By Samir Mehta, Edmund A. Milder, Adam J Mirarchi, Veronica Sikka
Step-Up to the Bedside, moment version is a entire case-based evaluation e-book for the USMLE Step 1 and Step 2 CS. It provides a hundred scientific instances following the USMLE structure and specializes in the fundamental technology underlying every one scientific situation. The case-based presentation is helping scholars assimilate and synthesize simple technology info and gives first-class guidance for USMLE Step 1, USMLE Step 2 CS, and medical clerkships. This version comprises thirty thoroughly new instances, and all present instances were greatly up-to-date. every one case now opens with studying ambitions and ends with USMLE-style questions. fast Hits bullets, mnemonics, figures, and tables aid readers keep details. Fifty of the circumstances may be to be had on-line.
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Extra info for Step-Up to the Bedside: A Case-Based Review for the USMLE, 2nd Edition
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Nerves and muscle). An action potential consists of a rapid depolarization (upstroke) followed by repolarization of the membrane potential. Key features of action potentials are their stereotypical size and shape, propagating nature, and an all-or-none firing. In the upstroke of the action potential (depolarization), there is an influx of Na+ current. Nicotinic acetylcholine (ACh) receptors are ligand-gated sodium channels, and the binding of ACh to nicotinic receptors produces an endplate potential in skeletal muscle cells.
Atypical presentation Atypical Atypical Community vs. hospital acquired Community Community Disease Influenza • Bronchiolitis • Pneumonia in infants Characteristics • • • • Single-stranded (−) RNA Segmented Enveloped Three antigenic types (A,B,C) determined by nucleocapsid ribonucleoprotein • Hemagglutinin (HA) and neuraminidase (NA) are antigens on the envelope. • • • • • Pathogenesis • Colonizes respiratory tract • Occurs most often from December to March in the United States • 1–4 day incubation period • Self-limited • Involves lower respiratory tract • Immune response may contribute to pathogenesis Laboratory diagnosis • Grows in cell culture and embryonated eggs • Hemagglutination inhibition and complement fixation can be used to identify virus.