Download Case files. Emergency medicine by Toy, Eugene C. PDF

By Toy, Eugene C.

"Real existence instances for the emergency medication clerkship and shelf-exam. Case documents: Emergency medication provides 50 real-life situations that illustrate crucial ideas in emergency medication. each one case incorporates a whole dialogue, medical pearls, references, definitions of key phrases, and USMLE-style evaluation questions. With the program, you will examine within the context of actual sufferers, rather than purely memorize evidence. 60  Read more...

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An 8-year-old girl with fever and sore throat C. 9°C (102°F), pharyngitis, and cough D. 3 A 19-year-old college student has had a sore throat, mild abdominal pain, and fever for 5 days. He was playing football with some friends, and was tackled just short of the goal line, hitting the grass somewhat forcibly. He experiences some abdominal pain, and passes out. The EMS (emergency medical services) is called and his vital signs reveal the heart rate as 140 beats per minute and blood pressure as 80/40 mm Hg with a distended abdomen.

The benefit of thrombolysis is greatest when treatment is begun within 4 hours, and benefit approaches that of primary PCI when thrombolytics are begun within 30 minutes. However, benefit extends out to 12 hours. Adjunctive antithrombotic therapy with unfractionated or low-molecular-weight heparin is required with most thrombolytic agents. Table 2–6 lists other measures, in addition to aspirin and reperfusion therapy, that reduce mortality after MI. Unstable Angina/Non-ST Elevation MI Cases of ACS lacking ECG criteria for reperfusion fall into the UA/NSTEMI category.

Despite its rarity, rheumatic fever can result in highly morbid cardiac and neurological sequela; it also remains the most common cause of acquired heart disease in children and adolescents in some developing countries. Published literature suggests the GABS number needed to treat (NNT) to prevent one case of rheumatic fever is between 53 and thousands depending on the endemic incidence of rheumatic fever. Streptococcal toxic shock syndrome is a very rare complication of pharyngitis. Poststreptococcal glomerulonephritis, another feared complication of GABS pharyngitis, is also very rare, and it occurs with equal frequency in both antibiotic-treated and nonantibiotic-treated groups.

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