Medical curricula change continually to reflect the evolving roles of doctors, changes in treatments and advances in technology. Medicine moves at pace and it takes a practitioner committed to continuing professional development to keep up. This new edition of 250 Cases in Clinical Medicine has been thoroughly updated to reflect the changing form of the Royal College of Physicians’ curriculum. Some chapters from the previous edition have been dropped to allow new, more clinically relevant topics to be included. Chapters of symptom-based cases have also been added, as well as a section on acute medical problems and their management.
Essential reading for MBBS, PLAB, MRCP (UK), MRCPI, MD (New Zealand, Malaysia, Singapore, India, Pakistan, Sri Lanka and Bangladesh), FRACP, FCCP and postgraduate medical examinations in the USA including USMLE and ABIM.
1. Introduction to Section: History and Examination of the Respiratory System - p. 1 2. Chapter 1 Asthma - p. 5 3. Chapter 2 Bronchiectasis - p. 8 4. Chapter 3 Collapsed Lung - p. 13 5. Chapter 4 Consolidation - p. 15 6. Chapter 5 Chronic Obstructive Pulmonary Disease - p. 19 7. Chapter 6 Cor Pulmonale - p. 27 8. Chapter 7 Cystic Fibrosis - p. 29 9. Chapter 8 Idiopathic Pulmonary Fibrosis - p. 34 10. Chapter 9 Bronchogenic Carcinoma - p. 38 11. Chapter 10 Obstructive Sleep Apnoea - p. 42 12. Chapter 11 Old Tuberculosis - p. 45 13. Chapter 12 Pleural Effusion - p. 48 14. Chapter 13 Pleural Rub - p. 55 15. Chapter 14 Spontaneous Pneumothorax - p. 58 16. Abdomen - p. 61 17. Introduction to Section: History and Examination of the Abdomen - p. 63 18. Chapter 15 Ascites - p. 66 19. Chapter 16 Chronic Lymphocytic Leukaemia - p. 69 20. Chapter 17 Cirrhosis of the Liver - p. 72 21. Chapter 18 Felty's Syndrome - p. 76 22. Chapter 19 Haemochromatosis - p. 79 23. Chapter 20 Hepatomegaly - p. 83 24. Chapter 21 Jaundice - p. 85 25. Chapter 22 Polycystic Kidney Disease - p. 88 26. Chapter 23 Primary Biliary Cirrhosis - p. 93 27. Chapter 24 Splenomegaly - p. 96 28. Chapter 25 Transplanted Kidney - p. 99 29. Chapter 26 Unilateral Palpable Kidney - p. 102 30. Chapter 27 Wilson's Disease - p. 104 31. Cardiovascular System - p. 107 32. Introduction to Section: History and Examination of the Cardiovascular System - p. 109 33. Chapter 28 Absent Radial Pulse - p. 112 34. Chapter 29 Aortic Regurgitation - p. 115 35. Chapter 30 Aortic Stenosis - p. 120 36. Chapter 31 Atrial Septal Defect - p. 126 37. Chapter 32 Coarctation of Aorta - p. 130 38. Chapter 33 Constrictive Pericarditis - p. 135 39. Chapter 34 Dextrocardia - p. 138 40. Chapter 35 Ebstein's Anomaly - p. 140 41. Chapter 36 Eisenmenger's Syndrome - p. 143 42. Chapter 37 Fallot's Tetralogy - p. 146 43. Chapter 38 Gallop Rhythm - p. 151 44. Chapter 39 Congestive Cardiac Failure - p. 153 45. Chapter 40 Hypertrophic Cardiomyopathy - p. 157 46. Chapter 41 Jugular Venous Pulse - p. 161 47. Chapter 42 Mitral Regurgitation - p. 164 48. Chapter 43 Mitral Stenosis - p. 169 49. Chapter 44 Mitral Valve Prolapse - p. 175 50. Chapter 45 Mixed Aortic Valve Lesion - p. 178 51. Chapter 46 Mixed Mitral and Aortic Valve Disease - p. 180 52. Chapter 47 Mixed Mitral Valve Disease - p. 182 53. Chapter 48 Patent Ductus Arteriosus - p. 184 54. Chapter 49 Pericardial Rub - p. 186 55. Chapter 