Medicine Morning Report Subspecialties

Medicine Morning Report Subspecialties

Beyond the Pearls

1st Edition - January 5, 2022

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  • Authors: Rajkumar Dasgupta, Sophia Li, Darren W. Wong, Hui Yi Shan
  • eBook ISBN: 9780323831376
  • Paperback ISBN: 9780323831369

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Description

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.

Table of Contents

  • 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

Product details

  • No. of pages: 608
  • Language: English
  • Copyright: © Elsevier 2022
  • Published: January 5, 2022
  • Imprint: Elsevier
  • eBook ISBN: 9780323831376
  • Paperback ISBN: 9780323831369

About the Authors

Rajkumar Dasgupta

Raj Dasgupta is Raj Dasgupta is assistant professor of clinical medicine, division of pulmonary, critical care and sleep medicine and is the associate program director of the Sleep Medicine Fellowship and the assistant program director of Internal Medicine residency program. He actively teaches USMLE Step 1, 2, 3, and Internal Medicine Board Review around the world for the past 15 years through Kaplan and other organizations and institutions. He has appeared on various media outlets and television shows such as The Doctors, KTLA and Larry King Now.

Affiliations and Expertise

Assistant Professor of Clinical Medicine, Keck School of Medicine of USC, University of Southern California, Department of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Los Angeles, California

Sophia Li

Darren W. Wong

Hui Yi Shan

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