This unique book presents a wealth of information on common presentations and illnesses, presented as medical case studies. It is useful for exam preparation, as a quick reference guide for working doctors, and as an interesting read for all those interested in medicine.
250 Clinical Cases covers a wide variety of conditions, providing in-depth insights into the most relevant topics, classified by system. Cases are accompanied by common viva voce examination questions as well as more advanced level questions that will help the reader develop a deeper understanding.
Now in its sixth edition, the book has been fully updated to reflect current evidence and relevance for working doctors. It will help everyone, from medical students to consultants, to find the hidden clinical gems and historical background they need to achieve true clinical excellence.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen. Any time. Anywhere - p. iii 5. Copyright - p. IFC1 6. Preface - p. iv 7. Acknolwedgements - p. xvi 8. Section I: Respiratory Cases - p. xvii 9. Chapter 1: Respiratory Case - p. xvii 10. Chapter 2: Asthma - p. 5 11. Chapter 3: Bronchiectasis - p. 9 12. Chapter 4: Cystic Fibrosis - p. 14 13. Chapter 5: Chronic Obstructive Pulmonary Disease - p. 19 14. Chapter 6: Idiopathic Pulmonary Fibrosis - p. 27 15. Chapter 7: Cor Pulmonale - p. 32 16. Chapter 8: Cough - p. 34 17. Chapter 9: Fever - p. 36 18. Chapter 10: Collapsed Lung - p. 40 19. Chapter 11: Obstructive Sleep Apnoea - p. 42 20. Chapter 12: Bronchogenic Carcinoma - p. 45 21. Chapter 13: Pulmonary Tuberculosis - p. 49 22. Section II: Cardiology Cases - p. 52 23. Chapter 14: Cardiovascular Case - p. 52 24. Chapter 15: Aortic Regurgitation - p. 57 25. Chapter 16: Aortic Stenosis - p. 62 26. Chapter 17: Mixed Aortic Valve Disease - p. 69 27. Chapter 18: Mitral Regurgitation - p. 71 28. Chapter 19: Mitral Stenosis - p. 75 29. Chapter 20: Mitral Valve Prolapse - p. 82 30. Chapter 21: Mixed Mitral Valve Disease - p. 85 31. Chapter 22: Mixed Mitral and Aortic Valve Disease - p. 87 32. Chapter 23: Prosthetic Heart Valves - p. 89 33. Chapter 24: Tricuspid Regurgitation - p. 92 34. Chapter 25: Pulmonary Stenosis - p. 95 35. Chapter 26: Atrial Septal Defect - p. 99 36. Chapter 27: Ventricular Septal Defect - p. 105 37. Chapter 28: Patent Ductus Arteriosus - p. 109 38. Chapter 29: Ebstein's Anomaly - p. 112 39. Chapter 30: Fallot's Tetralogy - p. 115 40. Chapter 31: Dextrocardia - p. 120 41. Chapter 32: Eisenmenger Syndrome - p. 122 42. Chapter 33: Hypertrophic Cardiomyopathy - p. 126 43. Chapter 34: Congestive Cardiac Failure - p. 131 44. Chapter 35: Constrictive Pericarditis - p. 135 45. Chapter 36: Weight Loss - p. 138 46. Section III: Abdominal Cases - p. 144 47. Chapter 37: Abdominal Case - p. 144 48. Chapter 38: Swallowing Difficulties - p. 148 49. Chapter 39: Diarrhoea - p. 151 50. Chapter 40: Crohn's Disease - p. 154 51. Chapter 41: Abdominal Mass - p. 158 52. Chapter 42: Ascites - p. 160 53. Chapter 43: Cirrhosis of the Liver - p. 164 54. Chapter 44: Jaundice - p. 169 55. Chapter 45: Hepatomegaly - p. 172 56. Chapter 46: Splenomegaly - p. 175 57. Chapter 47: Haemochromatosis - p. 178 58. Chapter 48: Wilson Disease - p. 182 59. Chapter 49: Felty Syndrome - p. 185 60. Section IV: Renal Cases - p. 188 61. Chapter 