Download 100 cases in clinical medicine by P John Rees, James Pattison, Visit Amazon's Christopher PDF

By P John Rees, James Pattison, Visit Amazon's Christopher Kosky Page, search results, Learn about Author Central, Christopher Kosky,

"Preface so much medical professionals imagine that the main memorable strategy to study medication is to work out sufferers. it's more straightforward to remember details in line with a true individual than a web page in a textbook. one other very important aspect within the retention of knowledge is the intensity of studying. studying that seeks to appreciate difficulties is prone to be available later than superficial genuine accumulation. this is often the root of problem-based  Read more...

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Otherwise, examination of her cardiovascular and respiratory systems is normal. Neurological examination shows a left upper motor neurone facial palsy with mild weakness and increased tone and reflexes in the left arm and leg. She is able to walk with a stick. Fundoscopy shows arteriovenous nipping and increased tortuosity of the arteries. 45 mmol/L 3–17 mmol/L 5–35 IU/L 30–300 IU/L Urinalysis: 1 protein; 1 blood Blood film: normochromic, normocytic anaemia Questions • What is the diagnosis? • How would you investigate and manage this patient?

However his chest X-ray is normal. 1, arrow). This can be treated with surgery or radiotherapy. Transsphenoidal microadenomectomy is the treatment of choice as it cures the patient and leaves them with normal hypothalamic–pituitary–adrenal function. 1 Magnetic resonance imaging scan through the pituitary. Key Points • Patients with rapid-onset obesity should have endocrine causes excluded. • Corticosteroid treatment is the commonest cause for Cushing’s syndrome. • Patients with severe and rapid-onset Cushing’s syndrome often have ectopic ACTH secretion or cortisol-secreting adrenal tumours.

Vitamin K is used to correct clotting abnormalities. An ascitic tap should be performed to exclude spontaneous bacterial peritonitis (which maybe asymptomatic). Treatment of ascites includes a low sodium diet and spironolactone. Daily weights should be used to measure fluid losses. Therapeutic paracentesis with concomitant albumin infusion can be used if the ascites is diuretic resistant or very uncomfortable. Surveillance endoscopy and banding of oesophageal varices should be considered in this patient, as there is evidence of portal hypertension.

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