By Adam Brochert MD
Jap Virginia scientific university, Norfolk. offers info at the USMLE Step 2 examination. good points contain high-yield details, insurance with no being overwhelming, details on subspecialty subject matters coated in Step 2, and extra. Tables and illustrations all through. For scientific scholars. Softcover. DNLM: medical Medicine--Examination Questions.
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Extra info for Crush the Boards: The Ultimate USMLE Step 2 Review
5. Sickle cell anemia: siiiear givcs it away. ). Watc ations of' sickle cell &vase: Aplastic crises (due to jiarvovirns B 19 infcctioii) I3one p a i n (due to microinfar femoral liead) the classic example i s ava. dar necrosis o f tlir Dactylitis (hand-fbot syiidroine; kriow w h a t if. looks Like) m Hcnal papillary iiccrosis a Splenic sequcstratioii crisis Aiitosplfricct~jiiiy(in1 ioiis w i t h cucapsiilatcd hugs) A m t r clrrst syndrome (mimics [iiiciiiiioiiia) I'igrncirf cliolelilliiasis m I'riapisrir B Strokc Iliagiicisis i s made h y hciiioglobiii elcctroplroresis.
Pwt stirnrthiiig otlrer tlran CIA, aspiratc fluid f r o m tlic aflbcted joiiit for exaniiiiatiorr. Exaiiiinc tlie lliiid fix (:ell coiiiit a i d diffbreiitial. glircose, hactcria (Cram s t a i n and culture), arid crys~als: Other key differencedpoints: 1. OA: few signs ofiiillaiiriiratioii on e x a i i i (lacks Iirit, red, tciidcr joints s w i i i n all tht! o t l i r r s of this group). Syiiiptoiiis iirclndc Hcherdeii's (1311') ,irid I3oiiclrard's (I'll') iiodcs, worsciiiiig 0 1 s y r i i l w m i s iii evciiiirg and afier iisc, and h w i y spurs.
Note: Any i n h t born to a mother with active hepatitis 13 sliould get the first irnrnuilizatioll slint aiid hepatitis 13 i i i i r r i i i n ~ ~ g l o bat~ hirtli. ~li~~ Y o o m i l s t irriderstaiid tlw lrypothalamic-pituitary axis s o t h a t yori c a n distingirisli priiriary Srom sccondary disorders. hi priluary cudocrine disn~rb,r~rcrs. , from tuiiior, iiillamnratio~r,enzymr deiicimicyj, Ixit the pituitary arid 11ypothala1nr1s 1g rionnally and cxliihit the appropriaie r q i o ~ ~ to s ethc glalid's action.