USMLE STEP 2 CS临床技能 第5版 英文PDF电子书下载

SECTION 1 GUIDE TO THE USMLE STEP 2 CS 1

Introduction 2

USMLE Step 2 CS—The Basics 2

Preparing for the Step 2 CS 9

Test-Day Tips 11

First Aid for the IMG 13

Supplement—The USMLE Step 2 CS Travel Guide 21

SECTION 2 THE PATIENT ENCOUNTER 39

Introduction 40

Doorway Information 42

Taking the History 44

The Physical Exam 54

Closure 63

How to Interact with Special Patients 65

Challenging Questions and Situations 67

Counseling 77

The Patient Note 79

SECTION 3 MINICASES 85

Headache 87

Confusion/Memory Loss 89

Loss of Vision 91

Depressed Mood 92

Psychosis 93

Dizziness 94

Loss of Consciousness 95

Numbness/Weakness 96

Fatigue and Sleepiness 98

Night Sweats 100

Insomnia 100

Sore Throat 101

Cough/Shortness of Breath 102

Chest Pain 105

Palpitations 107

Weight Loss 108

Weight Gain 109

Dysphagia 110

Neck Mass 111

Nausea/Vomiting 111

Abdominal Pain 112

Constipation/Diarrhea 116

Upper Gl Bleeding 118

Blood in Stool 119

Hematuria 119

Other Urinary Symptoms 120

Erectile Dysfunction 122

Amenorrhea 123

Vaginal Bleeding 124

Vaginal Discharge 126

Dyspareunia 126

Abuse 127

Joint/Limb Pain 128

Low Back Pain 132

Child with Fever 133

Child with Gl Symptoms 134

Child with Red Eye 136

Child with Short Stature 136

Behavioral Problems in Childhood 137

SECTION 4 PRACTICE CASES 139

Case 1 46-Year-Old Man with Chest Pain 142

Case 2 57-Year-Old Man with Bloody Urine 152

Case 3 51-Year-Old Man with Back Pain 161

Case 4 25-Year-Old Man Presents Following Motor Vehicle Accident 170

Case 5 28-Year-Old Woman Presents with Positive Pregnancy Test 180

Case 6 10-Year-Old Girl with New-Onset Diabetes 189

Case 7 74-Year-Old Man with Right Arm Pain 197

Case 8 56-Year-Old Man Presents for Diabetes Follow-up 206

Case 9 25-Year-Old Woman Presents Following Sexual Assault 216

Case 10 35-Year-Old Woman with Calf Pain 225

Case 11 62-Year-Old Man with Hoarseness 235

Case 12 67-Year-Old Woman with Neck Pain 243

Case 13 48-Year-Old Woman with Abdominal Pain 251

Case 14 35-Year-Old Woman with Headaches 260

Case 15 36-Year-Old Woman with Menstrual Problems 269

Case 16 28-Year-Old Woman with Pain During Sex 278

Case 17 75-Year-Old Man with Hearing Loss 287

Case 18 5-Day-Old Boy with Jaundice 296

Case 19 7-Month-Old Boy with Fever 305

Case 20 26-Year-Old Man with Cough 314

Case 21 52-Year-Old Woman with Jaundice 323

Case 22 53-Year-Old Man with Dizziness 332

Case 23 33-Year-Old Woman with Knee Pain 340

Case 24 31-Yea r-Old Man with Heel Pain 350

Case 25 18-Month-Old Girl with Fever 360

Case 26 54-Year-Old Woman with Cough 369

Case 27 61-Year-Old Man with Fatigue 379

Case 28 54-Year-Old Man Presents for Hypertension Follow-up 388

Case 29 20-Year-Old Woman with Sleeping Problems 397

Case 30 2-Year-Old Girl with Noisy Breathing 407

Case 31 21-Year-Old Woman with Abdominal Pain 416

Case 32 65-Year-Old Woman with Forgetfulness and Confusion 426

Case 33 46-Year-Old Man with Fatigue 436

Case 34 32-Year-Old Woman with Fatigue 445

Case 35 27-Year-Old Man with Visual Hallucinations 454

Case 36 32-Year-Old Man Presents for Preemployment Physical 463

Case 37 55-Year-Old Man with Bloody Stool 472

Case 38 66-Year-Old Man with Tremor 481

Case 39 30-Year-Old Woman with Weight Gain 490

Case 40 6-Month-Old Girl with Diarrhea 499

Case 41 8-Year-Old Boy with Bed-Wetting 507

Case 42 11-Month-Old Girl with Seizures 515

Case 43 21-Year-Old Man with Sore Throat 523

Case 44 49-Year-Old Man with Loss of Consciousness 532

SECTION 5 TOP-RATED REVIEW RESOURCES 541

How to Use the Database 542

Appendix 547

Index 551

About the Authors 573