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. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. iv 6. How to use this book - p. xi 7. Preface - p. xviii 8. Acknowledgements - p. xx 9. Abbreviation List - p. xxix 10. Contributors - p. xxx 11. 1. Nipple Discharge - p. 1 12. 2. Breast Tenderness - p. 4 13. 3. Breast Lump - p. 7 14. 4. Limb Claudication - p. 11 15. 5. Cold, Painful, Pale, Pulseless Leg/Foot - p. 14 16. 6. Skin Ulcer - p. 18 17. 7. Hypertension - p. 21 18. 8. Peripheral Oedema and Ankle Swelling - p. 23 19. 9. Heart Murmur - p. 26 20. 10. Palpitations - p. 29 21. 11. Chest Pain and Pain on Inspiration - p. 32 22. 12. Dizziness - p. 37 23. 13. Obesity - Outline - p. 40 24. 14. Scarring - p. 42 25. 15. Acute Rash - p. 44 26. 16. Chronic Rash - p. 47 27. 17. Skin Lesion - p. 50 28. 18. Skin or Subcutaneous Lump - p. 53 29. 19. Nail Abnormalities – Outline - p. 56 30. 20. Ear and Nasal Discharge - p. 58 31. 21. Painful Ear - p. 61 32. 22. Hearing Loss - p. 63 33. 23. Tinnitus - p. 66 34. 24. Vertigo - p. 69 35. 25. Nasal Obstruction - p. 72 36. 26. Anosmia - p. 74 37. 27. Epistaxis - p. 76 38. 28. Sore Throat - p. 79 39. 29. Hoarseness and Voice Change - p. 81 40. 30. Diplopia and Ptosis - p. 84 41. 31. Squint - p. 87 42. 32. Loss of Red Reflex - p. 90 43. 33. Flashes and Floaters in Visual Fields - p. 93 44. 34. Eye Trauma and Foreign Object in Eye - p. 95 45. 35. Red Eye - p. 98 46. 36. Eye Pain and Discomfort - p. 100 47. 37. Acute Change in or Loss of Vision - p. 104 48. 38. Gradual Loss of Vision - p. 107 49. 39. Facial/Periorbital Swelling - p. 110 50. 40. Breathlessness - p. 113 51. 41. Deteriorating Patient – Outline - p. 116 52. 42. Shock and Low Blood Pressure - p. 119 53. 43. Cardiorespiratory Arrest - p. 123 54. 44. Trauma and Massive Haemorrhage - p. 126 55. 45. Painful Swollen Leg - p. 129 56. 46. Blackouts, Faints and Loss of Consciousness - p. 132 57. 47. Confusion - p. 135 58. 48. Falls - p. 137 59. 49. Head Injury - p. 140 60. 50. Bleeding From Upper GI Tract/Melaena - p. 143 61. 51. Poisoning - p. 146 62. 52. Overdose - p. 148 63. 53. Anaphylaxis - p. 151 64. 54. Bites and Stings - p. 153 65. 55. Burns - p. 156 66. 56. Laceration - p. 159 67. 57. Snoring - p. 164 68. 58. Weight Loss - p. 167 69. 59. Weight Gain - p. 170 70. 60. Neck Lump - p. 173 71. 61. Hypercalcaemia - p. 176 72. 62. Driving Advice - p. 180 73. 63. Pubertal Development - p. 182 74. 64. Loss of Libido - p. 185 75. 65. Gynaecomastia - p. 188 76. 66. Post-Surgical Care and Complications - p. 191 77. 67. Acute Abdominal Pain - p. 193 78. 68. Abdominal Distension - p. 197 79. 69. Change in Stool Colour - p. 200 80. 70. Abdominal Mass - p. 203 81. 71. Bleeding from the Lower Gastrointestinal Tract - p. 206 82. 72. Lump in Groin - p. 209 83. 73. Perianal Symptoms - p. 212 84. 74. Rectal Prolapse and Anal Cancer - p. 215 85. 75. Faecal Incontinence - p. 217 86. 76. Misplaced Nasogastric Tube and NGT Placement – Outline - p. 220 87. 77. Swallowing Problems - p. 223 88. 78. Decreased Appetite - p. 225 89. 79. Food Intolerance - p. 227 90. 80. Nausea and Vomiting - p. 230 91. 81. Chronic Abdominal Pain - p. 232 92. 82. Pruritis - p. 236 93. 83. Ascites - p. 239 94. 84. Change in Bowel Habit - p. 242 95. 