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Acute Medicine


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Table of Contents

Preface vii Acknowledgements ix How to use this book x List of abbreviations xi Part 1 Basics 1 Introduction and specialty overview 1 Approach to the patient 5 Part 2 Cases 28 Case 1 A 45-year-old man with 'cardiac-type' chest pain 28 Case 2 A 35-year-old woman with 'pleuritic' chest pain 37 Case 3 A 50-year-old man presenting with palpitations 47 Case 4 A 60-year-old man with a broad complex tachycardia 56 Case 5 A 25-year-old woman with acute asthma 62 Case 6 A 60-year-old woman with an 'exacerbation' of chronic obstructive pulmonary disease 70 Case 7 An 86-year-old woman with acute shortness of breath 79 Case 8 A 68-year-old man presenting with shock 88 Case 9 A 55-year-old man with suspected upper gastrointestinal bleeding 94 Case 10 A 60-year-old man with diarrhoea 103 Case 11 A 37-year-old woman with sudden severe headache 111 Case 12 A 21-year-old man presenting following a seizure 118 Case 13 A 22-year-old unconscious man 125 Case 14 A 64-year-old man presenting with unilateral weakness 136 Case 15 A 60-year-old man presenting following a blackout 145 Case 16 A 45-year-old man with acute confusion 152 Case 17 An 81-year-old woman with acute confusion 158 Case 18 A 25-year-old woman with acute hyperglycaemia 166 Case 19 A 73-year-old man with abnormal renal function 173 Case 20 A 55-year-old man with pyrexia of unknown origin 182 Case 21 A 25-year-old woman admitted following an overdose 191 Case 22 A 35-year-old woman with an acutely swollen leg 200 Part 3 Self-assessment 205 MCQs 205 EMQs 211 SAQs 216 Answers 219 Appendix: Normal ranges units and common abbreviations for blood tests 229 Index of cases by diagnosis 231 Index 233 Colour plate section can be found facing p.148

About the Author

Chris Roseveare, Consultant in Acute Medicine, Southampton University Hospitals Trust, UK


"This is a great book for people who like solid answers to practical questions. Unlike some revision books this one is actually useful to doctors and not just medical students wanting to pass finals. It tackles common presentations, not rare conditions and is interesting to read." ( The Murmer , August 2009)

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