HPI: 40 yo executive man comes to the office with chief complaint of headache. Later he gives history of financial problem and starts crying. First pay attention to history for alcohol or recent drug use.you should check HPI to see when these headaches started ,is it reoccurent?, is patient's energy level has change recently, etc..R/O medical cause.PE:complete
Labs:CBC- posssibly WNL Chem-7UA- WNL Alcohol and Urine Drug screening- need to rule out drug use.TSH- probably WNL- rule out thyroid problem.if all above normal. depression index- response to 20 question indicates depression.start antidepressant- if patient is obese use celexa otherwise any ssri would be fine.schd. psychotherapy (with psychiatrist) to augment medication.schd. patient for follow-up in 3 weeks.
NB: The USMLE wiki has a lot of free questions, info and cases making those pages some of the most popular on this wiki. See Popularpages
Usmle Step1 | Usmle Step2 | Usmle Step3 | List of Cases > CSA&CS | Step3CCS | Popular Usmle Step 3 CCS cases part 2 | Asters Notes > Asters Notes I | Asters Notes II | Asters Notes III | Usmle Q Banks | Residency Wiki
Usmle Step 3 CCS
CCS is part of the USMLE Step 3 exam. While it is half a day in a 2 day exam, it causes most of the anxiety associated with Step 3 exam for most test takers. A good understanding of the cases and the software used is essential to aid in the proper understanding of the exam.
Step3CCS | Usmle Step 3 CCS cases part 2 - One of the most popular pages with over 70 solved cases!
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