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G AH IO N SW BL OE This book presents 100 data interpretation cases arranged by specialty area – radiology, clinical RT OT chemistry, haematology and cardiology – as well as a section of miscellaneous cases. Questions U a n accompanying each case will prompt you to consider how the data presented might be correctly Gd understood, while a clear discussion of how the correct answer was reached, with boxed H highlights and bullet lists of key points, makes this book an excellent learning aid during all stages of clinical studies, and particularly while preparing for medical finals. Key features D1 A0 0 • 100 cases comprehensively cover the areas of clinical data on which you will be routinely T AC examined a INs • Divided into specialty-based sections to enable targeted preparation both during clinical Tes E f studies and prior to the final exam Ro Pr • Abundantly resourced with high-quality illustrations including plain radiographs, CTs, MRIs, R M E echocardiograms and ECGs TE AD • Ideal for study and when revising, with a full rationale for identifying the correct answer TIC • Clear, consistent and authoritative from an author team that understands the needs of the IOA NL medical student Written by a small team of authors with extensive undergraduate teaching and examination experience, 100 Cases for Medical Data Interpretation provides invaluable guidance from lecturers who really appreciate that detailed and accurate explanations are the key to successful revision. The editors David Howlett FRCP FRCR Consultant Radiologist, Eastbourne District General Hospital and Honorary Reader, Brighton and Sussex Medical School, UK Nicola Gainsborough FRCP, Consultant Physician, Brighton and Sussex University Hospitals NHS Trust and Honorary Senior Clinical Lecturer, Brighton and Sussex Medical School, UK Cover image © Science Photo Library K16954 6000 Broken Sound Parkway, NW Suite 300, Boca Raton, FL 33487 ISBN: 978-1-4441-4904-3 711 Third Avenue 90000 an informa business New York, NY 10017 2 Park Square, Milton Park www.taylorandfrancisgroup.com Abingdon, Oxon OX14 4RN, UK 9 781444 149043 100 Cases for MEDICAL DATA INTERPRETATION K16954.indb 1 13/05/13 8:42 PM K16954.indb 2 13/05/13 8:42 PM 100 Cases for MEDICAL DATA INTERPRETATION Editors: Dr David C Howlett FRCP FRCR Consultant Radiologist, Eastbourne District General Hospital and Honorary Clinical Reader in Imaging and Electronic Learning at Brighton and Sussex Medical School Dr Nicola Gainsborough FRCP Consultant Physician, Brighton and Sussex University Hospitals NHS Trust and Honorary Senior Clinical Lecturer, Brighton and Sussex Medical School, UK Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business K16954.indb 3 13/05/13 8:42 PM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2013 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20130522 International Standard Book Number-13: 978-1-4441-4905-0 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guide- lines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular indi- vidual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmit- ted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright. com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Dedications To Joanna and the children Tom, Ella, Robert, Miles and Christopher and also to Lara. CRC Press DCH Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 To David (DMW), with all my love and without whom this would not have been possible. © 2013 by Taylor & Francis Group, LLC NG CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper Version Date: 20121211 International Standard Book Number: 978-1-4441-4904-3 (Paperback) This book contains information obtained from authentic and highly regarded sources. While all rea- sonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual edi- tors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufactur- er’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medi- cal science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indi- cate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information stor- age or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copy- right.