250 Cases in Clinical Medicine-5판

Medical curricula change continually to reflect the evolving roles of doctors, changes in treatments and advances in 
technology. Medicine moves at pace and it takes a practitioner committed to continuing professional development to 
keep 
up. This new edition of 250 Cases in Clinical Medicine has been thoroughly updated to reflect the changing form of the 
Royal College of Physicians’ curriculum. Some chapters from the previous edition have been dropped to allow new, more 
clinically relevant topics to be included. Chapters of symptom-based cases have also been added, as well as a section 
on acute medical problems and their management.

Essential reading for MBBS, PLAB, MRCP (UK), MRCPI, MD (New Zealand, Malaysia, Singapore, India, Pakistan, Sri 
Lanka 
and Bangladesh), FRACP, FCCP and postgraduate medical examinations in the USA including USMLE and ABIM.

•New author team
•Cases alphabetised by system
•Procedures for the core medical curriculum added
•Symptoms-based cases added
•Emergency presentations added
•Self-assessment by system added
•Accompanying e-book on StudentConsult
•Now in full colour 



 Respiratory system

 Introduction to section

 Asthma

 Bronchiectasis

 Collapsed lung

 Consolidation

 COPD

 Cor Pulmonale

 Cystic Fibrosis

 Idiopathic Pulmonary Fibrosis

 Lung Cancer

 Obstructive Sleep Apnoea

 Old tuberculosis

 Pleural Effusion

 Pleural Rub

 Pneumothorax


 Abdomen

 Introduction to section

 Chronic Lymphocytic Leukaemia

 Cirrhosis of the liver

 Felty's Syndrome

 Haemochromatosis

 Hepatomegaly

 Jaundice

 Polycistic Kidney Disease

 Primary Biliary Cirrhosis

 Splenomegaly

 Transplanted Kidney

 Unilateral palpable kidney

 Wilson's Disease


 Cardiovascular system

 Introduction to section

 Absent Radial Pulse

 Aortic Regurgitation

 Coarctation of the Aorta

 Constrictive Pericarditis

 Dextrocardia

 Ebstein's Anomaly

 Eisenmenger Syndrome

 Fallot's Tetralogy

 Gallop Rhythm

 Congestive Cardiac Failure

 Hypertrophic Cardiomyopathy

 Jugular Venous Pulse

 Mitral Regurgitation

 Mitral Stenosis

 Mitral valve prolapse

 Mixed Aortic Valve Lesion

 Mixed Mitral and Aortic Valve Disease

 Mixed Mitral Valve Disease

 Patent Ductus Arteriosus

 Pericardial Rub

 Prosthetic Heart Valves

 Pulmonary Stenosis

 Slow Pulse Rate

 Tricuspid Regurgitation

 Ventricular Septal Defect
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 Neurology

