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Common etiologies include choledocholithiasis, malignancy, primary sclerosing cholangitis, and biliary interventions that result in incomplete bile drainage. Acute cholangitis is a lifethreatening infection that typically develops in the setting of biliary obstruction, which enables bacteria to enter the ampulla and biliary tree. The classic Charcot triad of fever, right upper quadrant (RUQ) pain, and jaundice (not noted in this patient, although it may develop with worsening hyperbilirubinemia) is only seen in 50%-75% of patients Reynolds pentad (additional hypotension and altered mental status) is classically associated with severe disease. Acute hypotensive illness and leukocytosis are not typical.Ī patient's presentation is consistent with acute cholangitis. Although it has a cholestatic pattern on liver function studies, patients are frequently asymptomatic or have chronic fatigue and pruritus on presentation. PSC is characterized by short, annular strictures alternating with a normal bile duct ("beads on a string") visible on ultrasound. In addition, the hyperbilirubinemia is primarily indirect, and fever is atypical.
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This patient should have serial blood counts drawn and may require transfusion if the hemoglobin decreases to 3000 U/L). ≥2.5 g/dL (high-protein ascites) o CHF, constrictive pericarditis, peritoneal carcinomatosis, TB, Budd-Chiari syndrome, fungal 9 g/dL in variceal hemorrhage. ≥250/mm3: peritonitis (secondary or spontaneous bacterial)
US-MLE Step 2 CK – UW Explanations/Tables INTERNAL MEDICINE GASTROINTESTINAL & NUTRITION ASCITESīLOODY: trauma, iatrogenic (e.g., bx, paracentesis), malignancy (tumor eroding blood vesselsHCC is MCC of bloody), TB (rarely) MILKY: chylous TURBID: possible infection STRAW COLOR: likely more benign causes
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If you download some of the materials and found them useful, please drop a line in the comments and subscribe to my feed. DOKIDOK’S NOTES – achieve more study less for CS without watermarks. You can also download the COMPLETE PACK OF ZAKO”S NOTES.ġ8.
#Free uworld step 2 ck download free
FREE USMLE Step 1 and Step2 (coming soon) questions from wikitestprep. If somebody complains I will take it down.ġ5. I am not quite sure about this one how not coprighted it is. I said that I will have only uncopyrighted materials on USMLEMD. Board Review from Medscape–>Internal Medicine Qs from Medscape. You can find more information for the author on. You can go quickly trough all of the slides and pick only what you like.ġ2. Both files have the same information, just different format.
#Free uworld step 2 ck download pdf
Pass program clue PDF file and Microsoft Power Point file. an open-source guide to usmle step 1 is forthcoming–created and maintained by those who are closest to the material–the students themselves.ġ0. The site hosts free notes, guides, books, or any other materials created by and for medical students and residents.It currently hosts a complete systems-based pathology charts (“the grids”) and pathophysiology flash cards (in progress).
PimpNotes is an open-source notes project for medical students and doctors in training. Very good stuff! Probably this download should be the one to start with.Ĩ. I still remember some of the Askdoc’s posts on prep4usmle.
#Free uworld step 2 ck download how to
How to Create a Study Plan for the USMLE PDF book by Askdoc. Separate different questions under one topic.ħ. The questions are alphabetized and the number next to each question is the number of times the topic was questioned. He/she took note of every 2024 question that he/she did. Usmleworld step 2 notes for all 2024 questions (Mediafire).The author is unknown yet. Neeraj’s notes complete pack for users with demonoid accountĦ.
You can also download the COMPLETE PACK OF NEERAJ’S NOTES: Neeraj’s Step 3 notes and Neeraj’s Step 3 CCS notes Neeraj’s Step2 CS notes and Neeraj’s USMLE CS trip notes The real name is Keypoints and the official website is, which contains some other very helpful information.
The name of this document is not Med Students Amnesia. Nobody knows who wrote it, but it has been floating around the country for some time now. Med Students Amnesia an excellent high-yield review. USMLE step 2 CS 4o cases PDF (Mediafire)Ĥ. It is very well done and could be helpful.ģ. By the way, on prep4usmle there is a very comprehensive review of usmleworld step 2 CK made by a student. My suggestion is, “don’t waste your time” and go straight for the real usmleworld Q-bank. A month ago I wrote the post “usmleworld hack” with some explanation how to use the off line Q-bank. Keep in mind, that doing the questions off line is more confusing and doesn’t stick to your brain that well as the real usmleworld question bank.
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