By Mayur Movalia MD
ISBN-10: 1455723746
ISBN-13: 9781455723744
If you recognize all the options during this ebook, you want to do far better than pass the CCS section of USMLE Step three: you need to Crush Step three CCS! With its targeted overview of universal situations, high-yield content material, and attempt prep concepts, Dr. Mayur okay. Movalia's new evaluation ebook offers the simplest guidance available for this high-stakes exam.
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Read or Download Crush Step 3 CCS: The Ultimate USMLE Step 3 CCS Review, 1e PDF
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Additional resources for Crush Step 3 CCS: The Ultimate USMLE Step 3 CCS Review, 1e
Sample text
Additional symptoms include fatigue and exercise intolerance. Vital signs may show fever, tachypnea, and tachycardia. On chest exam, look for rales, rhonchi, decreased breath sounds, or dullness to percussion on the affected side. Chest X-ray, PA/lateral is the standard for diagnosing pneumonia. On the CCS, an abdominal X-ray acute series includes a PA chest X-ray that will also detect lower lobe pneumonia. Sputum studies can be performed if the patient has a productive cough. Lab tests (CBC, BMP, blood cultures) are generally not needed for diagnosis unless the patient meets criteria for admission.
The pain is generalized and crampy and occurs at intervals, with severe pain for several minutes followed by several minutes of pain relief. When severe, the pain is rated 8 on a 10-point scale. The patient tried acetaminophen, which did not relieve the pain. There is no history of infection, fever, constipation, or diarrhea. • Past medical history of abdominal surgery for a gunshot wound 3 years ago. • Family history, social history, and review of systems are otherwise unremarkable. INITIAL MANAGEMENT Exam • General, Skin, Lymph nodes, Chest, Heart, Abdomen, Rectal Initial Results: Advance to results of physical exam Physical Exam Results (Pertinent Findings) General Well developed, well nourished; in moderate distress, holding his abdomen.
No masses or tenderness. Liver and spleen not palpable. No hernias. What is the suspected diagnosis, and what are the next steps in management? 30 II—CCS CASES BY CHIEF COMPLAINT Case #7: Pneumonia Keys to Diagnosis n n n Although typical symptoms include cough, dyspnea, or hemoptysis, on the CCS, look for an atypical presentation, such as abdominal pain in an elderly or diabetic patient. Additional symptoms include fatigue and exercise intolerance. Vital signs may show fever, tachypnea, and tachycardia.
Crush Step 3 CCS: The Ultimate USMLE Step 3 CCS Review, 1e by Mayur Movalia MD
by Jeff
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