By Nadeem Ali
What’s your worst nightmare as a physician? lacking a life-threatening has to be one of the largest fears for healthiness execs. yet occasionally the clue to the analysis lies in exactly a unmarried symptom.
Alarm Bells in Medicine brings you up to the mark on recognising the indicators of great health problems. the world over well known authors checklist the main an important featuring indicators of their personal specialties that are supposed to ring the alarm bells for you. they supply transparent info on analysis and motion. Organised lower than the appropriate specialties, the knowledge is speedy and simple to discover.
Since sufferers expose alarm indicators in all medical settings, this publication is as correct for experts because it is for GPs, as invaluable for junior medical professionals because it is for clinical scholars.
Special positive factors of this book:
- Answers the explicit want of medical professionals to prevent making diagnostic error
- Each bankruptcy is written via a number one specialist within the box
- Concise and simple to take advantage of
Chapter 1 Breast surgical procedure (pages 1–4): Adele Francis and Jill Dietz
Chapter 2 Cardiology (pages 5–9): Muzahir Tayebjee and Gregory Lip
Chapter three Care of the aged (pages 10–14): Ahmed El?Gamel and Pertti Aarnio
Chapter four Cardiothoracic surgical procedure (pages 15–19): Rose Anne Kenny, Andrew McLaren and Laurence Rubenstein
Chapter five Dermatology (pages 20–24): Emma Topham and Richard Staughton
Chapter 6 Endocrinology (pages 25–29): Petros Perros and Kamal Al?Shoumer
Chapter 7 ENT (pages 30–33): Adrian Drake?Lee and Peter?John Wormald
Chapter eight Gastroenterology and Colorectal surgical procedure (pages 34–38): Robert Allan, John Plevris and Nigel Hall
Chapter nine Genitourinary medication (pages 39–43): Simon Barton and Richard Hillman
Chapter 10 Gynaecology (pages 44–58): Martin Noel FitzGibbon and Mark Roberts
Chapter eleven Haematology (pages 49–53): Graham Jackson and Patrick Kesteven
Chapter 12 Hepatology and Hepatobiliary surgical procedure (pages 54–58): Peter Hayes, Kosh Agarwal and Gennaro Galizia
Chapter thirteen HIV medication (pages 59–62): Richard Hillman and Simon Barton
Chapter 14 Immunology (pages 63–67): Gavin Spickett and Javier Carbone
Chapter 15 Metabolic drugs (pages 68–72): Jonathan Bodansky and Sadaf Farooqi
Chapter sixteen Neurology (pages 73–77): Andrew Larner, Graham Niepel and Cris Constantinescu
Chapter 17 Neurosurgery (pages 78–82): Stana Bojanic, Richard Kerr, man Wynne?Jones and Jonathan Wasserberg
Chapter 18 Obstetrics (pages 83–88): Chandrima Biswas, Christina Cotzias and Philip Steer
Chapter 19 Oncology (pages 89–92): Robin Jones and Ian Smith
Chapter 20 Ophthalmology (pages 93–98): Nadeem Ali, Philip Griffiths and Scott Fraser
Chapter 21 Oral and Maxillofacial surgical procedure (pages 99–103): John Langdon and Robert Ord
Chapter 22 Orthopaedics (pages 104–108): Farhan Ali, Mike Hayton and Gary Miller
Chapter 23 Paediatrics (pages 109–114): Martha Ford?Adams and Sue Hobbins
Chapter 24 Paediatric surgical procedure (pages 115–118): Mark Davenport and Stein Erik Haugen
Chapter 25 cosmetic surgery (pages 119–123): Sarah Pape, Navin Singh and Paul Manson
Chapter 26 Psychiatry (pages 124–128): Niruj Agrawal and Steven Hirsch
Chapter 27 Renal drugs (pages 129–132): Andrew Fry and John Bradley
Chapter 28 breathing drugs (pages 133–138): Chris Stenton and Jeremy George
Chapter 29 Rheumatology (pages 139–143): Paul Emery, Lory Siegel and Robert Sanders
Chapter 30 Transplantation (pages 144–148): David Talbot and Chas Newstead
Chapter 31 top GI surgical procedure (pages 149–152): Michael Griffin and Nick Hayes
Chapter 32 Urology (pages 153–157): Jeremy staff and Bernard Bochner
Chapter 33 Vascular surgical procedure (pages 158–162): Gerard Stansby, Shervanthi Homer?Vanniasinkam and Mohan Adiseshiah
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Extra info for Alarm Bells in Medicine: Danger Symptoms in Medicine, Surgery and Clinical Specialties
Once diagnosis made, refer immediately to thoracic surgery. 7 Subcutaneous emphysema Subcutaneous emphysema is air in the subcutaneous tissues. It can be diagnosed by palpating the skin for crepitation. Crackling is felt. Subcutaneous emphysema may complicate pneumothorax (treatment is as for the pneumothorax alone), but it may be due to bronchial rupture or oesophageal rupture, which may warrant emergency surgery. CXR confirms the subcutaneous emphysema and possible pneumothorax and pneumomediastinum.
Upper limb symptoms include numbness, clumsy hands, weakness and loss of dexterity. Lower limb symptoms include numbness, heaviness, weakness or a tendency to drag the limb. Action: Refer all for acute neurological assessment. 8 Chronic pulmonary emboli Patients with gradually worsening breathlessness may have chronic pulmonary emboli. In this situation, dyspnoea may be the only symptom, without pain or haemoptysis. Common risk factors include immobility, malignancy, recent surgery and hip fracture.
Extra vigilance is required in transplant patients on long-term immunosuppression. 24 ALARM BELLS IN MEDICINE High-risk sites are the lip, ear, non-sun-exposed sites (penis, scrotum and anus) and areas of radiation or chronic ulceration. Action: Refer urgently to dermatology (2-week rule). Endocrinology Petros Perros and Kamal Al-Shoumer 1 Any thyroid lump could be malignant. 2 A sore throat in a patient on antithyroid drugs could be due to agranulocytosis. 3 Pregnancy in a woman on thyroxine – detect undertreatment early.