Table Of ContentTO P SH ELF
Es s e ntial Le arning
fo r the Inte rnal
Me dicine Cle rks hip
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Notice
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T O P SH ELF
Es s e nt ial Le arning
fo r t he Inte rnal
Me d icine Cle rks hip
Co nrad Fische r, MD
New York Chicago San Francisco Athens London Madrid Mexico City
Milan New Delhi Singapore Sydney Toronto
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A A
b o u t t h e u t h o r
Conrad Fischer, MD, is a Program Director in Internal Medicine in New York
City. He is also a clerkship director or the third year internal medicine rota-
tion. Dr. Fischer is Associate Pro essor o Medicine, Physiology and Pharma-
cology at ouro College o Medicine. In addition he holds a Master’s degree in
T eology rom Union T eological Seminary in New York.
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t C
Ab l e o f o n t e n t s
How to Use this Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix
Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii
CHAPTER 1: General Internal Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CHAPTER 2: Allergy and Immunology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
CHAPTER 3: Cardiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
CHAPTER 4: Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
CHAPTER 5: Endocrinology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
CHAPTER 6: Gastroenterology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
CHAPTER 7: Geriatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
CHAPTER 8: Hematology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
CHAPTER 9: In ectious Diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211
CHAPTER 10: Nephrology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
CHAPTER 11: Neurology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305
CHAPTER 12: Women’s Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337
CHAPTER 13: Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349
CHAPTER 14: Pulmonology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357
CHAPTER 15: Rheumatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393
APPENDIX: Abbreviations and Mnemonics . . . . . . . . . . . . . . . . . . . . . . . . . . 423
INDEX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437
vii
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h u t b
o w t o s e h i s o o k
It is my sincere hope that I have created a unique and use ul book to prepare
you or your shel examination or or greater depth o study in internal med-
icine. Initially, the volume o in ormation you must absorb will seem over-
whelming. All I can tell you or sure is:
• While the knowledge you must eventually acquire seems in nite, it isn’t.
• T e amount you need or this standardized test is certainly nite.
T e ormat this book ollows is the pattern o the most requently asked
questions on the exam:
1. What is the most likely diagnosis?
2. What is the best initial test?
3. What is the most accurate test?
4. Which o the ollowing physical ndings is most likely to be ound in this
patient?
5. What is the best initial therapy?
In addition, we will show you the most likely results o EKGs, x-rays, and C
and MRI scans to be ound on the test.
Studying a lot can eel hard and pain ul. It is an e ort. I will share with you,
then, the solvent or pain ul e orts in the area o medicine.
• Everything you are learning here is use ul to help people.
• T e “smartest” or most knowledgeable that most people are in medicine in
third year is the day they walk into their Shel . T is is, there ore, a high point
or peak experience. Don’t waste it.
• You can always rest later; you can’t study or your Shel later
My suggestion on how to use this book is:
1. Study one subject as a time.
2. Read it in multiple (3 to 4) di erent sources.
3. Use a book o practice questions only a er you have studied the subject.
Don’t start with practice questions.
ix
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