100 Cases in Acute Medicine: 1st Edition (Paperback) book cover

100 Cases in Acute Medicine

1st Edition

By Kerry Layne, Henry Fok, Adam Nabeebaccus

CRC Press

296 pages

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pub: 2012-06-29
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A 32-year-old Caucasian lady was admitted to hospital following a collapse at the gym. Her friends described the patient falling to the floor while exercising on the rowing machine, followed by twitching of her arms and legs and a period of being unrousable. 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 of 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. 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

Shortness of breath and a cough

Collapse and confusion in a young woman

Diarrhoea with pneumonia

Swollen glands and hearing impairment

Nose bleed (epistaxis) following an operation

Worsening delirium

Deliberate self-harm with painkillers

Lymphadenopathy and malaise

The ill returning traveller

Delirium and urinary symptoms

Headache in pregnancy

Epigastric pain and vomiting

Severe pain in the legs

Chest pain radiating to the back

Shortness of breath (orthopnoea) with a cough

Recurrent abdominal pain

Haemoptysis in a returning traveller

Bloody diarrhoea

Drowsiness and headaches

Progressive lower limb weakness

Seizure and agitation

Substance misuse

Unilateral leg swelling

Vomiting caused by norovirus

Fever and sore throat

Blurred vision

Recurring dizziness with exercise

Palpitations and collapse


Petechiae and limb weakness

Generalized weakness and dysarthria

Dysphagia and shallow breathing

Blisters and itchy skin

Shortness of breath following a fall

Swelling of lower limbs

Haemoptysis and shortness of breath

Knee swelling and pain

Bleeding per rectum

Shortness of breath and pedal oedema

Sharp central chest pain

Fever in a returned traveller

Red eyes and sight impairment

Rash and flu-like symptoms

Substance abuse and agitation

Generalized rash and malaise

Pruritic rash and alopecia

Defective vision and eye pain

Abdominal pain with malaise and fever

Painful shoulder and malaise

Facial rash in a patient with SLE

A woman 'off her legs'

Acute confusion

Memory loss and unsteadiness

Postoperative hypotension

Drowsiness bordering on coma

Anxiety with Graves' disease

Episodic anxiety and headache

Shortness of breath in a returning traveller

A fatigued college girl

Haematuria and flank pain

Bradycardia and malaise

Bleeding gums and nose

Palpitations and shortness of breath

Petechial rash and loss of consciousness

Wheeze and productive cough

Wheeze and shortness of breath

Coffee-ground vomiting

Progressive dysphagia and muscle stiffness

Respiratory distress and oedema

Loss of pain sensation

Shortness of breath and in a returning traveller

Confusion following a fall

Apparent adverse drug reaction

Constipation with confusion

Chest pain after exertion

Fevers, weight loss and night sweats

Right-sided chest pain

Shortness of breath in a young non-smoker

Loss of consciousness in diabetes

'Indigestion' with radiating pain

Suspected opiate overdose

Steady 'deterioration' in functioning

Exacerbation of COPD

Epistaxis and haemoptysis

Collapse associated with a headache

Jaundice and pruritis

Abdominal pain, bruising and confusion

Chest pain with fever, malaise and myalgia

Deteriorating renal function

Flu-like symptoms and generalized weakness

Blurred vision with headache

Severe abdominal pain and feverishness

Self-limiting generalized seizures

Abdominal pain, diarhoea and fever

Target-like rash and fever

Fever, photophobia and neck stiffness

Seizure in heart disease

Back pain and weight loss

Abdominal pain following alcohol excess

Night sweats, polyuria and polydipsia

About the Authors/Editor

Kerry Layne, Core Medical Trainee, Guy's & St Thomas' NHS Foundation Trust, London, UK
Henry Fok
Academic Clinical Fellow, Guy's and St Thomas' NHS Foundation Trust
MB BS, BSc (Hons)
Adam Nabeebaccus
Specialist Registrar, Cardiology, King's College, London, UK

About the Series

100 Cases

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Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / General
MEDICAL / Emergency Medicine
MEDICAL / Internal Medicine