A 32-year-old Caucasian lady was admitted to hospital following a collapse at the gym. Her friends described the patient falling to the floor while exercising on the rowing machine, followed by twitching of her arms and legs and a period of being unrousable. You are the medic on duty…
100 Cases in Acute Medicine presents 100 acute conditions commonly seen by medical students and junior doctors in the emergency department, or on the ward or in the community setting. A succinct summary of the patient's history, examination and initial investigations, including photographs where relevant, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors.
Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. These cases will teach students and junior doctors to recognize important clinical symptoms and signs, and to develop their diagnostic and management skills.
Contents
Shortness of breath and a cough
Collapse and confusion in a young woman
Diarrhoea with pneumonia
Swollen glands and hearing impairment
Nose bleed (epistaxis) following an operation
Worsening delirium
Deliberate self-harm with painkillers
Lymphadenopathy and malaise
The ill returning traveller
Delirium and urinary symptoms
Headache in pregnancy
Epigastric pain and vomiting
Severe pain in the legs
Chest pain radiating to the back
Shortness of breath (orthopnoea) with a cough
Recurrent abdominal pain
Haemoptysis in a returning traveller
Bloody diarrhoea
Drowsiness and headaches
Progressive lower limb weakness
Seizure and agitation
Substance misuse
Unilateral leg swelling
Voaused by norovirus
Fever and sore throat
Blurred vision
Recurring dizziness with exercise
Palpitations and collapse
Ecchymosis
Petechiae and limb weakness
Generalized weakness and dysarthria
Dysphagia and shallow breathing
Blisters and itchy skin
Shortness of breath following a fall
Swelling of lower limbs
Haemoptysis and shortness of breath
Knee swelling and pain
Bleeding per rectum
Shortness of breath and pedal oedema
Sharp central chest pain
Fever in a returned traveller
Red eyes and sight impairment
Rash and flu-like symptoms
Substance abuse and agitation
Generalized rash and malaise
Pruritic rash and alopecia
Defective vision and eye pain
Abdominal pain with malaise and fever
Painful shoulder and malaise
Facial rash in a patient with SLE
A woman 'off her legs'
Acute confusion
Memory loss and unsteadiness
Postop...
