100 cases in clinical medicine by P John Rees, James Pattison, Visit Amazon's Christopher PDF

By P John Rees, James Pattison, Visit Amazon's Christopher Kosky Page, search results, Learn about Author Central, Christopher Kosky,

ISBN-10: 1444174304

ISBN-13: 9781444174304

"Preface so much medical professionals imagine that the main memorable solution to study medication is to work out sufferers. it really is more uncomplicated to remember info in response to a true individual than a web page in a textbook. one other very important point within the retention of data is the intensity of studying. studying that seeks to appreciate difficulties is prone to be obtainable later than superficial authentic accumulation. this is often the foundation of problem-based  Read more...

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There may be gonadal atrophy and mental retardation. There is usually a family history. The electromyogram (EMG) is diagnostic. • Polymyositis: this may have an acute or chronic onset. A skin rash and joint pains are common. The creatine kinase level is raised, and a muscle biopsy is diagnostic. • Miscellaneous myopathies: thyrotoxic, hypothyroid, Cushing’s, alcoholic. • Non-metastatic associations of malignancy: thymoma is associated with myasthenia gravis in 10 per cent of cases; the Eaton–Lambert myasthenic syndrome is associated with small-cell lung carcinoma.

The recent travel to Nigeria raises the possibility of an illness acquired there. The commonest such illness causing a fever in the weeks after return is malaria. The incubation period is usually 12–14 days. The mild haemolytic anaemia with a low platelet count would be typical findings. Slight enlargement of liver and spleen may occur after a few days in nonimmune patients with malaria. The diagnosis should be confirmed by appropriate expert examination of a blood film. The most important feature in this 24-year-old man is the fever with what sound like rigors.

Thrombocytopenia may be from platelet sequestration in an enlarged spleen as a result of portal hypertension from liver cirrhosis. However, his alcohol intake is too low to be consistent with the diagnosis of alcoholic liver disease. When the provisional diagnosis is discussed with him, though, he eventually admits that his alcohol intake has been at least 40–50 units per week for the last 20 years. His alcohol intake has increased further during the last year after his marriage had ended. Further investigations include the measurement of hepatitis viral serology, which was negative, and an ultrasound of the abdomen.

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100 cases in clinical medicine by P John Rees, James Pattison, Visit Amazon's Christopher Kosky Page, search results, Learn about Author Central, Christopher Kosky,

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