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Short & Long Cases in Clinical Medicine
Harendra Nath Sarker
SECTION 1: SHORT CASES
CASE 0:
Introduction
PHYSICAL EXAMINATION
General Examination
Proceed as Follows
EXAMINATION OF RESPIRATORY SYSTEM
Proceed as Follows
EXAMINATION OF CARDIOVASCULAR SYSTEM
Proceed as Follows
EXAMINATION OF PULSE
Proceed as Follows
EXAMINATION OF ABDOMEN
Proceed as Follows
EXAMINATION OF CRANIAL NERVES
Proceed as Follows
NEUROLOGICAL EXAMINATION OF LOWER LIMBS
Proceed as Follows
NEUROLOGICAL EXAMINATION OF UPPER LIMBS
Proceed as Follows
NEUROLOGICAL EXAMINATION OF HANDS
Proceed as Follows
FUNDOSCOPY
Proceed as Follows
EXAMINATION OF THYROID GLAND
Proceed as Follows
EXAMINATION OF THYROID STATUS
Proceed as Follows
RHEUMATOLOGICAL EXAMINATION OF HANDS
Proceed as Follows
EXAMINATION OF KNEE JOINT
Proceed as Follows
CASE 1:
Respiratory System
PLEURAL EFFUSION
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PNEUMOTHORAX
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PULMONARY FIBROSIS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
COLLAPSE OF LUNG
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CONSOLIDATION OF LUNG
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
COLLAPSE/CONSOLIDATION OF LUNG (MASS LESION)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
LUNG ABSCESS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
BRONCHIECTASIS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
INTERSTITIAL LUNG DISEASE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CASE 2:
Cardiovascular System
MITRAL STENOSIS (CASE 1)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
MITRAL STENOSIS (CASE 2)
Scenario
Instruction
Proceed as Follows
MITRAL REGURGITATION
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
MIXED MITRAL VALVE DISEASE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
AORTIC STENOSIS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
AORTIC REGURGITATION
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
MIXED AORTIC VALVE DISEASE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PROSTHETIC MITRAL VALVE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PROSTHETIC AORTIC VALVE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
ATRIAL SEPTAL DEFECT
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
VENTRICULAR SEPTAL DEFECT
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PATENT DUCTUS ARTERIOSUS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
EISENMENGER'S SYNDROME
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
TETRALOGY OF FALLOT
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
COARCTATION OF AORTA
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
ATRIAL FIBRILLATION
Scenario
Instruction
Proceed as Follows
COMPLETE HEART BLOCK
Scenario
Instruction
Proceed as Follows
CASE 3:
Abdomen
CHRONIC LIVER DISEASE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
ASCITES (FIG. 3.2)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
HEPATOMEGALY
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
SPLENOMEGALY
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
HEPATOSPLENOMEGALY
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
ABDOMINAL MASS
Scenario
Instruction
Proceed as Follows
Epigastric Mass
Carcinoma of Stomach
Carcinoma of Head of the Pancreas
Pancreatic Pseudocyst
Right Hypochondriac Mass
Left Hypochondriac Mass
Right Iliac Fossa Mass
Ileocecal Tuberculosis
Transplanted Kidney
Mass in Right/left Loin
Mass in Both Loins
Polycystic Kidney Disease (PKD)
Mass in Central Abdomen
PRIMARY BILIARY CIRRHOSIS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CASE 4:
Neurology
SPASTIC PARAPLEGIA/PARAPARESIS
Spinal Cord Compression
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Acute Transverse Myelitis
Scenario
Instruction
Examination
Schematic Diagnosis
Multiple Sclerosis
Scenario
Instruction
Examination
Schematic Diagnosis
Subacute Combined Degeneration of Spinal Cord (SCD)
Scenario
Instruction
Examination
Schematic Diagnosis
Motor Neuron Disease (Fig. 4.1)
Scenario
Instruction
Examination
Schematic Diagnosis
Friedreich's Ataxia (Fig. 4.2)
Scenario
Instruction
Examination
Schematic Diagnosis
FLACCID PARAPLEGIA/PARAPARESIS
Scenario
Instruction
Proceed as Follows
GUILLAIN–BARRE SYNDROME (GBS)
Scenario
Instruction
Examination
Schematic Diagnosis
MONOPLEGIA
Brown–Sequard Syndrome
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Old Poliomyelitis
Scenario
Instruction
Examination
Schematic Diagnosis
HEMIPLEGIA
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PERIPHERAL NEUROPATHY
Peripheral Motor Neuropathy
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Peripheral Sensorimotor Neuropathy
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Peripheral Sensory Neuropathy
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CHARCOT–MARIE–TOOTH DISEASE (FIG. 4.3)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CEREBELLAR SYNDROME
