Awarded a First Prize in the 2009 British Medical Association Medical Books Competition, Davidson's Clinical Cases reflects the real world in which doctors practise medicine. Patients may present with problems that cross several organ systems and with no obvious diagnosis in sight! This selection of clinical problems guides the reader, step by step, through the correct path in the maze between the presenting complaint of a patient and the final diagnosis. The text emphasises the value of interpreting available clinical and investigative information in a logical way before considering a definitive diagnosis. The authors of the book are a truly international group drawn from both the contributors to Davidson's Principles and Practice of Medicine and from members of the International Advisory Board to ensure that a global approach is taken to the contents of the book.
* Contains over 90 cases based on the "presenting problems" of Davidson's Principles and Practice of Medicine * Provides an international outlook reflecting differences in the practice of medicine in the developing world and in low-resource settings * Includes a section on 'Global Issues' at the end of each case study addressing epidemiological, economic and other reasons for many of these important differences * Written by a team of senior doctors, from different parts of the world, with considerable teaching experience Reflects a personal approach to the difficult problems of diagnosis
Table of Contents * Preface * Acknowledgements * Contributors * Abbreviations 1 A young woman with intermittent lip swelling and a rash 2 Intermittent swelling of the eyelids and mild urticaria in a young man 3 A young man with severe malnutrition 4 An elderly woman with repeated falls 5 An elderly man with acute confusion 6 An elderly woman with sudden onset of dizziness 7 Unexplained weight loss in an elderly woman 8 A man who has been bitten by a snake 9 A young woman who has been stung by a scorpion 10 A young man who is semiconscious in the Accident and Emergency department 11 A young woman who has taken an overdose of paracetamol (acetaminophen) 12 A young woman with chest pain 13 A middle-aged woman with facial rash, joint swelling and hepatomegaly 14 A 40-year-old man with urinary retention 15 A young man from Bangladesh with a pyrexia of unknown origin 16 A young man with fever, jaundice and a purpuric rash 17 An Indian farmer with a high fever 18 An elderly woman with sudden diarrhoea 19 A young Indian with eosinophilia, nocturnal dry cough and progressive breathlessness 20 Fever in an man with human immunodeficiency virus (HIV) 21 A young woman with vulval pain and dysuria 22 A man with a urethral discharge 23 A man with constipation, pain on defaecation and rectal bleeding 24 A young woman with a vaginal discharge 25 Hyponatraemia discovered in an elderly man in a neurosurgical ward 26 A young man found incidentally to have hypokalaemia 27 A 72-year-old man with breathlessness 28 A young man with muscle cramps and weakness 29 Haematuria and facial puffiness in a young man 30 A man with chest pain, haemoptysis and leg swelling 31 A middle-aged farmer with pain and swelling of the lower limb and acute renal failure 32 A young man with generalised oedema 33 A man with sudden and severe chest pain 34 A 56-year-old man with breathlessness on exertion 35 A young adult with hypertension 36 A young man with a sudden transient loss of consciousness 37 A student with intermittent palpitation 38 A prolonged fever in a young boy with acyanotic congenital heart disease 39 A young man with joint pains and fever 40 A young man with sudden onset of chest pain and breathlessness 41 An elderly man with progressive breathlessness and a cough 42 A businessman with chest pain 43 A middle-aged woman with haemoptysis and a previous history of tuberculosis 44 A solitary radiographic pulmonary lesion in a middle-aged man 45 An obese middle-aged man with snoring and day-time sleepiness 46 A young man with a fever and right-sided chest pain 47 A young man with neck swelling, bilateral exophthalmos and proximal myopathy 48 A young woman with neck swelling, weight gain and hoarseness of voice 49 A 30-year-old woman with amenorrhoea 50 An elderly woman with hypercalcaemia 51 A middle-aged man with muscle cramps 52 Weight gain, amenorrhoea, fatigue and muscle weakness in a young woman 53 A young woman with fatigue, anorexia, weight loss and increased pigmentation 54 An elderly woman with recurrent spontaneous hypoglycaemia 55 An obese middle-aged woman with recently discovered hyperglycaemia 56 A woman with type 1 diabetes, a cough and breathlessness 57 A middle-aged man with poorly controlled diabetes' and a non-healing foot ulcer 58 A middle-aged man with dysphagia 59 A middle-aged man with a recent haematemesis 60 A boy with long-standing diarrhoea 61 A young woman with constipation 62 A woman with chronic abdominal pain 63 A young woman with fever and jaundice during pregnancy 64 A man with worsening jaundice and confusion 65 A confused man with jaundice and abdominal distension 66 A middle-aged man in sub-Saharan Africa with vomiting, anorexia, weight loss and abdominal pain 67 A 65-year-old woman with anaemia and macrocytosis 68 A middle-aged man with an elevated haemoglobin concentration 69 A 35-year-old woman with leucopenia 70 A young woman with a lump in her neck 71 A young garment worker from Bangladesh with fever and massive splenomegaly 72 A 30-year-old woman with menorrhagia 73 A woman with thrombocytopenia after hip surgery 74 A woman with thrombocytosis noted after elective surgery 75 A woman with a reaction to a blood transfusion 76 An elderly woman with an acute-onset monoarthritis 77 A 30-year-old woman with pain in multiple joints 78 An elderly woman with back pain 79 Repeated abortions and a stroke in a young woman 80 A 65-year-old man with a sudden headache 81 A 47-year-old woman with chronic headache 82 A young woman with numbness and sensory loss in her fingers 83 A 49-year-old man admitted in coma 84 A woman with a shaking attack 85 A young woman with progressive visual loss in her right eye 86 A man with a sudden stroke 87 A young girl with a changing mole 88 A baby with incessant scratching 89 A young woman with a widespread scaly rash 90 Palpable purpura in an elderly woman with psoriasis 91 A non-healing leg ulcer in an elderly man 92 A man with a blistering disorder 93 A young boy with multiple hypopigmented lesions Appendix Biochemical and haematological values Cardiovascular risk prediction charts Index
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