Aligned to current learning methods and medical exam requirements - including the new UK Medical Licensing Assessment - this invaluable collection of clinical cases will help you apply information effectively, quickly identify and fill any knowledge gaps and prepare efficiently for your exams. Prepared by a unique combination of authors - including early career stage doctors still close to what is required for exam success, expert educators and senior specialists - Medicine in a Day: Case Presentations for Medical Exams and UKMLA provides the trusted information you need most when time is short. Over 200 cases have been carefully selected to ensure comprehensive coverage – including for all the core ‘Presentations’ in the new UKMLA curriculum map – as well as to help you hone the essential problem-solving skills you need to excel on your course, in your exams and in clinical practice. Quick access summaries with each case – including the key differentials and investigations at a glance – aid rapid recall and avoids information overload. Medicine in a Day: Case Presentations for Medical Exams and UKMLA is highly effective as a stand-alone resource – but combine with the acclaimed companion volume Medicine in Day: Revision Notes for Medical Exams, Finals, UKMLA and Foundation Years and be assured you have all the prescribed UKMLA ‘presentations’ and ‘conditions’ fully covered. Medicine in a Day – the complete and effective exam preparation solution!
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. How to use this book - p. xi 6. Preface - p. xviii 7. Acknowledgements - p. xx 8. Abbreviation List - p. xxix 9. Contributors - p. xxx 10. 1. Nipple Discharge - p. 1 11. 2. Breast Tenderness - p. 4 12. 3. Breast Lump - p. 7 13. 4. Limb Claudication - p. 11 14. 5. Cold, Painful, Pale, Pulseless Leg/Foot - p. 14 15. 6. Skin Ulcer - p. 18 16. 7. Hypertension - p. 21 17. 8. Peripheral Oedema and Ankle Swelling - p. 23 18. 9. Heart Murmur - p. 26 19. 10. Palpitations - p. 29 20. 11. Chest Pain and Pain on Inspiration - p. 32 21. 12. Dizziness - p. 37 22. 13. Obesity - Outline - p. 40 23. 14. Scarring - p. 42 24. 15. Acute Rash - p. 44 25. 16. Chronic Rash - p. 47 26. 17. Skin Lesion - p. 50 27. 18. Skin or Subcutaneous Lump - p. 53 28. 19. Nail Abnormalities – Outline - p. 56 29. 20. Ear and Nasal Discharge - p. 58 30. 21. Painful Ear - p. 61 31. 22. Hearing Loss - p. 63 32. 23. Tinnitus - p. 66 33. 24. Vertigo - p. 69 34. 25. Nasal Obstruction - p. 72 35. 26. Anosmia - p. 74 36. 27. Epistaxis - p. 76 37. 28. Sore Throat - p. 79 38. 29. Hoarseness and Voice Change - p. 81 39. 30. Diplopia and Ptosis - p. 84 40. 31. Squint - p. 87 41. 32. Loss of Red Reflex - p. 90 42. 33. Flashes and Floaters in Visual Fields - p. 93 43. 34. Eye Trauma and Foreign Object in Eye - p. 95 44. 35. Red Eye - p. 98 45. 36. Eye Pain and Discomfort - p. 100 46. 37. Acute Change in or Loss of Vision - p. 104 47. 38. Gradual Loss of Vision - p. 107 48. 39. Facial/Periorbital Swelling - p. 110 49. 40. Breathlessness - p. 113 50. 41. Deteriorating Patient – Outline - p. 116 51. 42. Shock and Low Blood Pressure - p. 119 52. 43. Cardiorespiratory Arrest - p. 123 53. 