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PARKINSON'S DISEASE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
MYOTONIC DYSTROPHY
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
WASTING OF SMALL MUSCLES OF HANDS (FIG. 4.4)
Bilateral Wasting of Small Muscles of Hands
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Unilateral Wasting of Small Muscles of Hand
Scenario
Instruction
Examination
Schematic Diagnosis
ULNAR NERVE PALSY (FIG. 4.5)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
MEDIAN NERVE PALSY (FIG. 4.6)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
FOOT DROP
Common Peroneal Nerve Palsy
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
L5 Root Lesion
Scenario
Instruction
Examination
Examination Findings
7TH CRANIAL NERVE PALSY
Left-sided Bell's Palsy
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Left-sided Lower Motor Neuron Facial Palsy (Fig. 4.7)
Scenario
Instruction
Examination
Examination Findings
Left-sided Upper Motor Neuron Facial Palsy
Scenario
Instruction
Examination
Examination Findings
6TH CRANIAL NERVE PALSY (FIG. 4.8)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
3RD CRANIAL NERVE PALSY (FIG. 4.9)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CASE 5:
Ophthalmology
HYPERTENSIVE RETINOPATHY
Grade III Hypertensive Retinopathy (Fig. 5.1)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Grade IV Hypertensive Retinopathy (Fig. 5.2)
Scenario
DIABETIC RETINOPATHY
Background Diabetic Retinopathy (Fig. 5.3)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
Backround Diabetic Retinopathy with Maculopathy
Scenario
Instruction
Examination
Examination Findings
Schematic Diagnosis
Preproliferative Diabetic Retinopathy
Scenario
Instruction
Examination
Examination Findings
Schematic Diagnosis
Proliferative Diabetic Retinopathy (Fig. 5.4)
Scenario
Instruction
Examination
Schematic Diagnosis
Proliferative Diabetic Retinopathy with Lesser Phatocoagulation (Fig. 5.5)
Scenario
Instruction
Examination
Examination Findings
PAPILLEDEMA (FIG. 5.6)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
OPTIC ATROPHY
Primary Optic Atrophy (Fig. 5.7)
Scenario
Instruction
Proceed as Follows
Secondary Optic Atrophy
Scenario
Instruction
Proceed as Follows
RETINITIS PIGMENTOSA (FIG. 5.8)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CENTRAL RETINAL VEIN OCCLUSION (FIG. 5.9)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CASE 6:
Endocrine System
THYROID SWELLING (GOITER)
Scenario
Instruction
Proceed as Follows
Simple Diffuse Goiter (Fig. 6.1)
Scenario
Instruction
Examination
Examination Findings (Presentation)
Schematic Diagnosis
Multinodular Goiter
Scenario
Instruction
Examination
Examination Findings (Presentation)
Schematic Diagnosis
Solitary Thyroid Nodule
Scenario
Instruction
Examination
Examination Findings (Presentation)
Schematic Diagnosis
ASSESSMENT OF THYROID STATUS
Scenario
Instruction
Proceed as Follows
HYPOTHYROIDISM (FIG. 6.2)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
HYPERTHYROIDISM
Scenario
Instruction
Proceed as Follows
Graves’ Disease (Fig. 6.3)
Scenario
Instruction
Examination
Examination Findings (Presentation)
Schematic Diagnosis
Toxic Multinodular Goiter
Scenario
Instruction
Examination
Examination Findings (Presentation)
ACROMEGALY
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CUSHING'S SYNDROME
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
ADDISON'S DISEASE
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
GYNECOMASTIA
Scenario
Instruction
Proceed as Follows
CASE 7:
Locomotor System
RHEUMATOID ARTHRITIS (FIG. 7.1)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
SYSTEMIC LUPUS ERYTHEMATOSUS (FIG. 7.2)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
ANKYLOSING SPONDYLITIS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
REACTIVE ARTHRITIS (FIG. 7.3)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
OSTEOARTHRITIS (KNEES)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
PSORIATIC ARTHRITIS
Scenario
Instruction
Examination
Examination Findings (Presentation)
GOUT
Scenario
Instruction
Examination
Examination Findings (Presentation)
DERMATOMYOSITIS
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
SYSTEMIC SCLEROSIS (FIG. 7.4)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
TALL STATURE (MARFAN'S SYNDROME)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
CASE 8:
Skin
PSORIASIS (FIG. 8.1)
Scenario
Instruction
Proceed as Follows
Schematic Diagnosis
SCABIES (FIG. 8.2)
Scenario
Instruction
Proceed as Follows
HERPES ZOSTER (FIG. 8.3)
Scenario
Instruction
Proceed as Follows
BULLOUS LESIONS
Scenario
Instruction
Proceed as Follows
Pemphigus Vulgaris
Scenario
Instruction
Proceed as Follows
Bullous Pemphigoid
Scenario
Instruction
Proceed as Follows
Dermatitis Herpetiformis
Scenario
Instruction
Proceed as Follows
CLUBBING
Scenario
Instruction
Proceed as Follows
SECTION 2: LONG CASES
Introduction
MEDICAL HISTORY
Cardiorespiratory
Gastrointestinal
Genitourinary
Locomotor
Neurological
Traditional History Taking Model
