Step-Up to Medicine by Steven S. Agabegi, Elizabeth D. Agebegi

By Steven S. Agabegi, Elizabeth D. Agebegi

Here is the 1st unmarried, basic overview device to arrange scholars for either the inner medication clerkship and the corresponding end-rotation NBME shelf exam. This logical substitute to numerous, limited-focus books blends a bullet-outline structure scholars want in a assessment ebook with finished paragraphs, as wanted, for optimum guidance. A wealth of illustrations, charts, tables, graphs, and mnemonics velocity and complement studying. plentiful content material with out superfluous aspect allows scholars to effectively evaluation and extend their wisdom of cardiology, pulmonary drugs, gastroenterology, hematology, neurology, endocrinology, rheumatology, nephrology, genitourinary problems, fluids and electrolytes, dermatology, and musculoskeletal difficulties.

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R a d i of r eq u en c y c a th e te r a b la t io n o f e i th e r t h e AV n o de o r t he ac ce ss o r y t r a ct ( d e pe n di n g o n wh i c h is th e acc e ss or y p a th wa y) i s p re f e r re d i f e pi s od es ar e r e c ur r e nt an d s ym pt om a ti c . Wolff-Parkinson-White Syndrome A. General characteristics A n ac ce ss o r y c o nd uc t io n p a th wa y f r o m a t r ia to ven t r ic le s c au se s p r em a tu re ve n t ri cu l ar e xc i t a t io n b ec a us e i t l ack s t h e d el a y s e en in th e A V n o de .

3rd Ed. 24 Paroxysmal Supraventricular Tachycardia (PSVT) A. General characteristics P a t h op h ysi ol o g y (m os t of t e n d ue t o r ee n t r y) o A V n o da l r e en t r an t t a ch yc a r di a  T wo p a t h wa ys ( on e f a st a n d t h e o th e r s lo w) w i t hi n t h e AV n o d e , so t he r e e n tr a nt ci r c u it is wi t h in t h e A V no d e  Mo s t c om mo n c a us e o f su p r a ven t r ic ul a r t ac h ya r rh yt h mi a ( S V T)  I n i ti a te d o r te r mi n at e d by P A C s  E C G : n a r r ow Q R S c om pl e x es wi t h n o d is c er n ib le P wa ve s ( P wa ve s ar e b u r ie d wi t hi n th e Q R S c om p le x) .

BRADYARRHYTHMIAS Sinus Bradycardia S i n us ra t e < 6 0 b pm : c li nic a ll y si g ni f ic an t wh e n r a te is pe r si st e nt l y < 45 bpm C a u se s i nc lu d e is ch e mi a, i nc r ea se d vag a l t on e , an t i ar r h yt hm ic d ru gs ; m a y b e a no r ma l f i n di ng in t ra i ne d a t hl e tes . C a n be as ym pt om a ti c ; pa t i en ts ma y co mp l ai n o f f a t ig u e, in a bi li t y t o e xe r ci s e, an g in a , o r s yn c op e A t r o pi n e c an el e va te th e s in us r at e b y b l ock i ng va g al st im u la t io n t o t h e s in o a t ri al no d e.

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