50 Prosthetic Heart Valves - p. 189 56. Chapter 51 Pulmonary Stenosis - p. 192 57. Chapter 52 Slow Pulse Rate - p. 196 58. Chapter 53 Tricuspid Regurgitation - p. 200 59. Chapter 54 Ventricular Septal Defect - p. 202 60. Neurology - p. 205 61. Introduction to Section: History and Examination of the Nervous System - p. 207 62. Chapter 55 Abnormal Gait - p. 216 63. Chapter 56 Argyll Robertson Pupil - p. 218 64. Chapter 57 Becker Muscular Dystrophy - p. 221 65. Chapter 58 Bilateral Spastic Paralysis (Spastic Paraplegia) - p. 224 66. Chapter 59 Bitemporal Hemianopia - p. 228 67. Chapter 60 Brown-Séquard Syndrome - p. 229 68. Chapter 61 Bulbar Palsy - p. 231 69. Chapter 62 Carpal Tunnel Syndrome - p. 233 70. Chapter 63 Cauda Equina Syndrome - p. 236 71. Chapter 64 Central Scotoma - p. 238 72. Chapter 65 Cerebellar Dysarthria - p. 240 73. Chapter 66 Cerebellar Syndrome - p. 242 74. Chapter 67 Cerebellopontine Angle Tumour - p. 244 75. Chapter 68 Charcot–Marie–Tooth Disease (Peroneal Muscular Atrophy) - p. 247 76. Chapter 69 Chorea - p. 250 77. Chapter 70 Lateral Popliteal Nerve Palsy, L4, L5 (Common Peroneal Nerve Palsy) - p. 253 78. Chapter 71 Deformity of a Lower Limb - p. 256 79. Chapter 72 Dermatomyositis - p. 260 80. Chapter 73 Expressive Dysphasia - p. 263 81. Chapter 74 Facioscapulohumeral Dystrophy (Landouzy–Déjérine Syndrome) - p. 265 82. Chapter 75 Friedreich's Ataxia - p. 268 83. Chapter 76 Guillain–Barré Syndrome - p. 271 84. Chapter 77 Hemiballismus - p. 274 85. Chapter 78 Hemiplegia - p. 275 86. Chapter 79 Homonymous Hemianopia - p. 282 87. Chapter 80 Internuclear Ophthalmoplegia - p. 284 88. Chapter 81 Jerky Nystagmus - p. 287 89. Chapter 82 Limb Girdle Dystrophy - p. 288 90. Chapter 83 Motor Neurone Disease - p. 291 91. Chapter 84 Multiple Sclerosis - p. 295 92. Chapter 85 Multiple System Atrophy - p. 302 93. Chapter 86 Myasthenia Gravis - p. 306 94. Chapter 87 Myotonia Congenita - p. 310 95. Chapter 88 Dystrophia Myotonica - p. 312 96. Chapter 89 Neurofibromatosis - p. 316 97. Chapter 90 Parkinson's Disease - p. 319 98. Chapter 91 Peripheral Neuropathy - p. 326 99. Chapter 92 Proximal Myopathy - p. 329 100. Chapter 93 Pseudobulbar Palsy - p. 331 101. Chapter 94 Ptosis and Horner’s Syndrome - p. 333 102. Chapter 95 Radial Nerve Palsy - p. 337 103. Chapter 96 Seventh Cranial Nerve Palsy - p. 339 104. Chapter 97 Sixth Cranial Nerve Palsy - p. 343 105. Chapter 98 Speech - p. 345 106. Chapter 99 Subacute Combined Degeneration of the Spinal Cord - p. 349 107. Chapter 100 Syringomyelia - p. 352 108. Chapter 101 Tabes Dorsalis - p. 356 109. Chapter 102 Tetraplegia - p. 358 110. Chapter 103 Third Cranial Nerve Palsy - p. 361 111. Chapter 104 Tremors - p. 364 112. Chapter 105 Tunnel Vision - p. 368 113. Chapter 106 Ulnar Nerve Palsy - p. 369 114. Chapter 107 Wallenberg Syndrome (Lateral Medullary Syndrome) - p. 372 115. Chapter 108 Wasting of the Small Muscles of the Hand - p. 374 116. Chapter 109 Winging of the Scapula - p. 376 117. Rheumatology - p. 377 118. Introduction to Section - p. 379 119. Chapter 110 Ankylosing Spondylitis - p. 383 120. Chapter 111 Charcot's Arthropathy - p. 386 121. Chapter 112 Ehlers–Danlos Syndrome - p. 389 122. Chapter 113 Gout - p. 393 123. Chapter 114 Osteoarthritis - p. 396 124. Chapter 115 Painful Knee