NMS Medicine (National Medical Series for Independent Study) Seventh Edition . Paperback: pages; Publisher: LWW; Seventh edition (May 20, ). NMS Medicine, Seventh Edition is the ideal reference and review text for medical students in the internal medicine clerkship. The book provides. "NMS Medicine, Seventh Edition" is the ideal reference and review text for medical students in the internal medicine clerkship. The book provides medical.
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VitalSource e-Book for NMS Medicine Ebook [VST PDF] NMS Medicine, Seventh Edition is the ideal reference and review text for medical students in the . NMS Medicine 7th EDITION Editor Susan D. Wolfsthal, MD Celeste L. Woodward Professor in Humanitarian and Ethical Medical Practice Associate Chair for. This Pin was discovered by fahad chy. Discover (and save!) your own Pins on Pinterest.
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Nms medicine pdf 1. LWW Release Date: Susan Wolfsthal Download Here http: NMS Medicine, Seventh Edition is the ideal reference and review text for medical students in the internal medicine clerkship. The book provides medical students with a comprehensive and meticulously organized review of internal medicine and USMLE-style questions and case studies to reinforce key topics and concepts.
Features include USMLE-style questions in vignette format for self-study and assessment, a comprehensive exam, and a convenient outline format. Download Here http: You just clipped your first slide! Clipping is a handy way to collect important slides you want to go back to later. Now customize the name of a clipboard to store your clips. Visibility Others can see my Clipboard. All Public Health. All Infectious Di All Neurosurgery. All Dermatology. All Immunology. All Pharmacology. All Biochemistry.
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download from another retailer. Promocode will not apply for this product. NMS Medicine, Seventh Edition is the ideal reference and review text for medical students in the internal medicine clerkship.
The book provides medical students with a comprehensive and meticulously organized review of internal medicine and USMLE-style questions and case studies to reinforce key topics and concepts. Features include USMLE-style questions in vignette format for self-study and assessment, a comprehensive exam, and a convenient outline format. Diabetic patients are at significantly increased risk of cardiovascular events, especially patients requiring insulin to treat the condition.
Perioperative beta-blocker therapy. Patients already on beta-blocker therapy should continue taking the medication during surgery. Perioperative statins. Patients already on statin therapy should continue taking the medication during surgery. Patients with one or more clinical risk factors may benefit from initiation of statin therapy before surgery. B Bleeding risk 1. Antiplatelet therapy. Aspirin and clopidogrel increase bleeding risk. If deciding to discontinue antiplatelet therapy, the patient should cease use at least 7 days before surgery, since these agents irreversibly inhibit platelet function.
NSAIDs reversibly inhibit platelet function and should be discontinued at least 3 days before surgery.
Selective cyclooxygenase-2 inhibitors may be safely continued perioperatively unless there is risk for renal dysfunction. Warfarin should be discontinued at least 3 days before surgery. C Other Medication Adjustments 1. Diuretic therapy should be held to reduce the risk for perioperative hypovolemia, especially if the patient will not be taking food or water for a prolonged period.
Diabetes medications a. Sulfonylurea medications increase the risk for perioperative hypoglycemia, which is associated with adverse cardiovascular events. These medications should be discontinued before surgery. Metformin increases the risk for lactic acidosis and should be discontinued before surgery. Thiazolidinediones such as rosiglitazone and pioglitazone are unlikely to induce hypoglycemia and have very prolonged activity. They can be safely continued in the perioperative period. Basal insulin such as glargine or detemir should be given at the usual or a slightly reduced dose before surgery.
Patients with type 1 diabetes should not discontinue use of basal insulin. Medium-action insulin such as NPH should be given at a significantly reduced dose before surgery. Short-action insulin such as aspart, lispro, or glulisine should not be given immediately before surgery except to correct for severe preoperative hyperglycemia.
Patients on chronic glucocorticoid therapy should continue the medication on the day of surgery. Patients planned for major surgery may benefit from an increased dose of glucocorticoid to reduce the incidence of intraoperative hypotension, which may result from suppression of endogenous cortisol release that would normally occur during surgery.
Herbal medications. Herbal therapies may cause hemodynamic instability ephedra, ginseng, ma huang , hypoglycemia ginseng , immunosuppression echinacea, when taken for more than 8 weeks , abnormal bleeding garlic, ginkgo, ginseng , or prolongation of anesthesia kava, St.
All such therapy should be discontinued 1—2 weeks before surgery.
She has well-controlled hypertension, exercises regularly, and has regular menses. Her family history is remarkable for her father, who was diagnosed with colon cancer at age 51 years. Her physical examination, including breast and rectal examinations, are normal. What screening test for colon cancer would you recommend to her? Which of the following is the best screening test for breast cancer in this patient?
She describes the pain as dull, diffuse, and not related to meals or bowel movements.
