The Toronto Notes for Medical Students: 2008
Format: PDF / Kindle (mobi) / ePub
The Toronto Notes 2008 includes exciting new changes that will further help students prepare for the Canadian and American medical licensing exams. This year, the Toronto Notes 2008 package includes:
-A concise textbook with in depth coverage of 29 chapters as listed in the concise TOC at the end of this document
-Extensive updating of amterial, including up-to-date Evidence Based meidcine reviews
-A CD-ROM containing an imporived imaging Teacher with CT and MRI sequences to enhance skills in Diagnostic Imaging
-A new and improved teaching program for ECG iterpretation (included on the CD)
-A re-designed PDA version with a user-friendly interface for quick reference on the wards (both Palm and Pocket PC versions)
-A high quality Colour Atlas cross-referenced with the text (included on the CD)
-Exam preparation tools and lots of practice questions
-A 300-page pocket reference guide, highlighting common clinical management scenarios and helpful tips on clerkship basics (perfect to carry on the wards)
New to the 2008 Toronto Notes are:
-For the first time, the entire Toronto Notes text will be available online, including all pictures, diagrams and tables. Access to the web version will be included with the purchase of the 2008 Toronto Notes.
-A comprehensive neuroanatomy atlas (Functional Neuroanatomy), which includes MRI images (with the option to show labels), brainstem and spinal cord slices, vascular territories, angiograms, surface anatomy, and more.
-The Atlas will be included on the CD, including X-rays, CT and MRI scans, angiograms, skin lesions, and common pathology from endocrinology, gastroenterology, gynecology, hematology, infectious diseases, nephrology, ophthalmology, otolaryngology, pediatrics, plastic surgery, rheumatology and urology.
of unknown origin • AVN • suspected malignancy • staging malignancy (cancer of breast, prostate, kidney, thyroid or lungl • follow up after treatment • detection and follow up of primary bone disease • assessment of skeletal trauma • detection of soft tissue calcification • renal failure Bone Scan • isotopes • technetium Tc99m: • triphasic bone scan: perfusion blood pool -> delayed bone images • uptake can distinguish bone vs. soft tissue infection and septic arthritis vs.
disorder Crohn's disease Center for Disease Control congenital dislocation of the hip congenital dysplasia of the hip carcinoembryonic antigen conjugated equine estrogen control group event rate counting fingers cystic fibrosis chronic fatigue syndrome chronic granulocytic leukemia cyclic guanine monophosphate Canada Health Act CHD CHF CHl CHO C/I CI CI CIC CIDP CIN CIS CJD CK CK-MB CI CI Cl Cll CM CMA CMC CMF CMG CMl CMPA CMT CMV CN CN CNH CNS CO CO CO2 COMT COPD COX COX-2 CP CP CPA CPAP CPD
22. What is the treatment for varicose veins? Elevation and stockings, ligation and stripping of veins, sclerotherapy and endovenous laser therapy. 23. Thrombolysis is preferred in which clinical scenarios? In an early presentation of STEMI, when there are contraindications to PC I, when PCI is not available. 24. A recent immigrant from the tropics presents with pulmonary infiltrates, eosinophilia and unilateral leg edema. What is the likely diagnosis? Filariasis. References Ischemic Heart
Livingstone, Edinburgh. D Dermatology Renita Ahluwalia and Naomi Driman, chapter editors Deana Hathout and Ripudaman Minhas, associate editors Jai Shah, EBM editor Dr. Neil H. Shear, staff editor Introduction to the Skin Skin Anatomy Skin Function 2 Definitions Primary Morphological Lesions Secondary Morphological Lesions Other Morphological Lesions Patterns and Distribution 3 Differential Diagnoses of Common Presentations Common Skin Lesions Cysts Fibrous Lesions Hyperkeratotic Lesions
Signs and Symptoms • indurated erythematous nodule/plaque with surface scale/crust, and eventual ulceration • more rapid enlargement than BCC • sites: face, ears, scalp, forearms, dorsum of hands Treatment • surgjcal excision with primary closure, skin flaps or grafting • lifelong follow-up (more aggressive treatment than BCC) Prognosis • prognostic factors include: immediate treatment, negative margjns, and small lesions • SCCs tha t arise from actinic keratosis metastasize less frequently