Medicine Morning Report Subspecialties: Beyond the Pearls is a case-based reference that covers the key material included on USMLE and shelf exams. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. This subspecialties volume expands on Dr. Dasgupta’s popular Medicine Morning Report with more comprehensive coverage of internal medicine topics that you will encounter in clerkship and on exams.
Each case has been carefully chosen and covers scenarios and questions frequently encountered on board exams, shelf exams, and clinical practice, integrating both basic science and clinical pearls.
“Beyond the Pearls tips and secrets (all evidence-based with references) provide deep coverage of core material.
“Morning Report/Grand Rounds format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam.
Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Title page - p. IFC1 6. Copyright - p. IFC1 7. Dedication - p. iv 8. Contributors - p. vi 9. Foreword - p. vi 10. Preface - p. xv 11. Section 1: Nephrology - p. xvi 12. List of Illustrations - p. xvi 13. List of Tables - p. xvi 14. Chapter 1: A 50-Year-Old Male With Lethargy, Vomiting, and Pruritis - p. xvi 15. Chapter 2: A 40-Year-Old Male With Abdominal Distention and Decreased Urine Output - p. 12 16. Chapter 3: A 28-Year-Old Male With Left Flank Pain and Bloody Urine - p. 18 17. Chapter 4: A 62-Year-Old Male With Worsening Peripheral Edema - p. 26 18. Chapter 5: A 56-Year-Old Male With Acquired Immunodeficiency Syndrome With Nausea and Weakness - p. 31 19. Section 2: Hematology - p. 37 20. Chapter 6: A 58-Year-Old Female With Syncope - p. 37 21. Chapter 7: A 24-Year-Old Male With Easy Bruising and Mucosal Bleeding - p. 48 22. Section 3: Geriatrics - p. 57 23. Chapter 8: An 87-Year-Old Male With Acute Onset of Confusion - p. 57 24. Chapter 9: A 78-Year-Old Female With a Ground-Level Fall - p. 67 25. Section 4: Dermatology - p. 74 26. Chapter 10: A 57-Year-Old Female With Burning Red Rash on Lower Legs - p. 74 27. Chapter 11: A 70-Year-Old Female With Chronic Unilateral Rash on Left Nipple - p. 84 28. Chapter 12: A 58-Year-Old Female With Progressive Facial Lesions - p. 88 29. Chapter 13: A 79-Year-Old Male With a Fungating Mass on the Left Lower Extremity - p. 98 30. Chapter 14: A 38-Year-Old Female With a Diffuse Rash and Mucositis - p. 106 31. Chapter 15: A 62-Year-Old Woman With an 8-Year History of a Pruritic Rash - p. 116 32. Section 5: Neurology - p. 123 33. Chapter 16: A 28-Year-Old Male With Progressive Lower Back Pain, Paraplegia, and Urinary Incontinence - p. 123 34. Chapter 17: A 23-Year-Old Male With Severe Headache Behind the Right Eye - p. 133 35. Chapter 18: A 61-Year-Old Female With Right-Hand Numbness - p. 138 36. Chapter 19: A 21-Year-Old Male With Sudden Onset of Right-Sided Hemiparesis and Aphasia - p. 144 37. Section 6: Cardiology - p. 152 38. Chapter 20: A 62-Year-Old Female With Progressively Worsening Shortness of Breath, Fatigue, and Lower Extremity Edema - p. 152 39. Chapter 21: A 77-Year-Old Female With Worsening Shortness of Breath and Leg Swelling - p. 168 40. Chapter 22: A 54-Year-Old Male With Bilateral Leg Pain - p. 176 41. Chapter 23: A 58-Year-Old Female With Recurrent Chest Pain With Exertion - p. 185 42. Chapter 24: A 59-Year-Old Male With Sudden, Burning Chest Pain - p. 195 43. Chapter 25: A 55-Year-Old Female With Retrosternal Chest Pain - p. 204 44. Chapter 26: A 48-Year-Old Male With Acute Shortness of Breath - p. 216 45. Section 7: Rheumatology - p. 227 