Medicine at a Glance provides a concise and accessible introduction to the study of medicine and is the ultimate revision guide for the core medical curriculum. Ideal for medical students, Foundation Programme doctors and those training in the allied health professions, Medicine at a Glance presents each topic as clear, double-page spreads with key facts accompanied by tables, illustrations, photographs and diagrams.
Table of Contents
Preface viii
List of contributors ix
Acknowledgements x
List of abbreviations xi
Introduction
1 How to be a medical student 2
2 Patient confidentiality 4
3 Consent 6
4 Relationship with the patient 8
5 History of presenting complaint 10
6 Past medical history, drugs and allergies 12
7 Family and social history 14
8 Functional enquiry 15
9 Principles of examination 16
10 Basic clinical skills 17
11 Is the patient ill? 22
12 The critically ill patient 24
Clinical presentations at a glance
Cardiovascular disease
13 Chest pain 28
14 Oedema 30
15 Palpitations 32
16 The painful leg 33
17 Heart murmurs 34
18 Shock 36
Respiratory disease
19 Breathlessness, cough and haemoptysis 38
20 Wheeze (stridor) 42
21 Pleural effusion 43
22 Pneumothorax 44
Gastroenterology
23 Unintentional weight loss 46
24 Constipation and change in bowel habit 48
25 Diarrhoea: acute and chronic 50
26 Vomiting and intestinal obstruction 52
27 Haematemesis and melaena 54
28 Rectal bleeding 56
29 Dysphagia 58
30 Abdominal pain and dyspepsia 60
31 Jaundice 62
32 Abdominal mass 64
33 Ascites 65
Renal medicine
34 Polyuria and oliguria 66
35 Dysuria, frequency and urgency 68
36 Haematuria 69
Endocrinology
37 Sweating, flushing and thyroid swellings 70
38 Obesity 72
39 Hirsutism and infertility 74
40 Erectile dysfunction and gynaecomastia 76
Infectious disease
41 Principles of infection 78
42 Diagnosis of infection 80
43 Fever and the assessment of the patient with presumed infection 82
44 Fever and infections in hospital patients 84
45 Fever of unknown origin 86
46 Fever and rash 88
47 Fever in HIV-infected patients 90
48 Fever in the returned traveller 92
49 Vaginal discharge and urethritis 94
Haematology
50 Anaemia 96
51 Clinical approach to lymphadenopathy and splenomegaly 98
52 The patient with abnormal bleeding or bruising 100
53 Leukopenia 101
Oncology
54 Oncological emergencies 102
Neurology
55 Introduction to neurological diagnosis 1 104
56 Introduction to neurological diagnosis 2 106
57 Introduction to neurological diagnosis 3: neuroepidemiology 108
58 Common neurological symptoms 109
59 Weakness 112
60 Disturbance of vision: a neurological perspective 115
61 Sudden painless loss of vision 118
62 Tremor and other involuntary movements 120
63 Headache and facial pain 122
64 Episodic alterations in awareness and consciousness 124
Ophthalmology
65 The red eye 128
Rheumatology
66 Introduction to rheumatological disease 130
67 Low back pain and other regional pain syndromes 134
Dermatology
68 Introduction to dermatology 138
69 Pruritis and rashes 140
70 Hair and nail disorders 142
71 Leg ulcers 144
72 Photodermatoses 145
Other acute medical emergencies
73 Attempted suicide by drug poisoning 146
74 Anaphylaxis 148
75 Allergic reactions 150
76 Cardiac and respiratory arrest 152
77 Acute confusional state 154
78 Coma 156
Diseases and treatments at a glance
Cardiovascular disease
79 Hypertension 160
80 Hyperlipidaemia 162
81 Acute coronary syndromes 164
82 ST segment elevation myocardial infarction 166
83 Chronic coronary syndromes 168
84 Aortic dissection 170
85 Heart failure 172
86 Aortic valve disease 174
87 Mitral valve disease 176
88 Cardiomyopathies 178
89 Pericardial disease 179
90 Pulmonary embolism 180
91 Cardiac infections 182
92 Tachyarrhythmias 184
93 Bradyarrhythmias 188
94 Congenital heart disease 190
Respiratory disease
95 Lung function tests 192
96 Sleep apnoea 193
97 Respiratory failure 194
98 Arterial blood gas analysis 196
99 Basic chest X-ray interpretation 198
100 Non-invasive ventilation 200
101 Mechanical ventilation