By Martin S. Lipsky
Blueprints relations drugs, 3rd version offers scholars with an entire evaluation of key thoughts and subject matters and serves as a speedy reference in the course of day by day actions in sufferer care—perfect for clerkship rotations and the USMLE. This variation has been thoroughly up-to-date whereas preserving its succinct, prepared, and concise kind. a hundred USMLE-style multiple-choice questions with complete motives Key issues on the finish of every bankruptcy summarize very important details up-to-date Appendix of evidence-based assets significant other site deals entry to completely searchable textual content plus an extra 50 USMLE-style questions with solutions
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Those presenting with an acute injury may be reminded about injury prevention measures, such as the use of helmets and seat belts. Inquiring about domestic violence is important for women seen for acute injuries. , hepatitis B, MMR; see Figure 5-1). Patients with medical problems such as diabetes or asthma should receive pneumococcal and influenza vaccines. Those who have never had chickenpox may wish to consider the varicella vaccine. In addition to reviewing the past medical history, family history, and social history will provide information that may lead to counseling or screening measures.
Abusers tend to blame family stress and unfulfilled expectations in their partners. Typically, 23 10876_c07_Layout 1 19/02/10 6:06 PM Page 24 24 • Blueprints Family Medicine there is a cycle of violence in which an assault is followed by a time when the batterer is remorseful and often loving. Following this is a tension-building period, which then culminates in another episode. Over time, the episodes become more frequent and severe. CLINICAL MANIFESTATIONS HISTORY Identifying victims of abuse is challenging in all but the most obvious cases.
For patients with minor clinical predictors, only those with poor functional capacity who are undergoing high-risk procedures require stress testing. Those with positive stress test results warrant cardiologic consultation prior to proceeding with surgery. A baseline chest x-ray may be helpful in patients at risk for pulmonary complications. Guidelines for ordering pulmonary function tests have been published but have not been shown to be predictive of complications. Pulmonary function testing may be helpful in diagnosing and assessing disease severity.
Blueprints Family Medicine (Blueprints Series) by Martin S. Lipsky