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Patlan John T. - Case files. Internal medicine

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You need exposure to high-yield cases to excel on the internal medicine clerkship and the shelf-exam. This 4th edition presents sixty real-life cases that illustrate essential concepts. Each case includes complete discussion, clinical pearls, references, definitions of key terms, and USMLE-style review questions with detailed explanations of the correct answers. With this system, youll learn in the context of real patients, rather than merely memorize facts.;How to approach clinical problems -- Clinical cases -- Sixty case scenarios -- Listing of cases -- Listing by case number -- Listing by disorder (alphabetical).

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Copyright 2013 by The McGraw-Hill Companies Inc All rights reserved Except - photo 1

Copyright 2013 by The McGraw-Hill Companies Inc All rights reserved Except - photo 2

Copyright 2013 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

ISBN: 978-0-07-176853-5
MHID: 0-07-176853-X

The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-176172-7, MHID: 0-07-176172-1.

All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps.

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Notice

Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standard accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the editors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

TERMS OF USE

This is a copyrighted work and The McGraw-Hill Companies, Inc. (McGraw-Hill) and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hills prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms.

THE WORK IS PROVIDED AS IS. McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise.

DEDICATION

To our coach Victor, and our father-son teammates Bob & Jackson, Steve & Weston, Ron & Wesley, and Dan & Joel. At the inspirational JH Ranch Father-Son Retreat, all of us, including my loving son Andy, arrived as strangers, but in 6 days, we left as lifelong friends.

ECT

To my parents who instilled an early love of learning and of the written word, and who continue to serve as role models for life.

To my beautiful wife Elsa and children Sarah and Sean, for their patience and understanding, as precious family time was devoted to the completion of the book.

To all my teachers, particularly Drs. Carlos Pestaa, Robert Nolan, Herbert Fred, and Cheves Smythe, who make the complex understandable, and who have dedicated their lives to the education of physicians, and served as role models of healers.

To the medical students and residents at the University of Texas-Houston Medical School whose enthusiasm, curiosity, and pursuit of excellent and compassionate care provide a constant source of stimulation, joy, and pride.

To all readers of this book everywhere in the hopes that it might help them to grow in wisdom and understanding, and to provide better care for their patients who look to them for comfort and relief of suffering.

And to the Creator of all things, Who is the source of all knowledge and healing power, may this book serve as an instrument of His will.

JTP

CONTENTS

Section I
How to Approach Clinical Problems

Section II
Clinical Cases

Section III
Listing of Cases

REVIEWERS

Adam Banks

University of Texas Houston Medical School Class of 2012

Irving Basaez

University of Texas Houston Medical School Class of 2012

Hubert M. Chodkiewicz

University of Texas Houston Medical School Class of 2012

Stephen Fisher

University of Texas Houston Medical School Class of 2012

Amber Gill

University of Texas Houston Medical School Class of 2012

Alicia Hernandez

University of Texas Houston Medical School Class of 2013

Matthew Hogue

University of Texas Houston Medical School Class of 2012

Michael Holmes

University of Texas Houston Medical School Class of 2012

Cassandra Kuchta

University of Texas Houston Medical School Class of 2013

Luke Martin

University of Texas Houston Medical School Class of 2012

Colin J. Massey

University of Texas Houston Medical School Class of 2012

Janice Wilson

University of Texas Houston Medical School Class of 2012

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