44. Trauma and Massive Haemorrhage - p. 126 54. 45. Painful Swollen Leg - p. 129 55. 46. Blackouts, Faints and Loss of Consciousness - p. 132 56. 47. Confusion - p. 135 57. 48. Falls - p. 137 58. 49. Head Injury - p. 140 59. 50. Bleeding From Upper GI Tract/Melaena - p. 143 60. 51. Poisoning - p. 146 61. 52. Overdose - p. 148 62. 53. Anaphylaxis - p. 151 63. 54. Bites and Stings - p. 153 64. 55. Burns - p. 156 65. 56. Laceration - p. 159 66. 57. Snoring - p. 164 67. 58. Weight Loss - p. 167 68. 59. Weight Gain - p. 170 69. 60. Neck Lump - p. 173 70. 61. Hypercalcaemia - p. 176 71. 62. Driving Advice - p. 180 72. 63. Pubertal Development - p. 182 73. 64. Loss of Libido - p. 185 74. 65. Gynaecomastia - p. 188 75. 66. Post-Surgical Care and Complications - p. 191 76. 67. Acute Abdominal Pain - p. 193 77. 68. Abdominal Distension - p. 197 78. 69. Change in Stool Colour - p. 200 79. 70. Abdominal Mass - p. 203 80. 71. Bleeding from the Lower Gastrointestinal Tract - p. 206 81. 72. Lump in Groin - p. 209 82. 73. Perianal Symptoms - p. 212 83. 74. Rectal Prolapse and Anal Cancer - p. 215 84. 75. Faecal Incontinence - p. 217 85. 76. Misplaced Nasogastric Tube and NGT Placement – Outline - p. 220 86. 77. Swallowing Problems - p. 223 87. 78. Decreased Appetite - p. 225 88. 79. Food Intolerance - p. 227 89. 80. Nausea and Vomiting - p. 230 90. 81. Chronic Abdominal Pain - p. 232 91. 82. Pruritis - p. 236 92. 83. Ascites - p. 239 93. 84. Change in Bowel Habit - p. 242 94. 85. Constipation - p. 245 95. 86. Diarrhoea - p. 247 96. 87. Pallor - p. 250 97. 88. Petechial Rash and Purpura - p. 254 98. 89. Bruising - p. 257 99. 90. Fever - p. 261 100. 91. Lymphadenopathy - p. 264 101. 92. Organomegaly - p. 267 102. 93. Neck Pain/Stiffness - p. 270 103. 94. Jaundice - p. 273 104. 95. Haemoptysis - p. 276 105. 96. Viral Exanthems - p. 279 106. 97. Vaccination – Outline - p. 283 107. 98. Travelling Advice - p. 284 108. 99. Headache - p. 287 109. 100. Fits/Seizures - p. 290 110. 101. Speech and Language Problems - p. 293 111. 102. Facial Weakness - p. 296 112. 103. Memory Loss - p. 299 113. 104. Visual Hallucinations - p. 302 114. 105. Tremor - p. 304 115. 106. Abnormal Involuntary Movements - p. 307 116. 107. Facial Pain - p. 311 117. 108. Altered Sensation, Numbness and Tingling - p. 314 118. 109. Fasciculations - p. 317 119. 110. Neuromuscular Weakness - p. 320 120. 111. Unsteadiness - p. 323 121. 112. Sleep Problems - p. 325 122. 113. Raised Intracranial Pressure - p. 329 123. 114. Amenorrhoea - p. 333 124. 115. Menopausal Problems - p. 337 125. 116. Contraception Advice – Outline - p. 340 126. 117. Hyperemesis/Vomiting in Early Pregnancy - p. 342 127. 118. Unwanted Pregnancy and Termination – Outline - p. 345 128. 119. Subfertility - p. 346 129. 120. Normal Pregnancy and Risk Assessment – Outline - p. 349 130. 121. Substance Misuse - p. 353 131. 122. Intrauterine Death and Miscarriage – Outline - p. 355 132. 123. Large for Gestational Age - p. 357 133. 124. Small for Gestational Age - p. 359 134. 125. Reduced Foetal Movements – Outline - p. 362 135. 126. Bleeding Antepartum - p. 364 136. 127. Labour – Outline - p. 367 137. 128. Complications of Labour - p. 369 138. 