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Clinical Problems in Medicine and Surgery E-Book

Clinical Problems in Medicine and Surgery E-Book

Peter G Devitt | Jonathan D. Mitchell | Christian Hamilton-Craig | John Tooke

(2011)

Additional Information

Book Details

Abstract

Clinical Problems in Medicine and Surgery is a departure from traditional medical textbooks in that it deals with the real problems of clinical medicine through scenarios encountered in the emergency department, on the wards and in outpatient clinics. First published in 1992, the book has found great popularity with medical students, residents and interns about to experience, or already experiencing, the real world of medical practice.

The book comprises 55 real-life medical scenarios to illustrate important everyday principles in clinical medicine. For this new Third Edition the successful format of case presentation, interspersed with questions and answers, and a final synopsis of key material, has been retained, while new cases have been added and the many useful web-links updated. With the assistance of expert colleagues across three continents, each problem has been revised and updated. New images have been added which reflect the extensive changes in the field of minimally invasive diagnostics. Searching questions will guide the reader towards further self-directed learning.

This book does not purport to be an exhaustive text on clinical medicine. Nor is it a replacement for real-life clinical experience and the hands-on teaching of expert clinicians. It is designed rather as a wide-ranging source of information and a practical aid to the management of clinical problems. The authors hope it will instil in the reader a real sense of excitement and curiosity towards further learning.

• A highly praised book that tackles important medical and surgical topics from a problem-oriented angle.
• Adopts a case scenario approach which will encourage critical thinking and develop problem-solving skills.
• The cases cover all common and important problems likely to face the newly-qualified doctor in the casualty department, on the wards or in the clinic.
• The questions although set in the context of the case are designed to test the reader’s overall understanding of the most relevant aspects of each topic.
• Well-illustrated with clinical photographs, pathological images and radiological scans and x-rays.
  • Several new cases cover topics such as secondary hypertension, urosepsis and stroke.
  • Searching questions have been added to guide the reader towards further self-directed learning. 
  • New imaging reflects the extensive changes in the field of minimally invasive diagnostics.