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that pro- vides licenses and registration for a variety of users. For organizations that have been granted a pho- tocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com K16954.indb 5 13/05/13 8:42 PM Contributors Clinical Chemistry: Dr Gifford Batstone, consultant Clinical Chemistry, Dr Gary Weaving, PhD, clinical biochemist, Royal Sussex County Hospital, Brighton. Radiology: Dr Mo Faris, consultant radiologist Eastbourne District General Hospital, Dr Celine Inglis, core trainee Eastbourne District General Hospital, Dr Rasha Ameen, core trainee Eastbourne District General Hospital, Dr Jo Wade, core trainee Eastbourne District General Hospital Haematology: Dr Joel Newman, specialty registrar haematology Eastbourne District General Hospital Cardiology: Dr Steve Podd, research registrar cardiology – Eastbourne District General Hospital Miscellaneous: Dr Fergus Chedgy, specialty trainee medicine Eastbourne District General Hospital K16954.indb 6 13/05/13 8:42 PM Contents Foreword x Foreword xi Acknowledgements xii Abbreviations xiii SECTION 1: CLINICAL CHEMISTRY Case 1: Elderly woman with history of vomiting 3 Case 2: Elderly man with shortness of breath 8 Case 3: Woman with headache 13 Case 4: Elderly man with a cough 20 Case 5: Woman with abdominal pain 24 Case 6: Depressed elderly man 28 Case 7: Teenager with headache and vomiting 34 Case 8: Man with severe vomiting 38 Case 9: Man found semi-conscious 44 Case 10: Young woman with aspirin overdose 48 Case 11: Asthmatic male with cough 52 Case 12: Man with renal failure 56 Case 13: Teenager with colicky pain 61 Case 14: Man with diabetes mellitus 66 Case 15: Elderly man with dysuria 70 Case 16: Middle-aged woman with tiredness 74 Case 17: Middle-aged man with shortness of breath 78 Case 18: Elderly woman admitted following a fall 82 Case 19: Elderly man with nocturia 86 Case 20: Man with severe headaches 90 Case 21: Elderly confused woman 94 Case 22: Middle-aged woman feeling tired 100 Case 23: Woman with irregular periods 104 Case 24: Man with painful knees 108 SECTION 2: RADIOLOGY Case 25: Woman with abdominal pain 115 Case 26: Woman with cough and weight loss 122 Case 27: Middle-aged woman with difficulty in swallowing 127 Case 28: Young man with chest pain 132 Case 29: Young woman with loss of vision 136 Case 30: Middle-aged man with shortness of breath 141 Case 31: Elderly woman with weight loss 146 Case 32: Elderly woman with shortness of breath 151 Case 33: Elderly woman with diabetes 156 Case 34: Middle-aged woman with a cough 161 Case 35: Man with a bloody cough 167 Case 36: Middle-aged man with a cough 173 Case 37: Elderly man with headache 179 Case 38: Elderly man with pain in the hip 185 Case 39: Woman with headache and vomiting 191 Case 40: Elderly woman with epigastric pain 195 Case 41: Elderly man with shortness of breath 200 K16954.indb 7 13/05/13 8:42 PM viii Contents Case 42: Woman with abdominal pain 204 Case 43: Middle-aged woman with swelling in hands and feet 210 Case 44: Middle-aged man with confusion 215 Case 45: Elderly woman with upper limb weakness 219 Case 46: Nasogastric feeding on the stroke unit 223 SECTION 3: HAEMATOLOGY Case 47: Elderly woman with constipation 229 Case 48: Young woman with profound fatigue 234 Case 49: Middle-aged man with lethargy 237 Case 50: Teenager with chest pain 241 Case 51: Elderly woman with light-headedness 247 Case 52: Elderly woman with anaemia 252 Case 53: Middle-aged woman with anaemia 256 Case 54: Confused elderly woman 260 Case 55: Elderly woman with bruising 265 Case 56: Elderly man with hip pain 270 Case 57: Teenager with unexplained bruises 274 Case 58: Teenager with panic attacks 278 Case 59: Elderly man with nose bleeds 282 Case 60: Teenager with a swollen knee 286 Case 61: Woman with a heavy period 290 Case 62: Young woman with leg pain and swelling 294 Case 63: Elderly woman with fever and lethargy 298 Case 64: Woman with emergency hip repair 302 Case 65: Middle-aged woman with right-sided weakness 306 Case 66: Middle-aged man with increasing tiredness 310 Case 67: Elderly man with