50: Unilateral Palpable Kidney - p. 188 62. Chapter 51: Polycystic Kidney Disease - p. 191 63. Chapter 52: Nephrotic Syndrome - p. 196 64. Chapter 53: Transplanted Kidney - p. 199 65. Chapter 54: Hypertension - p. 202 66. Section V: Haematology Cases - p. 207 67. Chapter 55: Anaemia - p. 207 68. Chapter 56: Bruising - p. 214 69. Chapter 57: Multiple Myeloma - p. 217 70. Chapter 58: Myelodysplastic Syndrome - p. 221 71. Chapter 59: Chronic Lymphocytic Leukaemia - p. 224 72. Chapter 60: Chronic Myeloid Leukaemia - p. 227 73. Chapter 61: Acute Leukaemia - p. 230 74. Chapter 62: Lymphadenopathy - p. 234 75. Section VI: Rheumatology Cases - p. 240 76. Chapter 63: Rheumatology Case - p. 240 77. Chapter 64: Ankylosing Spondylitis - p. 246 78. Chapter 65: Charcot Arthropathy - p. 250 79. Chapter 66: Ehlers–Danlos Syndrome - p. 253 80. Chapter 67: Gout - p. 257 81. Chapter 68: Osteoarthritis - p. 261 82. Chapter 69: Psoriatic Arthritis - p. 265 83. Chapter 70: Rheumatoid Hands - p. 268 84. Chapter 71: Dermatomyositis—Proximal Muscle Weakness - p. 274 85. Chapter 72: Scleroderma - p. 278 86. Chapter 73: Systemic Lupus Erythematosus - p. 283 87. Chapter 74: Small-vessel ANCA-associated vasculitis - p. 289 88. Section VII: Endocrinology Cases - p. 293 89. Chapter 75: Acromegaly - p. 293 90. Chapter 76: Hypopituitarism (Simmonds Disease) - p. 299 91. Chapter 77: Endocrinology Case - p. 301 92. Chapter 78: Graves Disease - p. 304 93. Chapter 79: Orbitopathy - p. 309 94. Chapter 80: Multinodular Goitre - p. 314 95. Chapter 81: Hypothyroidism - p. 318 96. Chapter 82: Hypoparathyroidism - p. 324 97. Chapter 83: Primary Hyperparathyroidism - p. 327 98. Chapter 84: Addison Disease - p. 330 99. Chapter 85: Cushing Syndrome - p. 333 100. Chapter 86: Carcinoid Syndrome - p. 337 101. Chapter 87: Gynaecomastia - p. 340 102. Chapter 88: Falls—Osteoporosis - p. 342 103. Chapter 89: Obesity - p. 345 104. Chapter 90: Type 1 Diabetes - p. 350 105. Chapter 91: Type 2 Diabetes Mellitus - p. 353 106. Chapter 92: Diabetic Foot - p. 357 107. Section VIII: Eye Cases for Internal Medicine - p. 361 108. Chapter 93: The Eye Case - p. 361 109. Chapter 94: Age-Related Macular Degeneration - p. 365 110. Chapter 95: Cataracts - p. 370 111. Chapter 96: Cholesterol Embolus in the Fundus - p. 372 112. Chapter 97: Diabetic Retinopathy - p. 375 113. Chapter 98: Hypertensive Retinopathy - p. 382 114. Chapter 99: Optic Atrophy - p. 386 115. Chapter 100: Osteogenesis Imperfecta - p. 389 116. Chapter 101: Papilloedema - p. 391 117. Chapter 102: Retinal Detachment - p. 395 118. Chapter 103: Retinal Vein Occlusion - p. 398 119. Chapter 104: Retinitis Pigmentosa - p. 401 120. Chapter 105: Subhyaloid Haemorrhage - p. 404 121. Chapter 106: Vitreous Opacities - p. 407 122. Section IX: Dermatology Cases for Internal Medicine - p. 408 123. Chapter 107: Acanthosis Nigricans - p. 408 124. Chapter 108: Acne Vulgaris - p. 412 125. Chapter 109: Alopecia Areata - p. 415 126. Chapter 110: Arterial Leg Ulcer - p. 418 127. Chapter 111: Arteriovenous Fistula - p. 421 128. Chapter 112: Atopic Dermatitis—Eczema - p. 424 129. Chapter 113: Bullous Eruption - p. 427 130. Chapter 114: Mycosis Fungoides (Cutaneous T-Cell Lymphoma) - p. 431 131. Chapter 115: Dermatitis Herpetiformis - p. 434 132. Chapter 116: Eruptive