Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Review PDF
Preview Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Review
Front matter_FINAL.qxd 5/25/04 8:09 AM Page i Mayo Clinic Images in Internal Medicine Self-Assessment for Board Exam Review Front matter_FINAL.qxd 5/25/04 8:09 AM Page ii Front matter_FINAL.qxd 5/25/04 8:09 AM Page iii Mayo Clinic Images in Internal Medicine Self-Assessment for Board Exam Review Editor Furman S. McDonald, MD Co-Editors Paul S. Mueller, MD Gautam Ramakrishna, MD MAYO CLINIC SCIENTIFIC PRESS CRC PRESS Front matter_FINAL.qxd 5/25/04 8:09 AM Page iv ISBN-0-8493-3079-3 The triple-shield Mayo logo and the words MAYO and MAYO CLINIC are marks of Mayo Foundation for Medical Education and Research. ©2004 Mayo Foundation for Medical Education and Research. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means—electronic, mechanical, photocopying, recording, or otherwise—without the prior written consent of the copyright holder, except for brief quotations embodied in critical articles and reviews. Inquiries should be addressed to Mayo Clinic, 200 First Street SW, Rochester, MN 55905. For order inquiries, contact CRC Press, 2000 NW Corporate Blvd., Boca Raton, FL33431. www.crcpress.com Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, express or implied, with respect to the contents of the publication. This book should not be relied on apart from the advice of a qualified health care provider. The authors, editors, and publisher have exerted efforts to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care providers to ascertain the FDAstatus of each drug or device planned for use in their clinical practice. Front matter_FINAL.qxd 5/25/04 8:09 AM Page v DEDICATED TO Four very special people: • Charles H. Rohren, MD—the best physical diagnostician I know. Agreat physician, teacher, mentor, and friend. You are the reason I am an internist today. I will always see you when I think of the physician I want to be. • Darryl S. Chutka, MD—a great physician and teacher. When you told me to “make the book as large as you like,” I don’t think you expected what would come of it. Without your support and allowance for creative freedom, this book would never have been written. • Henry J. Schultz, MD—the greatest single influence on my professional life. Program director, adviser, friend. I hope that this book will be useful to the residents you care so much about, of whom I know I am one. • Elizabeth S. McDonald, MD, PhD—my devoted wife. Thanks for putting up with me while I put so much time into this book. One very special program: Proceeds from the book will support the Mayo International Health Program, which defrays the cost of elective experiences for Mayo Clinic residents and fellows caring for underserved patients in international settings. Furman S. McDonald, MD v Front matter_FINAL.qxd 5/25/04 8:09 AM Page vi Front matter_FINAL.qxd 5/25/04 8:09 AM Page vii PREFACE Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Reviewwas begun in 1998 as an adjunct to a presentation for the Mayo Internal Medicine Board Review Course. Images were presented in random order with brief case scenarios. The reader was encouraged to consider the cases before turning the page to read a few learning points about each image. That first book contained 38 cases and 57 images from 6 contributors. Year by year the work was expanded until now the current book has 173 cases with 287 images from 28 contributors. As with the first book, all images are from patients seen at Mayo Clinic, and the cases have been designed to illustrate important teaching points. American Board of Internal Medicine–type board review questions accompany the cases. The references from which the content for each case scenario was built are provided so the reader can obtain further information. Cases are presented in random order to be a more effective review tool that simulates examination (and clinical practice) condi- tions. However, with the increase in size, a detailed index was developed to allow the reader to find cases more efficiently. In addition, this edition introduces chain referencing, an innova- tive learning technique that allows the reader to move from case to case based on specialty designation. With access to the information in this book through random case review, the detailed reference index, and specialty chain referencing, Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Reviewis really three effective learning texts bound in one cover. It is hoped that Mayo Clinic Images in Internal Medicine: Self-Assessment for Board Exam Reviewwill be an aid for prepa- ration for board examination certification or recertification and medical clerkship review and also a useful update for practicing clinicians. Furman S. McDonald, MD Editor vii Front matter_FINAL.qxd 5/25/04 8:09 AM Page viii ACKNOWLEDGMENTS Many thanks are due to all who helped in the preparation of this book. There are many, and I will not try to name them all. This work was supported in part by the Clinical Educator and Educational Initiative Program, an integral grant program of Mayo Clinic. We are most appreciative of this support. viii Front matter_FINAL.qxd 5/25/04 8:09 AM Page ix AUTHOR AFFILIATIONS Furman S. McDonald, MD Senior Associate Consultant, Division of General Internal Medicine–Hospital Medicine, Mayo Clinic Associate Program Director, Internal Medicine Residency, Mayo School of Graduate Medical Education, Mayo Clinic College of Medicine Assistant Professor of Medicine, Mayo Clinic College of Medicine Rochester, Minnesota Paul S. Mueller, MD Consultant, Division of General Internal Medicine, Mayo Clinic Assistant Professor of Medicine, Mayo Clinic College of Medicine Rochester, Minnesota Gautam Ramakrishna, MD Fellow in Cardiovascular Diseases, Mayo School of Graduate Medical Education, Mayo Clinic College of Medicine Assistant Professor of Medicine, Mayo Clinic College of Medicine Rochester, Minnesota Image Contributors Edith M. Andrist Elizabeth S. McDonald, MD, PhD Marc H. Bivins, MD Furman S. McDonald, MD Emmanouil S. Brilakis, MD David E. Midthun, MD B. Ryan Brady, MD Victor M. Montori, MD Darryl S. Chutka, MD Carlos E. Morales, MD Mark D. P. Davis, MD John (Jack) D. Myers, MD Laura A. Diamondopoulos, MD Roger L. Nelson, MD David Dingli, MD Julian J. Nicholas, MD Jon O. Ebbert, MD Lynne E. Nowak, MD Stephen C. Hammill, MD David M. Phelan, MD Melinda J. Johnson, MD Jan Stepanek, MD Patrick S. Kamath, MD Craig S. Stump, MD Thomas S. Lin, MD Wilber W. Su, MD James S. Mathur, MD Farhad Zangeneh, MD ix
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