100 Cases in Clinical Medicine - download pdf or read online

By John Rees, James Pattison, Gwyn Williams

ISBN-10: 0340926597

ISBN-13: 9780340926598

ISBN-10: 1444113623

ISBN-13: 9781444113624

This article covers center fabric in scientific medication. overlaying the main structures in 15 sections, each one part contains 8 instances. those situations replicate these which scholars and condo officials will meet in outpatients and basic perform. disguise; e-book name; Contents; Preface; Acknowledgements; Abbreviations; part 1: Systems-related circumstances; part 2: basic self-assessment situations; Index

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The raised white count is compatible with acute hepatitis. Homosexuality and intravenous drug abuse are risk factors for hepatitis B and C. Other viral infections such as cytomegalovirus and herpes simplex virus are possible. Since the drug ingestion history is unclear, there is a possibility of a drug-induced hepatitis. The prodromal joint symptoms suggest a viral infection as the cause, and this is more common with hepatitis B. Serological tests can be used to see whether there are immunoglobulin M (IgM) antibodies indicating acute infection with one of these viruses, to confirm the diagnosis.

Elderly patients with pyelonephritis may present with nonspecific symptoms and confusion. Pyelonephritis may also mimic other conditions such as acute appendicitis, acute cholecystitis, acute pancreatitis and lower lobe pneumonia. There is usually marked tenderness over the kidneys both posteriorly and anteriorly. Severe untreated infection may lead on to septic shock. The raised white cell count and CRP are consistent with an acute bacterial infection. Microscopic haematuria, proteinuria and leucocytes in the urine occur because of inflammation in the urinary tract.

In this man a magnetic resonance imaging (MRI) scan (T1-weighted coronal image) through the pituitary shows a hypointense microadenoma (Fig. 1, arrow). This can be treated with surgery or radiotherapy. 1 Magnetic resonance imaging scan through the pituitary. KEY POINTS • Patients with rapid-onset obesity should have endocrine causes excluded. • Corticosteroid treatment is the commonest cause for Cushing’s syndrome. • Patients with severe and rapid-onset Cushing’s syndrome often have ectopic ACTH secretion or cortisol-secreting adrenal tumours.

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100 Cases in Clinical Medicine by John Rees, James Pattison, Gwyn Williams

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