Davidson's Clinical Cases

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Overview

Awarded a First Prize in the 2009 British Medical Association Medical Books Competition, Davidson’s Clinical Cases reflects the real world in which doctors practise medicine. Patients may present with problems that cross several organ systems and with no obvious diagnosis in sight! This selection of clinical problems guides the reader, step by step, through the correct path in the maze between the presenting complaint of a patient and the final diagnosis. The text emphasises the value of interpreting available clinical and investigative information in a logical way before considering a definitive diagnosis. The authors of the book are a truly international group drawn from both the contributors to Davidson’s Principles and Practice of Medicine and from members of the International Advisory Board to ensure that a global approach is taken to the contents of the book.
  • Contains over 90 cases based on the "presenting problems" of Davidson’s Principles and Practice of Medicine
  • Provides an international outlook reflecting differences in the practice of medicine in the developing world and in low-resource settings
  • Includes a section on ’Global Issues‘ at the end of each case study addressing epidemiological, economic and other reasons for many of these important differences
  • Written by a team of senior doctors, from different parts of the world, with considerable teaching experience
  • Reflects a personal approach to the difficult problems of diagnosis
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Product Details

  • ISBN-13: 9780443068942
  • Publisher: Elsevier Health Sciences
  • Publication date: 6/13/2008
  • Pages: 356
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.80 (d)

Meet the Author

Table of Contents


Preface     ix
Acknowledgements     xi
Contributors     xii
Abbreviations     xvi
A young woman with intermittent lip swelling and a rash     1
Intermittent swelling of the eyelids and mild urticaria in a young man     4
A young man with severe malnutrition     7
An elderly woman with repeated falls     11
An elderly man with acute confusion     15
An elderly woman with sudden onset of dizziness     19
Unexplained weight loss in an elderly woman     22
A man who has been bitten by a snake     26
A young woman who has been stung by a scorpion     29
A young man who is semiconscious in the Accident and Emergency department     32
A young woman who has taken an overdose of paracetamol (acetaminophen)     35
A young woman with chest pain     38
A middle-aged woman with facial rash, joint swelling and hepatomegaly     41
A 40-year-old man with urinary retention     45
A young man from Bangladesh with a pyrexia of unknown origin     48
A young man with fever, jaundice and a purpuric rash     52
An Indian farmer with a high fever     56
An elderly woman with sudden diarrhoea     60
A youngIndian with eosinophilia, nocturnal dry cough and progressive breathlessness     64
Fever in an man with human immunodeficiency virus (HIV)     68
A young woman with vulval pain and dysuria     72
A man with a urethral discharge     75
A man with constipation, pain on defaecation and rectal bleeding     78
A young woman with a vaginal discharge     81
Hyponatraemia discovered in an elderly man in a neurosurgical ward     84
A young man found incidentally to have hypokalaemia     87
A 72-year-old man with breathlessness     91
A young man with muscle cramps and weakness     95
Haematuria and facial puffiness in a young man     98
A man with chest pain, haemoptysis and leg swelling     102
A middle-aged farmer with pain and swelling of the lower limb and acute renal failure     105
A young man with generalised oedema     109
A man with sudden and severe chest pain     113
A 56-year-old man with breathlessness on exertion     117
A young adult with hypertension     120
A young man with a sudden transient loss of consciousness     124
A student with intermittent palpitation     128
A prolonged fever in a young boy with acyanotic congenital heart disease      132
A young man with joint pains and fever     136
A young man with sudden onset of chest pain and breathlessness     140
An elderly man with progressive breathlessness and a cough     143
A businessman with chest pain     147
A middle-aged woman with haemoptysis and a previous history of tuberculosis     150
A solitary radiographic pulmonary lesion in a middle-aged man     153
An obese middle-aged man with snoring and day-time sleepiness     157
A young man with a fever and right-sided chest pain     161
A young man with neck swelling, bilateral exophthalmos and proximal myopathy     165
A young woman with neck swelling, weight gain and hoarseness of voice     169
A 30-year-old woman with amenorrhoea     172
An elderly woman with hypercalcaemia     175
A middle-aged man with muscle cramps     178
Weight gain, amenorrhoea, fatigue and muscle weakness in a young woman     181
A young woman with fatigue, anorexia, weight loss and increased pigmentation     185
An elderly woman with recurrent spontaneous hypoglycaemia     189
An obese middle-aged woman with recently discovered hyperglycaemia     192
A woman with type 1 diabetes, a cough and breathlessness     196
A middle-aged man with poorly controlled diabetes and a non-healing foot ulcer     200
A middle-aged man with dysphagia     204
A middle-aged man with a recent haematemesis     207
A boy with long-standing diarrhoea     210
A young woman with constipation     213
A woman with chronic abdominal pain     216
A young woman with fever and jaundice during pregnancy     219
A man with worsening jaundice and confusion     222
A confused man with jaundice and abdominal distension     225
A middle-aged man in sub-Saharan Africa with vomiting, anorexia, weight loss and abdominal pain     229
A 65-year-old woman with anaemia and macrocytosis     232
A middle-aged man with an elevated haemoglobin concentration     235
A 35-year-old woman with leucopenia     239
A young woman with a lump in her neck     242
A young garment worker from Bangladesh with fever and massive splenomegaly     245
A 30-year-old woman with menorrhagia     249
A woman with thrombocytopenia after hip surgery     253
A woman with thrombocytosis noted after elective surgery     256
A woman with a reaction to a blood transfusion     260
An elderly woman with an acute-onset monoarthritis     263
A 30-year-old woman with pain in multiple joints     266
An elderly woman with back pain     269
Repeated abortions and a stroke in a young woman     272
A 65-year-old man with a sudden headache     275
A 47-year-old woman with chronic headache     279
A young woman with numbness and sensory loss in her fingers     282
A 49-year-old man admitted in coma     285
A woman with a shaking attack     289
A young woman with progressive visual loss in her right eye     292
A man with a sudden stroke     295
A young girl with a changing mole     298
A baby with incessant scratching     302
A young woman with a widespread scaly rash     305
Palpable purpura in an elderly woman with psoriasis     308
A non-healing leg ulcer in an elderly man     311
A man with a blistering disorder     314
A young boy with multiple hypopigmented lesions     317
Appendix
Biochemical and haematological values     321
Cardiovascular risk prediction charts     328
Index     331
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