46. Chapter 27: A 32-Year-Old Female With Right Lower Extremity Edema - p. 227 47. Chapter 28: A 35-Year-Old Female With Dry Eyes and Dry Mouth - p. 241 48. Chapter 29: A 36-Year-Old Male With 3 Years of Worsening Joint Pain - p. 250 49. Chapter 30: A 55-Year-Old Female With Muscle Weakness - p. 258 50. Chapter 31: A 46-Year-Old Female With Purpura and Arthralgia - p. 265 51. Chapter 32: A 65-Year-Old Male With Acute Monoarticular Arthritis - p. 274 52. Chapter 33: A 22-Year-Old Female With Easy Bruising, Joint Hypermobility, and Arthralgia - p. 280 53. Chapter 34: A 70-Year-Old Female With Bilateral Shoulder Pain - p. 292 54. Section 8: Gastroenterology - p. 303 55. Chapter 35: A 44-Year-Old Female With Acute Onset Epigastric Pain - p. 303 56. Chapter 36: A 26-Year-Old Female With Chronic Hepatitis B - p. 315 57. Chapter 37: A 24-Year-Old Male With Elevated Liver Function Tests - p. 323 58. Chapter 38: A 54-Year-Old Female With Dysphagia - p. 330 59. Chapter 39: A 25-Year-Old Male With Chronic Diarrhea - p. 344 60. Section 9: Infectious Diseases - p. 350 61. Chapter 40: A 29-Year-Old Male With a Headache - p. 350 62. Chapter 41: A 45-Year-Old Male With Knee Pain - p. 357 63. Chapter 42: A 70-Year-Old Male With Fever and Diarrhea - p. 362 64. Chapter 43: A 30-Year-Old Female With Neutropenia and Fever - p. 368 65. Chapter 44: A 42-Year-Old Male With Fever and Malaise - p. 377 66. Chapter 45: A 19-Year-Old Female With Acute Abdominal Pain - p. 385 67. Chapter 46: A 30-Year-Old Male With Shortness of Breath, Fatigue, and Weight Loss - p. 391 68. Section 10: Hepatology - p. 400 69. Chapter 47: A 60-Year-Old Female With Elevated Alkaline Phosphatase and Hypercalcemia - p. 400 70. Chapter 48: A 77-Year-Old Male With Progressive Jaundice and Pruritus - p. 410 71. Section 11: Endocrine - p. 417 72. Chapter 49: A 49-Year-Old Male With Polyuria and Polydipsia - p. 417 73. Chapter 50: A 48-Year-Old Male With Bitemporal Hemianopsia - p. 429 74. Chapter 51: A 32-Year-Old Female With Recurrent Pregnancy Loss - p. 440 75. Chapter 52: A 60-Year-Old Female Presents for Wellness Visit - p. 447 76. Chapter 53: A 19-Year-Old Female With Oligomenorrhea and Facial Hair Growth - p. 460 77. Section 12: Pulmonary - p. 471 78. Chapter 54: A 67-Year-Old Male With Sudden Onset of Dyspnea and Pleuritic Chest Pain - p. 471 79. Chapter 55: A 27-Year-Old Male Who Experienced a Seizure - p. 483 80. Chapter 56: A 73-Year-Old Female With Dysphagia and Cough - p. 489 81. Chapter 57: A 58-Year-Old Male With Occupational Lung Disease - p. 496 82. Chapter 58: A 68-Year-Old Male With Progressively Worsening Dyspnea and Dry Cough - p. 504 83. Chapter 59: A 47-Year-Old Female With Shortness of Breath - p. 513 84. Chapter 60: A 64-Year-Old Male With a 3-Month History of Worsening Cough - p. 522 85. Chapter 61: A 58-Year-Old Female With Acute-on-Chronic Abdominal Pain - p. 529 86. Chapter 62: A 55-Year-Old Female With Chronic Cough - p. 537 87. Chapter 63: A 64-Year-Old Female With Fevers - p. 545 88. Chapter 64: A 53-Year-Old Male With Fever, Fatigue, and Myalgia - p. 551 89. Index - p. 565
Medicine Morning Report Subspecialties: Beyond the Pearls is a case-based reference that covers the key material included on USMLE and shelf exams. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. This subspecialties volume expands on Dr. Dasgupta’s popular Medicine Morning Report with more comprehensive coverage of internal medicine topics that you will encounter in clerkship and on exams.
