By Nadeem Ali
What’s your worst nightmare as a physician? lacking a life-threatening situation needs to be one of the largest fears for well-being execs. yet occasionally the clue to the prognosis lies in exactly a unmarried symptom.
Alarm Bells in Medicine brings you in control on recognising the indicators of great health problems. the world over well known authors checklist the main an important proposing indicators of their personal specialties that are meant to ring the alarm bells for you. they supply transparent info on analysis and motion. Organised less than the appropriate specialties, the knowledge is speedy and straightforward to discover.
Since sufferers expose alarm indicators in all scientific settings, this ebook is as appropriate for specialists because it is for GPs, as priceless for junior medical professionals because it is for scientific scholars.
Special positive factors of this book:
- Answers the specific want of medical professionals to prevent making diagnostic error
- Each bankruptcy is written by means of a number one specialist within the box
- Concise and simple to exploit
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 medication (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 workforce 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
The patient (usually a child, but adults can also be affected) is unwell, sitting up, with a high fever. A very painful throat prevents swallowing, and drooling occurs. Stridor may be present. Intubation and emergency tracheostomy are sometimes needed. Non-specialists should not examine these patients – placing a spatula into the mouth may precipitate laryngeal spasm and an airway emergency. Action: Do not examine the throat. Refer immediately to the emergency department for attention of the ENT surgeon.
Action: Do a urinary pregnancy test. If positive, refer immedi- ately to gynaecology. 7 Ovarian cyst rupture In a woman with lower abdominal pain, with a negative pregnancy test, gynaecological causes must still be considered. Ovarian/paraovarian cyst accident may present acutely because of cyst rupture, haemorrhage or torsion. g. g. teratoma or cystadenoma), ruptured/infected endometriotic cyst, or paraovarian (tubal). An ovarian mass may be difficult to palpate due to acute abdominal or pelvic tenderness.
5 Black stool indicates upper GI bleeding. 6 Sudden onset of severe abdominal pain may be a life- threatening perforation. 7 A severe attack of ulcerative colitis with fever and abdominal pain may be life-threatening. 8 A patient who is unwell soon after colorectal surgery has an anastomotic leak until proved otherwise. 9 Lethargy in a patient with an ileostomy may herald dehydration and renal failure. 10 Not all abdominal symptoms are caused by GI disease. 34 GASTROENTEROLOGY AND COLORECTAL SURGERY 35 NOTES 1 Colorectal cancer A persistent change in bowel habit for more than 6 weeks, especially to a looser or more frequent stool, is a high-risk symptom for colorectal cancer.
Alarm Bells in Medicine: Danger Symptoms in Medicine, Surgery and Clinical Specialties by Nadeem Ali