Manual Brocherts Crush Step 3: The Ultimate USMLE Step 3 Review, 4e

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Brochert's Crush Step 3 The Ultimate USMLE Step 3 Review, 4e

Skip to primary navigation Skip to content Skip to primary sidebar Skip to footer. Confidently prepare for the boards with the text that is trusted and recommended by thousands of medical students. Spend more time studying and less time searching thanks to a well-written, easily accessible approach, with plenty of helpful lists and tables to highlight high-yield data. Review the full gamut of essential subjects with coverage of epidemiology and biostatistics, pharmacology and microbiology, cardiac physiology, and basic EKG pathology, as well as common and life-threatening diseases encountered in orthopaedics, urology, ophthalmology, neurosurgery, paediatrics, vascular surgery, and other subspecialties.

Introduction Using the QR Codes 1. Cardiovascular Medicine 2. Dermatology 3. Ear, Nose, and Throat 4. Emergency Medicine 5. Endocrinology 6. Ethics and Patient Encounters 7. Gastroenterology 8. General Surgery 9.

Brochert's Crush Step 2: The Ultimate USMLE Step 2 Review, 4e - PDF Drive

Genetics Geriatrics Gynecology Hematology Immunology Infectious Disease Internal Medicine Laboratory Medicine Nephrology Neurology Tuberculosis Tb. Do not screen for tuberculosis unless there aI'e risk factors or symptoms. Screen Ta, Jf f'he. If the only risk ".. I ;J Controversial, but some recommend routinely in children at the age of 5. Screening urinalysis can help detect sexually transmitted diseases in sexually active adolescents. Do nOt wait until the I-minute mark to evaluate the baby because you may have to suction or intubate the bahy 5 seconds after delivery.

The scale consists of five categories with a maximum score of 2 points per category, for a maximum total of 10 points. Resuscitation and close monitoring are usually performed until the child ets a score greater than 7 or goes to the intensive care unit see ta e ow. Umbilical cord. Check the umbilical cord at birth for two arteries.

If only one umbilica. Consider ordering an x-ray: or cr scan to rule out a fracture. First m..


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The exact age is not as important as the overall pattern when you are looking for dysfW1ctional development. When in doubt, use a fonnal developmental test. Tanner St3. It is usually caused by a conslitutionaJ delay, which is a nonnal variant. Parents often have a similar history. Delayed puberty is rarely due to primary testicular failure e.

Precocious puberty is usually idiopathic.

Brochert's Crush Step 3: The Ultimate USMLE Step 3 Review

The child is very irritable. The woman thinks that the. The child looks pale. What syndrome does the child probably have? J5O"'fiOt give plateletsl Steroids. The following table provides a general description of several congenital heart defects:. In patients with a VSD. Icohol syndrome. TORCH syndrome. What condition should you consider?

Hypertrophic obstructive cardiomyopathy. Positive inotropic agents e. First breaths innate the lungs and cause decreased pulmonary vascular resistance. This and the clamping of the cord increase left-sided heart pressures. You ilre shown an EKG taken whUe the chilc! What should you look for on the EKG to make the diagnosis?

The della wave ofWolff-Parlcinson- Whitt syndrome.

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Be able to recognize a sketch of this mOSI conunon variant see figure. From lames EC. Corry RI. Perry JF: Principles ofBas. Other pediatric GI conditions are listed in the table below. Bowel herniates into the thorax. Patients present with respiratory distress and have bowel sounds in the chest and bowel loops in the thorax on chest x-ray. Treat surgicilly.

Prognosis related to lung development, not the hernia Omphalocele vs. Omphalocele is in the midline, the sac contains multiple abdominal organs, the umbilical ring is absent, and other anomalies are common. Gastroschisis is to the right of the midline, only small bowel is exposed there is no true hernia sac , the umbilical ring is present, and other anomalies are rare. Look for history of up- per respiratory or GI infection. Treat supJX rtively.


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Children can develop inflammatory bowel disease or irritable bowel syndrome IBS and often have GI complaints with anxiery or psychiatric problems e. The step is to measure tOtal. The main concern is kem. Symptoms start Haoys after birtb. Bilirubin is mostly unconjugated.

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Pathologic jaundice:. Bilirubin levels are higher than normal and continue to rise or fail to decrease appropriately. Any jaundice present at birth is pathologic. Treat wil. The point to remember is that the oun est. Look for anemia, peripheral smear abnormalities. Criggler-Nailar disease causes severe unconjugated hyperbilirubinemia. Treat with surgery. UV Ii ht exposure to cooven the unconjugated bilirubin to a wate:r:soluble x an e trans usion Do not choose this option uDless the form..


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Patients are usually female; boys with the disease experience precocious sexual development. Neonates with 2 I-hydroxylase deficiency rapidly develop salt-wasting low sodium , hrperkalemia, hypott'JISion, and elevated 17 -hydroxyProgesterone. Sarcoma botryoides, a malignancy. From Resnick MJ. Novick AC; Urology Secrets.

By definition, the patient must be younger than 8 years 9 years for boys. Treat the underlying cause, or, jfthe case is idiopathic. What is the correct treatment?