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100 Diagnostic Dilemmas in Clinical Medicine 2nd Edition

ISBN: 9781032377377
ISBN: 9781032377377
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Περιγραφή

A 57-year-old man presented to the emergency department complaining of a worsening cough. The cough had been present for approximately two weeks and was productive of green sputum. The patient had seen his general practitioner one week earlier and taken a course of amoxicillin for a presumed lower respiratory tract infection with no improvement of symptoms. He was febrile, experiencing frequent headaches and a feeling of general malaise, and had been unable to eat solid food for the last 48 hours due to facial pain on chewing. You have been asked to assess him and devise a management plan…

100 Diagnostic Dilemmas in Clinical Medicine presents 100 real-life scenarios seen in the hospital and community setting. A succinct summary of the patient’s history, examination and any initial investigations is followed by a detailed consideration of the diagnosis and management of each case, in the short, medium and, where appropriate, long term.

Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These extended true-to-life cases will teach students and junior doctors to recognize important medical conditions and to develop their diagnostic and management skills.

Key features:

  • Extended case studies presented in an easy-to-read format, presenting patient history, examination, investigations and differential diagnosis
  • Readers are guided through the clinician’s sequence of thoughts and actions as they consider how to manage the case appropriately in the short, medium and, if necessary, long term
  • Plentiful illustrations supplement the text
  • A broad range of conditions is covered, from acquired haemophilia to intestinal tuberculosis

Περιεχόμενα

Preface

Acknowledgements

List of Abbreviations

Reference Ranges for Common Investigations

Case 1. Confusion and Persistent Fever

Case 2. Painful Upper Limb Swelling

Case 3. An Unusual Infection

Case 4. A Teenager with Falls

Case 5. A Case of Intrapartum Fever

Case 6. Jaundice and Diarrhoea

Case 7. Erratic Behaviour

Case 8. A Young Woman with Fever and Chest Pain

Case 9. An Enlarged Tongue

Case 10. A Young Man with an Abnormal Chest X-ray

Case 11. Visual Loss and Confusion

Case 12. Left-Eye Pain

Case 13. Spontaneous Bleeding

Case 14. A Young Man with a Rash and Hearing Impairment

Case 15. Recurrent Loss of Consciousness

Case 16. Visual Loss and Anuria

Case 17. Abdominal Pain and Weight Loss

Case 18. Worsening Shortness of Breath and Cough

Case 19. Fatigue and Constipation

Case 20. An Upper Limb Mass

Case 21. A Teenager with a Rash and Fever

Case 22. Hepatitis in a Nightshift Worker

Case 23. Yellow Blood

Case 24. An Unusual Method of Deliberate Self-Harm

Case 25. Coffee Ground Vomiting

Case 26. A Case of Parotitis Followed by Acute Hearing Loss

Case 27. A Purpuric Rash

Case 28. An Elderly Patient Admitted with a Fall

Case 29. A Young Mother with Constipation

Case 30. Hyperpigmented Skin Lesions

Case 31. It’s All in Your Head

Case 32. A Right Upper Quadrant Pain Puzzle

Case 33. Arthritis, Miscarriage and Drowsiness

Case 34. A Confused Traveller

Case 35. A Pleural Effusion on a Background of Knee Pain

Case 36. A Hypertensive Patient with Carpal Spasms

Case 37. A Patient with HIV and Personality Change

Case 38. Unilateral Facial Weakness

Case 39. Chest Pain with a Gynaecological Cause

Case 40. A First Fit

Case 41. Collapse in the Corridor

Case 42. ITP or Not ITP?

Case 43. Recurrent Haemothorax

Case 44. Hepatosplenomegaly

Case 45. Cutaneous Ulceration in a Patient with Rheumatoid Arthritis

Case 46. An Elderly Man with Confusion

Case 47. Severe Sepsis Following Tonsillitis

Case 48. A Farmer with Abdominal Pain

Case 49. Recurrent Episodes of Acute Kidney Injury

Case 50. A Sauna Cleaner with Shortness of Breath

Case 51. A Hypernatraemic Patient

Case 52. Recurrent Abdominal Pain and Diarrhoea

Case 53. A Teenager with a Rash

Case 54. Bilateral Foot Weakness

Case 55. Hepatomegaly in a Patient with Newly Diagnosed Diabetes Mellitus

Case 56. A Teenager with Palpitations

Case 57. A Patient with Sickle Cell Disease and Flu-Like Symptoms

Case 58. Vomiting without Gastrointestinal Pathology

Case 59. Seizures and Hand Lesions

Case 60. New Confusion in a Patient with Bipolar Affective Disorder

Case 61. A Blistering Rash

Case 62. Heart and Lungs

Case 63. Sudden Onset Headache

Case 64. A Febrile Canoeist

Case 65. Chest Pain and an Abnormal Blood Film

Case 66. Numb Fingers and Eosinophilia

Case 67. Fevers and Cough (Part 1)

Case 68. Fever and Cough (Part 2)

Case 69. Fevers, Night Sweats and Lymphadenopathy

Case 70. Unconscious outside a Club

Case 71. A Relentless Rash

Case 72. Bleeding Gums

Case 73. Chest Pain after Bad News

Case 74. HIV and Seizures

Case 75. A Patient with Crohn’s Disease and Worsening Diarrhoea

Case 76. Bilateral Hip Pain

Case 77. A Young Woman with Chest Pain

Case 78. A Heavy Smoker with Proximal Weakness

Case 79. Collapse Following Influenza

Case 80. Diarrhoea and Proximal Weakness

Case 81. Haemoptysis and Renal Failure

Case 82. A Young Patient with a Chronic Cough

Case 83. Abdominal Pain and Bloody Diarrhoea

Case 84. Nocturnal Enuresis and Back Pain

Case 85. Shivering at the Station

Case 86. Loss of Vision and Ophthalmitis

Case 87. A Pregnant Woman with Loss of Vision

Case 88. Rash, Fevers and Headache

Case 89. Haemoptysis and Diplopia

Case 90. Post-Partum Auditory Hallucinations

Case 91. Rapidly Progressive Dementia

Case 92. A Hillwalker with Fever and Chest Pain

Case 93. Fever, Weight Loss and Night Sweats

Case 94. Painless Jaundice

Case 95. A Young Man with Chest Pain

Case 96. An Unusual Cause of Haematemesis

Case 97. TB or Not TB?

Case 98. Headache at the Cattle Farm

Case 99. Recurrent Lower Respiratory Infections Following a Renal Transplant

Case 100. An Unsolved Mystery

Index