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 approach to research medication is to work out sufferers. it's more straightforward to bear in mind details in accordance with a true individual than a web page in a textbook. one other vital point within the retention of knowledge is the intensity of studying. studying that seeks to appreciate difficulties is likely to be available later than superficial authentic accumulation. this can be the root of problem-based studying, the place scholars discover issues of assistance from a facilitator. The situations during this ebook are designed to supply one other precious method, parallel to seeing sufferers and giving a chance for self-directed exploration of scientific difficulties. they're in keeping with the findings of heritage taking and exam, including the necessity to review preliminary investigations akin to blood investigations, X-rays and ECGs. those instances aren't any alternative for scientific adventure with genuine sufferers, yet they supply a secure atmosphere for college students to discover medical difficulties and their very own method of analysis and administration. such a lot are universal difficulties that would current to a normal practitioner's surgical procedure, a clinical outpatients or a consultation on name in medical institution. There are a couple of more odd circumstances to demonstrate particular issues and to stress that infrequent issues do current, whether they're unusual. The circumstances are written to aim to curiosity scholars in medical difficulties and to enthuse them to determine extra. they fight to discover considering analysis and administration of actual medical events. the 1st 20 situations are prepared by means of platforms, however the subsequent eighty are in random order considering the fact that, in drugs, signs corresponding to breathlessness and ache may possibly relate to many alternative scientific difficulties in a number of systems"--Provided by way of publisher. Read more...
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Extra resources for 100 cases in clinical medicine
A feeding gastrostomy may be required to enable adequate calorie intake. Non-invasive ventilation can be used to help respiratory failure, but death usually occurs from bronchopneumonia. KEY POINTS • Motor neuron disease most commonly starts with weakness and wasting of the muscles of one hand. • Fasciculation of the muscles is characteristic of this condition. • 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.
Dystrophia myotonica: this causes ptosis, wasting of the masseter, temporal and sternomastoid muscles and distal muscular atrophy. There is a characteristic facial appearance with frontal baldness, expressionless facies and sunken cheeks. There may be gonadal atrophy and mental retardation. There is usually a family history. The electromyogram (EMG) is diagnostic. • Polymyositis: this may have an acute or chronic onset. A skin rash and joint pains are common. The creatine kinase level is raised, and a muscle biopsy is diagnostic.
There is no relevant family history. 6°C and looks unwell. He looks as if he may be a little jaundiced. He is a little tender in the right upper quadrant of the abdomen. There are no abnormalities to find on examination of the joints or in any other system. 0 mmol/L Questions • What is your interpretation of the findings? • What is the likely diagnosis? • What treatment is required? 21 100 Cases in Clinical Medicine ANSWER 8 The diagnosis is likely to be acute viral hepatitis. The biochemical results show abnormal liver function tests with a predominant change in the transaminases, indicating a hepatocellular rather than an obstructive problem in the liver.