100 Cases in Acute Medicine  book cover
2nd Edition

100 Cases in Acute Medicine

ISBN 9781003241171
Published November 30, 2022 by CRC Press
326 Pages 5 Color & 33 B/W Illustrations

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Book Description

A 19-year-old student is admitted to hospital after being found unconscious in her room in the university halls of residence. Her roommate told the paramedics that the patient had recently failed her end of year exams. She was reportedly found with several packets of paracetamol and codeine phosphate nearby and an empty bottle of wine on her bedside table. You are the medic on duty...

100 Cases in Acute Medicine presents 100 acute conditions commonly seen by medical students and junior doctors in the emergency department, or on the ward or in the community setting. A succinct summary of the patient's history, examination and initial investigations, including photographs where relevant, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors.

Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. Fully revised and updated for this second edition, these cases will teach students and junior doctors to recognize important clinical symptoms and signs, and to develop their diagnostic and management skills.

Table of Contents


Case 1: Acute Confusion

Case 2: Apparent Adverse Drug Reaction

Case 3: Shortness of Breath and a Cough

Case 4: Collapse and Confusion in a Young Woman

Case 5: Drowsy After a Fall

Case 6: Constipation with Confusion

Case 7: Diarrhoea Following Antibiotics

Case 8: Worsening Delirium

Case 9: Swollen Glands and Hearing Impairment

Case 10: Nose Bleed (Epistaxis) Following an Operation

Case 11: Deliberate Self-Harm with Antifreeze

Case 12: Right-Sided Chest Pain

Case 13: A Case of Deliberate Self-Harm

Case 14: Lymphadenopathy and Malaise

Case 15: Loss of Consciousness in Diabetes

Case 16: Fevers, Weight Loss, and Night Sweats

Case 17: The Ill Returning Traveller

Case 18: An Atypical Seizure

Case 19: Delirium and Urinary Symptoms

Case 20: Headache in Pregnancy

Case 21: Epigastric Pain and Vomiting

Case 22: Fever in a Returning Traveller

Case 23: Shortness of Breath during a Sickle Cell Crisis

Case 24: Chest Pain Radiating to the Back

Case 25: Shortness of Breath

Case 26: Recurrent Abdominal Pain

Case 27: A Persistent Cough

Case 28: Bloody Diarrhoea

Case 29: Progressive Dysphagia in a Patient with Known Malignancy

Case 30: Progressive Lower Limb Weakness

Case 31: Seizure and Agitation

Case 32: Substance Misuse

Case 33: Unilateral Leg Swelling

Case 34: Vomiting Caused by Norovirus

Case 35: Fever and Sore Throat

Case 36: A Couple with Headaches and Vomiting

Case 37: Recurring Dizziness with Exercise

Case 38: Palpitations and Collapse

Case 39: Shortness of Breath in a Young Non-Smoker

Case 40: ‘Indigestion’ with Radiating Pain

Case 41: Memory Loss and Unsteadiness

Case 42: Ecchymosis

Case 43: Petechiae and Limb Weakness

Case 44: Acute Breathlessness

Case 45: Dysphagia and Shallow Breathing

Case 46: Painful Ankles and Rash

Case 47: Collapse Associated with a Headache

Case 48: Blisters and Itchy Skin

Case 49: Postoperative Hypotension

Case 50: Drowsiness Bordering on Coma

Case 51: Anxiety with Graves’ Disease

Case 52: Episodic Anxiety and Headache

Case 53: Cough, Fever, and Shortness of Breath

Case 54: Shortness of Breath Following a Fall

Case 55: A Lady with Fatigue

Case 56: Haematuria and Flank Pain

Case 57: Bradycardia and Malaise

Case 58: Swelling of Lower Limbs

Case 59: Haemoptysis and Shortness of Breath

Case 60: Headache and Eyelid Drooping

Case 61: Knee Swelling and Pain

Case 62: Lower Abdominal Pain

Case 63: Abdominal Pain, Bruising, and Confusion

Case 64: Jaundice and Pruritis

Case 65: Bleeding Gums and Nose

Case 66: Palpitations and Shortness of Breath

Case 67: Shortness of Breath and Pedal Oedema

Case 68: Sharp Central Chest Pain

Case 69: Chest Pain with Fever, Malaise, and Myalgia

Case 70: Deteriorating Renal Function

Case 71: Petechial Rash and Loss of Consciousness

Case 72: Wheeze and Productive Cough

Case 73: Flu-Like Illness and Generalised Weakness

Case 74: Fever and a Murmur

Case 75: Wheeze and Shortness of Breath

Case 76: Red Eyes and Sight Impairment

Case 77: Severe Abdominal Pain and Fever

Case 78: Rash and Flu-Like Symptoms

Case 79: Substance Abuse and Agitation

Case 80: Generalised Rash and Malaise

Case 81: Coffee-Ground Vomiting

Case 82: Blurred Vision with Headache

Case 83: Pruritic Rash and Alopecia

Case 84: Abdominal Pain, Diarrhoea, and Fever

Case 85: Progressive Dysphagia and Muscle Stiffness

Case 86: Headache and Double Vision

Case 87: Defective Vision and Eye Pain

Case 88: Back Pain and Weight Loss

Case 89: Abdominal Pain Following Alcohol Binge

Case 90: Abdominal Pain, Malaise, and Fever

Case 91: Respiratory Distress and Oedema

Case 92: Night Sweats, Polyuria, and Polydipsia

Case 93: Painful Shoulder and Malaise

Case 94: Facial Rash

Case 95: Self-Limiting Generalised Seizures

Case 96: Target-Like Rash and Fever

Case 97: Seizure

Case 98: Loss of Pain Sensation

Case 99: Shortness of Breath in a Returning Traveller

Case 100: A Woman "Off Her Legs"


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Henry Fok, Clinical Senior Lecturer in Clinical Pharmacology, Institute of Medical and Biomedical Education, St George’s University of London, UK

Kerry Layne, Consultant in Acute Medicine Department, Guy's and St Thomas' Hospital NHS Foundation Trust, London, UK

Adam Nabeebaccus, Clinical Lecturer, Cardiovascular Division, King’s College London, UK