Clinical Problems in General Medicine and Surgery / Edition 2

Clinical Problems in General Medicine and Surgery / Edition 2

Pub. Date:
Elsevier Health Sciences


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Clinical Problems in General Medicine and Surgery / Edition 2

Clinical Problems provides a comprehensive selection of important medical and surgical scenarios. The reader is taken through 62 case histories step by step and is asked to interpret a broad range of medical data. Most of the clinical problems are accompanied by illustrations, which include cardiographs, radiographs, clinical and pathological photographs. In addition to detailed questions and answers, a commentary is provided that highlights the important issues of each case, as well as a guide to further topics of study.
The aim of any undergraduate curriculum is to produce graduates who have the knowledge and skills required to enable them to become competent members of the medical fraternity. Understandably, upon qualification these attributes will be raw and untried, but we expect them to be able to show that they possess what it is required of doctors in their first few years after graduation. What is 'required' in a clinical situation is often not obvious to the student and hence the reason for this book.
The book represents a departure from the traditional formula of systems and diseases, and an exhaustive review of each subject. Rather the authors have selected what they believe to be a number of important and, for the most part, relatively common medical and surgical scenarios and approached each from the perspective of the practicing clinician presented with a clinical problem. Whilst the book has been written primarily for undergraduates it describes clinical problems as they will be managed by recently qualified doctors.
It is not the purpose of this book to challenge or compete with standard reference material, rather it represents an important adjunct to the learning process of clinical reasoning, rather than provide the knowledge that must accompany it, although an considerable amount of factual material is to be found within its pages. Problem solving is a vital component of medical education, and while it can be taught well at the bedside and in small group tutorials, there are few books that help with this style of learning.

• Addresses important medical and surgical topics from a problem-oriented approach.
• Presents relevant clinical illustrations for each case, such as ECGs, radiographs, and clinical and pathologi-cal photographs.
• Emphasizes empathy with the patient's situation as well as effective patient counseling.
• Provides commentaries from experienced clinicians, highlighting the most important issues of each case and offering suggestions on possible further areas of study.
• Identifies situations where emergency management must take precedence over pathophysiological diagnosis.

• Features extensive updates to reflect the increasing role of minimally invasive diagnostics.
• Offers a new, full-color page design, with all-new photographs throughout.
• Provides a stronger emphasis on the worldwide web as a source of further information.

Product Details

ISBN-13: 9780443073236
Publisher: Elsevier Health Sciences
Publication date: 10/09/2003
Edition description: REV
Pages: 432
Product dimensions: 6.10(w) x 9.20(h) x 0.90(d)

Table of Contents

Difficulties with postoperative fluid balance in a 65-year-old man
A middle-aged man with postoperative fever
Postoperative hypotension
Postoperative confusion
Swelling in the neck in a 58-year-old man
A 26-year-old man with a swelling below the ear
Swelling in the neck
A young man with acute scrotal pain
A scrotal swelling in a 19-year-old man
A 46-year-old woman with a breast lump
A skin lesion in a 73-year-old man
A 27-year-old man with burns
Dysphagia in a middle-aged woman
Vomiting and collapse in an elderly woman
A 77-year-old man with vomiting
Weight loss in a middle-aged woman
Abdominal pain in a young woman
A man with acute upper abdominal pain
A woman with acute upper abdominal pain
A 67-year-old woman with acute lower abdominal pain
A 49-year-old man with abdominal pain and vomiting
Jaundice in an older woman
A young man with profuse diarrhoea
Rectal bleeding in a 65-year-old woman
A 42-year-old man with haematuria
A 70-year-old man with a painful hip
Acute back pain in a 75-year-old man
A 59-year-old man with calf pain
Acute leg pain in a 73-year-old woman
A 68-year-old woman with a leg ulcer
A 38-year-old man involved in a car crash
Lower limb trauma in a young man
A 48-year-old man with chest pain
Severe epigastric pain in a middle-aged man
Breathlessness in a diabetic woman
Breathlessness in a 37-year-old woman
Collapse in a 63-year-old man
A 62-year-old man with breathlessness and yellow sputum
Persistent cough in a young woman
Fever, cough and breathlessness in a middle-aged man
Breathlessness and weight loss in a 58-year-old woman
A 63-year-old woman with breathlessness on exertion
Acute breathlessness in a 21-year-old woman
Haematemesis in a 40-year-old man
A young woman with jaundice
A 34-year-old man with abdominal discomfort
Postoperative oliguria in an elderly woman
A 40-year-old man with lethargy and hypertension
A 35-year-old woman with hypertension
Intellectual deterioration in an elderly woman
A young man with depressed conscious state and seizures
A middle-aged man with sudden visual loss
A young man in a coma
A 31-year-old woman with vertigo
Headache in a middle-aged woman
Back pain in a 50-year-old woman
A woman with a lump in the neck
Severe dehydration in a young woman
A 22-year-old woman with palpitations and anxiety
A 21-year-old woman with fever, lethargy and painful joints
A collapsed, breathless woman
Management of a young man who is HIV positive
Back and leg pain in a middle-aged man
Acute respiratory failure in a 68-year-old man
A young woman with lower abdominal pain
A young woman with abnormal vaginal bleeding


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