Xanthomata - p. 437 133. Chapter 117: Erythema Ab Igne - p. 439 134. Chapter 118: Erythema Multiforme - p. 442 135. Chapter 119: Erythema Nodosum - p. 445 136. Chapter 120: Fungal Nail Disease - p. 447 137. Chapter 121: Hairy Leukoplakia - p. 451 138. Chapter 122: Henoch–Schönlein Purpura - p. 453 139. Chapter 123: Hereditary Haemorrhagic Telangiectasia (Osler–Weber–Rendu Syndrome) - p. 457 140. Chapter 124: Herpes Simplex - p. 461 141. Chapter 125: Herpes Zoster Syndrome (Shingles) - p. 464 142. Chapter 126: Ichthyosis - p. 467 143. Chapter 127: Lichen Planus - p. 470 144. Chapter 128: Lichen Simplex - p. 473 145. Chapter 129: Lipodystrophy - p. 475 146. Chapter 130: Lupus Pernio - p. 478 147. Chapter 131: Maculopapular Rash - p. 482 148. Chapter 132: Malignant Melanoma - p. 484 149. Chapter 133: Molluscum Contagiosum - p. 488 150. Chapter 134: Nail Changes - p. 490 151. Chapter 135: Necrobiosis Lipoidica - p. 493 152. Chapter 136: Neurofibromatosis - p. 495 153. Chapter 137: Onycholysis - p. 500 154. Chapter 138: Palmar Xanthomata - p. 502 155. Chapter 139: Peutz–Jeghers Syndrome - p. 504 156. Chapter 140: Phlebitis Migrans - p. 507 157. Chapter 141: Pretibial Myxoedema - p. 509 158. Chapter 142: Pseudoxanthoma Elasticum - p. 512 159. Chapter 143: Psoriasis - p. 516 160. Chapter 144: Purpura - p. 520 161. Chapter 145: Pyoderma Gangrenosum - p. 522 162. Chapter 146: Raynaud's Phenomenon - p. 526 163. Chapter 147: Rosacea - p. 529 164. Chapter 148: Seborrhoeic Dermatitis - p. 531 165. Chapter 149: Sturge–Weber Syndrome (Encephalotrigeminal Angiomatosis) - p. 534 166. Chapter 150: Tuberous Sclerosis (Bourneville or Pringle Disease) - p. 538 167. Chapter 151: Urticaria - p. 543 168. Chapter 152: Urticaria Pigmentosa - p. 546 169. Chapter 153: Venous Ulcer - p. 548 170. Chapter 154: Vitiligo - p. 552 171. Chapter 155: Xanthelasma - p. 555 172. Chapter 156: Xanthomata - p. 557 173. Section X: Neurology and Elderly Care Medical Cases - p. 559 174. Chapter 157: Neurology Case - p. 559 175. Chapter 158: Headache - p. 572 176. Chapter 159: Memory Loss - p. 576 177. Chapter 160: Lower Urinary Tract Symptoms - p. 580 178. Chapter 161: Abnormal Gait - p. 582 179. Chapter 162: Argyll Robertson Pupil - p. 585 180. Chapter 163: Muscular Dystrophy - p. 587 181. Chapter 164: Spastic Paraplegia - p. 591 182. Chapter 165: Bitemporal Hemianopia - p. 595 183. Chapter 166: Brown-Séquard Syndrome - p. 596 184. Chapter 167: Carpal Tunnel Syndrome - p. 598 185. Chapter 168: Central Scotoma - p. 602 186. Chapter 169: Cerebellar Syndrome - p. 604 187. Chapter 170: Cerebellar Dysarthria - p. 607 188. Chapter 171: Cerebellopontine Angle Tumour - p. 609 189. Chapter 172: Charcot–Marie–Tooth Disease (Peroneal Muscular Atrophy) - p. 612 190. Chapter 173: Chorea - p. 616 191. Chapter 174: Lateral Popliteal Nerve Palsy, L4, L5 (Common Peroneal Nerve Palsy) - p. 620 192. Chapter 175: Expressive Dysphasia - p. 622 193. Chapter 176: Facioscapulohumeral Dystrophy (Landouzy–Déjérine Syndrome) - p. 626 194. Chapter 177: Friedreich's Ataxia - p. 629 195. Chapter 178: Hemiballismus - p. 632 196. Chapter 179: Hemiplegia - p. 634 197. Chapter 180: Homonymous Hemianopia - p. 641 198. Chapter 181: Internuclear Ophthalmoplegia - p. 643 199. Chapter 182: Jerky Nystagmus - p. 646 200. Chapter 183: Limb-Girdle