Case Studies in Internal Medicine PDF
Preview Case Studies in Internal Medicine
Case Studies in Internal Medicine Case Studies in Internal Medicine Editors Atul Kakar DNB MNAMS FICP FRCPS(Glasg) Professor Department of Internal Medicine Ganga Ram Institute of Postgraduate Medical Education and Research (GRIPMER) New Delhi, India [email protected] Atul Gogia DNB MRCP(UK) Associate Professor Department of Internal Medicine Ganga Ram Institute of Postgraduate Medical Education and Research (GRIPMER) New Delhi, India [email protected] Foreword SP Byotra JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • London • Philadelphia • Panama Jaypee Brothers Medical Publishers (P) Ltd. Headquarters Jaypee Brothers Medical Publishers (P) Ltd. 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 E-mail: [email protected] Overseas Offices J.P. Medical Ltd. Jaypee-Highlights Medical Publishers Inc. 83, Victoria Street, London City of Knowledge, Bld. 237, Clayton SW1H 0HW (UK) Panama City, Panama Phone: +44-2031708910 Phone: +1 507-301-0496 Fax: +02-03-0086180 Fax: +1 507-301-0499 E-mail: [email protected] E-mail: [email protected] Jaypee Medical Inc. Jaypee Brothers Medical Publishers (P) Ltd. The Bourse 17/1-B, Babar Road, Block-B, Shaymali 111, South Independence Mall East Mohammadpur, Dhaka-1207 Suite 835, Philadelphia, PA 19106, USA Bangladesh Phone: +1 267-519-9789 Mobile: +08801912003485 E-mail: [email protected] E-mail: [email protected] Jaypee Brothers Medical Publishers (P) Ltd. Bhotahity, Kathmandu, Nepal Phone: +977-9741283608 E-mail: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © 2014, Jaypee Brothers Medical Publishers The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book. All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photo copying, recording or otherwise, without the prior permission in writing of the publishers. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contra indications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book. This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought. Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. Inquiries for bulk sales may be solicited at: [email protected] Case Studies in Internal Medicine First Edition: 2014 ISBN: 978-93-5152-295-9 Printed at Contributors Atul Gogia Rabi S Aggarwal Associate Professor PG Student Department of Internal Medicine Department of Internal Medicine Ganga Ram Institute of Postgraduate Sir Ganga Ram Hospital Medical Education and New Delhi, India Research (GRIPMER) New Delhi, India Shardha Minocha Senior Resident Atul Kakar Department of Internal Medicine Professor Sir Ganga Ram Hospital Department of Internal Medicine New Delhi, India Ganga Ram Institute of Postgraduate Medical Education and SP Byotra Research (GRIPMER) Professor and Head New Delhi, India Department of Internal Medicine Ganga Ram Institute of Postgraduate Gunjan Garg Medical Education and PG Student Research (GRIPMER) Department of Internal Medicine New Delhi, India Sir Ganga Ram Hospital New Delhi, India V Raja Manohar PG Student Naveen Chawla Department of Internal Medicine PG Student Sir Ganga Ram Hospital Department of Internal Medicine New Delhi, India Sir Ganga Ram Hospital New Delhi, India Palak Arora Senior Resident Department of Internal Medicine Sir Ganga Ram Hospital New Delhi, India Foreword It gives me great pleasure to write the foreword of Case Studies in Internal Medicine. Internal Medicine is the mother of all medical subspecialties. The wide variety of complex medical cases seen in Internal Medicine is a challenging task. This book gives an insight about management of these complex cases which a physician or internist may not be able to address at peripheral level, however, the knowledge about them helps to refer the patient to the concerned doctor. To be able to analytically assess medical problems, approach to a differential diagnosis and thereby formulate a diagnostic and treatment plan are the challenges in Internal Medicine, which bring about excitement in practising this specialty. This book on Cases in Internal Medicine is written from the perspective of how to approach common medical conditions, by authors who have extensive training and experience in diagnosing and managing those diseases. The book promises to fill a major void in this area of diagnostic approach in clinical cases. The editors and the contributors must be lauded for producing a useful book for postgraduates and practising clinicians in general. I extend my very best wishes for the success of this book. SP Byotra MD Professor and Head Department of Internal Medicine Ganga Ram Institute of Postgraduate Medical Education and Research (GRIPMER) New Delhi, India Preface There are many books on Internal Medicine, but not many have a case–based teaching approach. Theoretical knowledge and factual information do add to our clinical acumen but a case-based approach and differential diagnosis discussion greatly helps the clinicians in their day-to-day patient management. Patient care depends upon many factors in which foremost is training and knowledge of the concerned doctor. This book would help the physicians what to do next if they have symptoms in their patients. This book has been designed to be of use to postgraduates and physicians in their daily practice. The book covers unusual cases in Internal Medicine with emphasis on approach to various common clinical symptomatology and presentations. Atul Kakar Atul Gogia
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