Joint - p. 400 125. Chapter 116 Psoriatic Arthritis - p. 402 126. Chapter 117 Rheumatoid Hands - p. 404 127. Chapter 118 Still's Disease (Juvenile Idiopathic Arthritis) - p. 409 128. Dermatology - p. 412 129. Chapter 119 Acanthosis Nigricans - p. 414 130. Chapter 120 Acne Vulgaris - p. 417 131. Chapter 121 Alopecia Areata - p. 419 132. Chapter 122 Arterial Leg Ulcer - p. 422 133. Chapter 123 Arteriovenous Fistula - p. 424 134. Chapter 124 Atopic Dermatitis (Eczema) - p. 426 135. Chapter 125 Bullous Eruption - p. 428 136. Chapter 126 Dermatitis Herpetiformis - p. 431 137. Chapter 127 Eruptive Xanthomata - p. 434 138. Chapter 128 Erythema Ab Igne - p. 435 139. Chapter 129 Erythema Multiforme - p. 438 140. Chapter 130 Erythema Nodosum - p. 440 141. Chapter 131 Fungal Nail Disease - p. 442 142. Chapter 132 Hairy Leukoplakia - p. 446 143. Chapter 133 Henoch–Schönlein Purpura - p. 447 144. Chapter 134 Hereditary Haemorrhagic Telangiectasia (Osler–Weber–Rendu Syndrome) - p. 451 145. Chapter 135 Herpes Simplex - p. 454 146. Chapter 136 Herpes Zoster Syndrome (Shingles) - p. 457 147. Chapter 137 Ichthyosis - p. 460 148. Chapter 138 Kaposi's Sarcoma - p. 462 149. Chapter 139 Lichen Planus - p. 466 150. Chapter 140 Lichen Simplex - p. 468 151. Chapter 141 Lipodystrophy - p. 470 152. Chapter 142 Lupus Pernio - p. 473 153. Chapter 143 Maculopapular Rash - p. 477 154. Chapter 144 Malignant Melanoma - p. 478 155. Chapter 145 Molluscum Contagiosum - p. 482 156. Chapter 146 Mycosis Fungoides (Cutaneous T-Cell Lymphoma) - p. 483 157. Chapter 147 Nail Changes - p. 486 158. Chapter 148 Necrobiosis Lipoidica - p. 488 159. Chapter 149 Onycholysis - p. 490 160. Chapter 150 Palmar Xanthomata - p. 492 161. Chapter 151 Peutz–Jeghers Syndrome - p. 493 162. Chapter 152 Phlebitis Migrans - p. 496 163. Chapter 153 Pseudoxanthoma Elasticum - p. 498 164. Chapter 154 Psoriasis - p. 502 165. Chapter 155 Purpura - p. 506 166. Chapter 156 Pyoderma Gangrenosum - p. 508 167. Chapter 157 Raynaud's Phenomenon - p. 512 168. Chapter 158 Rosacea - p. 514 169. Chapter 159 Scleroderma - p. 517 170. Chapter 160 Seborrhoeic Dermatitis - p. 521 171. Chapter 161 Sturge–Weber Syndrome (Encephalotrigeminal Angiomatosis) - p. 523 172. Chapter 162 Systemic Lupus Erythematosus - p. 527 173. Chapter 163 Tuberous Sclerosis (Bourneville's or Pringle's Disease) - p. 532 174. Chapter 164 Urticaria - p. 536 175. Chapter 165 Urticaria Pigmentosa - p. 538 176. Chapter 166 Venous Ulcer - p. 540 177. Chapter 167 Vitiligo - p. 544 178. Chapter 168 Xanthelasma - p. 547 179. Chapter 169 Xanthomata - p. 548 180. The Eye - p. 550 181. Introduction to Section - p. 551 182. Chapter 170 Age-Related Macular Degeneration (Senile Macular Degeneration) - p. 553 183. Chapter 171 Cataracts - p. 557 184. Chapter 172 Cholesterol Embolus in the Fundus - p. 559 185. Chapter 173 Diabetic Retinopathy - p. 562 186. Chapter 174 Hypertensive Retinopathy - p. 569 187. Chapter 175 Optic Atrophy - p. 574 188. Chapter 176 Osteogenesis Imperfecta - p. 576 189. Chapter 177 Papilloedema - p. 578 190. Chapter 178 Retinal Detachment - p. 582 191. Chapter 179 Retinal Vein Occlusion - p. 584 192. Chapter 180 Retinitis Pigmentosa - p. 587 193. Chapter 181 Subhyaloid Haemorrhage - p. 590 194. Chapter 182 Vitreous Opacities - p. 593 