These five cases demonstrate important medical ethics principles. When would you breach patient confidentiality? When would you honor patient autonomy over beneficence? What are advanced directives and living wills? What is the principle of determining last known wishes, and if those are not known, how do you proceed? What procedures are covered by a do not resuscitate order?
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#24: Four Cases of Neuropathy
For a patient who presents with wrist drop and numbness on the back of the hand, what nerve is involved? In Saturday night palsy, which nerve is involved? What is the diagnosis in a patient presenting with a unilateral infrascapular localized area of pruritus? For a patient with numbness and tingling of the fourth and fifth digits, what nerve is involved?
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#23: Six Cases of Nutrient Disorders
What is the correct diagnosis in this 60-year-old homeless man with a rash and irritability? What is the most likely diagnosis in this patient who presents with fatigue and newly diagnosed diabetes? What is the next best test for a 24-year-old patient who presents with a normocytic anemia?
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#22: 40 Year-Old Patient with Confusion and Ataxia.
In this patient with confusion and ataxia: What is the next best step in management? What are the risk factors for this condition? What is the most likely diagnosis in this 70 year old patient with fatigue, leg pain, and bruising? What is the best treatment? What are the risk factors for this condition?
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#21: Secondary Amenorrhea: 5 Cases to Diagnose
When a patient presents with secondary amenorrhea, what is the differential diagnosis? What is the recommended testing for patients with suspected functional hypothalamic amenorrhea? For a suspected pituitary adenoma? For suspected PCOS? What are other potential causes outside of the hypothalamic-pituitary-gonadal axis?
Also known as "the Q bank podcast", the Step 2 Success podcast uses clinical vignettes and targeted teaching points to help you prepare for the USMLE Step 2 exam. Brought to you by the authors of The Successful Match and Success on the Wards, Drs. Rajani Katta and Samir Desai.
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