USMLE Step 2 CS Mini-Cases
Sample (from 360 notes)
|Front||84 yo F brought by her son c/o forgetfulness (eg, forgets phone numbers, loses her way back home) and difficulty performing some of her daily activities (eg, bathing, dressing, managing money, using the phone). The problem has progressed gradually over the past few years. Differential?|
|Back||1. Alzheimer's disease2. Vascular dementia3. Depression4. Hypothyroidism5. Chronic subdural hematoma6. Normal pressure hydrocephalus7. Intracranial neoplasm8. B12 deficiency9. Neurosyphilis|
|Front||41 yo obese F presents with RUQ abdominal pain that radiates to the right scapula and is associated with nausea, vomiting, and a fever of 101.5 F. The pain started after she ate fatty food. She has had similar but less intense episodes that lasted a few hours. Exam reveals a positive Murphy's sign. Differential?|
|Back||1. Acute cholecystitis2. Choledocholithiasis3. Hepatitis4. Ascending cholangitis5. Peptic ulcer disease6. Fitz-Hugh-Curtis syndrome7. Acute subhepatic appendicitis|
|Front||43 yo obese F presents with RUQ abdominal pain, fever, and jaundice. She was diagnosed with asymptomatic gallstones 1 year ago. She is found to be hypotensive on exam. Workup?|
|Back||1. CBC2. AST/ALT/bilirubin/alkaline phosphatase3. Blood culture4. Viral hepatitis serologies5. U/S - abdomen6. MRCP7. ERCP|
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