195. Endocrinology - p. 593 196. Introduction to Section: Examination of the Thyroi - p. 595 197. Chapter 183 Acromegaly - p. 597 198. Chapter 184 Addison's Disease - p. 601 199. Chapter 185 Carcinoid Syndrome - p. 603 200. Chapter 186 Cushing Syndrome - p. 606 201. Chapter 187 Diabetic Foot - p. 609 202. Chapter 188 Graves’ Disease - p. 613 203. Chapter 189 Gynaecomastia - p. 618 204. Chapter 190 Hypopituitarism (Simmonds Disease) - p. 620 205. Chapter 191 Hypothyroidism - p. 622 206. Chapter 192 Multinodular Goitre - p. 627 207. Chapter 193 Obesity - p. 630 208. Chapter 194 Carpopedal Spasm (Post-Thyroidectomy Hypoparathyroidism) - p. 635 209. Chapter 195 Pretibial Myxoedema - p. 638 210. Chapter 196 Orbitopathy - p. 640 211. Chapter 197 Type 2 Diabetes Mellitus - p. 645 212. Self Assessment Cases - p. 648 213. Chapter 198 Respiratory Case - p. 650 214. Chapter 199 Abdominal Case - p. 654 215. Chapter 200 Cardiology Case - p. 657 216. Chapter 201 Neurology Case - p. 660 217. Chapter 202 Rheumatology Case - p. 661 218. Chapter 203 Dermatology Case - p. 663 219. Chapter 204 Eye Case - p. 670 220. Chapter 205 Endocrinology Case - p. 673 221. Miscellaneous and Symptom Based Cases–Core Medical Curriculum - p. 675 222. Introduction to Section - p. 677 223. Chapter 206 The Emergency Presentations - p. 678 224. Chapter 207 Abdominal Mass - p. 683 225. Chapter 208 Anxiety - p. 686 226. Chapter 209 Back Pain - p. 688 227. Chapter 210 Breathlessness - p. 690 228. Chapter 211 Bruising - p. 693 229. Chapter 212 Cellulitis - p. 697 230. Chapter 213 Chest Pain - p. 699 231. Chapter 214 Collapse - p. 704 232. Chapter 215 Confusion - p. 708 233. Chapter 216 Cough - p. 712 234. Chapter 217 Crohn's Disease - p. 714 235. Chapter 218 Diarrhoea - p. 717 236. Chapter 219 Dysuria and Haematuria - p. 719 237. Chapter 220 Falls - p. 722 238. Chapter 221 Fever - p. 724 239. Chapter 222 Haemoptysis - p. 728 240. Chapter 223 Headache - p. 731 241. Chapter 224 Hypertension - p. 736 242. Chapter 225 Hypokalaemia/Hyperkalaemia - p. 741 243. Chapter 226 Hyponatraemia/Hypernatraemia - p. 744 244. Chapter 227 Lymphadenopathy - p. 747 245. Chapter 228 Melaena - p. 752 246. Chapter 229 Memory Loss - p. 756 247. Chapter 230 Micturition Difficulties - p. 760 248. Chapter 231 Neck Pain - p. 762 249. Chapter 232 Oedema - p. 765 250. Chapter 233 Palpitations - p. 768 251. Chapter 234 Poisoning - p. 771 252. Chapter 235 Pruritus - p. 774 253. Chapter 236 Seizures - p. 776 254. Chapter 237 Speech Disturbance - p. 778 255. Chapter 238 Swallowing Difficulties - p. 781 256. Chapter 239 Swollen Leg - p. 784 257. Chapter 240 Syncope - p. 790 258. Chapter 241 The Post-Operative Patient - p. 792 259. Chapter 242 The Pregnant Patient - p. 795 260. Chapter 243 Unsteadiness - p. 798 261. Chapter 244 Weight Loss - p. 800 262. Core Medical Procedures - p. 805 263. Chapter 245 Central Line Insertion - p. 808 264. Chapter 246 Chest Drain Insertion for Spontaneous (Non-Traumatic) Pneumothorax - p. 810 265. Chapter 247 Emergency Synchronized Direct Current Cardioversion (DCCV) - p. 813 266. Chapter 248 Knee Arthrocentesis - p. 816 267. Chapter 249 Lumbar Puncture - p. 818 268. Chapter 250 Therapeutic Abdominal Paracentesis - p. 821 269. Index - p. 825
