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 method to study medication is to determine sufferers. it's more straightforward to remember details in keeping with a true individual than a web page in a textbook. one other vital point 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 can be 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 method, parallel to seeing sufferers and giving a chance for self-directed exploration of scientific difficulties. they're according to the findings of background taking and exam, including the necessity to review preliminary investigations akin to blood investigations, X-rays and ECGs. those circumstances aren't any alternative for medical event with actual sufferers, yet they supply a secure atmosphere for college kids to discover medical difficulties and their very own method of analysis and administration. such a lot are universal difficulties that may current to a basic practitioner's surgical procedure, a scientific outpatients or a consultation on name in health facility. There are a couple of more odd instances to demonstrate particular issues and to stress that infrequent issues do current, whether they're unusual. The instances are written to attempt to curiosity scholars in scientific difficulties and to enthuse them to determine extra. they struggle to discover considering analysis and administration of genuine scientific events. the 1st 20 situations are prepared by way of platforms, however the subsequent eighty are in random order for the reason that, in medication, indicators corresponding to breathlessness and ache could relate to many alternative scientific difficulties in a number of systems"--Provided via publisher. Read more...
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Extra resources for 100 cases in clinical medicine
How would you investigate and manage this patient? 39 100 Cases in Clinical Medicine ANSWER 15 This patient has a monoarthropathy, a rash and red eyes. Investigations show a raised white cell count and ESR. The diagnosis in this man was postinfective inflammatory mucositis and arthritis, often shortened to reactive arthritis, and also known as Reiter’s syndrome. This disease classically presents with a triad of symptoms (although all three may not always be present): • seronegative arthritis affecting mainly lower limb joints • conjunctivitis • non-specific urethritis (NSU).
He denies any intravenous drug abuse. He drinks around 14 units of alcohol each week. He has taken no other medication except for malaria prophylaxis. He denies any homosexual contacts. He has had a number of heterosexual contacts each year but says that all had been with protected intercourse. He had returned from Nigeria 3 weeks earlier and was finishing off his prophylactic malaria regime. He had been in Nigeria for 6 weeks as part of his job working for an oil company and had no illnesses while he was there.
The fluid should be sent for culture and inspection with a specific request for inspection for crystals. A high white cell count would be expected in an acute inflammatory arthritis. The diagnosis is made from the needle-like crystals of uric acid, which are negatively birefringent under polarized light, unlike the positively birefringent crystals of calcium pyrophosphate. In this case the pain in the joint was partly relieved by the aspiration. Treatment with a nonsteroidal anti-inflammatory drug should be covered by a proton pump inhibitor in view of her history of heartburn and indigestion.
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,