abnormal blood test results 314 Case 68: Middle-aged man with cellulitis 318 SECTION 4: CARDIOLOGY Case 69: Elderly man with palpitations 325 Case 70: Elderly man with chest pain 331 Case 71: Middle-aged man with syncope 336 Case 72: Middle-aged woman with chest pain 339 Case 73: Middle-aged man with light headedness 341 Case 74: Young woman with palpitations 343 Case 75: Elderly woman with chest pain 348 Case 76: Elderly man with syncope 351 Case 77: Middle-aged woman with chest pain 353 Case 78: Young woman with syncope 358 Case 79: Middle-aged man with abdominal pain 361 Case 80: Elderly man with palpitations 365 Case 81: Elderly woman with fever and weight loss 367 Case 82: Young man with shortness of breath 372 Case 83: Young man undergoing army medical 376 Case 84: Woman with increasing shortness of breath 379 Case 85: Elderly man with atrial fibrillation 384 Case 86: Elderly man with kidney disease 388 Case 87: Young man with central chest pain 391 Case 88: Young man with palpitations 393 K16954.indb 8 13/05/13 8:42 PM Contents ix SECTION 5: MISCELLANEOUS Case 89: Elderly woman with COPD 398 Case 90: Elderly man with increasing confusion 403 Case 91: Elderly man with respiratory distress 409 Case 92: Young woman with cough 414 Case 93: Elderly man with progressive leg swelling 419 Case 94: Woman suspected of attempted suicide 424 Case 95: Man with chest pain and weight loss 429 Case 96: Young woman with pain in her legs and back 432 Case 97: Middle-aged man with severe headache 436 Case 98: Middle-aged man with epigastric pain 440 Case 99: Elderly woman with fever and mild confusion 444 Case 100: Elderly woman admitted following a fall 448 Bibliography 452 Index 453 K16954.indb 9 13/05/13 8:42 PM

Description:
Section 1: Clinical chemistry Case 1: Elderly woman with history of vomiting Case 2: An elderly man with shortness of breath Case 3: A woman with headache Case 4: An elderly man with a cough Case 5: A woman with abdominal pain Case 6: A depressed elderly man Case 7: A teenager with headache and vomi
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G AH IO N SW BL OE This book presents 100 data interpretation cases arranged by specialty area – radiology, clinical RT OT chemistry, haematology and cardiology – as well as a section of miscellaneous cases. Questions U a n accompanying each case will prompt you to consider how the data presented might be correctly Gd understood, while a clear discussion of how the correct answer was reached, with boxed H highlights and bullet lists of key points, makes this book an excellent learning aid during all stages of clinical studies, and particularly while preparing for medical finals. Key features D1 A0 0 • 100 cases comprehensively cover the areas of clinical data on which you will be routinely T AC examined a INs • Divided into specialty-based sections to enable targeted preparation both during clinical Tes E f studies and prior to the final exam Ro Pr • Abundantly resourced with high-quality illustrations including plain radiographs, CTs, MRIs, R M E echocardiograms and ECGs TE AD • Ideal for study and when revising, with a full rationale for identifying the correct answer TIC • Clear, consistent and authoritative from an author team that understands the needs of the IOA NL medical student Written by a small team of authors with extensive undergraduate teaching and examination experience, 100 Cases for Medical Data Interpretation provides invaluable guidance from lecturers who really appreciate that detailed and accurate explanations are the key to successful revision. The editors David Howlett FRCP FRCR Consultant Radiologist, Eastbourne District General Hospital and Honorary Reader, Brighton and Sussex Medical School, UK Nicola Gainsborough FRCP, Consultant Physician, Brighton and Sussex University Hospitals NHS Trust and Honorary Senior Clinical Lecturer, Brighton and Sussex Medical School, UK Cover image © Science Photo Library K16954 6000 Broken Sound Parkway, NW Suite 300, Boca Raton, FL 33487 ISBN: 978-1-4441-4904-3 711 Third Avenue 90000 an informa business New York, NY 10017 2 Park Square, Milton Park www.taylorandfrancisgroup.com