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Medical curricula change continually to reflect the evolving roles of doctors, changes in treatments and advances in technology. Medicine moves at pace and it takes a practitioner committed to continuing professional development to keep up. This new edition of 250 Cases in Clinical Medicine has been thoroughly updated to reflect the changing form of the Royal College of Physicians’ curriculum. Some chapters from the previous edition have been dropped to allow new, more clinically relevant topics to be included. Chapters of symptom-based cases have also been added, as well as a section on acute medical problems and their management.
Essential reading for MBBS, PLAB, MRCP (UK), MRCPI, MD (New Zealand, Malaysia, Singapore, India, Pakistan, Sri Lanka and Bangladesh), FRACP, FCCP and postgraduate medical examinations in the USA including USMLE and ABIM.
1. Introduction to Section: History and Examination of the Respiratory System - p. 1 2. Chapter 1 Asthma - p. 5 3. Chapter 2 Bronchiectasis - p. 8 4. Chapter 3 Collapsed Lung - p. 13 5. Chapter 4 Consolidation - p. 15 6. Chapter 5 Chronic Obstructive Pulmonary Disease - p. 19 7. Chapter 6 Cor Pulmonale - p. 27 8. Chapter 7 Cystic Fibrosis - p. 29 9. Chapter 8 Idiopathic Pulmonary Fibrosis - p. 34 10. Chapter 9 Bronchogenic Carcinoma - p. 38 11. Chapter 10 Obstructive Sleep Apnoea - p. 42 12. Chapter 11 Old Tuberculosis - p. 45 13. Chapter 12 Pleural Effusion - p. 48 14. Chapter 13 Pleural Rub - p. 55 15. Chapter 14 Spontaneous Pneumothorax - p. 58 16. Abdomen - p. 61 17. Introduction to Section: History and Examination of the Abdomen - p. 63 18. Chapter 15 Ascites - p. 66 19. Chapter 16 Chronic Lymphocytic Leukaemia - p. 69 20. Chapter 17 Cirrhosis of the Liver - p. 72 21. Chapter 18 Felty's Syndrome - p. 76 22. Chapter 19 Haemochromatosis - p. 79 23. Chapter 20 Hepatomegaly - p. 83 24. Chapter 21 Jaundice - p. 85 25. Chapter 22 Polycystic Kidney Disease - p. 88 26. Chapter 23 Primary Biliary Cirrhosis - p. 93 27. Chapter 24 Splenomegaly - p. 96 28. Chapter 25 Transplanted Kidney - p. 99 29. Chapter 26 Unilateral Palpable Kidney - p. 102 30. Chapter 27 Wilson's Disease - p. 104 31. Cardiovascular System - p. 107 32. Introduction to Section: History and Examination of the Cardiovascular System - p. 109 33. Chapter 28 Absent Radial Pulse - p. 112 34. Chapter 29 Aortic Regurgitation - p. 115 35. Chapter 30 Aortic Stenosis - p. 120 36. Chapter 31 Atrial Septal Defect - p. 126 37. Chapter 32 Coarctation of Aorta - p. 130 38. Chapter 33 Constrictive Pericarditis - p. 135 39. Chapter 34 Dextrocardia - p. 138 40. Chapter 35 Ebstein's Anomaly - p. 140 41. Chapter 36 Eisenmenger's Syndrome - p. 143 42. Chapter 37 Fallot's Tetralogy - p. 146 43. Chapter 38 Gallop Rhythm - p. 151 44. Chapter 39 Congestive Cardiac Failure - p. 153 45. Chapter 40 Hypertrophic Cardiomyopathy - p. 157 46. Chapter 41 Jugular Venous Pulse - p. 161 47. Chapter 42 Mitral Regurgitation - p. 164 48. Chapter 43 Mitral Stenosis - p. 169 49. Chapter 44 Mitral Valve Prolapse - p. 175 50. Chapter 45 Mixed Aortic Valve Lesion - p. 178 51. Chapter 46 Mixed Mitral and Aortic Valve Disease - p. 180 52. Chapter 47 Mixed Mitral Valve Disease - p. 182 53. Chapter 48 Patent Ductus Arteriosus - p. 184 54. Chapter 49 Pericardial Rub - p. 186 55. Chapter 