Medicine Morning Report Subspecialties

Beyond the Pearls

1st Edition - January 5, 2022
Authors: Raj Dasgupta, Sophia Li, Darren W. Wong, Hui Yi Shan
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 3 1 3 6 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 3 1 3 7 - 6

Medicine Morning Report Subspecialties: Beyond the Pearls is a case-based reference that covers the key material included on USMLE and shelf exams. Focusing on the practical… Read more

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Medicine Morning Report Subspecialties: Beyond the Pearls is a case-based reference that covers the key material included on USMLE and shelf exams. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. This subspecialties volume expands on Dr. Dasgupta’s popular Medicine Morning Report with more comprehensive coverage of internal medicine topics that you will encounter in clerkship and on exams.

Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
Dedication
About Scleroderma Research Foundation (SRF)
Contributors
Foreword
Preface
Section 1: Nephrology
Case 1. A 50-Year-Old Male With Lethargy, Vomiting, and Pruritis
Bibliography
Case 2. A 40-Year-Old Male With Abdominal Distention and Decreased Urine Output
Bibliography
Case 3. A 28-Year-Old Male With Left Flank Pain and Bloody Urine
Bibliography
Case 4. A 62-Year-Old Male With Worsening Peripheral Edema
Bibliography
Case 5. A 56-Year-Old Male With Acquired Immunodeficiency Syndrome With Nausea and Weakness
Bibliography
Section 2: Hematology
Case 6. A 58-Year-Old Female With Syncope
Biblography
Case 7. A 24-Year-Old Male With Easy Bruising and Mucosal Bleeding
Bibliography
Section 3: Geriatrics
Case 8. An 87-Year-Old Male With Acute Onset of Confusion
Bibliography
Case 9. A 78-Year-Old Female With a Ground-Level Fall
Bibliography
Section 4: Dermatology
Case 10. A 57-Year-Old Female With Burning Red Rash on Lower Legs
Bibliography
Case 11. A 70-Year-Old Female With Chronic Unilateral Rash on Left Nipple
Bibliography
Case 12. A 58-Year-Old Female With Progressive Facial Lesions
Bibliography
Case 13. A 79-Year-Old Male With a Fungating Mass on the Left Lower Extremity
Bibliography
Case 14. A 38-Year-Old Female With a Diffuse Rash and Mucositis
Bibliography
Case 15. A 62-Year-Old Woman With an 8-Year History of a Pruritic Rash
Bibliography
Section 5: Neurology
Case 16. A 28-Year-Old Male With Progressive Lower Back Pain, Paraplegia, and Urinary Incontinence
Bibliography
Case 17. A 23-Year-Old Male With Severe Headache Behind the Right Eye
Bibliography
Case 18. A 61-Year-Old Female With Right-Hand Numbness
Bibliography
Case 19. A 21-Year-Old Male With Sudden Onset of Right-Sided Hemiparesis and Aphasia
Bibliography
Section 6: Cardiology
Case 20. A 62-Year-Old Female With Progressively Worsening Shortness of Breath, Fatigue, and Lower Extremity Edema
Bibliography
Case 21. A 77-Year-Old Female With Worsening Shortness of Breath and Leg Swelling
Bibliography
Case 22. A 54-Year-Old Male With Bilateral Leg Pain
Case Summary
Bibliography
Case 23. A 58-Year-Old Female With Recurrent Chest Pain With Exertion
Bibliography
Case 24. A 59-Year-Old Male With Sudden, Burning Chest Pain
Bibliography
Case 25. A 55-Year-Old Female With Retrosternal Chest Pain
What is the differential diagnosis for a patient who presents with acute chest pain?
What do you need to consider in women?
What is the differential diagnosis of ST-segment elevation in this patient?
Approach to a patient with ST-segment elevation in ECG
What is your differential diagnosis?
What is spontaneous coronary artery dissection?
When should a diagnosis of spontaneous coronary artery dissection be considered?
Epidemiology of SCAD
Risk factors for SCAD
What are important historical questions to ask patients who present with SCAD or are suspected of having SCAD?
Clinical manifestations
Diagnosis
How do you approach treatment for SCAD?
Prognosis
Bibliography
Case 26. A 48-Year-Old Male With Acute Shortness of Breath
Bibliography
Section 7: Rheumatology
Case 27. A 32-Year-Old Female With Right Lower Extremity Edema
What are common causes of acute shortness of breath?
What are common causes of unilateral peripheral edema?
Considering the patient’s risk factors, including history of miscarriages, what are your differential diagnoses for this patient?
What are the inherited causes of a hypercoagulable state that should be considered in this case?
Which laboratory tests should be ordered for this patient?
Which imaging studies should be ordered for further evaluation?
When should antiphospholipid syndrome (APS) be considered?
What are the clinical manifestations of APS?
What are positive laboratory findings of APS?
How can APS be diagnosed?
What is the management of individuals with antiphospholipid antibodies?
How is APS in pregnancy managed?
Bibliography
CASE 28. A 35-Year-Old Female With Dry Eyes and Dry Mouth
How does the history help to narrow your differential diagnosis?