Dystrophy - p. 648 201. Chapter 184: Motor Neurone Disease - p. 651 202. Chapter 185: Multiple Sclerosis - p. 656 203. Chapter 186: Multiple System Atrophy - p. 663 204. Chapter 187: Myasthenia Gravis - p. 667 205. Chapter 188: Myotonia Congenita - p. 671 206. Chapter 189: Myotonic Dystrophy - p. 673 207. Chapter 190: Parkinson Disease - p. 678 208. Chapter 191: Peripheral Neuropathy - p. 686 209. Chapter 192: Proximal Myopathy - p. 689 210. Chapter 193: Pseudobulbar Palsy - p. 691 211. Chapter 194: Ptosis and Horner Syndrome - p. 693 212. Chapter 195: Radial Nerve Palsy - p. 698 213. Chapter 196: Seventh Cranial Nerve Palsy - p. 701 214. Chapter 197: Sixth Cranial Nerve Palsy - p. 706 215. Chapter 198: Syringomyelia - p. 708 216. Chapter 199: Tetraplegia - p. 713 217. Chapter 200: Third Cranial Nerve Palsy - p. 716 218. Chapter 201: Tremor - p. 719 219. Chapter 202: Deformity of a Lower Limb - p. 723 220. Chapter 203: Ulnar Nerve Palsy - p. 727 221. Chapter 204: Wallenberg Syndrome (Lateral Medullary Syndrome) - p. 731 222. Chapter 205: Wasting of the Small Muscles of the Hand - p. 733 223. Chapter 206: Long Thoracic Neuropathy - p. 736 224. Chapter 207: Anxiety - p. 738 225. Chapter 208: Back Pain - p. 740 226. Chapter 209: Pruritus - p. 743 227. Chapter 210: Speech Disturbance - p. 747 228. Chapter 211: Unsteadiness - p. 750 229. Section XI: Acute Internal Medical Cases - p. 753 230. Chapter 212: Absent Radial Pulse - p. 753 231. Chapter 213: Confusion - p. 760 232. Chapter 214: Acute Kidney Injury - p. 764 233. Chapter 215: Acute Pancreatitis - p. 767 234. Chapter 216: Anaphylaxis - p. 771 235. Chapter 217: Chest Pain—Angina - p. 776 236. Chapter 218: Cauda Equina Syndrome - p. 781 237. Chapter 219: Cellulitis - p. 783 238. Chapter 220: Coarctation of Aorta - p. 786 239. Chapter 221: Deep Vein Thrombosis - p. 791 240. Chapter 222: Gallop Rhythm - p. 796 241. Chapter 223: Guillain–Barré Syndrome - p. 799 242. Chapter 224: Hyperkalaemia - p. 803 243. Chapter 225: Hypernatraemia - p. 805 244. Chapter 226: Hypokalaemia - p. 808 245. Chapter 227: Hyponatraemia - p. 811 246. Chapter 228: Melaena - p. 815 247. Chapter 229: Paracetamol Overdose - p. 820 248. Chapter 230: Pericardial Rub - p. 823 249. Chapter 231: Pleural Effusion - p. 826 250. Chapter 232: Sepsis - p. 833 251. Chapter 233: Consolidation - p. 837 252. Chapter 234: Pulmonary Embolism - p. 842 253. Chapter 235: Jugular Venous Pulse - p. 845 254. Chapter 236: Seizures - p. 848 255. Chapter 237: Painful Knee Joint - p. 852 256. Chapter 238: Slow Pulse Rate - p. 854 257. Chapter 239: Spontaneous Pneumothorax - p. 858 258. Chapter 240: Subacute Combined Degeneration of the Spinal Cord - p. 863 259. Chapter 241: Subarachnoid Haemorrhage - p. 867 260. Chapter 242: Syncope - p. 871 261. Chapter 243: The Pregnant Patient - p. 878 262. Chapter 244: Central Line Insertion - p. 882 263. Chapter 245: Chest Drain Insertion for Spontaneous (Nontraumatic) Pneumothorax - p. 885 264. Chapter 246: Emergency Synchronized Direct Current Cardioversion - p. 888 265. Chapter 247: Knee Arthrocentesis - p. 891 266. Chapter 248: Lumbar Puncture - p. 894 267. Chapter 249: Therapeutic Abdominal Paracentesis - p. 896 268. Chapter 250: Temporary External Pacing - p. 899 269. Bibliography - p. 901 270. INDEX - p. 901