129. Bleeding Post-Partum - p. 372 139. 130. Difficulty With Breastfeeding - p. 375 140. 131. Pain on Sexual Intercourse (Dyspareunia) - p. 378 141. 132. Vaginal Prolapse - p. 380 142. 133. Pelvic Pain - p. 382 143. 134. Pelvic Mass - p. 385 144. 135. Vulval Lump - p. 387 145. 136. Vulval Lesion/Itch - p. 390 146. 137. Abnormal Cervical Smear - p. 392 147. 138. Vaginal and Urethral Discharge - p. 395 148. 139. Genital Ulcers/Warts - p. 399 149. 140. Prematurity – Outline - p. 401 150. 141. Neonatal Death - p. 404 151. 142. Well-Being Checks – Outline - p. 407 152. 143. Infant Feeding Problems - p. 410 153. 144. Crying Baby - p. 413 154. 145. The Sick Child - p. 415 155. 146. Allergies - p. 420 156. 147. Abnormal Development/Developmental Delay - p. 422 157. 148. Dysmorphic Child - p. 425 158. 149. Family History of Genetic Disorder - p. 433 159. 150. Cyanosis - p. 436 160. 151. Limping Child - p. 440 161. 152. Congenital Abnormality - p. 443 162. 153. Congenital Abnormality, Biliary Atresia – Outline - p. 446 163. 154. Learning Disability - p. 448 164. 155. Behavioural Difficulties in Childhood - p. 450 165. 156. Child Abuse - p. 452 166. 157. Frailty, Immobility and Struggling to Cope at Home - p. 456 167. 158. Bone Pain - p. 459 168. 159. Acute and Chronic Pain Management – Outline - p. 462 169. 160. Chronic Pain - p. 464 170. 161. Death, Dying and End-of-Life Care - p. 467 171. 162. Elder Abuse - p. 470 172. 163. Mental Health Problems in Pregnancy or Postpartum - p. 472 173. 164. Low Mood/Affective Problems - p. 475 174. 165. Elation, Elated Mood and Pressure of Speech - p. 478 175. 166. Auditory Hallucinations - p. 481 176. 167. Anxiety, Phobias, OCD - p. 484 177. 168. Somatisation/Medically Unexplained Physical Symptoms - p. 487 178. 169. Addiction - p. 490 179. 170. Fixed Abnormal Beliefs – Outline - p. 493 180. 171. Suicidal Thoughts and Self-Harm - p. 494 181. 172. Threats to Harm Others - p. 497 182. 173. Abnormal Eating or Exercising Behaviour - p. 500 183. 174. Mental Capacity Concerns – Outline - p. 503 184. 175. Polydipsia and Dehydration - p. 505 185. 176. Acute Kidney Injury and Oliguria - p. 508 186. 177. Chronic Kidney Disease - p. 511 187. 178. Electrolyte Abnormalities – Overview Table - p. 515 188. 179. Hyponatraemia - p. 517 189. 180. Hyperkalaemia - p. 521 190. 181. Investigation Results – Overview Table - p. 529 191. 182. Stridor - p. 531 192. 183. Wheeze - p. 535 193. 184. Pleural Effusion - p. 538 194. 185. Cough - p. 541 195. 186. Acute Joint Pain - p. 544 196. 187. Chronic Joint Pain - p. 547 197. 188. Fatigue - p. 550 198. 189. Muscle Pain/Myalgia - p. 553 199. 190. Fit Notes - p. 556 200. 191. Soft Tissue Injury/Minor Trauma - p. 559 201. 192. Back Pain - p. 563 202. 193. Musculoskeletal Deformity - p. 566 203. 194. Trauma in Children - p. 569 204. 195. Anuria and Acute or Chronic Urinary Retention - p. 572 205. 196. Loin Pain - p. 575 206. 197. Scrotal/Testicular Pain and/or Lump/Swelling - p. 578 207. 198. Abnormal Urinalysis - p. 581 208. 199. Haematuria - p. 584 209. 200. Urinary Symptoms and Incontinence - p. 587 210. 201. Erectile Dysfunction - p. 589 211. Index - p. 591 212. Medicine in a Day: Revision Notes - p. 617
