From Book News, Inc.
Designed to help students prepare for USMLE Step 1, this collection of 95 clinical cases reviews the biochemistry of diseases under the headings of endocrinology, gastroenterology, genetics, and hematology. Each one-page case presents the signs, symptoms, and diagnostic findings for a particular illness, followed by treatment and a brief discussion. No index.Book News, Inc.®, Portland, OR
Book Description
Blackwell’s Underground Clinical Vignettes: Biochemistry, third edition is your primary source for clinically relevant, case-based material essential for Step 1 review. Each Clinical Vignette presents approximately 100 cases with over 1000 classic buzzwords in Hx, PE, lab, imaging, pathology and treatment. The revised editions contain: · High-yield updates to nearly every case · Links to Basic Science and Clinical Science Color Atlas · New Cases on commonly tested USMLE topics
Book Info
Presents clinically relevant, case-based material essential for Step 1 review. Includes approximately 100 cases with more than 1,000 classic buzzwords in Hx, PE, lab, imaging, pathology, and treatment. Previous edition: c1999. Softcover.
From the Publisher
Buy the UCV Step 1 Bundle (0-632-04559-0) and receive a new FULL COLOR picture atlas -- completely free! - Hundreds of classic full-color photos of Histo, Path, Hem, Micro, and clinical images - Page references to the UCV volumes for quick navigation - Format designed for easy quizzing
Excerpted from Underground Clinical Vignettes: Biochemistry: Classic Clinical Cases for USMLE Step 1 Review by Vikas Bhushan. Copyright © 2001. Reprinted by permission. All rights reserved.
ID/CC-A 16-year-old girl is referred to an endocrinologist owing to lack of menses (AMENORRHEA) and absence of pubic hair, axillary hair, and breast development (LACK OF SECONDARY SEXUAL CHARACTERISTICS). HPI-She also complains of frequent headaches and ringing in her ears (due to hypertension). PE-VS: hypertension (BP 160/105). PE: funduscopic exam normal; no lymphadenopathy; no hepatosplenomegaly; absence of breast tissue; no abdominal or pelvic masses palpable; no axillary or pubic hair; vulvar labia normal. Labs-Lytes: hypokalemia; hypernatremia. ABGs: metabolic alkalosis (due to mineralocorticoid action of 11-deoxycorticosterone and corticosterone). Suppressed renin; increase in urinary gonadotropins (due to attempt to compensate for lack of sex hormones); diminished 17-ketosteroids (product of sex hormones); increased progesterone, pregnenolone, 11-deoxycorticosterone, and corticosterone. Imaging-N/A Gross Pathology-N/A Micro Pathology-N/A Treatment-Glucocorticoids. Sex hormones. Discussion-A decrease in 17-á-hydroxylase produces an increase in 11-deoxycorticosterone and corticosterone (due to shifting metabolism of sex hormones to aldosterone pathway); renin is suppressed (due to aldosterone negative feedback). Females fail to develop secondary sexual characteristics; males develop ambiguous external genitalia (MALE PSEUDOHERMAPHRODITISM). Rating 4.5
Don't botherThis is the worst book of the series and is a waste of time. Pharmacology cannot be taught by clinical vignettes and the author himself recognizes this. In the book review section of First Aid, Dr. Bhushan admits that it is not an ideal review source. The problem is that within two lines of the clinical vignette, the drug is revealed, so there is no chance to guess the answer. There are less time consuming ways to learn the side effects of drugs.Excellent for USMLE prepAll three of the PathoPysiology books of the Clinical Vignettes series are excellent review books for pre-clinical students taking Step 1. Many questions on the exam are asked from a clinical standpoint. For IMGs who have clinical experience before taking Step 1, these books are less useful. However, they are still good to review unusual diseases. Since Pathology is so heavily tested in Step 1, these books are a good investment for anyone preparing for Step 1.One of the best of the seriesI found this book very helpful in forming a clinical picture in my mind for all those confusing biochemical diseases. I felt this was one of the best books of this series. It is good to use after reviewing the subject. This book is not sufficient on its own and should be used as an adjunct to a standard review book. |
