Oxford Cases in Medicine and Surgery

Product Information

Many give the reader so much information in the initial case presentation that the diagnosis is virtually made for you. presenting symptoms in general medicine and surgery are covered, together with a broad range of pathologies. By starting with a symptom, mirroring real life settings, students learn to draw on their knowledge of different physiological systems – for example, cardiology, respiratory, gastroenterology – at the same time. Shortness of breath essentially means either that not enough oxygen is getting around the body or that there is a cause for increased respiratory drive.

Oxford Cases in Medicine and Surgery - Softcover - AbeBooks Oxford Cases in Medicine and Surgery - Softcover - AbeBooks

Substantial bleeding from lesions proximal in the GI tract may present with melaena (jet black, tarry stool caused by bacterial oxidation of haem) or may present as frank blood (haematochezia) if transit times are sufficiently rapid. With these four inputs in mind, it becomes easier to understand some of the pathologies that can activate the vomiting centre and cause nausea and vomiting, as is shown in Figure 13. Oxford Cases in Medicine and Surgery teaches students a hypothesis-driven, logical step-by-step diagnostic approach to common patient presentations. The answers are well presented with references to diagnostic guidelines, and also come with easily digestible mnemonics. This table, and the indications of prevalence within it, refers to overt rectal bleeding as occult rectal bleeding will not be noticed by the patient.For example, a ‘ 62-year-old diabetic male with sudden onset, crushing chest pain; tachycardia on examination; ST elevation on his ECG, plus raised troponins’ has a myocardial infarction. The second point to note is that upper GI sources of haemorrhage may occasionally present with rectal bleeding alone. Note that this is different from delirium and that you cannot diagnose dementia from a single mental status assessment. Farne, Hugo, Edward Norris-Cervetto, and James Warbrick-Smith, 'Epigastric pain', Oxford Cases in Medicine and Surgery ( New York, 2015; online edn, Oxford Academic , 12 Nov.

Oxford Cases in Medicine and Surgery | Oxford Confusion | Oxford Cases in Medicine and Surgery | Oxford

If this is the case, you should ask about peptic ulcer disease (or a history of dyspepsia) as this can cause scarring and pyloric stenosis. Hugo Farne, Specialist Registrar in Respiratory Medicine, London Deanery,Edward Norris-Cervetto, Specialist Registrar in Emergency Medicine, Oxford Deanery,James Warbrick-Smith, Specialist Registrar in Plastic Surgery, Wales Deanery.Vomiting after a longer postprandial delay is consistent with an obstruction lower in the GI tract, usually in the small bowel. All the major presenting symptoms in general medicine and surgery are covered, together with a broad range of pathologies. However, localization of pain is far from accurate in abdominal pathology due to the neural wiring and embryology, and also anatomical variations. Oxford Cases in Medicine and Surgery, second edition, teaches students a hypothesis-driven, logical step-by-step approach to diagnosis when faced with each of 29 common patient presentations. To work out what type of confusion this is, you should start by conducting a quick screen of confusion because if the patient does poorly in your screen, taking a conventional history may prove unhelpful.

Oxford Cases in Medicine and Surgery: (2nd Revised edition

Farne, Hugo, Edward Norris-Cervetto, and James Warbrick-Smith, 'Rectal bleeding', Oxford Cases in Medicine and Surgery ( New York, 2015; online edn, Oxford Academic , 12 Nov.

Farne, Hugo, Edward Norris-Cervetto, and James Warbrick-Smith, 'Confusion', Oxford Cases in Medicine and Surgery ( New York, 2015; online edn, Oxford Academic , 12 Nov. Farne, Hugo, Edward Norris-Cervetto, and James Warbrick-Smith, 'Nausea and vomiting', Oxford Cases in Medicine and Surgery ( New York, 2015; online edn, Oxford Academic , 12 Nov. Never forget to ask about smoking and to quantify this in terms of ‘pack years’ smoked (1 pack = 20 cigarettes; 20 cigarettes a day for a year = 1 pack year).

Oxford Cases in Medicine and Surgery - Google Books Oxford Cases in Medicine and Surgery - Google Books

If there are clinical features to suggest haemodynamic instability—such as hypotension, tachycardia, cool peripheries, tachypnoea, or decreased consciousness—then the immediate priority is to resuscitate the patient before proceeding to a thorough history and examination. Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. You should additionally enquire about symptoms of hypovolaemia—any light-headedness, collapse, chest pain or breathlessness? Although it is more likely that such upper GI sources will also present with haematemesis, you should note that large volumes of blood in the GI tract can act as a cathartic (stimulant of peristalsis) and the resultant rapid transit through the intestine leads to the passage of red blood per rectum.DT Hyperlinked bibliography: online links to articles referenced in the book, providing ready access to the primary literature. Farne, Hugo, Edward Norris-Cervetto, and James Warbrick-Smith, Oxford Cases in Medicine and Surgery ( New York, 2015; online edn, Oxford Academic , 12 Nov. A persistent, productive cough over the last few days suggests pneumonia; a persistent, productive cough on most days of the past 3 months and spanning years suggests chronic bronchitis; a dry cough present mainly during the episodes of shortness of breath or at night suggests asthma, but may also be a feature of left ventricular failure; bloodstained sputum may suggest a PE, lung cancer, or a cavitating pneumonia. Patients present with symptoms such as ‘chest pain’ and it is your job to elicit the key clues on history and examination, and to arrange the key investigations that will confirm that this is a myocardial infarction and rule out other diagnoses.