50 Prosthetic Heart Valves - p. 189 56. Chapter 51 Pulmonary Stenosis - p. 192 57. Chapter 52 Slow Pulse Rate - p. 196 58. Chapter 53 Tricuspid Regurgitation - p. 200 59. Chapter 54 Ventricular Septal Defect - p. 202 60. Neurology - p. 205 61. Introduction to Section: History and Examination of the Nervous System - p. 207 62. Chapter 55 Abnormal Gait - p. 216 63. Chapter 56 Argyll Robertson Pupil - p. 218 64. Chapter 57 Becker Muscular Dystrophy - p. 221 65. Chapter 58 Bilateral Spastic Paralysis (Spastic Paraplegia) - p. 224 66. Chapter 59 Bitemporal Hemianopia - p. 228 67. Chapter 60 Brown-Séquard Syndrome - p. 229 68. Chapter 61 Bulbar Palsy - p. 231 69. Chapter 62 Carpal Tunnel Syndrome - p. 233 70. Chapter 63 Cauda Equina Syndrome - p. 236 71. Chapter 64 Central Scotoma - p. 238 72. Chapter 65 Cerebellar Dysarthria - p. 240 73. Chapter 66 Cerebellar Syndrome - p. 242 74. Chapter 67 Cerebellopontine Angle Tumour - p. 244 75. Chapter 68 Charcot–Marie–Tooth Disease (Peroneal Muscular Atrophy) - p. 247 76. Chapter 69 Chorea - p. 250 77. Chapter 70 Lateral Popliteal Nerve Palsy, L4, L5 (Common Peroneal Nerve Palsy) - p. 253 78. Chapter 71 Deformity of a Lower Limb - p. 256 79. Chapter 72 Dermatomyositis - p. 260 80. Chapter 73 Expressive Dysphasia - p. 263 81. Chapter 74 Facioscapulohumeral Dystrophy (Landouzy–Déjérine Syndrome) - p. 265 82. Chapter 75 Friedreich's Ataxia - p. 268 83. Chapter 76 Guillain–Barré Syndrome - p. 271 84. Chapter 77 Hemiballismus - p. 274 85. Chapter 78 Hemiplegia - p. 275 86. Chapter 79 Homonymous Hemianopia - p. 282 87. Chapter 80 Internuclear Ophthalmoplegia - p. 284 88. Chapter 81 Jerky Nystagmus - p. 287 89. Chapter 82 Limb Girdle Dystrophy - p. 288 90. Chapter 83 Motor Neurone Disease - p. 291 91. Chapter 84 Multiple Sclerosis - p. 295 92. Chapter 85 Multiple System Atrophy - p. 302 93. Chapter 86 Myasthenia Gravis - p. 306 94. Chapter 87 Myotonia Congenita - p. 310 95. Chapter 88 Dystrophia Myotonica - p. 312 96. Chapter 89 Neurofibromatosis - p. 316 97. Chapter 90 Parkinson's Disease - p. 319 98. Chapter 91 Peripheral Neuropathy - p. 326 99. Chapter 92 Proximal Myopathy - p. 329 100. Chapter 93 Pseudobulbar Palsy - p. 331 101. Chapter 94 Ptosis and Horner’s Syndrome - p. 333 102. Chapter 95 Radial Nerve Palsy - p. 337 103. Chapter 96 Seventh Cranial Nerve Palsy - p. 339 104. Chapter 97 Sixth Cranial Nerve Palsy - p. 343 105. Chapter 98 Speech - p. 345 106. Chapter 99 Subacute Combined Degeneration of the Spinal Cord - p. 349 107. Chapter 100 Syringomyelia - p. 352 108. Chapter 101 Tabes Dorsalis - p. 356 109. Chapter 102 Tetraplegia - p. 358 110. Chapter 103 Third Cranial Nerve Palsy - p. 361 111. Chapter 104 Tremors - p. 364 112. Chapter 105 Tunnel Vision - p. 368 113. Chapter 106 Ulnar Nerve Palsy - p. 369 114. Chapter 107 Wallenberg Syndrome (Lateral Medullary Syndrome) - p. 372 115. Chapter 108 Wasting of the Small Muscles of the Hand - p. 374 116. Chapter 109 Winging of the Scapula - p. 376 117. Rheumatology - p. 377 118. Introduction to Section - p. 379 119. Chapter 110 Ankylosing Spondylitis - p. 383 120. Chapter 111 Charcot's Arthropathy - p. 386 121. Chapter 112 Ehlers–Danlos Syndrome - p. 389 122. Chapter 113 Gout - p. 393 123. Chapter 114 Osteoarthritis - p. 396 124. Chapter 115 Painful Knee