Acute Medicine / Edition 1

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Acute Medicine is the central part of foundation and specialist general medical training and is one of the most rapidly expanding UK hospital specialties. Acute Medicine: Clinical Cases Uncovered combines patient cases and outcomes, drawn from real-life experiences, with reference to the curriculum for Training in General (Acute) Medicine. It provides self-assessment MCQs, EMQs and SAQs to give medical students, junior doctors, nurses and allied healthcare professionals the perfect preparation for life on the wards.

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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This book explores 22 commonly encountered acute cases in general internal medicine using a Socratic approach of presenting the situation and asking questions about how to arrive at the diagnosis and treatment.
Purpose: The purpose is to supplement practitioners' clinical experience and refresh their memory.
Audience: Although the book targets British general practitioners, the discussions are relevant for all who practice medicine. The authors have given us a very personal, back-to-basics book with lessons for all.
Features: The book summarizes the basic science, history, and physical, then discusses the cases. The author presents a nice discussion of these common outpatient scenarios and challenges readers to answer questions on how to approach the patient, the social context in which the patient presents, decisions on when to admit to an inpatient facility and the long-term follow-up. These are followed by options and references for further reading. Not much physiology is explained, nor is much rationale given for the answers, but the book does stimulate thinking.
Assessment: This thoughtful book for general practitioners has many reminders of how to approach patients on an everyday basis.
From the Publisher
"Acute medicine is a part of the CCU series from Wiley which are a useful set of titles that allow the reader to encounter a range of acute medical conditions, 22 presentations that give the reader a reasonable overview. The start of the title is particularly useful as it goes over the ABCDE of acute triage of patients which is an essential skill to understand as a medical student approaching your finals and certainly as a doctor. Following this for the medical student the title usefully recaps history & examination skills for medicine before discussing important investigations and finally prior to the cases giving a lengthy easy to understand discourse on the ECG and how to interpret it.

After the cases there is a self assessment section that tests the reader on the knowledge that they should have based on what the title has covered. Having used this book in part to revise for my finals, I found the difficulty & style of these questions to be similar to and a good reflection of what was encountered within the finals examinations.

The disadvantage of this title I suppose is the small number of cases it has, although these cases cover a broad range of medical conditions/presentations that you could expect to encounter in the hospital there aren't that many. Other series such as the 100 cases series (by their title) cover a significantly greater number of clinical conditions/presentations, though not in as much detail, this may be more desirable to some.

In conclusion this series of titles is well worth considering using for preparing for your finals examinations and others as an undergraduate medical student. It may however be worth you considering borrowing the title from your medical school or other library first and if you feel it is worth adding to your personal library, then doing so." (Medical Student, Lancaster University)

"This is a great book for people who like solid answers to practical questions. Unlike some revision books this one is actually useful to doctors and not just medical students wanting to pass finals. It tackles common presentations, not rare conditions and is interesting to read." (The Murmer, August 2009)

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Product Details

  • ISBN-13: 9781405168830
  • Publisher: Wiley
  • Publication date: 3/23/2009
  • Series: Clinical Cases Series, #28
  • Edition number: 1
  • Pages: 254
  • Product dimensions: 7.30 (w) x 9.60 (h) x 0.60 (d)

Meet the Author

Chris Roseveare, Consultant in Acute Medicine, Southampton University Hospitals Trust, UK

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Table of Contents

Preface, vii

Acknowledgements, ix

How to use this book, x

List of abbreviations, xi

Part 1 Basics, 1

Introduction and specialty overview, 1

Approach to the patient, 5

Part 2 Cases, 28

Case 1 A 45-year-old man with ‘cardiac-type’ chest pain, 28

Case 2 A 35-year-old woman with ‘pleuritic’ chest pain, 37

Case 3 A 50-year-old man presenting with palpitations, 47

Case 4 A 60-year-old man with a broad complex tachycardia, 56

Case 5 A 25-year-old woman with acute asthma, 62

Case 6 A 60-year-old woman with an ‘exacerbation’ of chronic obstructive pulmonary disease, 70

Case 7 An 86-year-old woman with acute shortness of breath, 79

Case 8 A 68-year-old man presenting with shock, 88

Case 9 A 55-year-old man with suspected upper gastrointestinal bleeding, 94

Case 10 A 60-year-old man with diarrhoea, 103

Case 11 A 37-year-old woman with sudden severe headache, 111

Case 12 A 21-year-old man presenting following a seizure, 118

Case 13 A 22-year-old unconscious man, 125

Case 14 A 64-year-old man presenting with unilateral weakness, 136

Case 15 A 60-year-old man presenting following a blackout, 145

Case 16 A 45-year-old man with acute confusion, 152

Case 17 An 81-year-old woman with acute confusion, 158

Case 18 A 25-year-old woman with acute hyperglycaemia, 166

Case 19 A 73-year-old man with abnormal renal function, 173

Case 20 A 55-year-old man with pyrexia of unknown origin, 182

Case 21 A 25-year-old woman admitted following an overdose, 191

Case 22 A 35-year-old woman with an acutely swollen leg, 200

Part 3 Self-assessment, 205

MCQs, 205

EMQs, 211

SAQs, 216

Answers, 219

Appendix: Normal ranges, units and common abbreviations for blood tests, 229

Index of cases by diagnosis, 231

Index, 233

Colour plate section can be found facing p.148

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