Good condition. 3rd edition. A copy that has been read but remains intact. May contain markings such as bookplates, stamps, limited notes and highlighting, or a few light stains.

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Bibliographic Details

Title: Underground Clinical Vignettes: Behavioral Science: Classical Clinical Cases for USMLE Step 1 Review
Publisher: Lippincott Williams & Wilkins
Publication Date: 2001
Language: English
ISBN 10: 0632045434
ISBN 13: 9780632045433
Binding: Soft cover
Edition: 3rd Edition
Condition: Good

About this title

Synopsis

Blackwell�s Underground Clinical Vignettes: Behavioral Science, 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

Excerpt. � Reprinted by permission. All rights reserved.

ID/CC-A 30-year-old man who is known to have full-blown AIDS presents with tremor, ataxia, memory loss, and both visual and auditory hallucinations.

HPI-He has no history of seizures, fever, neck stiffness, or vomiting.

PE-No focal neurologic signs; fundus normal; no meningeal signs.

Labs-LP: normal proteins in CSF; normal glucose. India ink staining negative (rule out cryptococcal meningitis); VDRL nonreactive (rule out neurosyphilis).

Imaging-MR, brain: bright spots (on T2 weighted); cortical atrophy and ventricular dilatation.

Gross Pathology-Diffuse leukoencephalopathy with enlargement of cortical sulci and ventricles.

Micro Pathology-N/A

Treatment-Antiretroviral therapy such as zidovudine may improve neuropsychiatric symptoms; no definitive treatment available.

Discussion-AIDS dementia complex is characterized by a progressive dementia, psychomotor abnormalities, focal motor abnormalities, and behavioral changes. Clinical manifestations of this disorder are found in at least two-thirds of patients with AIDS. However, neurologic manifestations in the HIV-infected individual may be associated with CNS disease caused by such organisms as Cryptococcus neoformans, Toxoplasma gondii, Treponema pallidum, and JC virus (progressive multifocal leukoencephalopathy) as well as with B-cell lymphoma.

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