She denies any nausea, vomiting, or alcohol use. Recently she has noticed a small amount of vaginal discharge and some urinary burning. She is sexually active and endorses the use of condoms. She denies fever, chills, or any other systemic symptoms. On examination, she is withdrawn and makes little eye contact. Her examination is otherwise normal, including a benign abdominal examination.
On pelvic examination, she has normal anatomy with a normal-appearing cervix. A small amount of white discharge is present. No tenderness or masses are appreciated. The wet prep and KOH smear demonstrate no bacteria or yeast.
Urinalysis shows no white cells or bacteria. What diagnostic entities should be considered as a cause of her abdominal pain? A Depression and sexual abuse B Urinary tract infection C Bacterial vaginosis or yeast infection D Diverticulitis E Pancreatitis A year-old man is diagnosed with non—small cell lung cancer. He has extensive metastases with severe pain in his right femur and a large pleural effusion.
The effusion causes him pleurisy with each inspiration along with shortness of breath. He coughs constantly, with occasional hemoptysis.
NMS Medicine, 7th Edition
He is a long-time smoker and was aware of his symptoms for several months before seeking medical attention. After consultation with a pulmonologist and oncologist, it is determined that he is not candidate for chemotherapy.
Radiation is suggested to alleviate the pain from the metastasis in his right femur. Despite escalating doses of short-acting narcotic medication, he continues to have unrelenting pain in his chest and leg.
At this point, what would be the best plan to help alleviate his pain? A Increase the dose of short-acting 3- to 4-hour narcotic to the maximum dose. B Discontinue short-acting narcotic and instead administer a long-acting hour narcotic.
C Administer a long-acting hour narcotic around the clock with a short acting narcotic for breakthrough pain. D Order additional radiation therapy to the leg.
NMS Medicine 7th edition
E Add an antidepressant medication to the short-acting narcotic medication. He was discharged 5 days ago with a diagnosis of pneumonia. His medical history includes atrial fibrillation. He had routinely been taking metoprolol and warfarin. He is accompanied to the office by his daughter, who notes that he has been more sleepy and confused than usual.
The patient is sleepy but arousable. The nasal turbinates reveal no active bleeding, but there are multiple ecchymoses on the arms and legs. Lungs are clear to auscultation and resonant to percussion.
Skin turgor is normal. Gait is appropriate, and the patient is speaking clearly. Electrocardiogram shows atrial fibrillation with no ST-segment abnormality. A Recurrent pneumonia, with sepsis syndrome and disseminated intravascular coagulopathy B Adverse effects of new medications, with drug—drug interactions and side effects C Cerebrovascular accident D Myocardial infarction with cardiogenic shock E Hypovolemia and renal failure 6.
What is the likely diagnosis for which the patient was prescribed terazosin? A Erectile dysfunction as a result of normal aging B Hypertension, which was worsened by acute infection C Stress incontinence from prostatitis and frequent coughing D Urge incontinence from prostate cancer with brain metastasis E Overflow incontinence from prostatic hypertrophy or the anticholinergic effect of codeine A year-old woman presents to the office for continued treatment of hypertension.
She also relates a desire to become pregnant and seeks advice for appropriate care. The patient currently takes lisinopril, a prenatal multivitamin, and folic acid. A Continue lisinopril alone. B Change to an angiotensin-receptor blocker ARB. C Change to nifedipine or methyldopa. D Continue lisinopril and add hydrochlorothiazide. E Discontinue antihypertensives.
A year-old man is hospitalized under the care of a vascular surgeon for claudication and severe peripheral arterial disease. You are asked to see the patient as a medical consultant to assess perioperative risk for planned femoral-popliteal bypass graft surgery.
The patient reports a history of hypertension, smoking, diabetes mellitus type 1, and a stroke 5 years ago.
He denies a history of heart or kidney disease. His medications include aspirin, clopidogrel, amlodipine, benazepril, and insulin. He reports inability to walk long distances due to calf pain, but he is able to perform household chores, including doing laundry and dish washing, without discomfort.
He denies chest discomfort, dyspnea, or edema. Examination is normal except for a cool left leg with absent pedal pulses. Serum creatinine and glucose levels are normal. Electrocardiogram reveals normal sinus rhythm without abnormality.Nms medicine pdf 1. Common medications used to treat nausea and vomiting include dopamine antagonists prochlorperazine, promethazine , serotonin antagonists ondansetron , glucocorticoids, and benzodiazepines.
The order restrained the American Medical Association from obstructing agreements between physicians and health maintenance organizations. download the full ebook Select the amount to payment. The effusion causes him pleurisy with each inspiration along with shortness of breath.
Further history should be elicited to evaluate for these entities. What diagnostic entities should be considered as a cause of her abdominal pain?
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