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Read or Download Kaplan USMLE Step 2: Obstetrics and Gynecology PDF
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Extra resources for Kaplan USMLE Step 2: Obstetrics and Gynecology
Org). Periodic objective thyroid. hearing. and vision screenings are focal points of concern. Equally imponant in successful OS management is appropriate psychosocial intervention. Proper home/environmental. educational. and vocational interventions can improve the OS child's functioning level, facilitating his or her transition to adulthood. Providing family suppon and assisting with financial and medical suppon program applications arc within the pediatrician's realm. 11 A small-for-gestational age infant is born to a 35·year-old woman.
Atrial septal defect [ASDI. patent ductus arteriosus [PDA]. or coarctation of the aorta). 21 A. Although VSDs arc common in OS. the most chamcterislic lesion is endocardial cushion defect (or atrioventricular IAV] canal defect). Slight cyanosis occurs because of the mixing of deoxygenated with oxygenated blood. In the AV canal. a range of defects involving the atrial septum. the ventricular septum. and one or both of the AV valves can be seen. A complete AV canal includes ASDs and VSDs with a common AV valve.
Can have proxirnaltubule defects (type 2) caused by impaired tubular bicarbonate reabsorption or distal tubule dcfects (type I) caused by impaired hydrogen ion secretion. Type 4 is also a distaltubulc problcm associated with impaired ammoniagcnesis. REFERENCES Bauchncr H. Nonorganic failure to thrive. In: Behrman RE, Kliegman RM. Jenson HB. eds. Nelson textbook of pediatrics. 17th cd. Philadelphia: WB Saunders. 2004:129-130. Dell KM. Avner ED. Renal tubular acidosi~. In: Behrman RE, Kliegman RM.