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"Preface so much medical professionals imagine that the main memorable approach to research medication is to work out sufferers. it really is more uncomplicated to keep in mind info in line with a true individual than a web page in a textbook. one other very important point within the retention of knowledge is the intensity of studying. studying that seeks to appreciate difficulties is prone to be available later than superficial authentic accumulation. this can be the root of problem-based studying, the place scholars discover issues of the aid of a facilitator. The circumstances during this publication are designed to supply one other invaluable process, parallel to seeing sufferers and giving a chance for self-directed exploration of medical difficulties. they're in accordance with the findings of heritage taking and exam, including the necessity to assessment preliminary investigations akin to blood investigations, X-rays and ECGs. those circumstances are not any replacement for scientific event with actual sufferers, yet they supply a secure surroundings for college students to discover medical difficulties and their very own method of prognosis and administration. so much are universal difficulties that will current to a common practitioner's surgical procedure, a scientific outpatients or a consultation on name in health center. There are a number of more odd instances to demonstrate particular issues and to stress that infrequent issues do current, whether they're unusual. The situations are written to attempt to curiosity scholars in medical difficulties and to enthuse them to determine extra. they fight to discover considering analysis and administration of actual medical occasions. the 1st 20 instances are prepared by means of structures, however the subsequent eighty are in random order seeing that, in medication, indicators similar to breathlessness and ache may possibly relate to many alternative medical difficulties in quite a few systems"--Provided by way of publisher. Read more...
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Designed particularly with revision in brain, the CIM Revision playing cards offer concise, but primary info to aid scholars in passing the CIM tests as simply as attainable. a transparent, rigorously established structure aids the training procedure and guarantees the most important issues are lined in a succinct and obtainable demeanour.
Cet ouvrage offre des fiches de révision pour les étudiants infirmiers, sous forme de tableaux synthétiques. Cette approche originale permet à l'étudiant d'avoir sur quelques pages tous les éléments incontournables pour comprendre et mémoriser méthodiquement les pathologies abordées par spécialités.
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The case raises the dilemma of whether dialysis is appropriate in this patient. Hospital-based haemodialysis and home-based peritoneal dialysis are the options available. Her age and comorbid illnesses preclude renal transplantation. Conservative management without dialysis may be appropriate in this case. KEY POINTS • Patients often become symptomatic due to renal failure only when their glomerular filtration rate (GFR) is less than 15 mL/min and thus may present with end-stage renal failure. • Previous measurements of serum creatinine enable the rate of deterioration of renal function to be known.
6°C and looks unwell. He looks as if he may be a little jaundiced. He is a little tender in the right upper quadrant of the abdomen. There are no abnormalities to find on examination of the joints or in any other system. 0 mmol/L Questions • What is your interpretation of the findings? • What is the likely diagnosis? • What treatment is required? 21 100 Cases in Clinical Medicine ANSWER 8 The diagnosis is likely to be acute viral hepatitis. The biochemical results show abnormal liver function tests with a predominant change in the transaminases, indicating a hepatocellular rather than an obstructive problem in the liver.
The blood pressure is 148/90 mmHg. 7 mmol/L 70–120 μmol/L Urinalysis: no protein, no blood Blood film shows a microcytic hypochromic picture. Questions • What is the likeliest diagnosis? • How would you investigate the patient? 17 100 Cases in Clinical Medicine ANSWER 6 The investigations show a microcytic, hypochromic anaemia. In a premenopausal woman the most likely cause would be excessive menstrual blood loss. In men or postmenopausal women the most likely cause would be loss from the gastrointestinal tract.