Preface
List of contributors
Acknowledgements
List of abbreviations
Introduction
1 How to be a medical student
2 Patient confidentiality
3 Consent
4 Relationship with the patient
5 History of presenting complaint
6 Past medical history, drugs and allergies
7 Family and social history
8 Functional enquiry
9 Principles of examination
10 Basic clinical skills
11 Is the patient ill?
12 The critically ill patient
Clinical presentations at a glance
Cardiovascular disease
13 Chest pain
14 Oedema
15 Palpitations
16 The painful leg
17 Heart murmurs
18 Shock
Respiratory disease
19 Breathlessness, cough and haemoptysis
20 Wheeze (stridor)
21 Pleural effusion
22 Pneumothorax
Gastroenterology
23 Unintentional weight loss
24 Constipation and change in bowel habit
25 Diarrhoea: acute and chronic
26 Vomiting and intestinal obstruction
27 Haematemesis and melaena
28 Rectal bleeding
29 Dysphagia
30 Abdominal pain and dyspepsia
31 Jaundice
32 Abdominal mass
33 Ascites
Renal medicine
34 Polyuria and oliguria
35 Dysuria, frequency and urgency
36 Haematuria
Endocrinology
37 Sweating, flushing and thyroid swellings
38 Obesity
39 Hirsutism and infertility
40 Erectile dysfunction and gynaecomastia
Infectious disease
41 Principles of infection
42 Diagnosis of infection
43 Fever and the assessment of the patient with presumed infection
44 Fever and infections in hospital patients
45 Fever of unknown origin
46 Fever and rash
47 Fever in HIV-infected patients
48 Fever in the returned traveller
49 Vaginal discharge and urethritis
Haematology
50 Anaemia
51 Clinical approach to lymphadenopathy and splenomegaly
52 The patient with abnormal bleeding or bruising
53 Leukopenia Oncology
54 Oncological emergencies
Neurology
55 Introduction to neurological diagnosis1
56 Introduction to neurological diagnosis2
57 Introduction to neurological diagnosis 3: neuroepidemiology
58 Common neurological symptoms
59 Weakness
60 Disturbance of vision: a neurological perspective
61 Sudden painless loss of vision
62 Tremor and other involuntary movements
63 Headache and facial pain
64 Episodic alterations in awareness and consciousness
Ophthalmology
65 The red eye Rheumatology
66 Introduction to rheumatological disease
67 Low back pain and other regional pain syndromes
Dermatology
68 Introduction to dermatology
69 Pruritis and rashes
70 Hair and nail disorders
71 Leg ulcers
72 Photodermatoses Women’s health
73 Pelvic pain
74 Urinary incontinence
Other acute medical emergencies
75 Attempted suicide by drug poisoning
76 Anaphylaxis
77 Allergic reactions
78 Cardiac and respiratory arrest
79 Delirium
80 Coma
Diseases and treatments at a glance
Cardiovascular disease
81 Hypertension
82 Hyperlipidaemia
83 Acute coronary syndromes
84 ST segment elevation myocardial infarction
85 Chronic coronary syndromes
86 Aortic dissection
87 Heart failure
88 Aortic valve disease
89 Mitral valve disease
90 Cardiomyopathies
91 Pericardial disease
92 Pulmonary embolism
93 Cardiac infections
94 Tachyarrhythmias
95 Bradyarrhythmias
96 Congenital heart disease
Respiratory disease
97 Lung function tests
98 Sleep apnoea
99 Respiratory failure
100 Arterial blood gas analysis
101CXR anatomy
102 Basic chest X-ray interpretation
103 CXR cases1
104 CXR cases2
105 Non-invasive ventilation
106 Mechanical ventilation
107 Lower respiratory tract infection: pneumonia
108 Upper respiratory tract infection
109 Asthma
110 Chronic obstructive pulmonary disease
111 Bronchiectasis
112 Cystic fibrosis
113 Sarcoidosis and other granulomatous lung diseases
114 Extrinsic allergic alveolitis (hypersensitivity pneumonitis)
115 Pulmonary fibrosis
116 Pulmonary eosinophilia and vasculitis
117 Fungi and the lung
118 Industrial lung disease
119 Lung disease caused by drugs
120 BOOP and ARDS
121 Primary tumours of the lung
Gastroenterology