85. Constipation - p. 245 96. 86. Diarrhoea - p. 247 97. 87. Pallor - p. 250 98. 88. Petechial Rash and Purpura - p. 254 99. 89. Bruising - p. 257 100. 90. Fever - p. 261 101. 91. Lymphadenopathy - p. 264 102. 92. Organomegaly - p. 267 103. 93. Neck Pain/Stiffness - p. 270 104. 94. Jaundice - p. 273 105. 95. Haemoptysis - p. 276 106. 96. Viral Exanthems - p. 279 107. 97. Vaccination – Outline - p. 283 108. 98. Travelling Advice - p. 284 109. 99. Headache - p. 287 110. 100. Fits/Seizures - p. 290 111. 101. Speech and Language Problems - p. 293 112. 102. Facial Weakness - p. 296 113. 103. Memory Loss - p. 299 114. 104. Visual Hallucinations - p. 302 115. 105. Tremor - p. 304 116. 106. Abnormal Involuntary Movements - p. 307 117. 107. Facial Pain - p. 311 118. 108. Altered Sensation, Numbness and Tingling - p. 314 119. 109. Fasciculations - p. 317 120. 110. Neuromuscular Weakness - p. 320 121. 111. Unsteadiness - p. 323 122. 112. Sleep Problems - p. 325 123. 113. Raised Intracranial Pressure - p. 329 124. 114. Amenorrhoea - p. 333 125. 115. Menopausal Problems - p. 337 126. 116. Contraception Advice – Outline - p. 340 127. 117. Hyperemesis/Vomiting in Early Pregnancy - p. 342 128. 118. Unwanted Pregnancy and Termination – Outline - p. 345 129. 119. Subfertility - p. 346 130. 120. Normal Pregnancy and Risk Assessment – Outline - p. 349 131. 121. Substance Misuse - p. 353 132. 122. Intrauterine Death and Miscarriage – Outline - p. 355 133. 123. Large for Gestational Age - p. 357 134. 124. Small for Gestational Age - p. 359 135. 125. Reduced Foetal Movements – Outline - p. 362 136. 126. Bleeding Antepartum - p. 364 137. 127. Labour – Outline - p. 367 138. 128. Complications of Labour - p. 369 139. 129. Bleeding Post-Partum - p. 372 140. 130. Difficulty With Breastfeeding - p. 375 141. 131. Pain on Sexual Intercourse (Dyspareunia) - p. 378 142. 132. Vaginal Prolapse - p. 380 143. 133. Pelvic Pain - p. 382 144. 134. Pelvic Mass - p. 385 145. 135. Vulval Lump - p. 387 146. 136. Vulval Lesion/Itch - p. 390 147. 137. Abnormal Cervical Smear - p. 392 148. 138. Vaginal and Urethral Discharge - p. 395 149. 139. Genital Ulcers/Warts - p. 399 150. 140. Prematurity – Outline - p. 401 151. 141. Neonatal Death - p. 404 152. 142. Well-Being Checks – Outline - p. 407 153. 143. Infant Feeding Problems - p. 410 154. 144. Crying Baby - p. 413 155. 145. The Sick Child - p. 415 156. 146. Allergies - p. 420 157. 147. Abnormal Development/Developmental Delay - p. 422 158. 148. Dysmorphic Child - p. 425 159. 149. Family History of Genetic Disorder - p. 433 160. 150. Cyanosis - p. 436 161. 151. Limping Child - p. 440 162. 152. Congenital Abnormality - p. 443 163. 153. Congenital Abnormality, Biliary Atresia – Outline - p. 446 164. 154. Learning Disability - p. 448 165. 155. Behavioural Difficulties in Childhood - p. 450 166. 156. Child Abuse - p. 452 167. 157. Frailty, Immobility and Struggling to Cope at Home - p. 456 168. 158. Bone Pain - p. 459 169. 159. Acute and Chronic Pain Management – Outline - p. 462 170. 160. Chronic Pain - p. 464 171. 161. Death, Dying and End-of-Life Care - p. 467 172. 162. Elder Abuse - p. 470 173. 163. Mental Health Problems in Pregnancy or Postpartum - p. 472 174. 164. Low Mood/Affective Problems - p. 475 175. 