This unique book presents a wealth of information on common presentations and illnesses, presented as medical case studies. It is useful for exam preparation, as a quick reference guide for working doctors, and as an interesting read for all those interested in medicine.
250 Clinical Cases covers a wide variety of conditions, providing in-depth insights into the most relevant topics, classified by system. Cases are accompanied by common viva voce examination questions as well as more advanced level questions that will help the reader develop a deeper understanding.
Now in its sixth edition, the book has been fully updated to reflect current evidence and relevance for working doctors. It will help everyone, from medical students to consultants, to find the hidden clinical gems and historical background they need to achieve true clinical excellence.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen. Any time. Anywhere - p. iii 5. Copyright - p. IFC1 6. Preface - p. iv 7. Acknolwedgements - p. xvi 8. Section I: Respiratory Cases - p. xvii 9. Chapter 1: Respiratory Case - p. xvii 10. Chapter 2: Asthma - p. 5 11. Chapter 3: Bronchiectasis - p. 9 12. Chapter 4: Cystic Fibrosis - p. 14 13. Chapter 5: Chronic Obstructive Pulmonary Disease - p. 19 14. Chapter 6: Idiopathic Pulmonary Fibrosis - p. 27 15. Chapter 7: Cor Pulmonale - p. 32 16. Chapter 8: Cough - p. 34 17. Chapter 9: Fever - p. 36 18. Chapter 10: Collapsed Lung - p. 40 19. Chapter 11: Obstructive Sleep Apnoea - p. 42 20. Chapter 12: Bronchogenic Carcinoma - p. 45 21. Chapter 13: Pulmonary Tuberculosis - p. 49 22. Section II: Cardiology Cases - p. 52 23. Chapter 14: Cardiovascular Case - p. 52 24. Chapter 15: Aortic Regurgitation - p. 57 25. Chapter 16: Aortic Stenosis - p. 62 26. Chapter 17: Mixed Aortic Valve Disease - p. 69 27. Chapter 18: Mitral Regurgitation - p. 71 28. Chapter 19: Mitral Stenosis - p. 75 29. Chapter 20: Mitral Valve Prolapse - p. 82 30. Chapter 21: Mixed Mitral Valve Disease - p. 85 31. Chapter 22: Mixed Mitral and Aortic Valve Disease - p. 87 32. Chapter 23: Prosthetic Heart Valves - p. 89 33. Chapter 24: Tricuspid Regurgitation - p. 92 34. Chapter 25: Pulmonary Stenosis - p. 95 35. Chapter 26: Atrial Septal Defect - p. 99 36. Chapter 27: Ventricular Septal Defect - p. 105 37. Chapter 28: Patent Ductus Arteriosus - p. 109 38. Chapter 29: Ebstein's Anomaly - p. 112 39. Chapter 30: Fallot's Tetralogy - p. 115 40. Chapter 31: Dextrocardia - p. 120 41. Chapter 32: Eisenmenger Syndrome - p. 122 42. Chapter 33: Hypertrophic Cardiomyopathy - p. 126 43. Chapter 34: Congestive Cardiac Failure - p. 131 44. Chapter 35: Constrictive Pericarditis - p. 135 45. Chapter 36: Weight Loss - p. 138 46. Section III: Abdominal Cases - p. 144 47. Chapter 37: Abdominal Case - p. 144 48. Chapter 38: Swallowing Difficulties - p. 148 49. Chapter 39: Diarrhoea - p. 151 50. Chapter 40: Crohn's Disease - p. 154 51. Chapter 41: Abdominal Mass - p. 158 52. Chapter 42: Ascites - p. 160 53. Chapter 43: Cirrhosis of the Liver - p. 164 54. Chapter 44: Jaundice - p. 169 55. Chapter 45: Hepatomegaly - p. 172 56. Chapter 46: Splenomegaly - p. 175 57. Chapter 47: Haemochromatosis - p. 178 58. Chapter 48: Wilson Disease - p. 182 59. Chapter 49: Felty Syndrome - p. 185 60. Section IV: Renal Cases - p. 188 61. Chapter 