By Mayur Movalia MD, Theodore X. O'Connell MD

This best-selling source is totally up to date, and nonetheless the main easy-to-use and potent high-yield assessment for USMLE Step three. overlaying all specialties and subspecialties incorporated at the examination, it’s ideal for the busy apartment officer who wishes a evaluation that hits all of the very important and quite often verified innovations in a concise layout. Over a hundred high-yield figures illustrate very important suggestions, stipulations, and imaging modalities. Get counsel, insights, and tips on how top to organize and what to anticipate with the reader-friendly, succinct, and fascinating writing variety of best-selling writer Adam Brochert, MD.

  • Features pointers on the computer-based case simulations to organize you for crucial components of the examination.
  • Draws upon the private event of the best-selling writer of USMLE reports, Adam Brochert, MD, for reliable find out how to learn for the examination.
  • Organizes fabric logically and permits quickly spot evaluation utilizing bulleted and numbered lists, in addition to many tables in the course of the text.
  • Presents up-to-date case eventualities mirroring these at the Step three examination to maintain you abreast of alterations to the examination.
  • Includes extra high-yield figures to be extra appropriate to contemporary administrations of the examination.
  • Addresses present perform with up-to-date prognosis and remedy guidelines.

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Extra info for Brochert's Crush Step 3: The Ultimate USMLE Step 3 Review, 4e

Sample text

Sickle cell disease (SCD). A blood smear gives it away (Fig. 2-8)—look for a high percentage of reticulocytes. SCD is seen almost always in blacks (8% are heterozygotes in the United States). Watch for the classic manifestations of SCD: aplastic crises due to parvovirus B19 infection; bone pain due to microinfarcts (often avascular necrosis of the femoral head); renal papillary necrosis; splenic sequestration crisis; Figure 2-8 Sickle cell anemia. A sickle cell is a cell with a sickle or crescent shape resulting from the polymerization of hemoglobin S.

Look for history of upper respiratory or GI infection, characteristic purpuric rash on lower extremities and buttocks, swelling in hands and feet, arthritis, and hematuria or proteinuria. Treat supportively. Children develop nausea, vomiting, and/or diarrhea with any systemic illness more commonly than adults. , separation anxiety, dislike of school, depression, child abuse). CHAPTER 2 n PEDIATRICS, GENETICS, AND PEDIATRIC SUBSPECIALTIES 21 Neonatal jaundice may be physiologic or pathologic. The first step is to measure total, direct, and indirect bilirubin.

CHAPTER 2 n PEDIATRICS, GENETICS, AND PEDIATRIC SUBSPECIALTIES 29 Figure 2-14 Erythema marginatum. The rash is clas- sically flat to slightly elevated, erythematous, and annular (ringlike) in appearance. (From Forbes CD, Jackson WF: Cardiovascular disorders. In Forbes CD, Jackson WF: Atlas and Text of Clinical Medicine. Diphtheria (Corynebacterium diphtheriae) and pertussis (Bordetella pertussis). Consider both if the patient has not been immunized. Diphtheria is associated with grayish pseudomembranes (necrotic epithelium and inflammatory exudate) on the pharynx, tonsils, and uvula, and myocarditis.

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