Aligned to current learning methods and medical exam requirements - including the new UK Medical Licensing Assessment - this invaluable collection of clinical cases will help you apply information effectively, quickly identify and fill any knowledge gaps and prepare efficiently for your exams. Prepared by a unique combination of authors - including early career stage doctors still close to what is required for exam success, expert educators and senior specialists - Medicine in a Day: Case Presentations for Medical Exams and UKMLA provides the trusted information you need most when time is short. Over 200 cases have been carefully selected to ensure comprehensive coverage – including for all the core ‘Presentations’ in the new UKMLA curriculum map – as well as to help you hone the essential problem-solving skills you need to excel on your course, in your exams and in clinical practice. Quick access summaries with each case – including the key differentials and investigations at a glance – aid rapid recall and avoids information overload. Medicine in a Day: Case Presentations for Medical Exams and UKMLA is highly effective as a stand-alone resource – but combine with the acclaimed companion volume Medicine in Day: Revision Notes for Medical Exams, Finals, UKMLA and Foundation Years and be assured you have all the prescribed UKMLA ‘presentations’ and ‘conditions’ fully covered. Medicine in a Day – the complete and effective exam preparation solution!
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. How to use this book - p. xi 6. Preface - p. xviii 7. Acknowledgements - p. xx 8. Abbreviation List - p. xxix 9. Contributors - p. xxx 10. 1. Nipple Discharge - p. 1 11. 2. Breast Tenderness - p. 4 12. 3. Breast Lump - p. 7 13. 4. Limb Claudication - p. 11 14. 5. Cold, Painful, Pale, Pulseless Leg/Foot - p. 14 15. 6. Skin Ulcer - p. 18 16. 7. Hypertension - p. 21 17. 8. Peripheral Oedema and Ankle Swelling - p. 23 18. 9. Heart Murmur - p. 26 19. 10. Palpitations - p. 29 20. 11. Chest Pain and Pain on Inspiration - p. 32 21. 12. Dizziness - p. 37 22. 13. Obesity - Outline - p. 40 23. 14. Scarring - p. 42 24. 15. Acute Rash - p. 44 25. 16. Chronic Rash - p. 47 26. 17. Skin Lesion - p. 50 27. 18. Skin or Subcutaneous Lump - p. 53 28. 19. Nail Abnormalities – Outline - p. 56 29. 20. Ear and Nasal Discharge - p. 58 30. 21. Painful Ear - p. 61 31. 22. Hearing Loss - p. 63 32. 23. Tinnitus - p. 66 33. 24. Vertigo - p. 69 34. 25. Nasal Obstruction - p. 72 35. 26. Anosmia - p. 74 36. 27. Epistaxis - p. 76 37. 28. Sore Throat - p. 79 38. 29. Hoarseness and Voice Change - p. 81 39. 30. Diplopia and Ptosis - p. 84 40. 31. Squint - p. 87 41. 32. Loss of Red Reflex - p. 90 42. 33. Flashes and Floaters in Visual Fields - p. 93 43. 34. Eye Trauma and Foreign Object in Eye - p. 95 44. 35. Red Eye - p. 98 45. 36. Eye Pain and Discomfort - p. 100 46. 37. Acute Change in or Loss of Vision - p. 104 47. 38. Gradual Loss of Vision - p. 107 48. 39. Facial/Periorbital Swelling - p. 110 49. 40. Breathlessness - p. 113 50. 41. Deteriorating Patient – Outline - p. 116 51. 42. Shock and Low Blood Pressure - p. 119 52. 43. Cardiorespiratory Arrest - p. 123 53. 