By Martin S. Lipsky
Blueprints kinfolk medication, 3rd version offers scholars with a whole evaluate of key ideas and themes and serves as a swift reference in the course of daily actions in sufferer care—perfect for clerkship rotations and the USMLE. This variation has been thoroughly up-to-date whereas protecting its succinct, prepared, and concise type. a hundred USMLE-style multiple-choice questions with complete causes Key issues on the finish of every bankruptcy summarize vital details up-to-date Appendix of evidence-based assets better half web site deals entry to totally searchable textual content plus an extra 50 USMLE-style questions with solutions
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PHYSICAL EXAMINATION Certain types of injury patterns suggest family violence. These include injuries to the face, abdomen, and genitals. Also, multiple injuries in various stages of healing suggest possible abuse. Since many women seen in the emergency room for trauma are victims of abuse, there should be a high index of suspicion for any acute injury that does not have a clear cause. Burns in children are often a tip-off for abuse, particularly burn patterns that suggest an immersion injury or a cigarette burn.
A common dilemma for secondary prevention of an asymptomatic illness such as hypertension is that the consequences may not be seen for years after a person develops high blood pressure. For example, blood pressure evaluation and treatment is a preventive measure for future disease that may not manifest itself until the patient is 70 years of age or beyond. 19 TO 39 YEARS The most common causes for death in young adults are accidents, homicides, and suicides. In addition, diseases that increase in prevalence and contribute to morbidity and mortality in this age range include HIV infection, heart disease, and some forms of cancer.
If patients are not coming to the office for preventive care, preventive care issues must be addressed when they are in the office for other reasons. For example, when a woman comes for a Pap smear, she may be instructed to come in after fasting in order to check her lipid profile. At each visit, height, weight, and blood pressure should be checked and any issues regarding blood pressure or weight elevation addressed. Those presenting with an acute injury may be reminded about injury prevention measures, such as the use of helmets and seat belts.