Each case has been carefully chosen and covers scenarios and questions frequently encountered on USMLE exams, shelf exams, and clinical practice, integrating both basic science and clinical pearls
Beyond the Pearls tips and secrets (all evidence-based with references) provide deep coverage of core material
Morning Report/Grand Rounds format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam
Includes step-by-step procedural guides for common anesthesia and critical care procedures and coverage of transthoracic and transesophageal echo procedures
Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians
An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud
SECTION 1 Regional 1 A 62-Year-Old Man Scheduled for Right Shoulder Replacement for Osteoarthritis 2 A 75-Year-Old Woman With Rheumatoid Arthritis and Limited Neck Range of Motion 3 A 92-Year-Old Man With History of Aortic Stenosis 4 A 40-Year-Old Female With a Past Medical History of Well-Controlled Type 2 Diabetes Mellitus
SECTION 2 Pediatrics 5 A 5-Year-Old Boy Undergoing Repair of a Hydrocele 6 A 4-Year-Old Girl With Obstructive Sleep Apnea 7 An 8-Year-Old Boy With a History of Asthma 8 A 9-Week-Old Boy Born at 32 Weeks’ Gestation Presenting With Inguinal Hernia
SECTION 3 Obstetrics 9 A 26-Year-Old Primigravid Woman at 39 Weeks’ and 4 Days’ Gestation Presenting With 6 Hours of Cramping Abdominal Pain 10 A 36-Year-Old Primigravida at 36 + 0 Weeks’ Gestation Complaining With Severe Abdominal Pain 11 A 38-Year-Old Woman, G5P4004, at 37 Weeks and 3 Days of Gestation With Contractions Every 5 Minutes
SECTION 4 General 12 A 32-Year-Old Woman Undergoing Laparoscopic Ovarian Cystectomy 13 A 21-Year-Old Man With a Gunshot Wound Through the Right Lower Quadrant of his Abdomen 14 A 50-Year-Old Man With a History of Morbid Obesity 15 A 28-Year-Old Man With a History of Sickle Cell Disease and Cholelithiasis 16 A 32-Year-Old Male With no Significant Medical History After being Rescued from a Burning Building 17 A 60-Year-Old Man With Cirrhosis due to Chronic Hepatitis B Infection
SECTION 5 Cardiothoracic 18 A 45-Year-Old Female With Worsening Dyspnea on Exertion 19 A 71-Year-Old Male With Exertional Angina 20 A 69-Year-Old Man Presenting With Stabbing Substernal Chest Pain Radiating to the Back 21 A 73-Year-Old Male With Past Medical History of Chronic Obstructive Pulmonary Disease and Squamous Cell Carcinoma of the Right Lung 22 A 30-Year-Old Woman Scheduled for Sternotomy for Resection of an Anterior Mediastinal Mass
SECTION 6 Neurology 23 A 50-Year-Old Man Scheduled for Resection of a Pineal Gland Tumor 24 A 34-Year-Old Woman Hit by a Car About to Undergo Emergency Cervical Decompression and Fusion 25 A 54-Year-Old Man With a History of Chronic Back Pain and Five Prior Spine Operations 26 A 27-Year-Old Man at the Emergency Department Following a Car Accident at Highway Speed
SECTION 7 Otolaryngology 27 A 63-Year-Old Female With a Large Goiter 28 A 78-Year-Old Female With Recurrent Respiratory Papillomas (RRPs) 29 A 65-Year-Old Man Diagnosed With Severe Acute Respiratory Syndrome Coronavirus 2 and Acute Respiratory Distress Syndrome
SECTION 8 Vascular 30 A 70-Year-Old Man With a History of Hypertension, Coronary Artery Disease With Mildly Reduced Left Ventricular Function, and a 100 Packyear Smoking History 31 A 68-Year-Old Woman With Worsening Renal Function and Impending End-Stage Renal Disease 32 A 75-Year-Old Woman With a History of Left-Sided Carotid Endarterectomy 2 Years Ago and Hypertension
SECTION 9 Urology 33 A 75-Year-Old Man With Benign Prostatic Hypertrophy 34 An 86-Year-Old Female With History of von Willebrand Disease Type I
SECTION 10 Non-Operating Room Anesthesia (NORA) 35 A 71-Year-Old Man With 30 Pounds of Unintentional Weight Loss and Abdominal Discomfort 36 A 51-Year-Old Man With Major Depressive Disorder
SECTION 11 Critical Care 37 A 57-Year-Old Woman With Altered Mental Status 38 A 66-Year-Old Man Presenting With Palpitations and Shortness of Breath 39 A 53-Year-Old Man With Two Weeks of Progressive Abdominal Pain 40 A 71-Year-Old Female With Dyspnea on Exertion 41 A 61-Year-Old Male With Shortness of Breath 42 A 32-Year-Old Man Presenting With Shortness of Breath 43 A 62-Year-Old Male With Altered Mental Status in the Intensive Care Unit 44 A 34-Year-Old Female With Blood Tinged Sputum 45 A 48-Year-Old Male With Dyspnea on Exertion, Weakness, and Fatigue 46 A 28-Year-Old Woman With Fever, Palpitations, Nausea, and Confusion 47 A 64-Year-Old Female With Altered Mental Status
Paul N. Frank, MD, Assistant Professor, Cardiothoracic Anesthesiology, UC Davis, Sacramento, California, USA and Raj Dasgupta, MD, FACP, FCCP, FAASM, Associate Professor of Clinical Medicine, University of California, Riverside School of Medicine; Associate Program Director of Internal Medicine Residency, Huntington Health, Pasadena, California, USA
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