Table of Contents

Section Title Page Action Price
Front cover cover
Clinical Problems in Medicine and Surgery i
Copyright page iv
Table of Contents v
Contributors ix
Foreword xiii
Preface xv
Acknowledgements xvii
The Internet (or ‘Google’s good to spot disease’) xviii
Normal range of values xix
HAEMATOLOGY xix
CLINICAL CHEMISTRY xix
SERUM IRON STUDIES xx
COAGULATION STUDIES xx
THYROID FUNCTION TESTS xx
ARTERIAL BLOOD GAS ANALYSIS (on inspired room air) xxi
LIPID STUDIES xxi
SERUM CARDIAC ENZYMES xxi
OTHERS xxi
The Problems 1
Problem 1 Difficulties with postoperative fluid balance in a 58-year-old man 1
Issues to Consider 9
Further Information 9
Problem 2 Postoperative fever 10
Issues to Consider 13
Further Information 13
Problem 3 Postoperative hypotension 14
Issues to Consider 25
Further Information 25
Problem 4 Confusion in the postoperative ward 26
Issues to Consider 31
Further Information 31
Problem 5 Swelling in the neck in a 58-year-old man 32
Issues to Consider 39
Further Information 40
Problem 6 A 42-year-old woman with hypertension 41
Issues to Consider 48
Further Information 48
Problem 7 A young woman with abnormal vaginal bleeding 49
Issues to Consider 53
Further Information 53
Problem 8 A scrotal swelling in a 27-year-old man 54
Issues to Consider 58
Further Information 58
Problem 9 A 63-year-old woman with a screen-detected abnormality 59
Issues to Consider 66
Further Information 66
Problem 10 A 54-year-old man with a high-voltage electrical conduction injury 67
Issues to Consider 75
Further Information 75
Problem 11 Reflux in a 35-year-old man 76
Issues to Consider 83
Further Information 83
Problem 12 Dysphagia and weight loss in a middle-aged man 84
Issues to Consider 92
Further Information 92
Problem 13 Abdominal pain in a young woman 93
Issues to Consider 99
Further Information 99
Problem 14 A woman with acute upper abdominal pain 100
Issues to Consider 106
Further Information 106
Problem 15 Flank pain in a 60-year-old man 107
Issues to Consider 112
Further Information 112
Problem 16 Lower abdominal pain in a 77-year-old woman 113
Issues to Consider 118
Further Information 118
Problem 17 Nausea and constipation in an older woman 119
Issues to Consider 124
Further Information 124
Problem 18 A lady with diarrhoea and abdominal pain 125
Issues to Consider 134
Further Information 134
Problem 19 Rectal bleeding in a 45-year-old woman 135
Issues to Consider 142
Further Information 142
Problem 20 Haematuria in a 60-year-old man 143
Issues to Consider 148
Further Information 148
Problem 21 The routine check-up 149
Issues to Consider 153
Further Information 153
Problem 22 Acute back pain in a 75-year-old man 154
Issues to Consider 158
Further Information 158
Problem 23 A 59-year-old man with calf pain 159
Issues to Consider 165
Further Information 165
Problem 24 Acute leg pain in a 73-year-old man 166
Issues to Consider 171
Further Information 171
Problem 25 A 68-year-old woman with a leg ulcer 172
Issues to Consider 175
Further Information 175
Problem 26 A 41-year-old man involved in a car crash 176
Issues to Consider 182
Further Information 182
Problem 27 Management of acute coronary syndrome 183
Issues to Consider 189
Further Information 189
Problem 28 Breathlessness in a young woman 190
Issues to Consider 196
Further Information 196
Problem 29 A 25-year-old woman with chest pain and breathlessness 198
Issues to Consider 205
Further Information 205
Problem 30 Recurrent collapse in a 56-year-old truck driver 206
Issues to Consider 212
Further Information 212
Problem 31 A 68-year-old woman with breathlessness and yellow sputum 213
Issues to Consider 221
Further Information 221
Problem 32 Persistent cough in a young woman 222
Issues to Consider 227
Further Information 227
Problem 33 Cough, dyspnoea and fever in a 55-year-old man 228
Issues to Consider 233
Further Information 233
Problem 34 Breathlessness and weight loss in a 58-year-old man 234
Issues to Consider 242
Further Information 242
Problem 35 A 35-year-old woman vomiting blood 243
Issues to Consider 249
Further Information 249
Problem 36 A young woman with jaundice 250
Issues to Consider 256
Further Information 256
Problem 37 A 47-year-old man with lethargy and hypertension 257
Issues to Consider 261
Further Information 261
Problem 38 A 35-year-old woman with hypertension 262
Issues to Consider 270
Further Information 270
Problem 39 A young man with depressed conscious state and seizures 271
Issues to Consider 277
Further Information 277
Problem 40 A middle-aged man with sudden visual loss 278
Issues to Consider 283
Further Information 283
Problem 41 ‘Jack has leg weakness’ 284
Issues to Consider 288
Further Information 288
Problem 42 Fall during a fishing weekend 289
Issues to Consider 294
References 294
Further Information 294
Problem 43 An unwell young man in the emergency room 295
Issues to Consider 303
Further Information 303
Problem 44 A 68-year-old woman with a left hemiplegia following a conscious collapse 304
Issues to Consider 310
Further Information 310
Problem 45 A 31-year-old woman with vertigo 311
Issues to Consider 316
Further Information 316
Problem 46 A 31-year-old man with sudden onset headache and vomiting 317
Issues to Consider 321
Further Information 321
Problem 47 Fatigue and bruising in a teenager 322
Issues to Consider 327
Further Information 327
Problem 48 Severe dehydration in a young woman 328
Issues to Consider 335
Further Information 335
Problem 49 A woman with palpitations 336
Issues to Consider 342
Further Information 342
Problem 50 A collapsed, breathless woman 343
Issues to Consider 349
Further Information 349
Problem 51 Management of a young man who is HIV positive 350
Issues to Consider 356
Further Information 356
Problem 52 Back and leg pain in a middle-aged man 357
Issues to Consider 361
Further Information 361
Problem 53 Acute respiratory failure in a 68-year-old man 362
Issues to Consider 370
Further Information 370
Problem 54 A listless 45-year-old man 371
Issues to Consider 377
Further Information 377
Problem 55 A 74-year-old man with confusion and oliguria 378
Issues to Consider 383
Further Information 383
Index 385
A 385
B 387
C 388
D 390
E 391
F 392
G 392
H 393
I 394
J 394
K 394
L 394
M 395
N 396
O 396
P 396
R 397
S 398
T 399
U 400
V 400
W 401