USMLE勉強日記です。
＊ここに掲載している患者さんの情報(年齢、性別、職業など)はすべてデタラメにしてあります。治療法は正確に書いているつもりですが、トップの免責事項を参照してください。

1.pap screening [OBG]

start at age 21 or 3 yrs from onset of intercourse.[check in preventive med notes it is mentioned 18 i guess]

pap anually on all women till 30.

then every 2-3 yrs if 3 normals.

if she is on ocp then do anually till she is on ocp.

2.pt with chalymadia and if she is preganant follow up needed to confirm cure with cultures[not dna probe].if not pregnant no need.

3.guidelines for mamography screening

if significant risk -before 35

baseline study-35-40y

repeat every 1-2y=40-49y

annual mamography>50y

4.management of MI

angioplasty mortality benifit is greater than thrombolytic therapy.hence is both are offered pick angio as ur 1st answer.only if angio is not available then tpa stat.

5.CML tratement

1st best imatinab[cuz it is a specific inhibitor]only if this fails its bmt.

6.CLL TREATMENT.

drug of choice now is fludarabine.prednisone only for autoimmune events.

GOOD LUCK EVERYONE ...HOPE THIS HELPS.

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* Re:changes from new kaplan notes 66.240.22.35

#156779

madhatter31 - 05/16/05 09:25

Thanks Jimmy

That was really nice of you to do that. Maybe we can all make this a thread and everyone can add on it and benefit by it....

Cia

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* Re:changes from new kaplan notes 61.1.37.43

#160775

docindia - 06/01/05 06:04

Thanks jimmy u r a great help

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* Re:changes from new kaplan notes 202.149.45.3

#160807

maverick_pkg - 06/01/05 10:46

but blueprints latest edition mention 18 yrs as pap smear starting age

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* Re:changes from new kaplan notes 67.183.95.18

#160914

kti - 06/01/05 16:26

thanks jimmy.

really appreciated. if u remember any changes any time u can add to this thread.

GL.

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* Re:changes from new kaplan notes 70.18.43.126

#161248

jimmy - 06/02/05 19:30

hi mavrick,

so which one do we follow?18y?21y?

pls post here

thanks jimmy

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* Re:changes from new kaplan notes 70.18.43.126

#161272

jimmy - 06/02/05 20:39

change in protocol for management of MI:

1st give asprin

2nd if u r in a teritiary care setting take pt immediately to angioplasty as the mortality benifit is greater then thrombolytic therapy[hence if this option is offered in exam pick it]

3rd[or 2nd if angio is not available] give hrombolytic therapy

the rest is the same in older books too.

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