Eugene C. Toy > Quotes

“An elevated methylmalonic acid (MMA) level can be used to confirm a vitamin B12 deficiency; an elevated homocysteine level can be used to confirm folate deficiency.”
― Eugene C. Toy, Case Files: Family Medicine

“active phase cannot be reliably defined until 6 cm of dilation.”
― Eugene Toy, Case Files: Obstetrics & Gynecology

“however, if the progress is prolonged or uterine contractions are inadequate, oxytocin is an option.”
― Eugene Toy, Case Files: Obstetrics & Gynecology

“3.5 A 45-year-old woman is noted to have dizziness, pounding of the chest, and fatigue of 3 hours’ duration. On examination, she is noted to have a blood pressure (BP) of 110/70 mm Hg and heart rate of 180 bpm. She is noted on ECG to have atrial fibrillation, and a prior baseline ECG showed delta waves. The ER physician counsels the patient regarding cardioversion, but the patient declines. Which of the following is the best therapy for her condition? A. Digoxin B. Angiotensin-converting enzyme (ACE) inhibitor C. Calcium channel blocker D. Procainamide”
― Eugene C. Toy, Case Files: Internal Medicine

“Cesarean delivery (for labor abnormalities) in the absence of clear cephalopelvic disproportion is generally reserved for arrest of active phase and ROM with adequate uterine contractions for at least 4 hours, or inadequate uterine contractions for at least 6 hours.”
― Eugene Toy, Case Files: Obstetrics & Gynecology

“but in the normal heart the right ventricle is only one-third the mass of the left ventricle so the size and contour of the QRS complex is dominated by the left ventricle.”
― Eugene Toy, Case Files: Cardiology

“Finally, the nonimmune rubella status should alert the practitioner to immunize for rubella during the postpartum time (since the rubella vaccine is live attenuated and is contraindicated during pregnancy).”
― Eugene Toy, Case Files: Obstetrics & Gynecology

“Screening for gestational diabetes at 26 to 28 weeks; generally consists of a 50-g oral glucose load and assessment of the serum glucose level after 1 hour.”
― Eugene Toy, Case Files: Obstetrics & Gynecology