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YSM ONLINE CASEBOOK YALE UNIVERSITY SCHOOL OF MEDICINE
Case list.
Introduction.
Interview.
Phyisical exam.
Clinical decisions.
Discussion.
References.

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Introduction

 

You are called by the surgical intern to see a 68 yr old man in the surgical ICU because of new onset azotemia.

He has a history of smoking, hypertension, and peripheral vascular disease, and was admitted 3 days earlier for unstable angina.

His chest pain was refractory to maximal medical therapy, so he underwent cardiac cath, and subsequently 3 vessel coronary bypass grafting 48 hours prior to your call from the intern.


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