By Mayur Movalia MD
If you recognize all the thoughts during this publication, you'll want to do far better than pass the CCS section of USMLE Step three: you want to Crush Step three CCS! With its centred assessment of universal instances, high-yield content material, and attempt prep thoughts, Dr. Mayur okay. Movalia's new evaluation ebook offers the best education available for this high-stakes exam.
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- Get up to date administration options for CCS cases, due to enter from a Resident assessment Board produced from high-scoring individuals (90th percentile or more), who evaluated the publication to make sure its relevance and accuracy.
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Extra info for Crush Step 3 CCS: The Ultimate USMLE Step 3 CCS Review, 1e
Cardiac monitor leads in place. Heart/ Tachycardia; Prominent apical impulse and indistinct S2 heart sound. S4 heart Cardiovascular sound present at apex. Diastolic decrescendo murmur present at left sternal border. Central and peripheral pulses bounding. No jugular venous distention. Blood pressure equal in both arms Abdomen Bowel sounds normal; no bruits. No masses or tenderness. Liver and spleen not palpable. No hernias. What is the suspected diagnosis, and what are the next steps in management?
He has also noticed increasing fatigue and tiredness over the past 3 months. There is no history of fever, constipation, or diarrhea. • Past medical history is unremarkable. • Family history, social history, and review of systems are unremarkable. INITIAL MANAGEMENT Exam • General, Skin, Lymph nodes, HEENT, Chest, Heart, Abdomen, Rectal, Extremities Initial Results: Advance to results of physical exam Physical Exam Results (Pertinent Findings) General Well developed, well nourished; in no apparent distress.
Central and peripheral pulses thready with tachycardia. No jugular venous distention. Blood pressure equal in both arms. Abdomen Bowel sounds normal; no bruits. Mild diffuse tenderness. Liver and spleen not palpable. No hernias. Neuro/Psych Drowsy and lethargic. Oriented to person, place, and time. Remainder of neurologic exam normal. What is the suspected diagnosis, and what are the next steps in management? 22 I—INTRODUCTION Case #5: Diabetic Ketoacidosis with Sepsis Keys to Diagnosis n n n o practice this case, go to Case #5 in the USMLE CCS Primum® software.