Read e-book online 100 cases in clinical medicine PDF

By P John Rees, James Pattison, Visit Amazon's Christopher Kosky Page, search results, Learn about Author Central, Christopher Kosky,

ISBN-10: 1444174304

ISBN-13: 9781444174304

"Preface such a lot medical professionals imagine that the main memorable technique to research medication is to work out sufferers. it really is more straightforward to keep in mind info in accordance with a true individual than a web page in a textbook. one other vital aspect within the retention of data is the intensity of studying. studying that seeks to appreciate difficulties is likely to be available later than superficial real accumulation. this is often the foundation of problem-based  Read more...

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Conservative management without dialysis may be appropriate in this case. KEY POINTS • Patients often become symptomatic due to renal failure only when their glomerular filtration rate (GFR) is less than 15 mL/min and thus may present with end-stage renal failure. • Previous measurements of serum creatinine enable the rate of deterioration of renal function to be known. • Renal ultrasound is the key imaging investigation. 24 Case 10: Back Pain Case 10: Back Pain History A 27-year-old woman is admitted to the emergency department complaining of pain across her back.

The absence of sensory loss helps in the differential diagnosis. 36 Case 14: Double Vision Case 14: Double Vision History A 43-year-old woman presents to her general practitioner (GP) complaining of diplopia, more marked in the evenings, for the last 3 months. She has noticed difficulty holding her head up, again especially in the evenings. She has problems finishing a meal because of difficulty chewing. Her husband and friends have noticed that her voice has become quieter. She has lost about 3 kg in weight in the past 6 months.

43 100 Cases in Clinical Medicine ANSWER 17 The combination of anaemia, neutropenia and thrombocytopenia is termed pancytopenia. Causes of severe pancytopenia include aplastic anaemia, vitamin B12 or folate deficiency, haematological malignancy such as myelodysplasia or leukaemia and tuberculosis. This woman has spontaneous bruising due to acute myeloid leukaemia (AML). She has profound thrombocytopenia with a platelet count of 9 × 109/L. An increased tendency to bleed or bruise can be due to platelet, coagulation or blood vessel abnormalities.

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100 cases in clinical medicine by P John Rees, James Pattison, Visit Amazon's Christopher Kosky Page, search results, Learn about Author Central, Christopher Kosky,

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