165. Elation, Elated Mood and Pressure of Speech - p. 478 176. 166. Auditory Hallucinations - p. 481 177. 167. Anxiety, Phobias, OCD - p. 484 178. 168. Somatisation/Medically Unexplained Physical Symptoms - p. 487 179. 169. Addiction - p. 490 180. 170. Fixed Abnormal Beliefs – Outline - p. 493 181. 171. Suicidal Thoughts and Self-Harm - p. 494 182. 172. Threats to Harm Others - p. 497 183. 173. Abnormal Eating or Exercising Behaviour - p. 500 184. 174. Mental Capacity Concerns – Outline - p. 503 185. 175. Polydipsia and Dehydration - p. 505 186. 176. Acute Kidney Injury and Oliguria - p. 508 187. 177. Chronic Kidney Disease - p. 511 188. 178. Electrolyte Abnormalities – Overview Table - p. 515 189. 179. Hyponatraemia - p. 517 190. 180. Hyperkalaemia - p. 521 191. 181. Investigation Results – Overview Table - p. 529 192. 182. Stridor - p. 531 193. 183. Wheeze - p. 535 194. 184. Pleural Effusion - p. 538 195. 185. Cough - p. 541 196. 186. Acute Joint Pain - p. 544 197. 187. Chronic Joint Pain - p. 547 198. 188. Fatigue - p. 550 199. 189. Muscle Pain/Myalgia - p. 553 200. 190. Fit Notes - p. 556 201. 191. Soft Tissue Injury/Minor Trauma - p. 559 202. 192. Back Pain - p. 563 203. 193. Musculoskeletal Deformity - p. 566 204. 194. Trauma in Children - p. 569 205. 195. Anuria and Acute or Chronic Urinary Retention - p. 572 206. 196. Loin Pain - p. 575 207. 197. Scrotal/Testicular Pain and/or Lump/Swelling - p. 578 208. 198. Abnormal Urinalysis - p. 581 209. 199. Haematuria - p. 584 210. 200. Urinary Symptoms and Incontinence - p. 587 211. 201. Erectile Dysfunction - p. 589 212. Index - p. 591 213. 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. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. iv 6. How to use this book - p. xi 7. Preface - p. xviii 8. Acknowledgements - p. xx 9. Abbreviation List - p. xxix 10. Contributors - p. xxx 11. 1. Nipple Discharge - p. 1 12. 2. Breast Tenderness - p. 4 13. 3. Breast Lump - p. 7 14. 4. Limb Claudication - p. 11 15. 5. Cold, Painful, Pale, Pulseless Leg/Foot - p. 14 16. 6. Skin Ulcer - p. 18 17. 7. Hypertension - p. 21 18. 8. Peripheral Oedema and Ankle Swelling - p. 23 19. 9. Heart Murmur - p. 26 20. 10. Palpitations - p. 29 21. 11. Chest Pain and Pain on Inspiration - p. 32 22. 12. Dizziness - p. 37 23. 13. Obesity - Outline - p. 40 24. 14. Scarring - p. 42 25. 15. Acute Rash - p. 44 26. 16. Chronic Rash - p. 47 27. 17. Skin Lesion - p. 50 28. 18. Skin or Subcutaneous Lump - p. 53 29. 19. Nail Abnormalities – Outline - p. 56 30. 20. Ear and Nasal Discharge - p. 58 31. 21. Painful Ear - p. 61 32. 22. Hearing Loss - p. 63 33. 23. Tinnitus - p. 66 34. 24. Vertigo - p. 69 35. 25. Nasal Obstruction - p. 72 36. 26. Anosmia - p. 74 37. 27. Epistaxis - p. 76 38. 28. Sore Throat - p. 79 39. 29. Hoarseness and Voice Change - p. 81 40. 30. Diplopia and Ptosis - p. 84 41. 31. Squint - p. 87 42. 32. Loss of Red Reflex - p. 90 43. 33. Flashes and Floaters in Visual Fields - p. 93 44. 34. Eye Trauma and Foreign Object in Eye - p. 95 45. 35. Red Eye - p. 98 46. 36. Eye Pain and Discomfort - p. 100 47. 37. Acute Change in or Loss of Vision - p. 104 48. 38. Gradual Loss of Vision - p. 107 49. 39. Facial/Periorbital Swelling - p. 110 50. 40. Breathlessness - p. 113 51. 