۱۰۰ Diagnostic Dilemmas in Clinical Medicine presents 100 real-life scenarios seen in the hospital and community setting. A succinct summary of the patient’s history, examination and any initial investigations is followed by a detailed consideration of the diagnosis and management of each case, in the short, medium and, where appropriate, long-term.  Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These true-to-life cases will teach students and junior doctors to recognize important medical conditions, and to develop their diagnostic and management skills.

Contents

Case 1: A Teenager with Rash and a Fever
Case 2: Hepatitis in a Nightshift Worker
Case 3: Yellow Blood
Case 4: An Unusual Method of Deliberate Self-Harm
Case 5: Sudden-Onset Headache
Case 6: A Hypertensive Patient with Carpal Spasms
Case 7: An Elderly Patient Admitted with a Fall
Case 8: A Young Mother with Constipation
Case 9: Arthritis, Miscarriage and Drowsiness
Case 10: A Right Upper Quadrant Pain Puzzle
Case 11: It’s All in Your Head
Case 12: Hyperpigmented Skin Lesions
Case 13: Loss of Vision and a Maculopapular Rash
Case 14: Chest Pain and an Abnormal Blood Film
Case 15: A Confused Traveller
Case 16: Hepatosplenomegaly
Case 17: Cutaneous Ulceration in a Patient with Rheumatoid Arthritis
Case 18: First Fit
Case 19: A Pleural Effusion on a Background of Knee Pain
Case 20: Chest Pain with a Gynaecological Cause
Case 21: ITP or not ITP?
Case 22: A Blistering Rash
Case 23: Heart and Lungs
Case 24: Recurrent Haemothorax
Case 25: Fever and Unilateral Weakness
Case 26: A Case of Parotitis Followed by Acute Hearing Loss
Case 27: A Purpuric Rash
Case 28: Bilateral Hip Pain
Case 29: Bleeding Gums
Case 30: A Sauna Cleaner with Shortness of Breath
Case 31: Recurrent Episodes of Acute Kidney Injury
Case 32: A Farmer with Abdominal Pain
Case 33: Severe Sepsis Following Tonsillitis
Case 34: An Elderly Man with Confusion
Case 35: Numb Fingers and Eosinophilia
Case 36: Fever, Weight Loss and Night Sweats
Case 37: Collapsed in the Corridor
Case 38: A Hypernatraemic Patient
Case 39: A Young Patient with a Chronic Cough
Case 40: Recurrent Abdominal Pain and Diarrhoea
Case 41: Seizures and Hand Lesions
Case 42: Bilateral Foot Weakness
Case 43: Rash, Fevers and Headache
Case 44: An Elderly Woman with Painless Jaundice
Case 45: Vomiting without Gastrointestinal Pathology
Case 46: A Young Man with Chest Pain
Case 47: Unilateral Facial Weakness
Case 48: A Patient with Sickle Cell Disease and Flu-Like Symptoms
Case 49: A Teenager with Palpitations
Case 50: An Unusual Cause of Haematemesis
Case 51: Headache and Thrombocytopenia
Case 52: Coffee Ground Vomiting
Case 53: A Teenager with a Rash
Case 54: Recurrent Lower Respiratory Infections Following a Renal Transplant
Case 55: A Heavy Smoker with Proximal Weakness
Case 56: A Hillwalker with Fever and Chest Pain
Case 57: A Confused Young Man
Case 58: Haemoptysis and Renal Failure
Case 59: An Unwell Pet Shop Owner
Case 60: Neck Pain and Sternal Swelling
Case 61: Fevers and Cough (Part 1)
Case 62: Chest Pain after Bad News
Case 63: A Young Woman with Chest Pain
Case 64: Recurrent Episodes of Hypoglycaemia
Case 65: Rapidly Progressive Dementia
Case 66: New Confusion in a Patient with Bipolar Affective Disorder
Case 67: Hepatomegaly in a Patient with Newly Diagnosed Diabetes Mellitus
Case 68: Collapsed Following Influenza
Case 69: Abdominal Pain and Bloody Diarrhoea
Case 70: A Patient with HIV and Personality Change
Case 71: Proximal Weakness and Muscle Aches
Case 72: A Rapidly Deteriorating Patient
Case 73: Painless Jaundice
Case 74: A Blistering Rash
Case 75: A Patient with Crohn’s Disease and Worsening Diarrhoea
Case 76: A Silent Patient
Case 77: HIV and Seizures
Case 78: Dysarthric, Dysphagic and Polyuric
Case 79: A Relentless Rash
Case 80: Renal Failure in an Intravenous Drug User
Case 81: Delirium and Tachypnoea
Case 82: Post-Partum Auditory Hallucinations
Case 83: Shivering at the Station
Case 84: Nocturnal Enuresis and Back Pain
Case 85: Fever and Cough (Part 2)
Case 86: Unconscious Outside a Club
Case 87: Fevers, Night Sweats and Lymphadenopathy
Case 88: Headache and Jaw Pain
Case 89: Haemoptysis and Diplopia
Case 90: Loss of Vision and Ophthalmitis
Case 91: A Holiday Souvenir
Case 92: A Febrile Canoeist
Case 93: Tachycardia Leading to Ventricular Fibrillation
Case 94: Confusion with Multiple Swollen Joints
Case 95: A Confused Young Person with Focal Neurological Signs
Case 96: Diarrhoea and Proximal Weakness
Case 97: TB or not TB?
Case 98: Headache at the Cattle Farm
Case 99: A Pregnant Woman with Loss of Vision
Case 100: An Unsolved Mystery