50: Unilateral Palpable Kidney - p. 188 62. Chapter 51: Polycystic Kidney Disease - p. 191 63. Chapter 52: Nephrotic Syndrome - p. 196 64. Chapter 53: Transplanted Kidney - p. 199 65. Chapter 54: Hypertension - p. 202 66. Section V: Haematology Cases - p. 207 67. Chapter 55: Anaemia - p. 207 68. Chapter 56: Bruising - p. 214 69. Chapter 57: Multiple Myeloma - p. 217 70. Chapter 58: Myelodysplastic Syndrome - p. 221 71. Chapter 59: Chronic Lymphocytic Leukaemia - p. 224 72. Chapter 60: Chronic Myeloid Leukaemia - p. 227 73. Chapter 61: Acute Leukaemia - p. 230 74. Chapter 62: Lymphadenopathy - p. 234 75. Section VI: Rheumatology Cases - p. 240 76. Chapter 63: Rheumatology Case - p. 240 77. Chapter 64: Ankylosing Spondylitis - p. 246 78. Chapter 65: Charcot Arthropathy - p. 250 79. Chapter 66: Ehlers–Danlos Syndrome - p. 253 80. Chapter 67: Gout - p. 257 81. Chapter 68: Osteoarthritis - p. 261 82. Chapter 69: Psoriatic Arthritis - p. 265 83. Chapter 70: Rheumatoid Hands - p. 268 84. Chapter 71: Dermatomyositis—Proximal Muscle Weakness - p. 274 85. Chapter 72: Scleroderma - p. 278 86. Chapter 73: Systemic Lupus Erythematosus - p. 283 87. Chapter 74: Small-vessel ANCA-associated vasculitis - p. 289 88. Section VII: Endocrinology Cases - p. 293 89. Chapter 75: Acromegaly - p. 293 90. Chapter 76: Hypopituitarism (Simmonds Disease) - p. 299 91. Chapter 77: Endocrinology Case - p. 301 92. Chapter 78: Graves Disease - p. 304 93. Chapter 79: Orbitopathy - p. 309 94. Chapter 80: Multinodular Goitre - p. 314 95. Chapter 81: Hypothyroidism - p. 318 96. Chapter 82: Hypoparathyroidism - p. 324 97. Chapter 83: Primary Hyperparathyroidism - p. 327 98. Chapter 84: Addison Disease - p. 330 99. Chapter 85: Cushing Syndrome - p. 333 100. Chapter 86: Carcinoid Syndrome - p. 337 101. Chapter 87: Gynaecomastia - p. 340 102. Chapter 88: Falls—Osteoporosis - p. 342 103. Chapter 89: Obesity - p. 345 104. Chapter 90: Type 1 Diabetes - p. 350 105. Chapter 91: Type 2 Diabetes Mellitus - p. 353 106. Chapter 92: Diabetic Foot - p. 357 107. Section VIII: Eye Cases for Internal Medicine - p. 361 108. Chapter 93: The Eye Case - p. 361 109. Chapter 94: Age-Related Macular Degeneration - p. 365 110. Chapter 95: Cataracts - p. 370 111. Chapter 96: Cholesterol Embolus in the Fundus - p. 372 112. Chapter 97: Diabetic Retinopathy - p. 375 113. Chapter 98: Hypertensive Retinopathy - p. 382 114. Chapter 99: Optic Atrophy - p. 386 115. Chapter 100: Osteogenesis Imperfecta - p. 389 116. Chapter 101: Papilloedema - p. 391 117. Chapter 102: Retinal Detachment - p. 395 118. Chapter 103: Retinal Vein Occlusion - p. 398 119. Chapter 104: Retinitis Pigmentosa - p. 401 120. Chapter 105: Subhyaloid Haemorrhage - p. 404 121. Chapter 106: Vitreous Opacities - p. 407 122. Section IX: Dermatology Cases for Internal Medicine - p. 408 123. Chapter 107: Acanthosis Nigricans - p. 408 124. Chapter 108: Acne Vulgaris - p. 412 125. Chapter 109: Alopecia Areata - p. 415 126. Chapter 110: Arterial Leg Ulcer - p. 418 127. Chapter 111: Arteriovenous Fistula - p. 421 128. Chapter 112: Atopic Dermatitis—Eczema - p. 424 129. Chapter 113: Bullous Eruption - p. 427 130. Chapter 114: Mycosis Fungoides (Cutaneous T-Cell Lymphoma) - p. 431 131. Chapter 115: Dermatitis Herpetiformis - p. 434 132. Chapter 116: Eruptive