By Nadeem Ali
What’s your worst nightmare as a physician? lacking a life-threatening situation needs to be one of the largest fears for overall healthiness execs. yet occasionally the clue to the analysis lies in precisely a unmarried symptom.
Alarm Bells in Medicine brings you up to the mark on recognising the indications of great health problems. across the world popular authors checklist the main an important proposing indicators of their personal specialties that are meant to ring the alarm bells for you. they supply transparent details on analysis and motion. Organised below the proper specialties, the data is quickly and simple to discover.
Since sufferers reveal alarm indicators in all scientific settings, this ebook is as proper for specialists because it is for GPs, as worthwhile for junior medical professionals because it is for scientific scholars.
Special beneficial properties of this book:
- Answers the specific desire of medical professionals to prevent making diagnostic mistakes
- Each bankruptcy is written by way of a number one professional 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 medication (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 medication (pages 129–132): Andrew Fry and John Bradley
Chapter 28 breathing drugs (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 staff and Bernard Bochner
Chapter 33 Vascular surgical procedure (pages 158–162): Gerard Stansby, Shervanthi Homer?Vanniasinkam and Mohan Adiseshiah
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Additional info for Alarm Bells in Medicine: Danger Symptoms in Medicine, Surgery and Clinical Specialties
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. Assess for dehydration. Commence IV fluid resuscitation. Refer immediately to medical admissions. 8 Anastomotic leak Any patient, who becomes unwell less than 14 days after an operation involving an anastomosis, should be considered to 38 ALARM BELLS IN MEDICINE have had an anastomotic leak, until proved otherwise.
Action: Do a CXR (widening of the mediastinum). Arrange aortography and refer urgently to cardiothoracic surgery. 10 Dressler’s syndrome The myopericardial inflammation associated with acute MI was first described by Dressler. This inflammation can also be caused by cardiotomy. In a patient who has had openheart surgery, persistent chest pain may be due to Dressler’s syndrome. Fever, friction rub and ECG changes suggestive of ischaemia may be present. Pericardial effusions may develop, sometimes causing haemodynamic compromise.
Treatment includes salpingectomy or methotrexate therapy. Some cases will resolve spontaneously during monitoring. Action: Do a urinary pregnancy test. If positive, refer immedi- ately to gynaecology. 7 Ovarian cyst rupture In a woman with lower abdominal pain, with a negative pregnancy test, gynaecological causes must still be considered. Ovarian/paraovarian cyst accident may present acutely because of cyst rupture, haemorrhage or torsion. g. g. teratoma or cystadenoma), ruptured/infected endometriotic cyst, or paraovarian (tubal).
Alarm Bells in Medicine: Danger Symptoms in Medicine, Surgery and Clinical Specialties by Nadeem Ali