Clinical Problems in Medicine and Surgery 3/e

Clinical Problems in Medicine and Surgery is a departure from traditional medical textbooks in that it deals with the
real problems of clinical medicine through scenarios encountered in the emergency department, on the wards and in
outpatient clinics. First published in 1992, the book has found great popularity with medical students, residents and
interns about to experience, or already experiencing, the real world of medical practice.






The book comprises 55 real-life medical scenarios to illustrate important everyday principles in clinical medicine. For
this new Third Edition the successful format of case presentation, interspersed with questions and answers, and a final
synopsis of key material, has been retained, while new cases have been added and the many useful web-links updated.
With the assistance of expert colleagues across three continents, each problem has been revised and updated. New images
have been added which reflect the extensive changes in the field of minimally invasive diagnostics. Searching questions
will guide the reader towards further self-directed learning.






This book does not purport to be an exhaustive text on clinical medicine. Nor is it a replacement for real-life
clinical experience and the hands-on teaching of expert clinicians. It is designed rather as a wide-ranging source of
information and a practical aid to the management of clinical problems. The authors hope it will instil in the reader a
real sense of excitement and curiosity towards further learning.






. A highly praised book that tackles important medical and surgical topics from a problem-oriented angle.
. Adopts a case scenario approach which will encourage critical thinking and develop problem-solving skills.
. The cases cover all common and important problems likely to face the newly-qualified doctor in the casualty
department, on the wards or in the clinic.
. The questions although set in the context of the case are designed to test the reader's overall understanding of the
most relevant aspects of each topic.
. Well-illustrated with clinical photographs, pathological images and radiological scans and x-rays.







THE PROBLEMS



1 Difficulties with post-operative fluid balance in a 58 year old man






2 Postoperative fever






3 Postoperative hypotension






4 Confusion in the post-op ward






5 Swelling in the neck in a 58 year old man






6 A 55 year old woman with hypertension






7 A young woman with abnormal vaginal bleeding






8 A scrotal swelling in a 27-year-old man






9 A 63-year-old woman with a screen-detected abnormality






10 A 54-year old man with a high-voltage electrical conduction injury






11 Reflux in a 35-year-old man






12 Dysphagia and weight loss in a middle-aged man






13 Abdominal pain in a young woman






14 A woman with acute upper abdominal pain






15 Flank pain in a 60-year-old man






16 Lower abdominal pain in a 77-year-old woman






17 Nausea and constipation in an older woman



18 A lady with diarrhoea and abdominal pain






19 Rectal bleeding in a 45-year-old woman






20 Haematuria a 60-year-old man










22 Acute back pain in a 75-year-old man






23 A 59-year-old man with calf pain






24 Acute leg pain in a 73-year-old man






25 A 68-year-old woman with a leg ulcer






26 A 41-year-old man involved in a car crash



27 Management of Acute Coronary Syndrome (ACS)






28 Breathlessness in a young female






29 A 25-year-old woman with chest pain and breathlessness






30 Recurrent collapse in a 56-year-old truck driver






31 A 68-year-old woman with breathlessness and yellow sputum






32 Persistent cough in a young woman






33 Cough, dyspnoea and fever in a 55 year old man






34 Breathlessness and weight loss in a 58-year-old man






35 A 35-year-old woman vomiting blood






36 A young woman with jaundice






37 A 47 year-old man with lethargy and hypertension






38 A 35-year-old woman with hypertension






39 A young man with depressed conscious state and seizures






40 A middle-aged man with sudden visual loss






41 "Jack has leg weakness"






42 Fall during a fishing weekend






43 An unwell young man in the emergency room






44 A 68 year-old female with a left hemiplegia following a conscious collapse






45 A 31-year-old woman with vertigo






46 A 31-year-old man with sudden onset headache and vomiting






47 Fatigue and bruising in a teenager






48 Severe dehydration in a young woman






49 A woman with palpitations



50 A collapsed, breathless woman






51 Management of a young man who is HIV positive






52 Back and leg pain in a middle-aged man






53 Back and leg pain in a middle-aged man






54 A listless 45-year-old man






55 A 74 year old man with confusion and oliguria