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.
Abbreviations
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"
Index
Biography
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
