By P John Rees, James Pattison, Visit Amazon's Christopher Kosky Page, search results, Learn about Author Central, Christopher Kosky,
"Preface so much medical professionals imagine that the main memorable technique to examine drugs is to work out sufferers. it truly is more straightforward to remember info in keeping 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 obtainable later than superficial genuine accumulation. this can be the root of problem-based studying, the place scholars discover issues of assistance from a facilitator. The situations during this publication are designed to supply one other worthy process, parallel to seeing sufferers and giving a chance for self-directed exploration of scientific difficulties. they're in keeping with the findings of historical past taking and exam, including the necessity to overview preliminary investigations corresponding to blood investigations, X-rays and ECGs. those instances aren't any alternative for medical adventure with actual sufferers, yet they supply a secure atmosphere for college students to discover medical difficulties and their very own method of prognosis and administration. so much are universal difficulties that would current to a basic practitioner's surgical procedure, a clinical outpatients or a consultation on name in sanatorium. 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 medical difficulties and to enthuse them to determine extra. they struggle to discover considering analysis and administration of actual medical events. the 1st 20 instances are prepared by way of structures, however the subsequent eighty are in random order in view that, in medication, indicators akin to breathlessness and soreness may well relate to many alternative scientific difficulties in numerous systems"--Provided via publisher. Read more...
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Additional info for 100 cases in clinical medicine
Questions • What is the diagnosis? • What are the major differential diagnoses? • How would you investigate and manage this patient? 37 100 Cases in Clinical Medicine ANSWER 14 This woman’s generalized weakness is caused by myasthenia gravis. Myasthenia gravis is due to the presence of acetylcholine receptor antibodies causing impaired neuromuscular transmission. It characteristically affects the external ocular, bulbar, neck and shoulder girdle muscles. Weakness is worse after repetitive movements, which cause acetylcholine depletion from the presynaptic terminals.
Macrocytic anaemia can be due to dietary folate deficiency or the direct toxic action of alcohol on the bone marrow. The rise in bilirubin is insufficient to cause jaundice. The low serum albumin and raised international normalised ratio (INR) may be due to impaired synthetic function of clotting factors produced by the liver. Thrombocytopenia may be from platelet sequestration in an enlarged spleen as a result of portal hypertension from liver cirrhosis. However, his alcohol intake is too low to be consistent with the diagnosis of alcoholic liver disease.
She has noticed some abdominal discomfort and constipation which she has related to the medication for the back pain. She takes no other medicines and does not drink or smoke. Examination She looks a little pale. There is no abdominal tenderness. Bowel sounds are normal. She has tenderness locally over the lower thoracic spine. 0 mmol/L Questions • What is the most likely diagnosis? • What other investigations would you perform? 31 100 Cases in Clinical Medicine ANSWER 12 There are a number of clues here that there is a significant problem.
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,