Abingdon, Oxon OX14 4RN, UK 9 781444 149043 100 Cases for MEDICAL DATA INTERPRETATION K16954.indb 1 13/05/13 8:42 PM K16954.indb 2 13/05/13 8:42 PM 100 Cases for MEDICAL DATA INTERPRETATION Editors: Dr David C Howlett FRCP FRCR Consultant Radiologist, Eastbourne District General Hospital and Honorary Clinical Reader in Imaging and Electronic Learning at Brighton and Sussex Medical School Dr Nicola Gainsborough FRCP Consultant Physician, Brighton and Sussex University Hospitals NHS Trust and Honorary Senior Clinical Lecturer, Brighton and Sussex Medical School, UK Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business K16954.indb 3 13/05/13 8:42 PM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2013 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20130522 International Standard Book Number-13: 978-1-4441-4905-0 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guide- lines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular indi- vidual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmit- ted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright. com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Dedications To Joanna and the children Tom, Ella, Robert, Miles and Christopher and also to Lara. CRC Press DCH Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 To David (DMW), with all my love and without whom this would not have been possible. © 2013 by Taylor & Francis Group, LLC NG CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Printed on acid-free paper Version Date: 20121211 International Standard Book Number: 978-1-4441-4904-3 (Paperback) This book contains information obtained from authentic and highly regarded sources. While all rea- sonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual edi- tors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufactur- er’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medi- cal science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indi- cate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information stor- age or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copy- right.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that pro- vides licenses and registration for a variety of users. For organizations that have been granted a pho- tocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com K16954.indb 5 13/05/13 8:42 PM Contributors Clinical Chemistry: Dr Gifford Batstone, consultant Clinical Chemistry, Dr Gary Weaving, PhD, clinical biochemist, Royal Sussex County Hospital, Brighton. Radiology: Dr Mo Faris, consultant radiologist Eastbourne District General Hospital, Dr Celine Inglis, core trainee Eastbourne District General Hospital, Dr Rasha Ameen, core trainee Eastbourne District General Hospital, Dr Jo Wade, core trainee Eastbourne District General Hospital Haematology: Dr Joel Newman, specialty registrar haematology Eastbourne District General Hospital Cardiology: Dr Steve Podd, research registrar cardiology – Eastbourne District General Hospital Miscellaneous: Dr Fergus Chedgy, specialty trainee medicine Eastbourne District General Hospital K16954.indb 6 13/05/13 8:42 PM Contents Foreword x Foreword xi Acknowledgements xii Abbreviations xiii SECTION 1: CLINICAL CHEMISTRY Case 1: Elderly woman with history of vomiting 3 Case 2: Elderly man with shortness of breath 8 Case 3: Woman with headache 13 Case 4: Elderly man with a cough 20 Case 5: Woman with abdominal pain 24 Case 6: Depressed elderly man 28 Case 7: Teenager with headache and vomiting 34 Case 8: Man with severe vomiting 38 Case 9: Man found semi-conscious 44 Case 10: Young woman with aspirin overdose 48 Case 11: Asthmatic male with cough 52 Case 12: Man with renal failure 56 Case 13: Teenager with colicky pain 61 Case 14: Man with diabetes mellitus 66 Case 15: Elderly man with dysuria 70 Case 16: Middle-aged woman with tiredness 74 Case 17: Middle-aged man with shortness of breath 78 Case 18: Elderly woman admitted following a fall 82 Case 19: Elderly man with nocturia 86 Case 20: Man with severe headaches 90 Case 21: Elderly confused woman 94 Case 22: Middle-aged woman feeling tired 100 Case 23: Woman with irregular