AN EXAMPLE OF HISTORY TAKING SESSION
Initiating the Session
Gathering Information
Open and Closed Questions
A GUIDE TO TAKE HISTORY IN EXAMINATION (MBBS, MCPS, FCPS, MD)
Examination
A Guide to Take History in Examination (MRCP)
Physical Examination
General Examination
Systemic Examination
CASE 9:
Abdominal Swelling (Ascites—Chronic Liver Disease)
COMMON PRESENTATIONS
CASE HISTORY
CHIEF COMPLAINT
Acquiring the History
Presenting Complaint
History of Presenting Complaint
Past Medical History
Relevant Family History
Drug History
Social History
Vaccination History
System Review
PHYSICAL EXAMINATION
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Respiratory System
Nervous System
SALIENT FEATURES
Differential Diagnoses
DISCUSSION
CASE 10:
Jaundice (Acute Viral Hepatitis)
COMMON PRESENTATIONS
CASE HISTORY
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Respiratory System
Nervous System
SALIENT FEATURES
Differential Diagnoses
DISCUSSION
CASE 11:
Fever and Right Upper Abdominal Pain (Liver Abscess)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Chest Examination
Cardiovascular System
Nervous System
SALIENT FEATURES
Differential Diagnoses
DISCUSSION
CASE 12:
A Painful Hard Irregular Mass in Upper Abdomen (Hepatocellular Carcinoma)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Chest
Cardiovascular System
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 13:
Pruritus with Jaundice (Primary Biliary Cirrhosis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 14:
Epigastric Pain (Peptic Ulcer Disease)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
Menstrual History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 15:
Chronic Diarrhea(Inflammatory Bowel Disease)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Musculoskeletal System
Chest
Cardiovascular System
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 16:
Breathlessness and Wheeze (Bronchial Asthma)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Chest
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 17:
Cough and Breathlessness(Chronic Obstructive Pulmonary Disease)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Chest
Cardiovascular System
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 18:
Cough, Breathlessness and Swelling of Legs (Cor Pulmonale)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Chest
Cardiovascular System
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 19:
Heaviness of Right Side of Chest (Pleural Effusion)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
Menstrual History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Chest
Cardiovascular System, Abdomen and Nervous System
Musculoskeletal System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 20:
Cough, Fever and Hemoptysis (Pulmonary Tuberculosis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Chest
Cardiovascular System, Abdomen and Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 21:
Cough, Hemoptysis and Left-sided Chest Pain (Bronchial Carcinoma)
Common presentations
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Chest
Cardiovascular System
Abdomen
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 22:
Swelling of Legs and Breathlessness (Congestive Cardiac Failure)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Cardiovascular System
Chest
Abdomen
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 23:
Persistently Elevated Blood Pressure (Hypertension)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Cardiovascular System
Abdomen
Chest and Nervous System
Fundoscopy
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 24:
Central Chest Pain on Exertion (Ischemic Heart Disease—Stable Angina)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Cardiovascular System
Chest, Abdomen and Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 25:
Prolonged Severe Central Chest Pain (Acute Coronary Syndrome)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Cardiovascular System
Chest
Abdomen and Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 26:
Recurrent Attacks of Exertional Dyspnea, Paroxysmal Nocturnal Dyspnea and Palpitation (Mitral Stenosis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Menstrual and Obstetrical History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Cardiovascular System
Chest
Abdomen
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 27:
Swelling of Face and Scanty High Color Urine(Acute Glomerulonephritis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 28:
Generalized Swelling of the Body (Nephrotic Syndrome)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 29:
Anorexia, Nausea, Nocturia, and Swelling of Face and Feet (Chronic Renal Failure)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
Musculoskeletal System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 30:
Generalized Weakness and Pallor (Iron Deficiency Anemia)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 31:
