Sponsored Links
Results 1 to 4 of 4
  1. #1
    ccknbllr is offline Newbie 510 points
    Join Date
    Jun 2007

    Latest CCS cases

    Our members don't see this ad
    1: PID - Young female, unprotected sex, multiple partners, the works. No abcess on U/S. Totally blanked on the abx regimen, so I gave her Pen G and Cipro. Amp and Gent or Ofloxacin and Metronidazole are the real choices. Either way she felt better, so hopefully not too many deductions.

    2: G6PD deficiency - 3 y/o asian kid with fatigue and hyperbilirubinemia, with signs of hemolysis. Stopped the Bactrim he was taking and switched him to amoxicillin, did fine.

    3: STEMI - Typical risk factors, ST elevations, usual management (MONA, heparin gtt, cath, eptifibide gtt post-cath, risk factor reductions).

    4: Uncomplicated UTI in an 18 y/o. - Bactrim and you're done.

    5: Atelectasis - post-surgical person. I saw the CXR with "free air" and forgot that's normal after laparotomy. Anyway, incentive spirometry and council deep breathing.

    6: Pyloric Stenosis - 4 week old, bilious vomiting, U/S showed pyloric stenosis. Surgery and you're out.

    7: Aortic Dissection - caught me by surprise; office visit for back pain. CXR showed aortic widening. NO ASA or heparin! Surgical management.

    8: OD - 45 y/o alcoholic found comatose with whisky, pill bottles around. I messed up and didn't give thiamine before dextrose (D'oh!), but otherwise do the usual: intubate, FSBS, thiamine, dextrose, naloxone, flumazenil, fluids, tox screen, etc.

    9: Whitish vaginal discharge - 71 y/o lady with white plaques and skin breakdown of vagina with bleeding. I did all the cultures, biopsies, etc. After that, gave estrogen cream and empiric Monostat, but pt had no relief. I was really wracking my brain about this one, but when I got home and looked it up all signs pointed to atrophic vaginitis. No idea why she didn't get better.

    Good luck!


  2. #2
    Flagellated organism is offline Newbie 510 points
    Join Date
    Apr 2009
    great stuff. thanks.

  3. #3
    medtekboy is offline Junior Member
    Join Date
    Apr 2003

    step 3 ccs 11-18-09

    1. sub arrachnoid hemorrhage
    2. pregnancy (45yo female)
    3. pericarditis (this was tricky b'c at first was Severely impaired CHF w/ pericardial effusions, a f/u echo showed mildly impaired CHF... i am not sure if i got this right. Pt had recent h/o URI 30yo male)
    4. trichomonas vaginalis (make sure to treat partners)
    5. acute viral meningitis (no sure for this one too. 7mo baby... could have been bacterial meningitis, sepsis)
    6. small bowel obstruction
    7. Acute Tubular necrosis (not sure, pt was 33yo female with s/p ORIF leg, arm 2/2 MVA... c/o decrease urine output and now has become dark colored/bloody)
    8. hepatocellular carcinoma (make sure to counsel cancer diagnosis)
    9. Maxillary sinusitis

    I hope i passed

  4. #4
    DocSAMMD is offline Senior Member 521 points
    Join Date
    Jul 2007
    bad idea to post cases
    Last edited by DocSAMMD; 09-13-2010 at 02:08 AM. Reason: edit

Similar Threads

  1. Try these 41 CSA cases
    By tpr2004 in forum Free Downloads
    Replies: 2
    Last Post: 10-12-2008, 05:45 PM
  2. latest cases
    By curious george in forum USMLE Step 3 CCS Forum
    Replies: 0
    Last Post: 05-04-2006, 10:21 PM
  3. CCS cases 8-16-05
    By trancedoc1 in forum USMLE Step 3 CCS Forum
    Replies: 0
    Last Post: 08-16-2005, 04:31 PM
  4. CCS Cases
    By Unregistered in forum USMLE Step 3 CCS Forum
    Replies: 0
    Last Post: 08-09-2005, 07:30 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Site Meter