Cervicitis This is the d
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Gynecology Endometriosis This invol
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Gynecology A 17-year-old girl is br
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Gynecology Premenstrual Syndrome Pr
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Gynecology Idiopathic Hirsutism Thi
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Gynecology ·· Calcitonin, denosum
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Gynecology Infertility A 35-year-ol
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Gynecology Benign: H. Mole Complete
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