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 |