Clinical Problems in Medicine and Surgery, 3rd Edition

Description
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.


New to this edition
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:

THE PROBLEMS

1 Difficulties with post-operative fluid balance in a 58 year old man


2 Postoperative fever


3 Postoperative hypotension


4 Confusion in the post-op ward


5 Swelling in the neck in a 58 year old man


6 A 55 year old woman with hypertension


7 A young woman with abnormal vaginal bleeding


8 A scrotal swelling in a 27-year-old man


9 A 63-year-old woman with a screen-detected abnormality


10 A 54-year old man with a high-voltage electrical conduction injury


11 Reflux in a 35-year-old man


12 Dysphagia and weight loss in a middle-aged man


13 Abdominal pain in a young woman


14 A woman with acute upper abdominal pain


15 Flank pain in a 60-year-old man


16 Lower abdominal pain in a 77-year-old woman


17 Nausea and constipation in an older woman

18 A lady with diarrhoea and abdominal pain


19 Rectal bleeding in a 45-year-old woman


20 Haematuria a 60-year-old man




22 Acute back pain in a 75-year-old man


23 A 59-year-old man with calf pain


24 Acute leg pain in a 73-year-old man


25 A 68-year-old woman with a leg ulcer


26 A 41-year-old man involved in a car crash

27 Management of Acute Coronary Syndrome (ACS)


28 Breathlessness in a young female


29 A 25-year-old woman with chest pain and breathlessness


30 Recurrent collapse in a 56-year-old truck driver


31 A 68-year-old woman with breathlessness and yellow sputum


32 Persistent cough in a young woman


33 Cough, dyspnoea and fever in a 55 year old man


34 Breathlessness and weight loss in a 58-year-old man


35 A 35-year-old woman vomiting blood


36 A young woman with jaundice


37 A 47 year-old man with lethargy and hypertension


38 A 35-year-old woman with hypertension


39 A young man with depressed conscious state and seizures


40 A middle-aged man with sudden visual loss


41 "Jack has leg weakness"


42 Fall during a fishing weekend


43 An unwell young man in the emergency room


44 A 68 year-old female with a left hemiplegia following a conscious collapse


45 A 31-year-old woman with vertigo


46 A 31-year-old man with sudden onset headache and vomiting


47 Fatigue and bruising in a teenager


48 Severe dehydration in a young woman


49 A woman with palpitations

50 A collapsed, breathless woman


51 Management of a young man who is HIV positive


52 Back and leg pain in a middle-aged man


53 Back and leg pain in a middle-aged man


54 A listless 45-year-old man


55 A 74 year old man with confusion and oliguria