By Mayur Movalia MD
If you recognize the entire techniques during this publication, you might want to do far better than pass the CCS component of USMLE Step three: you have to Crush Step three CCS! With its centred evaluation of universal instances, high-yield content material, and try out prep concepts, Dr. Mayur ok. Movalia's new evaluate e-book offers the best coaching available for this high-stakes exam.
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Additional resources for Crush Step 3 CCS: The Ultimate USMLE Step 3 CCS Review, 1e
No occult blood on rectal exam. Abdominal CT scan is the radiologic test of choice in severe acute pancreatitis for assessing complications and providing prognostic information. Abdominal ultrasound and X-ray are less useful in this setting. Lab tests such as amylase, lipase, LFT, and others listed below provide additional support and help determine prognostic information. Management n n n n Provide aggressive supportive care: Oxygen, NPO, IV fluids, Monitor urine output, Nausea control (Promethazine) and pain relief-Hydromorphone hydrochloride (Dilaudid).
Past medical history of hypertension and hyperlipidemia. • Family history, social history, and review of systems are unremarkable. INITIAL MANAGEMENT Orders • Blood pressure monitor, Cardiac monitor, Pulse oximetry Exam • General, Skin, HEENT, Chest, Heart, Abdomen, Extremities Initial Results: Advance to results of physical exam Pulse Oximetry Oxygen Saturation 99% (nl = 94–100) Physical Exam Results (Pertinent Findings) General Well developed; well nourished; diaphoretic; in acute distress from chest pain.
INITIAL MANAGEMENT Exam • General, Skin, Lymph nodes, Chest, Heart, Abdomen, Rectal Initial Results: Advance to results of physical exam Physical Exam Results (Pertinent Findings) General Well developed, well nourished; in moderate distress, holding his abdomen. Skin Normal turgor. No nodules or other lesions. Hair and nails normal. Lymph nodes No abnormal lymph nodes. Chest/Lung Chest wall normal. Diaphragm and chest move equally and symmetrically with respiration. No abnormality on percussion or auscultation.