Which symptoms do patients with oral dryness report?
Sjögren’s syndrome is suspected. Which laboratory studies would you order?
In addition to laboratory studies, which other tests can be done when evaluating a patient for Sjögren’s?
What are the 2016 ACR/EULAR classification criteria of Sjögren’s syndrome?
What is the initial treatment strategy for Sjögren’s syndrome?
What noninvasive tests can be done to determine salivary gland involvement?
What are the systemic manifestations of Sjogren syndrome?
How do you differentiate the arthritis in Sjögren’s from other forms of arthritis?
What is the difference between primary and secondary Sjögren’s syndrome?
Which malignancy are Sjögren’s patients at risk of developing?
Bibliography
Case 29. A 36-Year-Old Male With 3 Years of Worsening Joint Pain
What can we discern from knowing the duration of this patient’s symptoms?
What is the definition of inflammatory back pain?
What are some differentials of inflammatory back pain?
How does the distribution of arthritis in this patient’s presentation help narrow the diagnosis?
What is the importance of nail changes/pitting in this clinical scenario?
Which nail changes can occur in this clinical scenario?
What is enthesitis?
What is the significance of HLA-B27?
How do this patient’s lab tests help us with the diagnosis?
What are common X-ray findings in this disease process?
What treatments are available in psoriatic arthritis?
What if this patient presented with all of the same symptoms but developed these symptoms over the past 2 weeks?
Bibliography
Case 30. A 55-Year-Old Female With Muscle Weakness
Bibliography
Case 31. A 46-Year-Old Female With Purpura and Arthralgia
Bibliography
Case 32. A 65-Year-Old Male With Acute Monoarticular Arthritis
Bibliography
Case 33. A 22-Year-Old Female With Easy Bruising, Joint Hypermobility, and Arthralgia
Bibliography
Case 34. A 70-Year-Old Female With Bilateral Shoulder Pain
Bibliography
Section 8: Gastroenterology
Case 35. A 44-Year-Old Female With Acute Onset Epigastric Pain
Bibliography
Case 36. A 26-Year-Old Female With Chronic Hepatitis B
Bibliography
Case 37. A 24-Year-Old Male With Elevated Liver Function Tests
Bibliography
Case 38. A 54-Year-Old Female With Dysphagia
Bibliography
Case 39. A 25-Year-Old Male With Chronic Diarrhea
Bibliography
Section 9: Infectious Diseases
Case 40. A 29-Year-Old Male With a Headache
Bibliography
Case 41. A 45-Year-Old Male With Knee Pain
Bibliography
Case 42. A 70-Year-Old Male With Fever and Diarrhea
Bibliography
Case 43. A 30-Year-Old Female With Neutropenia and Fever
Bibliography
Case 44. A 42-Year-Old Male With Fever and Malaise
Bibliography
Case 45. A 19-Year-Old Female With Acute Abdominal Pain
Bibliography
Case 46. A 30-Year-Old Male With Shortness of Breath, Fatigue, and Weight Loss
Bibliography
Section 10: Hepatology
Case 47. A 60-Year-Old Female With Elevated Alkaline Phosphatase and Hypercalcemia
Bibliography
Case 48. A 77-Year-Old Male With Progressive Jaundice and Pruritus
Bibliography
Section 11: Endocrine
Case 49. A 49-Year-Old Male With Polyuria and Polydipsia
Bibliography
CASE 50. A 48-Year-Old Male With Bitemporal Hemianopsia
Bibliography
Case 51. A 32-Year-Old Female With Recurrent Pregnancy Loss
Bibliography
Case 52. A 60-Year-Old Female Presents for Wellness Visit
Bibliography
Case 53. A 19-Year-Old Female With Oligomenorrhea and Facial Hair Growth
Bibliography
Section 12: Pulmonary
Case 54. A 67-Year-Old Male With Sudden Onset of Dyspnea and Pleuritic Chest Pain
Bibliography
Case 55. A 27-Year-Old Male Who Experienced a Seizure
Bibliography
Case 56. A 73-Year-Old Female With Dysphagia and Cough
What is the differential diagnosis for the hypoxemia in this patient?
What is the difference between aspiration pneumonia and pneumonitis?
Are there differences in diagnosis?
What are the risk factors for aspiration?
What are common radiographic changes seen with aspiration pneumonia?
What are the common pathogens seen with aspiration pneumonia?
Which antibiotics should be empirically started in a patient with suspected aspiration pneumonia?
What is dysphagia?
Does placement of a nasogastric tube for enteral feeds prevent aspiration?
What can be done to try and prevent aspiration in this patient?
Bibliography
Case 57. A 58-Year-Old Male With Occupational Lung Disease
Bibliography
Case 58. A 68-Year-Old Male With Progressively Worsening Dyspnea and Dry Cough
Bibliography
Case 59. A 47-Year-Old Female With Shortness of Breath
Bibliography
Case 60. A 64-Year-Old Male With a 3-Month History of Worsening Cough
Bibliography
Case 61. A 58-Year-Old Female With Acute-on-Chronic Abdominal Pain
Bibliography
Case 62. A 55-Year-Old Female With Chronic Cough
Bibliography
Case 63. A 64-Year-Old Female With Fevers
Bibliography
Case 64. A 53-Year-Old Male With Fever, Fatigue, and Myalgia
Bibliography
Index

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Raj Dasgupta