Description
This fourth edition of Medicine at a Glance, the leading title in the best-selling at a Glance series, provides an unparalleled overview of the study of medicine, closely following the core medical curriculum.
Ideal for medical students, Foundation programme doctors and those training in the allied health professions, Medicine at a Glance presents vital information on clinical presentations, diseases, and treatments in every major medical specialty, from cardiology to dermatology.
Medicine at a Glance:
• Has been fully revised to reflect essential clinical and curriculum updates.
• Contains brand new material in key areas such as imaging, women’s health, communication and data interpretation.
• Features a brand new, clearer text design, in the trusted at a Glance double-page spread style, in full-colour throughout.
• Is the ideal, practical companion to clinical attachments, available in a range of digital formats for on-the-go study and revision.
• Includes a companion website at www.ataglanceseries.com/medicine featuring interactive Multiple Choice Questions (MCQs), interactive flashcards with show/hide labels, and tables of normal values
This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand Store.
Table of Contents
Preface to third edition xii
Preface to fourth edition xiii
List of contributors xiv
Acknowledgements xvi
List of abbreviations xviii
How to use your revision guide xxiii
About the companion website xxvii
Introduction 1
1 How to be a medical student 2
2 Patient confidentiality 4
3 Consent 6
4 Relationship with the patient 8
5 History of presenting complaint 10
6 Past medical history, drugs and allergies 12
7 Family and social history 14
8 Functional enquiry 15
9 Principles of examination 16
10 Basic clinical skills 17
11 Is the patient ill? 22
12 The critically ill patient 24
Clinical presentations at a glance 27
Cardiovascular disease
13 Chest pain 28
14 Oedema 32
15 Palpitations 34
16 The painful leg 35
17 Heart murmurs 36
18 Shock 38
Respiratory disease
19 Breathlessness, cough and haemoptysis 40
20 Wheeze (stridor) 44
21 Pleural effusion 45
22 Pneumothorax 46
Gastroenterology
23 Unintentional weight loss 48
24 Constipation and change in bowel habit 50
25 Diarrhoea: acute and chronic 52
26 Vomiting and intestinal obstruction 54
27 Haematemesis and melaena 56
28 Rectal bleeding 60
29 Dysphagia 62
30 Abdominal pain and dyspepsia 64
31 Jaundice 66
32 Abdominal mass 68
33 Ascites 69
Renal medicine
34 Polyuria and oliguria 70
35 Dysuria, frequency and urgency 72
36 Haematuria 73
Endocrinology
37 Sweating, flushing and thyroid swellings 74
38 Obesity 77
39 Hirsutism and infertility 80
40 Erectile dysfunction and gynaecomastia 82
Infectious disease
41 Principles of infection 84
42 Diagnosis of infection 86
43 Fever and the assessment of the patient with presumed infection 88
44 Fever and infections in hospital patients 90
45 Fever of unknown origin 93
46 Fever and rash 96
47 Fever in HIV-infected patients 98
48 Fever in the returned traveller 100
49 Vaginal discharge and urethritis 102
Haematology
50 Anaemia 104
51 Clinical approach to lymphadenopathy and splenomegaly 106
52 The patient with abnormal bleeding or bruising 108
53 Leukopenia 109
Oncology
54 Oncological emergencies 110
Neurology
55 Introduction to neurological diagnosis 1 112
56 Introduction to neurological diagnosis 2 114
57 Introduction to neurological diagnosis 3: neuroepidemiology 116
58 Common neurological symptoms 117
59 Weakness 120
60 Disturbance of vision: a neurological perspective 123
61 Sudden painless loss of vision 126
62 Tremor and other involuntary movements 128
63 Headache and facial pain 130
64 Episodic alterations in awareness and consciousness 132
Ophthalmology
65 The red eye 136
Rheumatology
66 Introduction to rheumatological disease 138
67 Low back pain and other regional pain syndromes 142
Dermatology
68 Introduction to dermatology 146
69 Pruritis and rashes 148
70 Hair and nail disorders 150
71 Leg ulcers 152
72 Photodermatoses 153
Women’s health
73 Pelvic pain 154
74 Urinary incontinence 156
Other acute medical emergencies
75 Attempted suicide by drug poisoning 158
76 Anaphylaxis 160
77 Allergic reactions 162
78 Cardiac and respiratory arrest 164
79 Delirium 166
80 Coma 169
Diseases and treatments at a glance 172
Cardiovascular disease
81 Hypertension 175
82 Hyperlipidaemia 178
83 Acute coronary syndromes 181
84 ST segment elevation myocardial infarction 186
85 Chronic coronary syndromes 190
86 Aortic dissection 194
87 Heart failure 196
88 Aortic valve disease 200
89 Mitral valve disease 202
90 Cardiomyopathies 204
91 Pericardial disease 205
92 Pulmonary embolism 206
93 Cardiac infections 208
94 Tachyarrhythmias 210
95 Bradyarrhythmias 216
96 Congenital heart disease 218
Respiratory disease
97 Lung function tests 220
98 Sleep apnoea 221
99 Respiratory failure 222
100 Arterial blood gas analysis 224
101 Chest X-ray anatomy 226
102 Basic chest X-ray interpretation 228
103 Chest X-ray cases 1 230
