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E-raamat: Acute Medicine: A Symptom-Based Approach

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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 30-Oct-2014
  • Kirjastus: Cambridge University Press
  • Keel: eng
  • ISBN-13: 9781316190241
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  • Formaat: EPUB+DRM
  • Ilmumisaeg: 30-Oct-2014
  • Kirjastus: Cambridge University Press
  • Keel: eng
  • ISBN-13: 9781316190241
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This practical book describes the basic science, clinical presentation and management of the 67 common acute medical presentations stipulated in the Royal College of Physicians syllabus for Core Medical Training and Acute Core Common Stem. Case scenarios are included for each presentation, and guidance about management is offered in the context of national guidelines and important studies Experienced clinicians describe their approach to common difficult problems and explain the answers to questions often asked on the ward round by successive generations of trainees Chapters highlight key decisions that need to be made early, common misunderstandings, and risks Detailed discussion provides an understanding of the rationale, allowing the reader to apply their knowledge to other situations Guidance is provided on urgency of referral, safe ambulatory management, and when to seek specialist help. This is an essential resource that provides readers with the knowledge base to practise as a confident medical registrar.

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This book covers all 67 acute medical presentations specified by the Royal College of Physicians for training in acute and general medicine.
List of contributors
viii
Preface xi
Acknowledgements xii
List of abbreviations
xiii
Introduction: presentations to acute medicine xvii
1 Abdominal mass/hepatosplenomegaly
1(8)
David Tate
2 Abdominal pain
9(7)
Stephen Haydock
Gareth Walker
3 Abdominal swelling and constipation
16(8)
Charlotte Rutter
4 Abnormal sensation
24(5)
Edward Fathers
5 Acute back pain
29(9)
Luke Gompels
6 Acute kidney injury (AKI) and chronic kidney disease (CKD)
38(9)
Duncan Whitehead
7 Aggressive/disturbed behaviour
47(5)
Stephen Haydock
8 Alcohol and substance dependence
52(7)
Gillian Sims
Stephen Haydock
9 Anaphylaxis
59(6)
Jonathan Hills
10 Anxiety/panic disorder
65(4)
Stephen Haydock
11 Blackout/collapse: cardiac pacemakers
69(8)
Stephen Haydock
Mark Dayer
12 Breathlessness
77(11)
Robert A. Stone
13 Bruising and spontaneous bleeding
88(6)
Julia Czuprynska
14 Cardiorespiratory arrest
94(10)
Zoe Fritz
15 Chest pain
104(11)
Stuart Walker
16 Confusion/acute delirium
115(6)
Peter M. F. Campbell
17 Cough
121(7)
Robert A. Stone
18 Dialysis
128(5)
Duncan Whitehead
Stephen Haydock
19 Diarrhoea
133(8)
Iftikhar Ahmed
Emma Greig
20 Dyspepsia
141(8)
Paul D. Thomas
21 Dysuria
149(6)
Satish Thomas William
22 Falls
155(8)
Lucy Pollock
23 Fever
163(12)
Daniel E. Greaves
Sani H. Aliyu
24 Fits and seizures
175(10)
Christopher J. S. Price
25 Genital discharge and genital ulceration
185(6)
Satish Thomas William
26 Haematemesis and melaena
191(9)
Gareth Corbett
Ewen Cameron
27 Haematuria
200(6)
Duncan Whitehead
28 Haemoptysis
206(5)
Marko Nikolic
Jonathan Fuld
29 Head injury
211(7)
Cliff Mann
30 Headache
218(10)
Stephen Haydock
31 Hoarseness and stridor
228(5)
Marko Nikolic
Jonathan Fuld
32 Hypothermia
233(4)
Mohamed Yousuf
33 Immobility
237(7)
Matthew R. Hayman
Cally Williamson
Stephen Haydock
34 Incidental findings
244(8)
Stephen Haydock
35 Involuntary movements
252(7)
Mark Fish
36 Jaundice
259(9)
Jane Chalmers
Rudi Matull
37 The swollen joint
268(6)
Catherine Laversuch
38 Unilateral limb pain and swelling
274(9)
Stephen Haydock
39 Loin pain
283(6)
Duncan Whitehead
Stephen Haydock
40 Lymphadenopathy
289(6)
Deepak Mannari
41 Medical complications during acute illness and following surgical procedures
295(6)
Zoe Fritz
42 Medical problems in pregnancy
301(6)
Nic Wenninke
43 Memory loss (progressive)
307(7)
Matthew R. Hayman
44 Micturition difficulties
314(4)
Duncan Whitehead
45 Neck pain
318(5)
Catherine Laversuch
46 Palliative and end of life care
323(8)
Marianne Tinkler
47 Palpitations
331(10)
Darshan H. Brahmbhatt
Peter J. Pugh
48 Physical symptoms in absence of organic disease
341(5)
Marguerite Paffard
49 Poisoning
346(7)
Stephen Haydock
50 Polydipsia and polyuria: water and sodium homeostasis; hypo- and hypernatraemia
353(8)
John Kalk
51 Polydipsia and polyuria: the patient presenting with polydipsia and/or polyuria
361(5)
Stephen Haydock
John Kalk
52 Pruritus
366(5)
Penny Williams
53 Rash
371(5)
Pawel Bogucki
54 Rectal bleeding
376(7)
Stephen Haydock
Gareth Walker
55 Sepsis
383(5)
Andrew Thompson
56 The shocked patient
388(12)
Christopher Westall
Kobus Preller
57 Skin and mouth ulcers
400(8)
Pawel Bogucki
Tony Coll
58 Speech disturbance
408(7)
Rob Whiting
Stephen Haydock
59 Suicidal ideation
415(6)
Marguerite Paffard
60 Swallowing difficulties (dysphagia)
421(7)
Iftikhar Ahmed
Rudi Matull
61 Syncope/collapse
428(8)
Mark Dayer
62 The unconscious patient
436(11)
Christopher Westall
Kobus Preller
63 Unsteadiness and balance disturbance
447(5)
Edward Fathers
64 Visual disturbance
452(6)
Kate R. Petheram
Chris Allen
65 Vomiting and nausea
458(10)
Emma Greig
66 Weakness and paralysis
468(16)
Kate R. Petheram
Chris Allen
Rob Whiting
67 Weight loss
484(6)
Emma Greig
Index 490
Stephen Haydock is Consultant Physician, Taunton and Somerset NHS Foundation Trust, UK. Duncan Whitehead is Consultant Nephrologist and Physician, Taunton and Somerset NHS Foundation Trust, UK. Zoe Fritz is Wellcome Trust Research Fellow in Bioethics at the Universities of Warwick and Cambridge and Consultant Physician in Acute Medicine at Addenbrooke's Hospital, Cambridge, UK.