Ragavendra R. Baliga MD MBA's 250 Short Cases in Clinical Medicine PDF

By Ragavendra R. Baliga MD MBA

ISBN-10: 0702026247

ISBN-13: 9780702026249

A suite of brief situations prepared via scientific sector, emphasising the most important diagnostic good points of medical stipulations as more often than not awarded within the brief case a part of the ultimate MB and MRCP examinations. additionally integrated are most probably directions or instructions anticipated from the examiner for every , and the most important issues which the candidate needs to inform the examiner. In June 2001 the MRCP brief circumstances examination is being changed with a brand new OSCE-style examination referred to as PACES (Practice overview of medical exam talents) and this e-book will take complete account of this variation.

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Read e-book online 250 Short Cases in Clinical Medicine PDF

A suite of brief instances prepared via scientific zone, emphasising the foremost diagnostic positive aspects of scientific stipulations as quite often provided within the brief case a part of the ultimate MB and MRCP examinations. additionally incorporated are most likely directions or instructions anticipated from the examiner for every situation, and the main issues which the candidate needs to inform the examiner.

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All patients with non-rheumatic atrial fibrillation should be anticoagulated with warfarin unless there are contraindications (Br J Hosp Med 1993: 50: 452-7). What is the role of surgery in the treatment of atrial fibrillation? · A novel surgical technique, the Maze procedure, has recently been described in which multiple incisions are made in the atria to prevent re-entrant loops (Clin Curdiol 1991; 14:827 34). This procedure is highly effective in preventing atrial fibrillation: only one patient out of 65 suffered a · clinical recurrence of the arrhythmia three or more months after the procedure.

At 5-year follow-up a substantial reduction in the risk of stroke was observed. Decreased ejection fraction and older age were independent risk factors (N Engl J Med 1997; 336: 251-7). In the recent HOPE trial, ramipril has been shown to reduce significantly the rates of death, myocardial infarction and stroke in a broad range of high-risk patients who are not known to have a low ejection fraction or heart failure (N Engl J Med 2000; 342: 145-53). What is the role of primary angioplasty in acute infarction?

INSTRUCTION This patient is suspected to have endocarditis; would you like to examine him'? SALIENT FEATURES History · Fever, malaise, anorexia, weight loss, rigors: non-specific symptoms of inflammation. · · · · · Progressive heart failure: due to valve destruction (can be dramatic). Stroke, pulseless limb, renal infarct, pulmonary infarct: caused by embolization of vegetations. Arthralgia, loin pain: due to immune-complex deposition. Obtain a history of recent dental procedures. History of valvular heart disease, history of intravenous drug abuse.

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250 Short Cases in Clinical Medicine by Ragavendra R. Baliga MD MBA

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