By P John Rees, James Pattison, Visit Amazon's Christopher Kosky Page, search results, Learn about Author Central, Christopher Kosky,
"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 studying, the place scholars discover issues of assistance from a facilitator. The instances during this ebook are designed to supply one other valuable procedure, parallel to seeing sufferers and giving a chance for self-directed exploration of scientific difficulties. they're in line with the findings of historical past taking and exam, including the necessity to review preliminary investigations similar to blood investigations, X-rays and ECGs. those circumstances are not any alternative for scientific adventure with actual sufferers, yet they supply a secure surroundings for college kids to discover medical difficulties and their very own method of prognosis and administration. such a lot are universal difficulties that will current to a basic practitioner's surgical procedure, a scientific outpatients or a consultation on name in clinic. There are a number of more odd instances to demonstrate particular issues and to stress that infrequent issues do current, whether they're unusual. The situations are written to aim to curiosity scholars in scientific difficulties and to enthuse them to determine extra. they struggle to discover wondering analysis and administration of actual medical events. the 1st 20 instances are prepared by means of platforms, however the subsequent eighty are in random order due to the fact that, in drugs, indicators reminiscent of breathlessness and discomfort may well relate to many various scientific difficulties in numerous systems"--Provided by means of publisher. Read more...
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Extra resources for 100 cases in clinical medicine
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.
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,