1st Edition

100 Cases in Orthopaedics and Rheumatology

By Gurmit Singh, Catherine Swales Copyright 2012

    A 24-year-old woman attends rheumatology outpatients with an eight-week history of painful hands. On examination she is tearful and thin. You are the medic on duty...

    100 Cases in Orthopaedics and Rheumatology presents 100 scenarios commonly seen by medical students and junior doctors in orthopaedic and rheumatology clinics, or in the emergency department. A succinct summary of the patient's history, examination and initial investigations, with clinical and/or imaging photographs, 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. These cases will teach students and junior doctors to recognize important symptoms and signs and, where appropriate, their relationship to other medical conditions, and to develop their diagnostic and management skills.

    ORTHOPAEDICS
    A painful knee in a neonate
    A traumatic painful joints in a boy
    A traumatic painful hip
    An expanding mass in the leg of an adolescent
    A boy with a swollen mass in his thigh
    A painful collarbone
    A painful proximal humerus in an elderly woman
    A boy with a painful elbow
    A painful distal radius following a fall
    A painful thumb following a fall
    A painful hip following a fall
    Knee pain following a traffic accident
    A painful swollen elbow in a young girl
    A painful thigh following a violent fall
    Groin pain following a fall
    A swollen painful leg after a sporting incident
    A painful and swollen knee following an accident
    A crushed leg
    A painful foot following a traffic incident
    A hindfoot injury following a fall from height
    Curvature of the spine
    Severe low back pain
    A clicky hip in a toddler
    Hip and thigh pain in a 7-year-old boy
    A painful hip in an adolescent
    Groin and buttock pain in an elderly man
    Lateral hip pain
    A painful red swollen knee
    Swelling in the back of the knee
    A mildly swollen knee in a young man
    A traumatic painful knee in an elderly woman
    An unstable knee in a young man
    An injured ankle
    Deformed feet in a newborn child
    High-arched feet in a young girl
    Flat feet in a young girl
    A painful and swollen ankle
    Deformed feet in an elderly woman
    A stiff great toe
    Misshapen toe in a middle-aged woman (1)
    Misshapen toe in a middle-aged woman (2)
    Foot pain following a riding fall
    A deformed, swollen and ulcerated foot
    A stiff shoulder
    Elbow pain (1)
    Elbow pain (2)
    A painful wrist
    A deformed finger
    A painless contracture deformity of a hand
    A painful wrist following a fall

    RHEUMATOLOGY
    A swollen joint and fever
    Painful hands in a young woman
    Back pain in a young man
    Clumsiness
    Back pain and thirst in an elderly man
    Acute back pain
    Painful bones and a waddling gait
    Hip pain and abnormal blood tests
    Knee pain in an athlete
    Painful hands and a rash
    Hypermobility and a pneumothorax
    Pins and needles in a young woman
    Joint pains, skin changes and muscle weakness
    An acutely painful knee
    Recurrent abdominal pain and fevers
    Painful hands and oral ulcers
    Painful hands and breathlessness
    Persistent ulceration in an elderly woman
    A sore throat, painful knees and facial movements
    A lumpy rash and a swollen knee
    Rash and swollen ankles
    A breathless rheumatoid patient
    Pleuritic chest pain
    Fever, rash and joint pains
    Pain and stiffness in shoulders and hips
    Painful ears and nose
    Weakness and a rash
    Diarrhoea, rash and a stiff back
    Headache and weight loss
    A painful swollen hand following a fracture
    Diarrhoea and painful joints
    Chronic extensive muscle pain
    Intractable synovitis
    Haemoptysis and renal failure
    Diarrhoea and a swollen knee
    Swollen ankles and a rash
    Rash, testicular pain and arthralgia
    Painful hands and dry eyes
    Genital ulcers and a rash
    Rash, arthralgia and facial weakness
    Rash and abdominal pain in an adolescent
    Weight loss and claudication in a young woman
    Swollen cheeks in an elderly man
    A swollen knee
    A child with a swollen knee
    Acne, arthralgia and chest pains
    A breathless patient with lupus
    Anaemia and weight loss in a patient with rheumatoid arthritis
    A breathless patient with dematomyositis
    100 Asthma, rhinitis, foot drop and a rash

    Biography

    Parminder J Singh MBBS, MRCS, FRCS(Tr&Orth) MS, Consultant Orthopaedic and Trauma Surgeon and Senior Lecturer, Maroondah Hospital, Monash and Deakin University, Melbourne, Australia

    Catherine Swales MRCP PhD, Arthritis Research UK Clinical Research Fellow and Clinical Lecturer in Rheumatology, Nuffield Orthopaedic Centre, Oxford, UK

    "The book provides a unique learning and revision tool in realistic cases that are likely to arise. They are all presented in an easy-to-read format, with summarizing key points at the end."
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