Xanthomata - p. 437 133. Chapter 117: Erythema Ab Igne - p. 439 134. Chapter 118: Erythema Multiforme - p. 442 135. Chapter 119: Erythema Nodosum - p. 445 136. Chapter 120: Fungal Nail Disease - p. 447 137. Chapter 121: Hairy Leukoplakia - p. 451 138. Chapter 122: Henoch–Schönlein Purpura - p. 453 139. Chapter 123: Hereditary Haemorrhagic Telangiectasia (Osler–Weber–Rendu Syndrome) - p. 457 140. Chapter 124: Herpes Simplex - p. 461 141. Chapter 125: Herpes Zoster Syndrome (Shingles) - p. 464 142. Chapter 126: Ichthyosis - p. 467 143. Chapter 127: Lichen Planus - p. 470 144. Chapter 128: Lichen Simplex - p. 473 145. Chapter 129: Lipodystrophy - p. 475 146. Chapter 130: Lupus Pernio - p. 478 147. Chapter 131: Maculopapular Rash - p. 482 148. Chapter 132: Malignant Melanoma - p. 484 149. Chapter 133: Molluscum Contagiosum - p. 488 150. Chapter 134: Nail Changes - p. 490 151. Chapter 135: Necrobiosis Lipoidica - p. 493 152. Chapter 136: Neurofibromatosis - p. 495 153. Chapter 137: Onycholysis - p. 500 154. Chapter 138: Palmar Xanthomata - p. 502 155. Chapter 139: Peutz–Jeghers Syndrome - p. 504 156. Chapter 140: Phlebitis Migrans - p. 507 157. Chapter 141: Pretibial Myxoedema - p. 509 158. Chapter 142: Pseudoxanthoma Elasticum - p. 512 159. Chapter 143: Psoriasis - p. 516 160. Chapter 144: Purpura - p. 520 161. Chapter 145: Pyoderma Gangrenosum - p. 522 162. Chapter 146: Raynaud's Phenomenon - p. 526 163. Chapter 147: Rosacea - p. 529 164. Chapter 148: Seborrhoeic Dermatitis - p. 531 165. Chapter 149: Sturge–Weber Syndrome (Encephalotrigeminal Angiomatosis) - p. 534 166. Chapter 150: Tuberous Sclerosis (Bourneville or Pringle Disease) - p. 538 167. Chapter 151: Urticaria - p. 543 168. Chapter 152: Urticaria Pigmentosa - p. 546 169. Chapter 153: Venous Ulcer - p. 548 170. Chapter 154: Vitiligo - p. 552 171. Chapter 155: Xanthelasma - p. 555 172. Chapter 156: Xanthomata - p. 557 173. Section X: Neurology and Elderly Care Medical Cases - p. 559 174. Chapter 157: Neurology Case - p. 559 175. Chapter 158: Headache - p. 572 176. Chapter 159: Memory Loss - p. 576 177. Chapter 160: Lower Urinary Tract Symptoms - p. 580 178. Chapter 161: Abnormal Gait - p. 582 179. Chapter 162: Argyll Robertson Pupil - p. 585 180. Chapter 163: Muscular Dystrophy - p. 587 181. Chapter 164: Spastic Paraplegia - p. 591 182. Chapter 165: Bitemporal Hemianopia - p. 595 183. Chapter 166: Brown-Séquard Syndrome - p. 596 184. Chapter 167: Carpal Tunnel Syndrome - p. 598 185. Chapter 168: Central Scotoma - p. 602 186. Chapter 169: Cerebellar Syndrome - p. 604 187. Chapter 170: Cerebellar Dysarthria - p. 607 188. Chapter 171: Cerebellopontine Angle Tumour - p. 609 189. Chapter 172: Charcot–Marie–Tooth Disease (Peroneal Muscular Atrophy) - p. 612 190. Chapter 173: Chorea - p. 616 191. Chapter 174: Lateral Popliteal Nerve Palsy, L4, L5 (Common Peroneal Nerve Palsy) - p. 620 192. Chapter 175: Expressive Dysphasia - p. 622 193. Chapter 176: Facioscapulohumeral Dystrophy (Landouzy–Déjérine Syndrome) - p. 626 194. Chapter 177: Friedreich's Ataxia - p. 629 195. Chapter 178: Hemiballismus - p. 632 196. Chapter 179: Hemiplegia - p. 634 197. Chapter 180: Homonymous Hemianopia - p. 641 198. Chapter 181: Internuclear Ophthalmoplegia - p. 643 199. Chapter 182: Jerky Nystagmus - p. 646 200. Chapter 183: Limb-Girdle