By Samir Mehta, Edmund A. Milder, Adam J Mirarchi, Veronica Sikka
Step-Up to the Bedside, moment version is a finished case-based overview e-book for the USMLE Step 1 and Step 2 CS. It offers a hundred medical situations following the USMLE structure and specializes in the fundamental technology underlying every one scientific state of affairs. The case-based presentation is helping scholars assimilate and synthesize uncomplicated technology details and offers very good guidance for USMLE Step 1, USMLE Step 2 CS, and medical clerkships. This variation comprises thirty thoroughly new circumstances, and all latest instances were generally up-to-date. every one case now opens with studying pursuits and ends with USMLE-style questions. speedy Hits bullets, mnemonics, figures, and tables support readers keep details. Fifty of the circumstances should be on hand on-line.
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Additional resources for Step-Up to the Bedside: A Case-Based Review for the USMLE, 2nd Edition
Example text
Homogentisic aciduria causes collected urine to turn black. Related Basic Science Humoral immunity Plasma cells (Figure 4-4) are derived from B cells, and their sole purpose is to manufacture antibodies (Ig). Antibody-mediated immunity is called humoral immunity. B cells are found in the germinal centers of lymph nodes, the white pulp of the spleen, and the Peyer patches of the small intestine. B cells have IgM monomers as surface receptors and can recognize free antigen. This recognition activates B cells to proliferate into a clone of plasma cells, each making the antibodies that the B cell was genetically preprogrammed to produce.
BRS Neuroanatomy, 2nd Ed. ) Lateral spinothalamic tract Anatomy: • Receptors are free nerve endings. • First-order neurons are in the dorsal root ganglion. They project a very short distance to the dorsal horn of the same cord level. • Second-order neurons are in the dorsal horn and project axons that ascend a few cord levels before they decussate in the ventral white commissure and form the lateral spinothalamic tract. • Third-order neurons are in the VPL nucleus of the thalamus. These project via the posterior limb of the internal capsule to the primary sensory cortex (area 3, 1, 2).
Administration of folate, however, will not correct the neurologic deterioration associated with B12 deficiency that results from elevated levels of methylmalonyl CoA. Two chemotherapeutic agents, 5-fluorouracil (5-FU) and methotrexate, act on folate one-carbon metabolism. These drugs can halt the two-step regeneration of folate that occurs as part of thymine synthesis. The bone marrow toxicity of these agents is useful in the treatment of certain neoplasms. ” OBJECTIVES 1. 2. 3. 4. 5. Develop a differential diagnosis and an appropriate workup for chest pain on exertion Compare and contrast aortic versus mitral regurgitation and stenosis Learn the associated pathologies with systolic and diastolic murmurs Carefully dissect the seven phases of the cardiac cycle Understand the physiology of the baroreceptor reflex and its response to a decrease in blood pressure HISTORY AND PHYSICAL EXAMINATION A 40-year-old male complains of increasing angina that is getting worse even with minimal physical activity.