Crush Step 3 CCS: The Ultimate USMLE Step 3 CCS Review, 1e
Format: PDF / Kindle (mobi) / ePub
If you know all of the concepts in this book, you should do much better than pass the CCS portion of USMLE Step 3: You should Crush Step 3 CCS! With its focused review of common cases, high-yield content, and test prep strategies, Dr. Mayur K. Movalia's new review book offers the most effective preparation available for this high-stakes exam.
- Zero in on the content you need to know
- Find the information you need quickly with a detailed index that organizes cases by symptom, final diagnosis, and specialty.
- Get up-to-date management strategies for CCS cases, thanks to input from a Resident Review Board comprised of high-scoring individuals (90th percentile or more), who evaluated the book to ensure its relevance and accuracy.
- Use it in conjunction with Brochert's Crush Step 3: The Ultimate USMLE Step 3 Review, 4th Edition for a comprehensive and highly effective Step 3 review.
- Get a 24-hour free trial to the USMLE Consult Step 3 CCS Case Bank, with a discount towards its purchase! 100 CCS cases simulate the actual USMLE Step 3 CCS experience.
, thanks to a concise, consistent presentation for each case that is updated to mirror the 2013 USMLE software.
• For emergency department cases, use the following general strategy: 1. ORDER Begin with monitoring orders if abnormal vital signs present: • Blood pressure monitor for hypotension or hypertension • Cardiac monitor for abnormal heart rate • Pulse oximetry for abnormal respiratory rate 2. EXAM Order a limited physical exam. • Chest and Heart exam are usually mandatory. • In some cases, the diagnosis can be made on the physical exam, such as tension
genitalia exam with testicular atrophy. Diagnosis is based on history, ammonia level, and ruling out other causes such as brain Â�lesions. In addition, look for precipitating causes such as toxins and infections. Management n n n BCs—depending on severity of stupor, oxygen, intubation. A Reduce ammonia levels: lactulose, neomycin. Mannitol if cerebral edema present. OPTIMAL ORDERS DIAGNOSIS THERAPY MONITORING LOCATION TIMING SEQUENCING ADDITIONAL ORDERS • Exam:
symmetrically with respiration. Decreased breath sounds in the right base. Heart/Cardiovascular S1 and S2 normal. No murmurs, rubs, gallops, or extra sounds. Central and peripheral pulses normal. No jugular venous distention. Blood pressure equal in both arms. Extremities/Spine Extremities symmetric without deformity, cyanosis, or clubbing. No edema. Peripheral pulses normal. No joint deformity or warmth; full range of motion. Spine examination normal. What is the suspected diagnosis, and what
pulsatile abdominal mass and may show abdominal bruit or abdominal distention. Abdominal CT scan or ultrasound will identify the location and estimate the size of the aneurysm. Abdominal X-ray is insensitive and should not delay the diagnosis. Management n n n For ruptured AAA, laparotomy as quickly as possible. If the case is classic and the patient is unstable, consider proceeding to laparotomy before imaging results. Type and crossmatch blood; treat hypotension with blood
pressure monitoring and fluids. Counseling orders can be placed at case end for future time. OPTIMAL ORDERS ADDITIONAL ORDERS DIAGNOSIS • Exam: Abdomen, Heart, Lungs • Abdominal CT scan with contrast • CBC THERAPY • Oxygen • Normal saline, 0.9% NaCl • Laparotomy • Consult, vascular surgery • Type and crossmatch, blood • Blood pressure monitor • BMP • Troponin • ECG, 12-lead • PT/PTT • Intravenous access • Morphine • Advise patient, no smoking MONITORING