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.
Muu info
This book covers all 67 acute medical presentations specified by the Royal College of Physicians for training in acute and general medicine.
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viii | |
| Preface |
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xi | |
| Acknowledgements |
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xii | |
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xiii | |
| Introduction: presentations to acute medicine |
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xvii | |
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1 Abdominal mass/hepatosplenomegaly |
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1 | (8) |
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9 | (7) |
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3 Abdominal swelling and constipation |
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16 | (8) |
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24 | (5) |
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29 | (9) |
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6 Acute kidney injury (AKI) and chronic kidney disease (CKD) |
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38 | (9) |
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7 Aggressive/disturbed behaviour |
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47 | (5) |
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8 Alcohol and substance dependence |
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52 | (7) |
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59 | (6) |
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10 Anxiety/panic disorder |
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65 | (4) |
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11 Blackout/collapse: cardiac pacemakers |
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69 | (8) |
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77 | (11) |
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13 Bruising and spontaneous bleeding |
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88 | (6) |
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14 Cardiorespiratory arrest |
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94 | (10) |
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104 | (11) |
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16 Confusion/acute delirium |
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115 | (6) |
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121 | (7) |
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128 | (5) |
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133 | (8) |
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141 | (8) |
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149 | (6) |
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155 | (8) |
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163 | (12) |
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175 | (10) |
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25 Genital discharge and genital ulceration |
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185 | (6) |
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26 Haematemesis and melaena |
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191 | (9) |
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200 | (6) |
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206 | (5) |
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211 | (7) |
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218 | (10) |
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31 Hoarseness and stridor |
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228 | (5) |
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233 | (4) |
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237 | (7) |
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244 | (8) |
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252 | (7) |
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259 | (9) |
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268 | (6) |
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38 Unilateral limb pain and swelling |
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274 | (9) |
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283 | (6) |
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289 | (6) |
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41 Medical complications during acute illness and following surgical procedures |
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295 | (6) |
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42 Medical problems in pregnancy |
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301 | (6) |
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43 Memory loss (progressive) |
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307 | (7) |
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44 Micturition difficulties |
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314 | (4) |
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318 | (5) |
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46 Palliative and end of life care |
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323 | (8) |
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331 | (10) |
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48 Physical symptoms in absence of organic disease |
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341 | (5) |
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346 | (7) |
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50 Polydipsia and polyuria: water and sodium homeostasis; hypo- and hypernatraemia |
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353 | (8) |
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51 Polydipsia and polyuria: the patient presenting with polydipsia and/or polyuria |
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361 | (5) |
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366 | (5) |
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371 | (5) |
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376 | (7) |
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383 | (5) |
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388 | (12) |
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400 | (8) |
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408 | (7) |
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415 | (6) |
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60 Swallowing difficulties (dysphagia) |
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421 | (7) |
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428 | (8) |
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62 The unconscious patient |
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436 | (11) |
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63 Unsteadiness and balance disturbance |
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447 | (5) |
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452 | (6) |
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458 | (10) |
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66 Weakness and paralysis |
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468 | (16) |
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484 | (6) |
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| Index |
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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.