41. Deteriorating Patient – Outline - p. 116 52. 42. Shock and Low Blood Pressure - p. 119 53. 43. Cardiorespiratory Arrest - p. 123 54. 44. Trauma and Massive Haemorrhage - p. 126 55. 45. Painful Swollen Leg - p. 129 56. 46. Blackouts, Faints and Loss of Consciousness - p. 132 57. 47. Confusion - p. 135 58. 48. Falls - p. 137 59. 49. Head Injury - p. 140 60. 50. Bleeding From Upper GI Tract/Melaena - p. 143 61. 51. Poisoning - p. 146 62. 52. Overdose - p. 148 63. 53. Anaphylaxis - p. 151 64. 54. Bites and Stings - p. 153 65. 55. Burns - p. 156 66. 56. Laceration - p. 159 67. 57. Snoring - p. 164 68. 58. Weight Loss - p. 167 69. 59. Weight Gain - p. 170 70. 60. Neck Lump - p. 173 71. 61. Hypercalcaemia - p. 176 72. 62. Driving Advice - p. 180 73. 63. Pubertal Development - p. 182 74. 64. Loss of Libido - p. 185 75. 65. Gynaecomastia - p. 188 76. 66. Post-Surgical Care and Complications - p. 191 77. 67. Acute Abdominal Pain - p. 193 78. 68. Abdominal Distension - p. 197 79. 69. Change in Stool Colour - p. 200 80. 70. Abdominal Mass - p. 203 81. 71. Bleeding from the Lower Gastrointestinal Tract - p. 206 82. 72. Lump in Groin - p. 209 83. 73. Perianal Symptoms - p. 212 84. 74. Rectal Prolapse and Anal Cancer - p. 215 85. 75. Faecal Incontinence - p. 217 86. 76. Misplaced Nasogastric Tube and NGT Placement – Outline - p. 220 87. 77. Swallowing Problems - p. 223 88. 78. Decreased Appetite - p. 225 89. 79. Food Intolerance - p. 227 90. 80. Nausea and Vomiting - p. 230 91. 81. Chronic Abdominal Pain - p. 232 92. 82. Pruritis - p. 236 93. 83. Ascites - p. 239 94. 84. Change in Bowel Habit - p. 242 95. 85. Constipation - p. 245 96. 86. Diarrhoea - p. 247 97. 87. Pallor - p. 250 98. 88. Petechial Rash and Purpura - p. 254 99. 89. Bruising - p. 257 100. 90. Fever - p. 261 101. 91. Lymphadenopathy - p. 264 102. 92. Organomegaly - p. 267 103. 93. Neck Pain/Stiffness - p. 270 104. 94. Jaundice - p. 273 105. 95. Haemoptysis - p. 276 106. 96. Viral Exanthems - p. 279 107. 97. Vaccination – Outline - p. 283 108. 98. Travelling Advice - p. 284 109. 99. Headache - p. 287 110. 100. Fits/Seizures - p. 290 111. 101. Speech and Language Problems - p. 293 112. 102. Facial Weakness - p. 296 113. 103. Memory Loss - p. 299 114. 104. Visual Hallucinations - p. 302 115. 105. Tremor - p. 304 116. 106. Abnormal Involuntary Movements - p. 307 117. 107. Facial Pain - p. 311 118. 108. Altered Sensation, Numbness and Tingling - p. 314 119. 109. Fasciculations - p. 317 120. 110. Neuromuscular Weakness - p. 320 121. 111. Unsteadiness - p. 323 122. 112. Sleep Problems - p. 325 123. 113. Raised Intracranial Pressure - p. 329 124. 114. Amenorrhoea - p. 333 125. 115. Menopausal Problems - p. 337 126. 116. Contraception Advice – Outline - p. 340 127. 117. Hyperemesis/Vomiting in Early Pregnancy - p. 342 128. 118. Unwanted Pregnancy and Termination – Outline - p. 345 129. 119. Subfertility - p. 346 130. 120. Normal Pregnancy and Risk Assessment – Outline - p. 349 131. 121. Substance Misuse - p. 353 132. 122. Intrauterine Death and Miscarriage – Outline - p. 355 133. 123. Large for Gestational Age - p. 357 134. 124. Small for Gestational Age - p. 359 135. 125. Reduced Foetal Movements – Outline - p. 362 136. 126. Bleeding Antepartum - p. 364 137. 127. Labour – Outline - p. 367 138. 