Simulating the clinical approach to decision making, the 47 clinical vignettes in this study guide for USMLE Step 2 are arranged randomly to help students practice diagnosing and treating patients in the emergency room. Each case summarizes the subject's symptoms and test results, pinpoints an initial diagnosis, identifies the main principles crucial to the case, walks through the clinical approach to the problem, and provides several multiple choice questions for review. Annotation ©2004 Book News, Inc., Portland, OR
Reviewer: Laura Joy Hurst, MD(University of Chicago)
Description: This is a book containing cases that you would see in emergency medicine. The case is followed by pertinent questions, a description of the disease, the treatment, as well as clinical pearls.
Purpose: The book is targeted toward students in emergency medicine. It is designed to simulate a patient encounter while bringing out important points in the differential diagnosis, disease process, or treatment. The objectives are consistently met.
Audience: According to both the author and my opinion, the book is written for students. It is basic in its approach. Furthermore, the cases presented cover some of the most frequently encountered complaints in emergency medicine.
Features: Forty-seven cases in emergency medicine are covered, with each case having questions with targeted answers, analysis of the case, approach to the disease process, comprehension questions, and clinical pearls. The organization was consistent allowing the student to approach the case with questions and treatment choices as they might in a real patient setting. The comprehension questions at the end reinforced the pertinent points of the case and the explanations of the answers were thorough.
Assessment: I think any student doing a rotation in emergency medicine would benefit from these case scenarios. It provides a practical approach to a disease while highlighting the points that are often tested on USMLE.