122 Food poisoning and gastrointestinal infections
123 Reflux
124 Peptic ulcer disease
125 Diverticular disease
126 Iron deficiency
127 Abnormal liver function tests
128 Inflammatory bowel disease
129 Malabsorption
130 Pancreatitis and pancreatic cancer
131 Gallstone disease
132 Inflammatory liver disease: viral and immune
133 Acute and chronic liver disease
134 Metabolic liver disease (including alcohol)
135 Upper gastrointestinal cancer
136 Colorectal cancer
137 Imaging in gastrointestinal disease
138 Functional gastrointestinal disorders
139 Nutrition
Renal medicine
140 Renal physiology and function tests
141 Hypokalaemia and hyperkalaemia
142 Hyponatraemia and hypernatraemia
143 Disorders of acid–base balance
144 Urinary calculi
145 Nephrotic and nephritic syndromes
146 Glomerulonephritis
147 Renal involvement in systemic disease
148 Hereditary renal disorders
149 Tubulointerstitial disease
150 Acute renal failure
151 Chronic renal failure and the dialysis patient
152 The renal transplant recipient
153 Drugs and renal failure
154 Benign prostatic hypertrophy
155 Urinary tract infection
Endocrinology
156 Diabetes mellitus
157 Complications of diabetes
158 Diabetic emergencies
159 Hyperprolactinaemia and acromegaly
160 Hypothyroidism
161 Hyperthyroidism
162 Calcium metabolism
163 Adrenal disease
164 Miscellaneous endocrine disorders
165 Hypogonadism
Infectious disease
166 Bacteraemia and septic shock
167 Common viral infections in adults
168 HIV infection and AIDS
169 Common fungal infections
170 Specific bacterial infections
171 Malaria
172 Tuberculosis
173 Tropical infectious diseases
174 Diseases predisposing to infection
175 Immunological deficiency syndromes
Haematology
176 Haematinic deficiency anaemias
177 Haemolytic anaemia
178 Thalassaemia and sickle cell disease
179 Bone marrow failure
180 Acute leukaemia
181 Chronic leukaemia
182 Lymphoma
183 Myeloproliferative disorders
184 Myeloma
185 Myelodysplasia
186 The blood in systemic disease
187 Platelet disorders
188 Disorders of coagulation
189 Anticoagulation and antiplatelet drugs
190 Thrombophilia
Oncology
191 Aetiology of cancer
192 Diagnostic strategies and basic principles of cancer management
193 Cancer screening and early detection
194 Breast cancer
195 Prostate cancer
196 Cancer with an unknown primary
197 Paraneoplastic syndromes and hormone-producing cancers
198 Palliative care
Neurology
199 Head CT cases
200 Head MRI cases
201 Stroke
202 Management of stroke
203 Other vascular disorders of the brain
204 Dementias
205 Epilepsy
206 Multiple sclerosis
207 Infections of the central nervous system
208 Tumours and the nervous system
209 Spinal cord disease
210 Neuromuscular disease
211 Peripheral neuropathy
212 Movement disorders
Rheumatology
213 Osteoarthritis
214 Gout and pseudogout
215 Arthritis associated with infectious agents
216 Metabolic bone disease
217 Other bone disease
218 Rheumatoid arthritis
219 Seronegative spondyloarthropathies
220 Vasculitis
221 Systemic lupus erythematosus
222 Inflammatory muscle disease and selected forms of vasculitis
Dermatology
223 Eczema and urticaria
224 Psoriasis
225 Acne, rosacea and hidradenitis
226 Disorders of skin pigmentation
227 Blistering diseases
228 Skin infections and infestations
229 The skin and systemic disease
230 Skin tumours
231 Orogenital disease Women’s Health
232 Endometriosis and adenomyosis
233 Polycystic ovary syndrome
234 Hypertensive disorders in pregnancy
235 Cardiovascular disease in pregnancy
236 Other medical and surgical conditions in pregnancy Miscellaneous
237 Fluid replacement therapy
238 Illness in elderly people
239 Chronic tiredness and other medically unexplained symptoms
240 Psychiatric disorders
241 Substance abuse
242 Alcohol abuse and dependence
243 Drug toxicity (adverse drug reactions)
Index