Joint - p. 400 125. Chapter 116 Psoriatic Arthritis - p. 402 126. Chapter 117 Rheumatoid Hands - p. 404 127. Chapter 118 Still's Disease (Juvenile Idiopathic Arthritis) - p. 409 128. Dermatology - p. 412 129. Chapter 119 Acanthosis Nigricans - p. 414 130. Chapter 120 Acne Vulgaris - p. 417 131. Chapter 121 Alopecia Areata - p. 419 132. Chapter 122 Arterial Leg Ulcer - p. 422 133. Chapter 123 Arteriovenous Fistula - p. 424 134. Chapter 124 Atopic Dermatitis (Eczema) - p. 426 135. Chapter 125 Bullous Eruption - p. 428 136. Chapter 126 Dermatitis Herpetiformis - p. 431 137. Chapter 127 Eruptive Xanthomata - p. 434 138. Chapter 128 Erythema Ab Igne - p. 435 139. Chapter 129 Erythema Multiforme - p. 438 140. Chapter 130 Erythema Nodosum - p. 440 141. Chapter 131 Fungal Nail Disease - p. 442 142. Chapter 132 Hairy Leukoplakia - p. 446 143. Chapter 133 Henoch–Schönlein Purpura - p. 447 144. Chapter 134 Hereditary Haemorrhagic Telangiectasia (Osler–Weber–Rendu Syndrome) - p. 451 145. Chapter 135 Herpes Simplex - p. 454 146. Chapter 136 Herpes Zoster Syndrome (Shingles) - p. 457 147. Chapter 137 Ichthyosis - p. 460 148. Chapter 138 Kaposi's Sarcoma - p. 462 149. Chapter 139 Lichen Planus - p. 466 150. Chapter 140 Lichen Simplex - p. 468 151. Chapter 141 Lipodystrophy - p. 470 152. Chapter 142 Lupus Pernio - p. 473 153. Chapter 143 Maculopapular Rash - p. 477 154. Chapter 144 Malignant Melanoma - p. 478 155. Chapter 145 Molluscum Contagiosum - p. 482 156. Chapter 146 Mycosis Fungoides (Cutaneous T-Cell Lymphoma) - p. 483 157. Chapter 147 Nail Changes - p. 486 158. Chapter 148 Necrobiosis Lipoidica - p. 488 159. Chapter 149 Onycholysis - p. 490 160. Chapter 150 Palmar Xanthomata - p. 492 161. Chapter 151 Peutz–Jeghers Syndrome - p. 493 162. Chapter 152 Phlebitis Migrans - p. 496 163. Chapter 153 Pseudoxanthoma Elasticum - p. 498 164. Chapter 154 Psoriasis - p. 502 165. Chapter 155 Purpura - p. 506 166. Chapter 156 Pyoderma Gangrenosum - p. 508 167. Chapter 157 Raynaud's Phenomenon - p. 512 168. Chapter 158 Rosacea - p. 514 169. Chapter 159 Scleroderma - p. 517 170. Chapter 160 Seborrhoeic Dermatitis - p. 521 171. Chapter 161 Sturge–Weber Syndrome (Encephalotrigeminal Angiomatosis) - p. 523 172. Chapter 162 Systemic Lupus Erythematosus - p. 527 173. Chapter 163 Tuberous Sclerosis (Bourneville's or Pringle's Disease) - p. 532 174. Chapter 164 Urticaria - p. 536 175. Chapter 165 Urticaria Pigmentosa - p. 538 176. Chapter 166 Venous Ulcer - p. 540 177. Chapter 167 Vitiligo - p. 544 178. Chapter 168 Xanthelasma - p. 547 179. Chapter 169 Xanthomata - p. 548 180. The Eye - p. 550 181. Introduction to Section - p. 551 182. Chapter 170 Age-Related Macular Degeneration (Senile Macular Degeneration) - p. 553 183. Chapter 171 Cataracts - p. 557 184. Chapter 172 Cholesterol Embolus in the Fundus - p. 559 185. Chapter 173 Diabetic Retinopathy - p. 562 186. Chapter 174 Hypertensive Retinopathy - p. 569 187. Chapter 175 Optic Atrophy - p. 574 188. Chapter 176 Osteogenesis Imperfecta - p. 576 189. Chapter 177 Papilloedema - p. 578 190. Chapter 178 Retinal Detachment - p. 582 191. Chapter 179 Retinal Vein Occlusion - p. 584 192. Chapter 180 Retinitis Pigmentosa - p. 587 193. Chapter 181 Subhyaloid Haemorrhage - p. 590 194. Chapter 182 Vitreous Opacities - p. 593 