Anemia and Left Hypochondriac Lump (Thalassemia)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Past Illness
Family History
Treatment History
Social History
Travel History
Vaccination History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 32:
Nodular Swellings in Neck and Armpits (Lymphoma)
Common presentations
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Chest
Cardiovascular System
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 33:
Purpuric Rash(Idiopathic Thrombocytopenic Purpura)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Alimentary System
Chest
Cardiovascular System
Nervous System
Fundoscopy
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 34:
Weakness, Fever and Gum Bleeding (Aplastic Anemia)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
Musculoskeletal System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 35:
Low Back Pain and Fatigue(Multiple Myeloma)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Musculoskeletal System
Nervous System
Chest
Abdomen
Cardiovascular System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 36:
Mass in Left Upper Abdomen and Weakness (Chronic Myeloid Leukemia)
Common presentations
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEM EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 37:
A Nodular Swelling in Neck (Tubercular Lymphadenitis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Alimentary System
Chest
Cardiovascular System
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnosis
DISCUSSION
CASE 38:
Prolonged Fever with Left Hypochondriac Lump (Kala Azar)
Common presentations
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Abdomen
Cardiovascular System
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 39:
Elevated Blood Sugar (Diabetes Mellitus)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Nervous System
Cardiovascular System
Chest
Abdomen
SALIENT FEATURES
Provisional Diagnosis
DISCUSSION
CASE 40:
Weight Loss in Spite of Good Appetite(Thyrotoxicosis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Menstrual History
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Cardiovascular System
Abdomen
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 41:
Puffiness of Face and Weight Gain (Hypothyroidism)
COMMON PRESENTATIONS (FIG. 41.1)
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Menstrual History
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Cardiovascular System
Abdomen
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 42:
Multiple Joint Pain and Swelling(Rheumatoid Arthritis)
COMMON PRESENTATIONS (FIG. 42.1)
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Menstrual History
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Musculoskeletal System
CVS
Abdomen
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 43:
Rashes and Painful Swelling of Small Joints(Systemic Lupus Erythematosus)
COMMON PRESENTATIONS (Fig. 43.1)
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Menstrual History
Family History
Treatment History
Social History
Systemic Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Musculoskeletal System
Cardiovascular System
Abdomen
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 44:
Painful Swollen Right Knee(Monoarthritis—Reactive Arthritis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
Systemic Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Musculoskeletal System
Cardiovascular System
Abdomen
Chest
Nervous System
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 45:
Back Pain and Stiffness (Ankylosing Spondylitis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Drug History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Musculoskeletal System
Chest
Cardiovascular System
Nervous System
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 46:
Weakness and Stiffness of Both Lower Limbs (Spastic Paraparesis—Pott's Disease)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Nervous System
Chest
Cardiovascular System
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 47:
Weak and Floppy Lower Limbs (Flaccid Paraplegia—Guillain–Barre Syndrome)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Nervous System
Chest
Cardiovascular System
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 48:
Fasciculations, Cramps and Weakness of Limbs (Motor Neuron Disease)
Common presentations
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Nervous System
Chest
Cardiovascular System
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
CASE 49:
Weak, Stiff and Incoordinated Lower Limbs (Multiple Sclerosis)
COMMON PRESENTATIONS
SCENARIO
CHIEF COMPLAINTS
Acquiring the History
History of Present Illness
History of Past Illness
Family History
Menstrual and Obstetrical History
Treatment History
Social History
System Review
PHYSICAL EXAMINATION
General Examination
SYSTEMIC EXAMINATION
Nervous System
Chest
Cardiovascular System
Abdomen
SALIENT FEATURES
Provisional Diagnosis
Differential Diagnoses
DISCUSSION
INDEX
TOC
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