44. Trauma and Massive Haemorrhage - p. 126 54. 45. Painful Swollen Leg - p. 129 55. 46. Blackouts, Faints and Loss of Consciousness - p. 132 56. 47. Confusion - p. 135 57. 48. Falls - p. 137 58. 49. Head Injury - p. 140 59. 50. Bleeding From Upper GI Tract/Melaena - p. 143 60. 51. Poisoning - p. 146 61. 52. Overdose - p. 148 62. 53. Anaphylaxis - p. 151 63. 54. Bites and Stings - p. 153 64. 55. Burns - p. 156 65. 56. Laceration - p. 159 66. 57. Snoring - p. 164 67. 58. Weight Loss - p. 167 68. 59. Weight Gain - p. 170 69. 60. Neck Lump - p. 173 70. 61. Hypercalcaemia - p. 176 71. 62. Driving Advice - p. 180 72. 63. Pubertal Development - p. 182 73. 64. Loss of Libido - p. 185 74. 65. Gynaecomastia - p. 188 75. 66. Post-Surgical Care and Complications - p. 191 76. 67. Acute Abdominal Pain - p. 193 77. 68. Abdominal Distension - p. 197 78. 69. Change in Stool Colour - p. 200 79. 70. Abdominal Mass - p. 203 80. 71. Bleeding from the Lower Gastrointestinal Tract - p. 206 81. 72. Lump in Groin - p. 209 82. 73. Perianal Symptoms - p. 212 83. 74. Rectal Prolapse and Anal Cancer - p. 215 84. 75. Faecal Incontinence - p. 217 85. 76. Misplaced Nasogastric Tube and NGT Placement – Outline - p. 220 86. 77. Swallowing Problems - p. 223 87. 78. Decreased Appetite - p. 225 88. 79. Food Intolerance - p. 227 89. 80. Nausea and Vomiting - p. 230 90. 81. Chronic Abdominal Pain - p. 232 91. 82. Pruritis - p. 236 92. 83. Ascites - p. 239 93. 84. Change in Bowel Habit - p. 242 94. 85. Constipation - p. 245 95. 86. Diarrhoea - p. 247 96. 87. Pallor - p. 250 97. 88. Petechial Rash and Purpura - p. 254 98. 89. Bruising - p. 257 99. 90. Fever - p. 261 100. 91. Lymphadenopathy - p. 264 101. 92. Organomegaly - p. 267 102. 93. Neck Pain/Stiffness - p. 270 103. 94. Jaundice - p. 273 104. 95. Haemoptysis - p. 276 105. 96. Viral Exanthems - p. 279 106. 97. Vaccination – Outline - p. 283 107. 98. Travelling Advice - p. 284 108. 99. Headache - p. 287 109. 100. Fits/Seizures - p. 290 110. 101. Speech and Language Problems - p. 293 111. 102. Facial Weakness - p. 296 112. 103. Memory Loss - p. 299 113. 104. Visual Hallucinations - p. 302 114. 105. Tremor - p. 304 115. 106. Abnormal Involuntary Movements - p. 307 116. 107. Facial Pain - p. 311 117. 108. Altered Sensation, Numbness and Tingling - p. 314 118. 109. Fasciculations - p. 317 119. 110. Neuromuscular Weakness - p. 320 120. 111. Unsteadiness - p. 323 121. 112. Sleep Problems - p. 325 122. 113. Raised Intracranial Pressure - p. 329 123. 114. Amenorrhoea - p. 333 124. 115. Menopausal Problems - p. 337 125. 116. Contraception Advice – Outline - p. 340 126. 117. Hyperemesis/Vomiting in Early Pregnancy - p. 342 127. 118. Unwanted Pregnancy and Termination – Outline - p. 345 128. 119. Subfertility - p. 346 129. 120. Normal Pregnancy and Risk Assessment – Outline - p. 349 130. 121. Substance Misuse - p. 353 131. 122. Intrauterine Death and Miscarriage – Outline - p. 355 132. 123. Large for Gestational Age - p. 357 133. 124. Small for Gestational Age - p. 359 134. 125. Reduced Foetal Movements – Outline - p. 362 135. 126. Bleeding Antepartum - p. 364 136. 127. Labour – Outline - p. 367 137. 128. Complications of Labour - p. 369 138. 