Internal medicine #10
HY lecture notes: Tx cystitis with nitrofurantoin; notably the answer in pregnant women; but there’s also a Q on one of the 2CK NBMEs where it’s the answer in …
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HY lecture notes: Tx cystitis with nitrofurantoin; notably the answer in pregnant women; but there’s also a Q on one of the 2CK NBMEs where it’s the answer in …
Internal medicine #10 See Full PostHY lecture notes: Strongest indication for anticoagulation on the USMLE = having a prosthetic valve. This is asked straight-up on one of the NBME forms. Tx of asthma outpatient: …
Internal medicine #9 See Full PostHY lecture notes: Congenital hip dysplasia –> Dx with “clicking/clunking” of hip (Ortolani + Barlow maneuvers) –> if (+), do ortho referral next. Sounds incredibly wrong, since referral is supposed …
Internal medicine #8 See Full PostHY lecture notes: On the USMLE, new onset murmur + fever = endocarditis until proven otherwise. Empiric treatment means that which is given before the culture results are known. …
Internal medicine #7 See Full PostHY lecture notes: Choledocholithiasis High direct bilirubin + high ALP + high amylase (or lipase) = gallstone pancreatitis = choledocholithiasis (stone in biliary tree) Diagnose and Tx with ERCP. …
Surgery #1 See Full PostHY lecture notes: CML –> splenic enlargement; bloods show increased metamyelocytes + myelocytes. Seeing these two cell types in a question is essentially synonymous with CML. Let’s just say 19 …
Internal medicine #6 See Full PostHY lecture notes: Tx for Pneumocystis jirovecii pneumonia (PJP) = TMP-SMX. However, add steroids when A-a gradient is >35, or pO2 <70 mm Hg. New literature (2019) has suggested …
Internal medicine #5 See Full PostHY lecture notes: Do colonoscopy starting age 50 and do every ten years. If first degree relative (parent or sibling) has Hx of colon cancer, start at age 40 …
Internal medicine #4 See Full PostHY lecture notes: Atrial septal defect (ASD) you’d hear wide, fixed splitting of S2. Usually due to patent foramen ovale. S2 denotes the closure of the semilunar valves (aortic …
Cardiopulmonary #1 See Full PostHY lecture notes: Normal pressure hydrocephalus (NPH) = wet, wacky, wobbly – urinary incontinence, CNS dysfunction, gait instability NPH also often has Parkinsonism. This is really HY on 2CK. So …
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