periods 104 Case 24: Man with painful knees 108 SECTION 2: RADIOLOGY Case 25: Woman with abdominal pain 115 Case 26: Woman with cough and weight loss 122 Case 27: Middle-aged woman with difficulty in swallowing 127 Case 28: Young man with chest pain 132 Case 29: Young woman with loss of vision 136 Case 30: Middle-aged man with shortness of breath 141 Case 31: Elderly woman with weight loss 146 Case 32: Elderly woman with shortness of breath 151 Case 33: Elderly woman with diabetes 156 Case 34: Middle-aged woman with a cough 161 Case 35: Man with a bloody cough 167 Case 36: Middle-aged man with a cough 173 Case 37: Elderly man with headache 179 Case 38: Elderly man with pain in the hip 185 Case 39: Woman with headache and vomiting 191 Case 40: Elderly woman with epigastric pain 195 Case 41: Elderly man with shortness of breath 200 K16954.indb 7 13/05/13 8:42 PM viii Contents Case 42: Woman with abdominal pain 204 Case 43: Middle-aged woman with swelling in hands and feet 210 Case 44: Middle-aged man with confusion 215 Case 45: Elderly woman with upper limb weakness 219 Case 46: Nasogastric feeding on the stroke unit 223 SECTION 3: HAEMATOLOGY Case 47: Elderly woman with constipation 229 Case 48: Young woman with profound fatigue 234 Case 49: Middle-aged man with lethargy 237 Case 50: Teenager with chest pain 241 Case 51: Elderly woman with light-headedness 247 Case 52: Elderly woman with anaemia 252 Case 53: Middle-aged woman with anaemia 256 Case 54: Confused elderly woman 260 Case 55: Elderly woman with bruising 265 Case 56: Elderly man with hip pain 270 Case 57: Teenager with unexplained bruises 274 Case 58: Teenager with panic attacks 278 Case 59: Elderly man with nose bleeds 282 Case 60: Teenager with a swollen knee 286 Case 61: Woman with a heavy period 290 Case 62: Young woman with leg pain and swelling 294 Case 63: Elderly woman with fever and lethargy 298 Case 64: Woman with emergency hip repair 302 Case 65: Middle-aged woman with right-sided weakness 306 Case 66: Middle-aged man with increasing tiredness 310 Case 67: Elderly man with abnormal blood test results 314 Case 68: Middle-aged man with cellulitis 318 SECTION 4: CARDIOLOGY Case 69: Elderly man with palpitations 325 Case 70: Elderly man with chest pain 331 Case 71: Middle-aged man with syncope 336 Case 72: Middle-aged woman with chest pain 339 Case 73: Middle-aged man with light headedness 341 Case 74: Young woman with palpitations 343 Case 75: Elderly woman with chest pain 348 Case 76: Elderly man with syncope 351 Case 77: Middle-aged woman with chest pain 353 Case 78: Young woman with syncope 358 Case 79: Middle-aged man with abdominal pain 361 Case 80: Elderly man with palpitations 365 Case 81: Elderly woman with fever and weight loss 367 Case 82: Young man with shortness of breath 372 Case 83: Young man undergoing army medical 376 Case 84: Woman with increasing shortness of breath 379 Case 85: Elderly man with atrial fibrillation 384 Case 86: Elderly man with kidney disease 388 Case 87: Young man with central chest pain 391 Case 88: Young man with palpitations 393 K16954.indb 8 13/05/13 8:42 PM Contents ix SECTION 5: MISCELLANEOUS Case 89: Elderly woman with COPD 398 Case 90: Elderly man with increasing confusion 403 Case 91: Elderly man with respiratory distress 409 Case 92: Young woman with cough 414 Case 93: Elderly man with progressive leg swelling 419 Case 94: Woman suspected of attempted suicide 424 Case 95: Man with chest pain and weight loss 429 Case 96: Young woman with pain in her legs and back 432 Case 97: Middle-aged man with severe headache 436 Case 98: Middle-aged man with epigastric pain 440 Case 99: Elderly woman with fever and mild confusion 444 Case 100: Elderly woman admitted following a fall 448 Bibliography 452 Index 453 K16954.indb 9 13/05/13 8:42 PM

Description:
Section 1: Clinical chemistry Case 1: Elderly woman with history of vomiting Case 2: An elderly man with shortness of breath Case 3: A woman with headache Case 4: An elderly man with a cough Case 5: A woman with abdominal pain Case 6: A depressed elderly man Case 7: A teenager with headache and vomi
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