129. Bleeding Post-Partum - p. 372 139. 130. Difficulty With Breastfeeding - p. 375 140. 131. Pain on Sexual Intercourse (Dyspareunia) - p. 378 141. 132. Vaginal Prolapse - p. 380 142. 133. Pelvic Pain - p. 382 143. 134. Pelvic Mass - p. 385 144. 135. Vulval Lump - p. 387 145. 136. Vulval Lesion/Itch - p. 390 146. 137. Abnormal Cervical Smear - p. 392 147. 138. Vaginal and Urethral Discharge - p. 395 148. 139. Genital Ulcers/Warts - p. 399 149. 140. Prematurity – Outline - p. 401 150. 141. Neonatal Death - p. 404 151. 142. Well-Being Checks – Outline - p. 407 152. 143. Infant Feeding Problems - p. 410 153. 144. Crying Baby - p. 413 154. 145. The Sick Child - p. 415 155. 146. Allergies - p. 420 156. 147. Abnormal Development/Developmental Delay - p. 422 157. 148. Dysmorphic Child - p. 425 158. 149. Family History of Genetic Disorder - p. 433 159. 150. Cyanosis - p. 436 160. 151. Limping Child - p. 440 161. 152. Congenital Abnormality - p. 443 162. 153. Congenital Abnormality, Biliary Atresia – Outline - p. 446 163. 154. Learning Disability - p. 448 164. 155. Behavioural Difficulties in Childhood - p. 450 165. 156. Child Abuse - p. 452 166. 157. Frailty, Immobility and Struggling to Cope at Home - p. 456 167. 158. Bone Pain - p. 459 168. 159. Acute and Chronic Pain Management – Outline - p. 462 169. 160. Chronic Pain - p. 464 170. 161. Death, Dying and End-of-Life Care - p. 467 171. 162. Elder Abuse - p. 470 172. 163. Mental Health Problems in Pregnancy or Postpartum - p. 472 173. 164. Low Mood/Affective Problems - p. 475 174. 165. Elation, Elated Mood and Pressure of Speech - p. 478 175. 166. Auditory Hallucinations - p. 481 176. 167. Anxiety, Phobias, OCD - p. 484 177. 168. Somatisation/Medically Unexplained Physical Symptoms - p. 487 178. 169. Addiction - p. 490 179. 170. Fixed Abnormal Beliefs – Outline - p. 493 180. 171. Suicidal Thoughts and Self-Harm - p. 494 181. 172. Threats to Harm Others - p. 497 182. 173. Abnormal Eating or Exercising Behaviour - p. 500 183. 174. Mental Capacity Concerns – Outline - p. 503 184. 175. Polydipsia and Dehydration - p. 505 185. 176. Acute Kidney Injury and Oliguria - p. 508 186. 177. Chronic Kidney Disease - p. 511 187. 178. Electrolyte Abnormalities – Overview Table - p. 515 188. 179. Hyponatraemia - p. 517 189. 180. Hyperkalaemia - p. 521 190. 181. Investigation Results – Overview Table - p. 529 191. 182. Stridor - p. 531 192. 183. Wheeze - p. 535 193. 184. Pleural Effusion - p. 538 194. 185. Cough - p. 541 195. 186. Acute Joint Pain - p. 544 196. 187. Chronic Joint Pain - p. 547 197. 188. Fatigue - p. 550 198. 189. Muscle Pain/Myalgia - p. 553 199. 190. Fit Notes - p. 556 200. 191. Soft Tissue Injury/Minor Trauma - p. 559 201. 192. Back Pain - p. 563 202. 193. Musculoskeletal Deformity - p. 566 203. 194. Trauma in Children - p. 569 204. 195. Anuria and Acute or Chronic Urinary Retention - p. 572 205. 196. Loin Pain - p. 575 206. 197. Scrotal/Testicular Pain and/or Lump/Swelling - p. 578 207. 198. Abnormal Urinalysis - p. 581 208. 199. Haematuria - p. 584 209. 200. Urinary Symptoms and Incontinence - p. 587 210. 201. Erectile Dysfunction - p. 589 211. Index - p. 591 212. Medicine in a Day: Revision Notes - p. 617
