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100 Cases in Acute Medicine (1st Edition) by Kerry Layne, Henry Fok, Adam Nabeebaccus

By Kerry Layne, Henry Fok, Adam Nabeebaccus

A 32-year-old Caucasian woman used to be admitted to health facility following a cave in on the health club. Her buddies defined the sufferer falling to the ground whereas workout at the rowing computing device, by way of twitching of her legs and arms and a interval of being unrousable. you're the medic on duty...

100 circumstances in Acute medication offers a hundred acute stipulations generally obvious by way of clinical scholars and junior medical professionals within the emergency division, or at the ward, or locally surroundings. A succinct precis of the patient's background, exam, and preliminary investigations, together with photos the place correct, is through questions about the prognosis and administration of every case. the reply contains a distinctive dialogue of every subject, with extra representation the place acceptable, delivering an important revision relief in addition to a pragmatic advisor for college kids and junior doctors.

Making medical judgements and selecting the simplest plan of action is likely one of the so much tough and tough components of educating to develop into a physician. those circumstances will educate scholars and junior medical professionals to acknowledge very important medical signs and indicators, and to increase their diagnostic and administration abilities.

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Additional info for 100 Cases in Acute Medicine (1st Edition)

Sample text

What would be the appropriate management? • What is the likely cause of the deterioration with severe leg pain? 45 ANSWER 23 This patient has swelling and erythema of his leg, which is also warm to touch. These signs point towards an infection, such as cellulitis. Intravenous drug use can make cellulitis more likely, as injection sites become infected and nutritional intake is often poor. A deep vein thrombosis should also be considered. Repeated venous puncture and lowgrade infection promote endothelial dysfunction and higher levels of clotting factors, all leading to increased risk of embolus formation.

Aortic stenosis can cause symptoms of fatigue, angina and collapse. When a patient develops these symptoms, an aortic valve replacement will ideally be carried out. In frail patients, a transcatheter aortic valve implantation may be a more suitable option. CASE 28: PALPITATIONS AND COLLAPSE History A 24-year-old man was in a pub when he suddenly collapsed. When the paramedics arrived he had come around and an ECG was performed (Fig. 1). He described feeling palpitations prior to his collapse and has had this before.

He was taken to the coronary care unit for monitoring. 2 Questions • What is the underlying diagnosis? • What caused this patient to decompensate? • How should he be managed? 1 demonstrates a short PR interval with a slurred onset of the QRS waveform (delta wave). When associated with a supraventricular tachycardia the diagnosis is Wolff– Parkinson–White (WPW) syndrome. The cause of the delta wave is due to an accessory conduction pathway that is separate from the usual AV node/bundle of His–Purkinje conduction pathway.

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