195. Endocrinology - p. 593 196. Introduction to Section: Examination of the Thyroi - p. 595 197. Chapter 183 Acromegaly - p. 597 198. Chapter 184 Addison's Disease - p. 601 199. Chapter 185 Carcinoid Syndrome - p. 603 200. Chapter 186 Cushing Syndrome - p. 606 201. Chapter 187 Diabetic Foot - p. 609 202. Chapter 188 Graves’ Disease - p. 613 203. Chapter 189 Gynaecomastia - p. 618 204. Chapter 190 Hypopituitarism (Simmonds Disease) - p. 620 205. Chapter 191 Hypothyroidism - p. 622 206. Chapter 192 Multinodular Goitre - p. 627 207. Chapter 193 Obesity - p. 630 208. Chapter 194 Carpopedal Spasm (Post-Thyroidectomy Hypoparathyroidism) - p. 635 209. Chapter 195 Pretibial Myxoedema - p. 638 210. Chapter 196 Orbitopathy - p. 640 211. Chapter 197 Type 2 Diabetes Mellitus - p. 645 212. Self Assessment Cases - p. 648 213. Chapter 198 Respiratory Case - p. 650 214. Chapter 199 Abdominal Case - p. 654 215. Chapter 200 Cardiology Case - p. 657 216. Chapter 201 Neurology Case - p. 660 217. Chapter 202 Rheumatology Case - p. 661 218. Chapter 203 Dermatology Case - p. 663 219. Chapter 204 Eye Case - p. 670 220. Chapter 205 Endocrinology Case - p. 673 221. Miscellaneous and Symptom Based Cases–Core Medical Curriculum - p. 675 222. Introduction to Section - p. 677 223. Chapter 206 The Emergency Presentations - p. 678 224. Chapter 207 Abdominal Mass - p. 683 225. Chapter 208 Anxiety - p. 686 226. Chapter 209 Back Pain - p. 688 227. Chapter 210 Breathlessness - p. 690 228. Chapter 211 Bruising - p. 693 229. Chapter 212 Cellulitis - p. 697 230. Chapter 213 Chest Pain - p. 699 231. Chapter 214 Collapse - p. 704 232. Chapter 215 Confusion - p. 708 233. Chapter 216 Cough - p. 712 234. Chapter 217 Crohn's Disease - p. 714 235. Chapter 218 Diarrhoea - p. 717 236. Chapter 219 Dysuria and Haematuria - p. 719 237. Chapter 220 Falls - p. 722 238. Chapter 221 Fever - p. 724 239. Chapter 222 Haemoptysis - p. 728 240. Chapter 223 Headache - p. 731 241. Chapter 224 Hypertension - p. 736 242. Chapter 225 Hypokalaemia/Hyperkalaemia - p. 741 243. Chapter 226 Hyponatraemia/Hypernatraemia - p. 744 244. Chapter 227 Lymphadenopathy - p. 747 245. Chapter 228 Melaena - p. 752 246. Chapter 229 Memory Loss - p. 756 247. Chapter 230 Micturition Difficulties - p. 760 248. Chapter 231 Neck Pain - p. 762 249. Chapter 232 Oedema - p. 765 250. Chapter 233 Palpitations - p. 768 251. Chapter 234 Poisoning - p. 771 252. Chapter 235 Pruritus - p. 774 253. Chapter 236 Seizures - p. 776 254. Chapter 237 Speech Disturbance - p. 778 255. Chapter 238 Swallowing Difficulties - p. 781 256. Chapter 239 Swollen Leg - p. 784 257. Chapter 240 Syncope - p. 790 258. Chapter 241 The Post-Operative Patient - p. 792 259. Chapter 242 The Pregnant Patient - p. 795 260. Chapter 243 Unsteadiness - p. 798 261. Chapter 244 Weight Loss - p. 800 262. Core Medical Procedures - p. 805 263. Chapter 245 Central Line Insertion - p. 808 264. Chapter 246 Chest Drain Insertion for Spontaneous (Non-Traumatic) Pneumothorax - p. 810 265. Chapter 247 Emergency Synchronized Direct Current Cardioversion (DCCV) - p. 813 266. Chapter 248 Knee Arthrocentesis - p. 816 267. Chapter 249 Lumbar Puncture - p. 818 268. Chapter 250 Therapeutic Abdominal Paracentesis - p. 821 269. Index - p. 825
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