Full Description
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
Contents
Preface. Acknowledgements. List of Abbreviations. Reference Ranges for Common Investigations. Confusion and Persistent Fever. Painful Upper Limb Swelling. An Unusual Infection. A Teenager with Falls. A Case of Intrapartum Fever. Jaundice and Diarrhoea. Erratic Behaviour. A Young Woman with Fever and Chest Pain. An Enlarged Tongue. A Young Man with an Abnormal Chest X-ray. Visual Loss and Confusion. Left-Eye Pain. Spontaneous Bleeding. A Young Man with a Rash and Hearing Impairment. Recurrent Loss of Consciousness. Visual Loss and Anuria. Abdominal Pain and Weight Loss. Worsening Shortness of Breath and Cough. Fatigue and Constipation. An Upper Limb Mass. A Teenager with a Rash and Fever. Hepatitis in a Nightshift Worker. Yellow Blood. An Unusual Method of Deliberate Self-Harm. Coffee Ground Vomiting. A Case of Parotitis Followed by Acute Hearing Loss. A Purpuric Rash. An Elderly Patient Admitted with a Fall. A Young Mother with Constipation. Hyperpigmented Skin Lesions. It's All in Your Head. A Right Upper Quadrant Pain Puzzle. Arthritis, Miscarriage and Drowsiness. A Confused Traveller. A Pleural Effusion on a Background of Knee Pain. A Hypertensive Patient with Carpal Spasms. A Patient with HIV and Personality Change. Unilateral Facial Weakness. Chest Pain with a Gynaecological Cause. A First Fit. Collapse in the Corridor. ITP or Not ITP?. Recurrent Haemothorax. Hepatosplenomegaly. Cutaneous Ulceration in a Patient with Rheumatoid Arthritis. An Elderly Man with Confusion. Severe Sepsis Following Tonsillitis. A Farmer with Abdominal Pain. Recurrent Episodes of Acute Kidney Injury. A Sauna Cleaner with Shortness of Breath. A Hypernatraemic Patient. Recurrent Abdominal Pain and Diarrhoea. A Teenager with a Rash. Bilateral Foot Weakness. Hepatomegaly in a Patient with Newly Diagnosed Diabetes Mellitus. A Teenager with Palpitations. A Patient with Sickle Cell Disease and Flu-Like Symptoms. Vomiting without Gastrointestinal Pathology. Seizures and Hand Lesions. New Confusion in a Patient with Bipolar Affective Disorder. A Blistering Rash. Heart and Lungs. Sudden Onset Headache. A Febrile Canoeist. Chest Pain and an Abnormal Blood Film. Numb Fingers and Eosinophilia. Fevers and Cough (Part 1). Fever and Cough (Part 2). Fevers, Night Sweats and Lymphadenopathy. Unconscious outside a Club. A Relentless Rash. Bleeding Gums. Chest Pain after Bad News. HIV and Seizures. A Patient with Crohn's Disease and Worsening Diarrhoea. Bilateral Hip Pain. A Young Woman with Chest Pain. A Heavy Smoker with Proximal Weakness. Collapse Following Influenza. Diarrhoea and Proximal Weakness. Haemoptysis and Renal Failure. A Young Patient with a Chronic Cough. Abdominal Pain and Bloody Diarrhoea. Nocturnal Enuresis and Back Pain. Shivering at the Station. Loss of Vision and Ophthalmitis. A Pregnant Woman with Loss of Vision. Rash, Fevers and Headache. Haemoptysis and Diplopia. Post-Partum Auditory Hallucinations. Rapidly Progressive Dementia. A Hillwalker with Fever and Chest Pain. Fever, Weight Loss and Night Sweats. Painless Jaundice. A Young Man with Chest Pain. An Unusual Cause of Haematemesis. TB or Not TB?. Headache at the Cattle Farm. Recurrent Lower Respiratory Infections Following a Renal Transplant. An Unsolved Mystery. Index.
