By Tao Le, Vishal Pall, Vikas Bhushan
"The Underground scientific Vignettes: Step 1 package deal, Fourth variation" contains 9 books devoted to scientific vignettes in all topics established at the USMLE Step 1: Anatomy Behavioral technology Biochemistry Microbiology I (Virology, Immunology, Parasitology, Mycology) Microbiology II (Bacteriology) Pathophysiology I (Pulmonary, OB/GYN, ENT, Hematology/Oncology) Pathophysiology II (Gastrointestinal method, Neurology, Rheumatology, Endocrinology) Pathophysiology III (Cardiovascular approach, Dermatology, Genitourinary Tract, normal surgical procedure) Pharmacology. every one ebook includes scientific Vignettes that simulate USMLE structure and comprise vintage buzzwords in historical past taking, actual exam, lab, imaging, and pathology. every one of those revised fourth variation volumes comprises: rigorously chosen situations templated to slot how you are proven and taught to imagine; worthwhile hyperlinks to Step 1 and a couple of; atlases for emphasis on photographic case reports; over 50 new situations appropriate with the up to date content material of USMLE Step 1. Designed that can assist you solution medical vignettes speedy and thoroughly, the Blackwell's "Underground medical Vignettes Step 1 package, Fourth version" is ideal for scientific scholars getting ready for USMLE Step 1. general practitioner assistants, nurse practitioners, and similar wellbeing and fitness pros also will locate "Underground medical Vignettes" invaluable.
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Surgical excision of an epileptic focus is considered when seizures aren’t controlled with anticonvulsant therapy. ❑ Incontinence may occur during or after a seizure. ❑ To reduce the risk of injury, the nurse should take an axillary temperature or use a metal thermometer when taking an oral temperature to prevent injury if a seizure occurs. ❑ Status epilepticus (seizures not responsive to usual therapies) occurs with the abrupt cessation of anticonvulsant drugs or ethanol intake. ❑ All clients with a head injury are treated as if a cervical spine injury is present until X-rays confirm their absence.
Early symptoms of multiple sclerosis include slurred speech and diplopia. ❑ Paralysis is a late symptom of multiple sclerosis. ❑ Multiple sclerosis is exacerbated by exposure to stress, fatigue, and heat. ❑ Elevated gamma globulin fraction in cerebrospinal fluid without an elevated level in the blood occurs in multiple sclerosis. ❑ White blood cells or pus in cerebrospinal fluid indicates infection. ❑ Blood may be found in cerebrospinal fluid with trauma or subarachnoid hemorrhage. ❑ Increased glucose concentration in cerebrospinal fluid is a nonspecific finding indicating infection or subarachnoid hemorrhage.
Indd 31 4/18/2011 11:12:40 PM 32 Adult care ❑ Mannitol may be ordered for a client with a subdural hematoma who is restless and confused, with dilation of the ipsilateral pupil to promote osmotic diuresis to decrease intracranial pressure. ❑ Mannitol can reduce intraocular pressure, prevent acute tubular necrosis, and draw water into the vascular system to increase blood pressure. ❑ Mannitol promotes osmotic diuresis by increasing the pressure gradient in the renal tubules, thus increasing urine output.