Each case has been carefully chosen and covers scenarios and questions frequently encountered on board exams, shelf exams, and clinical practice, integrating both basic science and clinical pearls.
“Beyond the Pearls tips and secrets (all evidence-based with references) provide deep coverage of core material.
“Morning Report/Grand Rounds format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam.
Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Title page - p. IFC1 6. Copyright - p. IFC1 7. Dedication - p. iv 8. Contributors - p. vi 9. Foreword - p. vi 10. Preface - p. xv 11. Section 1: Nephrology - p. xvi 12. List of Illustrations - p. xvi 13. List of Tables - p. xvi 14. Chapter 1: A 50-Year-Old Male With Lethargy, Vomiting, and Pruritis - p. xvi 15. Chapter 2: A 40-Year-Old Male With Abdominal Distention and Decreased Urine Output - p. 12 16. Chapter 3: A 28-Year-Old Male With Left Flank Pain and Bloody Urine - p. 18 17. Chapter 4: A 62-Year-Old Male With Worsening Peripheral Edema - p. 26 18. Chapter 5: A 56-Year-Old Male With Acquired Immunodeficiency Syndrome With Nausea and Weakness - p. 31 19. Section 2: Hematology - p. 37 20. Chapter 6: A 58-Year-Old Female With Syncope - p. 37 21. Chapter 7: A 24-Year-Old Male With Easy Bruising and Mucosal Bleeding - p. 48 22. Section 3: Geriatrics - p. 57 23. Chapter 8: An 87-Year-Old Male With Acute Onset of Confusion - p. 57 24. Chapter 9: A 78-Year-Old Female With a Ground-Level Fall - p. 67 25. Section 4: Dermatology - p. 74 26. Chapter 10: A 57-Year-Old Female With Burning Red Rash on Lower Legs - p. 74 27. Chapter 11: A 70-Year-Old Female With Chronic Unilateral Rash on Left Nipple - p. 84 28. Chapter 12: A 58-Year-Old Female With Progressive Facial Lesions - p. 88 29. Chapter 13: A 79-Year-Old Male With a Fungating Mass on the Left Lower Extremity - p. 98 30. Chapter 14: A 38-Year-Old Female With a Diffuse Rash and Mucositis - p. 106 31. Chapter 15: A 62-Year-Old Woman With an 8-Year History of a Pruritic Rash - p. 116 32. Section 5: Neurology - p. 123 33. Chapter 16: A 28-Year-Old Male With Progressive Lower Back Pain, Paraplegia, and Urinary Incontinence - p. 123 34. Chapter 17: A 23-Year-Old Male With Severe Headache Behind the Right Eye - p. 133 35. Chapter 18: A 61-Year-Old Female With Right-Hand Numbness - p. 138 36. Chapter 19: A 21-Year-Old Male With Sudden Onset of Right-Sided Hemiparesis and Aphasia - p. 144 37. Section 6: Cardiology - p. 152 38. Chapter 20: A 62-Year-Old Female With Progressively Worsening Shortness of Breath, Fatigue, and Lower Extremity Edema - p. 152 39. Chapter 21: A 77-Year-Old Female With Worsening Shortness of Breath and Leg Swelling - p. 168 40. Chapter 22: A 54-Year-Old Male With Bilateral Leg Pain - p. 176 41. Chapter 23: A 58-Year-Old Female With Recurrent Chest Pain With Exertion - p. 185 42. Chapter 24: A 59-Year-Old Male With Sudden, Burning Chest Pain - p. 195 43. Chapter 25: A 55-Year-Old Female With Retrosternal Chest Pain - p. 204 44. Chapter 26: A 48-Year-Old Male With Acute Shortness of Breath - p. 216 45. Section 7: Rheumatology - p. 227 