 Introduction to section

 Abnormal gait

 Argyll Robertson pupil

 Becker Muscular Dystrophy

 Bilateral Spastic Paraplegia

 Bitemporal Hemianopia

 Brown-sequard syndrome

 Bulbar Palsy

 Carpal Tunnel Syndrome

 Cauda Equina Syndrome

 Central Scotoma

 Cerebellar Dysarthria

 Cerebellar Syndrome

 Cerebellopontine Angle Tumour

 Charcot-Marie-Tooth Disease

 Chorea

 Common Peroneal Nerve Palsy

 Deformity of a lower limb

 Dermatomyositis

 Expressive Dysphasia

 Facioscapulohumeral Dystrophy

 Friederich's Ataxia

 Gullian-Barre Syndrome

 Hemiballismus

 Hemiplegia

 Homonymous Hemianopia

 Internuclear Opthalmoplegia

 Jerky Nystagmus

 Limb Girdle Dystrophy

 Motor Neurone Disease

 Multiple Sclerosis

 Multiple System Atrophy

 Myasthenia Gravis

 Myotonia Congenita

 Myotonic Dystrophy

 Neurofibromatosis

 Parkinson's Disease

 Peripheral Neuropathy

 Proximal Myopathy

 Pseudobulbar Palsy

 Ptosis and Horner Syndrome

 Radial Nerve Palsy

 Seventh Nerve Palsy

 Sixth Nerve Palsy

 Speech

 Subacute Combined Degeneration of the Spinal Cord

 Syringomyelia

 Tabes Dorsalis

 Tetraplegia

 Third Cranial Nerve Palsy

 Tremors

 Tunnel Vision

 Ulnar Nerve Palsy

 Wallenberg Syndrome

 Wasting of the small muscle of the hands

 Winging of the Scapula


 Rheumatology

 Introduction to section

 Ankylosing Spondylitis

 Charcots Arthropathy

 Ehlers-Danlos Syndrome

 Gout

 Osteoarthritis

 Painful Knee Joint

 Psoriatic Arthritis

 Rheumatoid Hands

 Still's Disease


 Dermatology

 Acanthosis Nigricans

 Acne Vulgaris

 Alopecia Areata

 Arterial Leg Ulcer

 Arteriovenous Fistula

 Atopic Dermatitis

 Bullous Eruption

 Dermatitis Herpetiformis

 Eruptive Xanthomas

 Erythema Ab Igne

 Erythema Multiforme

 Erythema Nodosum

 Fungal Nail Disease

 Hairy Leukoplakia

 Henoch-Schonlein Purpura

 Hereditary Haemorrhagic Telangiectasia

 Herpes Simplex

 Herpes Zoster Syndrome (Shingles)

 Ichthyosis

 Kaposi's Sarcoma

 Lichen Planus

 Lichen Simplex

 Lipodystrophy

 Lupus Pernio

 Maculopapular Rash

 Malignant Melanoma

 Molluscum Contagiosum

 Mycosis Fungoides

 Nail Changes

 Necrobiosis Lipoidica

 Onycholysis

 Palmar Xanthomas

 Peutz-Jeghers Syndrome

 Phlebitis Migrans

 Pseudoxanthoma Elasticum

 Psoriasis

 Purpura

 Pyoderma Gangrenosum

 Raynaud's Phenomenon

 Rosacea

 Scleroderma

 Seborrhoeic Dermatitis

 Sturge-Weber Syndrome

 Systemic Lupus Erythematosus

 Tuberous Sclerosis

 Urticaria

 Urticaria Pigmentosa

 Venous Ulcer

 Vitiligo

 Xanthelasma

 Xanthoma


 The Eye

 Introduction to section

 Age Related Macular Degeneration

 Cataracts

 Cholesterol Embolus

 Diabetic Retinopathy

 Hypertensive Retinopathy

 Optic Atrophy

 Osteogenesis Imperfecta

 Papilloedema

 Retinal detachment

 Retinal vein occlusion

 Retinitis pigmentosa

 Subhyaloid Haemorrhage

 Vitreous opacities


 Endocrinology

 Introduction to section

 Acromegaly

 Addison Disease

 Carcinoid Syndrome

 Cushing Syndrome

 Diabetic Foot

 Graves Disease

 Gynaecomastia

 Hypopituitarism

 Hypothyroidism

 Multinodular Goitre

 Obesity

 Post Thyroidectomy Hypoparathyroidism

 Pretibial Myxoedema

 Thyroid Orbitopathy

 Type 2 diabetes mellitus


 Self Assessment 

 Respiratory case

 Abdominal case

 Cardiology case

 Neurology case

 Rheumatology case

 Dermatology case

 Eye case

 Endocrinology case


 Symptom based cases 1

 Cellulitis

 Crohn's disease

 Hypertension


 Emergency presentations

 Emergency presentations


 Symptom based cases 2

 Introduction to section

 Abdominal mass

 Anxiety 

 Back Pain

 Breathlessness

 Bruising

 Chest Pain

 Collapse 

 Confusion

 Cough

 Diarrhoea

 Dysuria and Haematuria

 Falls

 Fever

 Haemoptysis

 Headache

 Hypokalaemia/Hyperkalaemia

 Hyponatraemia/Hypernatraemia

 Lymphadenopathy

 Melaena

 Memory Problems

 Micturition Difficulties

 Neck Pain

 Oedema

 Palpitations

 Poisoning

 Pruritis

 Seizures

 Speech disturbance

 Swallowing difficulties

 Swollen leg

 Syncope

 Unsteadiness

 Weight loss


 Miscellaneous cases

 The postoperative patient

 The pregnant patient


 Procedures for the core medical curriculum

 Central line insertion

 Chest drain insertion

 Direct current cardioversion

 Knee arthrocentesis

 Lumbar puncture

 Therapeutic Abdominal Paracentesis


 Miscellaneous cases 2

 Ascites

 Aortic stenosis

 Atrial septal defect