By Nadeem Ali
What’s your worst nightmare as a physician? lacking a life-threatening needs to be one of the greatest fears for overall healthiness execs. yet occasionally the clue to the prognosis lies in precisely a unmarried symptom.
Alarm Bells in Medicine brings you on top of things on recognising the indications of significant health problems. the world over well known authors checklist the main an important offering signs of their personal specialties that are supposed to ring the alarm bells for you. they supply transparent info on prognosis and motion. Organised below the correct specialties, the data is speedy and straightforward to discover.
Since sufferers divulge alarm indicators in all scientific settings, this e-book is as appropriate for specialists because it is for GPs, as invaluable for junior medical professionals because it is for scientific scholars.
Special good points of this book:
- Answers the explicit desire of medical professionals to prevent making diagnostic error
- Each bankruptcy is written through 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 drugs (pages 59–62): Richard Hillman and Simon Barton
Chapter 14 Immunology (pages 63–67): Gavin Spickett and Javier Carbone
Chapter 15 Metabolic medication (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 respiration medication (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 group 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
Refer to gastroenterology or colorectal surgery for investigation as appropriate. If there is severe anaemia, refer immediately for blood transfusion. 4 Abdominal malignancy Weight loss and loss of appetite (anorexia) are common presentations of intra-abdominal malignancy. Additional alarm symptoms increase the suspicion. Stomach cancer should be suspected if the patient also reports change in taste, or feels full after small meals. Pancreatic cancer is suggested by epigastric pain that radiates to the back.
7 Acute, severe ulcerative colitis Ulcerative colitis is characterised by acute attacks of diarrhoea with blood or mucus. If, in addition to this, a patient becomes unwell with fever, tachycardia, abdominal pain/tenderness, dramatic weight loss or dehydration, a severe attack must be suspected. The risk is death from colonic perforation. These patients should be admitted without delay. Anaemia, high white cell count, low albumin, and raised CRP confirm the clinical suspicion. Action: Check pulse, BP, temperature.
A gastrograffin enema and/or CT should confirm the diagnosis. Action: Refer immediately to colorectal surgery. 9 Acute dehydration Patients with an ileostomy are less able to regulate fluid balance because they have lost the absorptive capacity of the colon. In the first few months following establishment of an ileostomy, dehydration can be a significant problem. Patients may not notice the symptoms, which can be quite vague. Extreme lethargy, high stomal output, low urine volumes and sometimes even fever can be the warning symptoms of dehydration leading to hypovolaemic renal failure.