46. Chapter 27: A 32-Year-Old Female With Right Lower Extremity Edema - p. 227 47. Chapter 28: A 35-Year-Old Female With Dry Eyes and Dry Mouth - p. 241 48. Chapter 29: A 36-Year-Old Male With 3 Years of Worsening Joint Pain - p. 250 49. Chapter 30: A 55-Year-Old Female With Muscle Weakness - p. 258 50. Chapter 31: A 46-Year-Old Female With Purpura and Arthralgia - p. 265 51. Chapter 32: A 65-Year-Old Male With Acute Monoarticular Arthritis - p. 274 52. Chapter 33: A 22-Year-Old Female With Easy Bruising, Joint Hypermobility, and Arthralgia - p. 280 53. Chapter 34: A 70-Year-Old Female With Bilateral Shoulder Pain - p. 292 54. Section 8: Gastroenterology - p. 303 55. Chapter 35: A 44-Year-Old Female With Acute Onset Epigastric Pain - p. 303 56. Chapter 36: A 26-Year-Old Female With Chronic Hepatitis B - p. 315 57. Chapter 37: A 24-Year-Old Male With Elevated Liver Function Tests - p. 323 58. Chapter 38: A 54-Year-Old Female With Dysphagia - p. 330 59. Chapter 39: A 25-Year-Old Male With Chronic Diarrhea - p. 344 60. Section 9: Infectious Diseases - p. 350 61. Chapter 40: A 29-Year-Old Male With a Headache - p. 350 62. Chapter 41: A 45-Year-Old Male With Knee Pain - p. 357 63. Chapter 42: A 70-Year-Old Male With Fever and Diarrhea - p. 362 64. Chapter 43: A 30-Year-Old Female With Neutropenia and Fever - p. 368 65. Chapter 44: A 42-Year-Old Male With Fever and Malaise - p. 377 66. Chapter 45: A 19-Year-Old Female With Acute Abdominal Pain - p. 385 67. Chapter 46: A 30-Year-Old Male With Shortness of Breath, Fatigue, and Weight Loss - p. 391 68. Section 10: Hepatology - p. 400 69. Chapter 47: A 60-Year-Old Female With Elevated Alkaline Phosphatase and Hypercalcemia - p. 400 70. Chapter 48: A 77-Year-Old Male With Progressive Jaundice and Pruritus - p. 410 71. Section 11: Endocrine - p. 417 72. Chapter 49: A 49-Year-Old Male With Polyuria and Polydipsia - p. 417 73. Chapter 50: A 48-Year-Old Male With Bitemporal Hemianopsia - p. 429 74. Chapter 51: A 32-Year-Old Female With Recurrent Pregnancy Loss - p. 440 75. Chapter 52: A 60-Year-Old Female Presents for Wellness Visit - p. 447 76. Chapter 53: A 19-Year-Old Female With Oligomenorrhea and Facial Hair Growth - p. 460 77. Section 12: Pulmonary - p. 471 78. Chapter 54: A 67-Year-Old Male With Sudden Onset of Dyspnea and Pleuritic Chest Pain - p. 471 79. Chapter 55: A 27-Year-Old Male Who Experienced a Seizure - p. 483 80. Chapter 56: A 73-Year-Old Female With Dysphagia and Cough - p. 489 81. Chapter 57: A 58-Year-Old Male With Occupational Lung Disease - p. 496 82. Chapter 58: A 68-Year-Old Male With Progressively Worsening Dyspnea and Dry Cough - p. 504 83. Chapter 59: A 47-Year-Old Female With Shortness of Breath - p. 513 84. Chapter 60: A 64-Year-Old Male With a 3-Month History of Worsening Cough - p. 522 85. Chapter 61: A 58-Year-Old Female With Acute-on-Chronic Abdominal Pain - p. 529 86. Chapter 62: A 55-Year-Old Female With Chronic Cough - p. 537 87. Chapter 63: A 64-Year-Old Female With Fevers - p. 545 88. Chapter 64: A 53-Year-Old Male With Fever, Fatigue, and Myalgia - p. 551 89. Index - p. 565
