Internal Medicine Essentials for Clerkship Students
Errata
In MKSAP for Students 4, Hematology, Item 20.
Laboratory values were obtained at weeks 12 and 23 (not 33 as printed).
In MKSAP for Students 4, Nephrology, item 21. On physical examination, temperature is 38.8 ºC (101.8 ºF) not 38.8 ºC (98.8 ºF) as printed.
In MKSAP for Students 4, Pulmonary, item 12.
β1 selectivity is not absolute protection against bronchospasm, particularly if β1 selective drugs (e.g., atenolol, metoprolol) are used at higher doses. (Original incorrect wording substituted β2 for β1. )
In MKSAP for Students 4, Hematology item 24.
The case vignette erroneously suggests that heparin followed by warfarin is the proper treatment for deep venous thrombosis during pregnancy. This is incorrect; warfarin is teratogenic (FDA pregnancy risk class D) and the correct treatment is either low molecular weight heparin or unfractionated heparin without warfarin until delivery. Following delivery, warfarin is an option if continued anticoagulation is required.
In MKSAP for Students 4 Hematology Section, question 28 is keyed incorrectly in the electronic version (CD ROM). It is keyed correctly in the print version. The correct answer is "E."
The following information should be included in Internal Medicine Essentials for Clerkship Students 2, Sexually Transmitted Diseases (Chapter 49).
In uncomplicated pelvic inflammatory disease, ambulatory patients are treated with IM ceftriaxone or cefoxitin/probenicid and doxycycline with or without metronidazole. In April 2007, the CDC updated its recommendations for gonococcal treatment to eliminate the first-line use of flouroquinolones given widespread resistance across the United States. If cephalosporin therapy is not feasible, use of flouroquinolones may be considered if the individual risk of gonorrhea and community prevalence is low. When possible, treatment should always follow results of antimicrobial susceptibility.