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Infectious Diseases Treatment ·· TMP/SMX Actinomyces Host has a normal immune system. There is a history of facial or dental trauma, which inoculated these organisms into the cervicofacial area. Actinomyces is a part of normal mouth flora. Trauma, such as a tooth extraction, can put it into the facial area, thorax, and abdomen. Diagnostic Testing Diagnose with Gram stain and confirm with anaerobic culture. Like Nocardia, Actinomyces is a branching, filamentous bacteria. Treatment ·· Penicillin Histoplasmosis Look for wet areas, such as the Ohio and Mississippi River valleys. This lung disease that can present as a viral syndrome is also associated with bat droppings from caves. A physical exam will show palate and oral ulcers and splenomegaly. The disseminated disease enters the bone marrow and causes pancytopenia. Anything tuberculosis can do, histoplasmosis can do. Diagnostic Testing ·· Best initial test: Histoplasmosis urine antigen ·· Most accurate test: Biopsy with culture is most accurate for both histoplasmosis and tuberculosis Treatment ·· Acute pulmonary disease is transient and requires no therapy. ·· The disseminated disease is treated with amphotericin. Coccidioidomycosis This is an acute respiratory illness that occurs in very dry areas like Arizona. It causes joint pain and erythema nodosum. Treatment ·· Itraconazole 37
Master the Boards: USMLE Step 3 Blastomycosis This is an acute pulmonary disease in the rural southeast. Look for broad budding yeast. Bone lesions are common. ·· Broad budding yeast = blastomycosis Treatment ·· Antifungal agents, such as amphotericin or itraconazole 38
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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 .
Page 12: About the Authors Conrad Fischer, M
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Page 26 and 27: Infectious Diseases 1 Introduction
Page 28 and 29: Infectious Diseases Anaerobes ··
Page 30 and 31: Infectious Diseases -- Adverse effe
Page 32 and 33: Infectious Diseases Basic Science C
Page 34 and 35: Infectious Diseases Otitis Media Ke
Page 36 and 37: Infectious Diseases Diagnostic Test
Page 38 and 39: Infectious Diseases Cellulitis Look
Page 40 and 41: Infectious Diseases KOH Prep Basic
Page 42 and 43: Infectious Diseases Treatment Treat
Page 44 and 45: Infectious Diseases Lymphogranuloma
Page 46 and 47: Infectious Diseases Answer: D. Perf
Page 48 and 49: Infectious Diseases Pyelonephritis
Page 50 and 51: Infectious Diseases Duke’s Criter
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Page 54 and 55: Infectious Diseases Basic Science C
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Page 62 and 63: Allergy and Immunology 2 Anaphylaxi
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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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Gastroenterology Barrett Esophagus
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Gastroenterology If treatment for H
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Gastroenterology Inflammatory Bowel
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Gastroenterology Diarrhea Infectiou
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Gastroenterology Chronic Diarrhea L
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Gastroenterology Treatment Treat wi
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Gastroenterology When is a “virtu
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Gastroenterology Treatment Antibiot
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Gastroenterology Why not use the NG
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Gastroenterology Other symptoms inc
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Gastroenterology Most accurate test
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Gastroenterology Vaccination Vaccin
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Gastroenterology Primary Biliary Ci
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Section 2 Preventive Medicine Cance
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Preventive Medicine Influenza vacci
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Section 3 Dermatology Bullous and B
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Dermatology Foliaceus is diagnosed
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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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