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Master The Boards USMLE Step 2 CK – Book
Macrosomia: With macrosomia, all organs are enlarged except for the brain. Increased output from the bone marrow leads to polycythemia and hyperviscosity. Possible shoulder dystocia and brachial plexus palsy can also be in history.
Small Left Colon Syndrome: A congenitally smaller descending colon leads to distension from constipation. It can be diagnosed by a barium study and treated with smaller and more frequent feeds.
Cardiac Abnormalities: The major cardiac change in IDM is asymmetric septal hypertrophy due to obliteration of the left ventricular lumen, leading to decreased cardiac output. It is diagnosed with EKG and echocardiography and treated with beta-blockers and IV fluids.
Master The Boards USMLE Step 2 CK PDF
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