104 Chest X-ray cases 2 232
105 Non-invasive ventilation 234
106 Mechanical ventilation 236
107 Lower respiratory tract infection: pneumonia 238
108 Upper respiratory tract infection 241
109 Asthma 242
110 Chronic obstructive pulmonary disease 245
111 Bronchiectasis 248
112 Cystic fi brosis 250
113 Sarcoidosis and other granulomatous lung diseases 252
114 Extrinsic allergic alveolitis (hypersensitivity pneumonitis) 254
115 Pulmonary fi brosis 256
116 Pulmonary eosinophilia and vasculitis 258
117 Fungi and the lung 260
118 Industrial lung disease 262
119 Lung disease caused by drugs 264
120 BOOP and ARDS 265
121 Primary tumours of the lung 266
Gastroenterology
122 Food poisoning and gastrointestinal infections 268
123 Refl ux 269
124 Peptic ulcer disease 270
125 Diverticular disease 271
126 Iron defi ciency 272
127 Abnormal liver function tests 274
128 Infl ammatory bowel disease 276
129 Malabsorption 278
130 Pancreatitis and pancreatic cancer 280
131 Gallstone disease 282
132 Infl ammatory liver disease: viral and immune 283
133 Acute and chronic liver disease 287
134 Metabolic liver disease (including alcohol) 290
135 Upper gastrointestinal cancer 292
136 Colorectal cancer 294
137 Imaging in gastrointestinal disease 296
138 Functional gastrointestinal disorders 297
139 Nutrition 298
Renal medicine
140 Renal physiology and function tests 300
141 Hypokalaemia and hyperkalaemia 302
142 Hyponatraemia and hypernatraemia 304
143 Disorders of acid–base balance 306
144 Urinary calculi 308
145 Nephrotic and nephritic syndromes 310
146 Glomerulonephritis 312
147 Renal involvement in systemic disease 314
148 Hereditary renal disorders 318
149 Tubulointerstitial disease 320
150 Acute renal failure 322
151 Chronic renal failure and the dialysis patient 324
152 The renal transplant recipient 326
153 Drugs and renal failure 328
154 Benign prostatic hypertrophy 329
155 Urinary tract infection 330
Endocrinology
156 Diabetes mellitus 332
157 Complications of diabetes 334
158 Diabetic emergencies 336
159 Hyperprolactinaemia and acromegaly 337
160 Hypothyroidism 338
161 Hyperthyroidism 340
162 Calcium metabolism 342
163 Adrenal disease 344
164 Miscellaneous endocrine disorders 346
165 Hypogonadism 348
Infectious disease
166 Bacteraemia and septic shock 350
167 Common viral infections in adults 352
168 HIV infection and AIDS 354
169 Common fungal infections 356
170 Specifi c bacterial infections 358
171 Malaria 360
172 Tuberculosis 362
173 Tropical infectious diseases 364
174 Diseases predisposing to infection 366
175 Immunological defi ciency syndromes 368
Haematology
176 Haematinic defi ciency anaemias 372
177 Haemolytic anaemia 374
178 Thalassaemia and sickle cell disease 378
179 Bone marrow failure 380
180 Acute leukaemia 382
181 Chronic leukaemia 384
182 Lymphoma 386
183 Myeloproliferative disorders 388
184 Myeloma 390
185 Myelodysplasia 391
186 The blood in systemic disease 392
187 Platelet disorders 396
188 Disorders of coagulation 398
189 Anticoagulation and antiplatelet drugs 400
190 Thrombophilia 402
Oncology
191 Aetiology of cancer 404
192 Diagnostic strategies and basic principles of cancer management 406
193 Cancer screening and early detection 408
194 Breast cancer 410
195 Prostate cancer 412
196 Cancer with an unknown primary 414
197 Paraneoplastic syndromes and hormone-producing cancers 416
198 Palliative care 418
Neurology
199 Head computed tomography cases 420
200 Head magnetic resonance imaging cases 422
201 Stroke 424
202 Management of stroke 426
203 Other vascular disorders of the brain 428
204 Dementias 430
205 Epilepsy 432
206 Multiple sclerosis 434
207 Infections of the central nervous system 436
208 Tumours and the nervous system 438
209 Spinal cord disease 440
210 Neuromuscular disease 442
211 Peripheral neuropathy 444
212 Movement disorders 446
Rheumatology
213 Osteoarthritis 448
214 Gout and pseudogout 450
215 Arthritis associated with infectious agents 452
216 Metabolic bone disease 454
217 Other bone disease 456
218 Rheumatoid arthritis 458
219 Seronegative spondyloarthropathies 462
220 Vasculitis 466
221 Systemic lupus erythematosus 469
222 Infl ammatory muscle disease and selected forms of vasculitis 472
Dermatology
223 Eczema and urticaria 474
224 Psoriasis 477
225 Acne, rosacea and hidradenitis 478
226 Disorders of skin pigmentation 479
227 Blistering diseases 480
228 Skin infections and infestations 482
229 The skin and systemic disease 485
230 Skin tumours 488
231 Orogenital disease 490
Women’s health
232 Endometriosis and adenomyosis 492
233 Polycystic ovarian syndrome 494
234 Hypertensive disorders of pregnancy 496
235 Cardiovascular disease in pregnancy 498
236 Other medical and surgical conditions in pregnancy 500
Miscellaneous
237 Fluid replacement therapy 502
238 Illness in elderly people 504
239 Chronic tiredness and other medically unexplained symptoms 506
240 Psychiatric disorders 508
241 Substance misuse 510
242 Alcohol misuse 512
243 Drug toxicity (adverse drug reactions) 514
Index 519