Dystrophy - p. 648 201. Chapter 184: Motor Neurone Disease - p. 651 202. Chapter 185: Multiple Sclerosis - p. 656 203. Chapter 186: Multiple System Atrophy - p. 663 204. Chapter 187: Myasthenia Gravis - p. 667 205. Chapter 188: Myotonia Congenita - p. 671 206. Chapter 189: Myotonic Dystrophy - p. 673 207. Chapter 190: Parkinson Disease - p. 678 208. Chapter 191: Peripheral Neuropathy - p. 686 209. Chapter 192: Proximal Myopathy - p. 689 210. Chapter 193: Pseudobulbar Palsy - p. 691 211. Chapter 194: Ptosis and Horner Syndrome - p. 693 212. Chapter 195: Radial Nerve Palsy - p. 698 213. Chapter 196: Seventh Cranial Nerve Palsy - p. 701 214. Chapter 197: Sixth Cranial Nerve Palsy - p. 706 215. Chapter 198: Syringomyelia - p. 708 216. Chapter 199: Tetraplegia - p. 713 217. Chapter 200: Third Cranial Nerve Palsy - p. 716 218. Chapter 201: Tremor - p. 719 219. Chapter 202: Deformity of a Lower Limb - p. 723 220. Chapter 203: Ulnar Nerve Palsy - p. 727 221. Chapter 204: Wallenberg Syndrome (Lateral Medullary Syndrome) - p. 731 222. Chapter 205: Wasting of the Small Muscles of the Hand - p. 733 223. Chapter 206: Long Thoracic Neuropathy - p. 736 224. Chapter 207: Anxiety - p. 738 225. Chapter 208: Back Pain - p. 740 226. Chapter 209: Pruritus - p. 743 227. Chapter 210: Speech Disturbance - p. 747 228. Chapter 211: Unsteadiness - p. 750 229. Section XI: Acute Internal Medical Cases - p. 753 230. Chapter 212: Absent Radial Pulse - p. 753 231. Chapter 213: Confusion - p. 760 232. Chapter 214: Acute Kidney Injury - p. 764 233. Chapter 215: Acute Pancreatitis - p. 767 234. Chapter 216: Anaphylaxis - p. 771 235. Chapter 217: Chest Pain—Angina - p. 776 236. Chapter 218: Cauda Equina Syndrome - p. 781 237. Chapter 219: Cellulitis - p. 783 238. Chapter 220: Coarctation of Aorta - p. 786 239. Chapter 221: Deep Vein Thrombosis - p. 791 240. Chapter 222: Gallop Rhythm - p. 796 241. Chapter 223: Guillain–Barré Syndrome - p. 799 242. Chapter 224: Hyperkalaemia - p. 803 243. Chapter 225: Hypernatraemia - p. 805 244. Chapter 226: Hypokalaemia - p. 808 245. Chapter 227: Hyponatraemia - p. 811 246. Chapter 228: Melaena - p. 815 247. Chapter 229: Paracetamol Overdose - p. 820 248. Chapter 230: Pericardial Rub - p. 823 249. Chapter 231: Pleural Effusion - p. 826 250. Chapter 232: Sepsis - p. 833 251. Chapter 233: Consolidation - p. 837 252. Chapter 234: Pulmonary Embolism - p. 842 253. Chapter 235: Jugular Venous Pulse - p. 845 254. Chapter 236: Seizures - p. 848 255. Chapter 237: Painful Knee Joint - p. 852 256. Chapter 238: Slow Pulse Rate - p. 854 257. Chapter 239: Spontaneous Pneumothorax - p. 858 258. Chapter 240: Subacute Combined Degeneration of the Spinal Cord - p. 863 259. Chapter 241: Subarachnoid Haemorrhage - p. 867 260. Chapter 242: Syncope - p. 871 261. Chapter 243: The Pregnant Patient - p. 878 262. Chapter 244: Central Line Insertion - p. 882 263. Chapter 245: Chest Drain Insertion for Spontaneous (Nontraumatic) Pneumothorax - p. 885 264. Chapter 246: Emergency Synchronized Direct Current Cardioversion - p. 888 265. Chapter 247: Knee Arthrocentesis - p. 891 266. Chapter 248: Lumbar Puncture - p. 894 267. Chapter 249: Therapeutic Abdominal Paracentesis - p. 896 268. Chapter 250: Temporary External Pacing - p. 899 269. Bibliography - p. 901 270. INDEX - p. 901
