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No illegal copies are made or any copyright © and / or copyright is damaged or infringed since all material is free on the internet. Moreover server does not store any type of book,guide, software, or images. Its explanations bring medical students to tears of joy. Its questions match the USMLE Step exams’ two-step reasoning process. Formerly known as USMLE World, it is held in near-religious reverence. doesn’t have any material hosted on the server of this page, only links to books that are taken from other sites on the web are published and these links are unrelated to the book server. Virtually everyone who’s taken Step 1, Step 2 CK, or Step 3 has used UWorld (sometimes called UW). We are not hosting any copyrighted contents on our servers, it’s a catalog of links that already found on the internet. maternal infection may be asymptomatic - ceftriaxone should be avoided in infants with hyperbilirubinemia displacement of bilirubin from albumin-binding sites, risk of kernicterus oral erythromycin: Rx chlamydial conjunctivitis & pneumonia o risk of infantile hypertrophic pyloric stenosis topical erythromycin: prophylaxis for neonatal gonococcal conjunctivitis regardless of screening topical silver nitrate: prophylaxis against penicillinase-producing strains of N.This site complies with DMCA Digital Copyright Laws.Please bear in mind that we do not own copyrights to this book/software. conduct disorder antisocial personality disorder: age 18 yrs or older evidence of conduct disorder as minors - borderline personality disorder show a pattern of unstable relationships, impulsivity, reckless identity disturbance, suicidal or self-mutilating behavior, feelings of emptiness “splitting” histrionic personality disorder: excessively labile emotions & attention seeking behavior uses physical appearance to draw attention paranoid personality disorder: suspiciousness & distrust negatively interpret actions, words & intentions of others holds grudges dependent personality disorder: submissive & clingy fear of separation, indecisive, does not take initiative difficulty expressing disagreement Īvoidant personality disorder: shyness, feelings of inferiority with a desire for friends, but intense fear of embarrassment or rejection low self-esteem - prolonged hypotension from any cause can lead to acute tubular necrosis o U/A: muddy brown granular casts consist of renal tubular epithelial cells o serum BUN:Cr ratio 20 mEq/L, FENa > 2% - broad casts: a/w chronic renal failure o arise in dilated tubules of enlarged nephrons that undergone compensatory hypertrophy in response to the reduced renal mass waxy casts: chronic renal disease o shiny & translucent RBC casts: glomerulonephritis or vasculitis o Wegener’s, SLE, Henoch-Schonlein WBC casts: interstitial nephritis & pyelonephritis o WBCs that originate in kidneys fatty casts: nephrotic syndrome hyaline casts: asymptomatics & prerenal azotemia o proteins that pass unchanged along urinary tract -Neonatal conjunctivitis etiologies onset features Rx Chemical ˂ 24 mild conjunctival eye lubricant hrs irritation/injection & tearing after silver nitrate ophthalmic prophylaxis Gonococcal 2 - 5 eyelid swelling, IV or IM days purulent exudate, ceftriaxone or corneal ulceration cefotaxime Chlamydia 5 - 14 eyelid swelling oral l days chemosis watery erythromycin or mucopurulent discharge īest way to prevent neonatal chlamydial & gonococcal conjunctivitis: screen, Dx, Rx pregos screen for chlamydia 1st & 3rd prenatal visit UWorld Notes: Step 2 CK malingering: intentional production of false physical symptoms for secondary gain factitious disorder: intentional production of false physical or psychological signs or symptoms to assume a sick role no secondary gain hypochondriasis: fear of disease & preoccupation with the body, manifests as multiple somatic complaints at least 6 months o prominent during psychological stress o inquire about current emotional stressors o Rx: refer for brief psychotherapy conversion disorder: unexplained neuro symptoms preceded by an obvious emotional trigger symptoms are not artificially produced, unexplained by any medical condition cause social & functional impairment (la belle indifference) - conduct disorder: middle childhood/adolescent o Dx: at least 3 symptoms from the following categories: (1) aggression towards people or animals, (2) destruction of property, theft, deceitfulness, or (3) serious violation of rules oppositional defiant disorder: pattern of angry, irritable mood & argumentative toward authority o children less severe vs.
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