By Robert W. Schrier
Constructed by means of the interior medication residency educating employees on the collage of Colorado, this e-book offers patient-oriented circumstances for 88 ailments in all parts of inner drugs. Case reports persist with a question-and-answer structure that mirrors rounds shows. each one case research walks you thru the workup and administration of the matter and experiences the underlying pathophysiology. The booklet is a superb evaluate software for resident in-service assessments or American Board of inner drugs certification exams.This edition's questions and difficulties were broadly rewritten to include new diagnostic equipment and coverings. assurance of urology and hepatology has been elevated.
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Extra resources for Internal Medicine Casebook: Real Patients, Real Answers
Example text
This is strongly suggestive of ischemia. 43 44 • How should the recurrent chest pain be treated? The pseudonormalization of the T waves clearly indicates myocardial ischemia. This pain should be treated with sublingual NTG and IV morphine, followed by IV NTG and β-blockade if there are no contraindications. The patient is already receiving aspirin and heparin (low-molecular-weight heparin can also be used in this case). Platelet glycoprotein IIb/IIIa inhibitors are of value in the treatment of high-risk patients with unstable angina/NSTEMI.
He is mildly confused and the fundus examination reveals retinal hemorrhages, exudates, and papilledema. Heart examination shows clear lungs and a sustained left ventricular apical impulse and S4. The chest radiograph shows mild to moderate cardiomegaly. 4 mg/dL. The ECG shows normal sinus rhythm with increased voltage and ST-segment depression and T-wave inversion. Troponin is normal and he has no chest pain. ♦ What is the diagnosis? 4 mg/dL? ♦ What should be the plan of treatment now? ♦ What is the diagnosis?
The long QT syndrome can be either acquired or inherited. Several genetic defects involving cardiac ion channels have been identified in families with inherited long QT syndrome. In acquired long QT syndrome, several classes of drugs that affect cardiac ion channels and several medical conditions associated with electrolyte abnormalities have been identified. In both inherited and acquired forms, cardiac repolarization is prolonged, and reflected in a long QT interval on the ECG. Syncope and SCD in long QT syndrome are caused by a specific, polymorphic ventricular tachycardia called torsade de pointes (â twisting of the pointsâ ).
