100 Diagnostic Dilemmas in Clinical Medicine

Kerry Layne

• Publisher: CRC Press
• Year: 2023
• Print ISBN: 9781032382333
• eBook ISBN: 9781000992380
• Edition: 2
• Topic: Medicine
• Subtopic: Emergency Medicine & Critical Care

A 57-year-old man presented to the emergency department complaining of a worsening cough. The cough had been present for approximately two weeks and was productive of green sputum. The patient had seen his general practitioner one week earlier and taken a course of amoxicillin for a presumed lower respiratory tract infection with no improvement of symptoms. He was febrile, experiencing frequent headaches and a feeling of general malaise, and had been unable to eat solid food for the last 48 hours due to facial pain on chewing. You have been asked to assess him and devise a management plan…

100 Diagnostic Dilemmas in Clinical Medicine presents 100 real-life scenarios seen in the hospital and community setting. A succinct summary of the patient's history, examination and any initial investigations is followed by a detailed consideration of the diagnosis and management of each case, in the short, medium and, where appropriate, long term.

Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These extended true-to-life cases will teach students and junior doctors to recognize important medical conditions and to develop their diagnostic and management skills.

Key features:

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• Extended case studies presented in an easy-to-read format, presenting patient history, examination, investigations and differential diagnosis

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• Readers are guided through the clinician's sequence of thoughts and actions as they consider how to manage the case appropriately in the short, medium and, if necessary, long term

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• Plentiful illustrations supplement the text
• A broad range of conditions is covered, from acquired haemophilia to intestinal tuberculosis

Table of contents

• Cover
• Half Title
• Title
• Copyright
• Contents
• Preface
• Acknowledgements
• List of Abbreviations
• Reference Ranges for Common Investigations
• Case 1 Confusion and Persistent Fever
• Case 2 Painful Upper Limb Swelling
• Case 3 An Unusual Infection
• Case 4 A Teenager with Falls
• Case 5 A Case of Intrapartum Fever
• Case 6 Jaundice and Diarrhoea
• Case 7 Erratic Behaviour
• Case 8 A Young Woman with Fever and Chest Pain
• Case 9 An Enlarged Tongue
• Case 10 A Young Man with an Abnormal Chest X-ray
• Case 11 Visual Loss and Confusion
• Case 12 Left-Eye Pain
• Case 13 Spontaneous Bleeding
• Case 14 A Young Man with a Rash and Hearing Impairment
• Case 15 Recurrent Loss of Consciousness
• Case 16 Visual Loss and Anuria
• Case 17 Abdominal Pain and Weight Loss
• Case 18 Worsening Shortness of Breath and Cough
• Case 19 Fatigue and Constipation
• Case 20 An Upper Limb Mass
• Case 21 A Teenager with a Rash and Fever
• Case 22 Hepatitis in a Nightshift Worker
• Case 23 Yellow Blood
• Case 24 An Unusual Method of Deliberate Self-Harm
• Case 25 Coffee Ground Vomiting
• Case 26 A Case of Parotitis Followed by Acute Hearing Loss
• Case 27 A Purpuric Rash
• Case 28 An Elderly Patient Admitted with a Fall
• Case 29 A Young Mother with Constipation
• Case 30 Hyperpigmented Skin Lesions
• Case 31 It’s All in Your Head
• Case 32 A Right Upper Quadrant Pain Puzzle
• Case 33 Arthritis, Miscarriage and Drowsiness
• Case 34 A Confused Traveller
• Case 35 A Pleural Effusion on a Background of Knee Pain
• Case 36 A Hypertensive Patient with Carpal Spasms
• Case 37 A Patient with HIV and Personality Change
• Case 38 Unilateral Facial Weakness
• Case 39 Chest Pain with a Gynaecological Cause
• Case 40 A First Fit
• Case 41 Collapse in the Corridor
• Case 42 ITP or Not ITP?
• Case 43 Recurrent Haemothorax
• Case 44 Hepatosplenomegaly
• Case 45 Cutaneous Ulceration in a Patient with Rheumatoid Arthritis
• Case 46 An Elderly Man with Confusion
• Case 47 Severe Sepsis Following Tonsillitis
• Case 48 A Farmer with Abdominal Pain
• Case 49 Recurrent Episodes of Acute Kidney Injury
• Case 50 A Sauna Cleaner with Shortness of Breath
• Case 51 A Hypernatraemic Patient
• Case 52 Recurrent Abdominal Pain and Diarrhoea
• Case 53 A Teenager with a Rash
• Case 54 Bilateral Foot Weakness
• Case 55 Hepatomegaly in a Patient with Newly Diagnosed Diabetes Mellitus
• Case 56 A Teenager with Palpitations
• Case 57 A Patient with Sickle Cell Disease and Flu-Like Symptoms
• Case 58 Vomiting without Gastrointestinal Pathology
• Case 59 Seizures and Hand Lesions
• Case 60 New Confusion in a Patient with Bipolar Affective Disorder
• Case 61 A Blistering Rash
• Case 62 Heart and Lungs
• Case 63 Sudden Onset Headache
• Case 64 A Febrile Canoeist
• Case 65 Chest Pain and an Abnormal Blood Film
• Case 66 Numb Fingers and Eosinophilia
• Case 67 Fevers and Cough (Part 1)
• Case 68 Fever and Cough (Part 2)
• Case 69 Fevers, Night Sweats and Lymphadenopathy
• Case 70 Unconscious outside a Club
• Case 71 A Relentless Rash
• Case 72 Bleeding Gums
• Case 73 Chest Pain after Bad News
• Case 74 HIV and Seizures
• Case 75 A Patient with Crohn’s Disease and Worsening Diarrhoea
• Case 76 Bilateral Hip Pain
• Case 77 A Young Woman with Chest Pain
• Case 78 A Heavy Smoker with Proximal Weakness
• Case 79 Collapse Following Influenza
• Case 80 Diarrhoea and Proximal Weakness
• Case 81 Haemoptysis and Renal Failure
• Case 82 A Young Patient with a Chronic Cough
• Case 83 Abdominal Pain and Bloody Diarrhoea
• Case 84 Nocturnal Enuresis and Back Pain
• Case 85 Shivering at the Station
• Case 86 Loss of Vision and Ophthalmitis
• Case 87 A Pregnant Woman with Loss of Vision
• Case 88 Rash, Fevers and Headache
• Case 89 Haemoptysis and Diplopia
• Case 90 Post-Partum Auditory Hallucinations
• Case 91 Rapidly Progressive Dementia
• Case 92 A Hillwalker with Fever and Chest Pain
• Case 93 Fever, Weight Loss and Night Sweats
• Case 94 Painless Jaundice
• Case 95 A Young Man with Chest Pain
• Case 96 An Unusual Cause of Haematemesis
• Case 97 TB or Not TB?
• Case 98 Headache at the Cattle Farm
• Case 99 Recurrent Lower Respiratory Infections Following a Renal Transplant
• Case 100 An Unsolved Mystery
• Index