128. Complications of Labour - p. 369 139. 129. Bleeding Post-Partum - p. 372 140. 130. Difficulty With Breastfeeding - p. 375 141. 131. Pain on Sexual Intercourse (Dyspareunia) - p. 378 142. 132. Vaginal Prolapse - p. 380 143. 133. Pelvic Pain - p. 382 144. 134. Pelvic Mass - p. 385 145. 135. Vulval Lump - p. 387 146. 136. Vulval Lesion/Itch - p. 390 147. 137. Abnormal Cervical Smear - p. 392 148. 138. Vaginal and Urethral Discharge - p. 395 149. 139. Genital Ulcers/Warts - p. 399 150. 140. Prematurity – Outline - p. 401 151. 141. Neonatal Death - p. 404 152. 142. Well-Being Checks – Outline - p. 407 153. 143. Infant Feeding Problems - p. 410 154. 144. Crying Baby - p. 413 155. 145. The Sick Child - p. 415 156. 146. Allergies - p. 420 157. 147. Abnormal Development/Developmental Delay - p. 422 158. 148. Dysmorphic Child - p. 425 159. 149. Family History of Genetic Disorder - p. 433 160. 150. Cyanosis - p. 436 161. 151. Limping Child - p. 440 162. 152. Congenital Abnormality - p. 443 163. 153. Congenital Abnormality, Biliary Atresia – Outline - p. 446 164. 154. Learning Disability - p. 448 165. 155. Behavioural Difficulties in Childhood - p. 450 166. 156. Child Abuse - p. 452 167. 157. Frailty, Immobility and Struggling to Cope at Home - p. 456 168. 158. Bone Pain - p. 459 169. 159. Acute and Chronic Pain Management – Outline - p. 462 170. 160. Chronic Pain - p. 464 171. 161. Death, Dying and End-of-Life Care - p. 467 172. 162. Elder Abuse - p. 470 173. 163. Mental Health Problems in Pregnancy or Postpartum - p. 472 174. 164. Low Mood/Affective Problems - p. 475 175. 165. Elation, Elated Mood and Pressure of Speech - p. 478 176. 166. Auditory Hallucinations - p. 481 177. 167. Anxiety, Phobias, OCD - p. 484 178. 168. Somatisation/Medically Unexplained Physical Symptoms - p. 487 179. 169. Addiction - p. 490 180. 170. Fixed Abnormal Beliefs – Outline - p. 493 181. 171. Suicidal Thoughts and Self-Harm - p. 494 182. 172. Threats to Harm Others - p. 497 183. 173. Abnormal Eating or Exercising Behaviour - p. 500 184. 174. Mental Capacity Concerns – Outline - p. 503 185. 175. Polydipsia and Dehydration - p. 505 186. 176. Acute Kidney Injury and Oliguria - p. 508 187. 177. Chronic Kidney Disease - p. 511 188. 178. Electrolyte Abnormalities – Overview Table - p. 515 189. 179. Hyponatraemia - p. 517 190. 180. Hyperkalaemia - p. 521 191. 181. Investigation Results – Overview Table - p. 529 192. 182. Stridor - p. 531 193. 183. Wheeze - p. 535 194. 184. Pleural Effusion - p. 538 195. 185. Cough - p. 541 196. 186. Acute Joint Pain - p. 544 197. 187. Chronic Joint Pain - p. 547 198. 188. Fatigue - p. 550 199. 189. Muscle Pain/Myalgia - p. 553 200. 190. Fit Notes - p. 556 201. 191. Soft Tissue Injury/Minor Trauma - p. 559 202. 192. Back Pain - p. 563 203. 193. Musculoskeletal Deformity - p. 566 204. 194. Trauma in Children - p. 569 205. 195. Anuria and Acute or Chronic Urinary Retention - p. 572 206. 196. Loin Pain - p. 575 207. 197. Scrotal/Testicular Pain and/or Lump/Swelling - p. 578 208. 198. Abnormal Urinalysis - p. 581 209. 199. Haematuria - p. 584 210. 200. Urinary Symptoms and Incontinence - p. 587 211. 201. Erectile Dysfunction - p. 589 212. Index - p. 591 213. Medicine in a Day: Revision Notes - p. 617
