100 Cases in Clinical Medicine

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CASE 99: SHORTNESS OF BREATH History A 50-year-old woman has complained of shortness of breath for 3 months. It has steadily bec ...

Flow Volume Figure 99.2Flow–volume loop. Question What do these findings indicate? ...

ANSWER 99 The flow–volume curve shows the same low flow throughout the whole volume of the vital capacity. It is similar in both ...

Some further investigation of the large airways is required. The great majority of symp- tomatic lung tumours are visible on pla ...

CASE 100: PAIN IN THE LEG History A 22-year-old woman is admitted to hospital with a painful left leg. She uses intravenous drug ...

Question What is the likely diagnosis? Normal Haemoglobin 11.4 g/dL 11.7–15.7 g/dL White cell count 18.8% 109 /L 3.5–11.0% 109 ...

ANSWER 100 The initial diagnosis was a deep vein thrombosis. This complication is not unusual in intravenous drug users and can ...

abdominal pain/discomfort 5(14–16), 32(89–90), 36(98–9), 41(109–10), 43(113–14), 69(179–80), 72(185–6), 77(195–6), 81(205–6), 94 ...

cardiovascular disease 1–3(3–8), 24(65–6), 28(80), 50–1(130–6), 64(168–9), 87(220), 92–3(231–6), 97(245–6), 100(254–6) carotid s ...

fibrosis, idiopathic pulmonary 96(242–4) fitsseeepilepsy foot pain 91(229–30) frequencyseeurinary frequency gallbladder inflamma ...

jaundice, obstructive 69(179–80), 77(195–6) joint pains 27(75–7), 82(207–8) cough and 57(150–2) ketoacidotic coma, hyperglycaemi ...

pain abdominal 5(14–16), 32(89–90), 36(98–9), 41(109–10), 43(113–14), 69(179–80), 72(185–6), 77(195–6), 81(205–6), 94(237–8) ach ...

steroid-induced adrenal hypofunction 71(183–4) Stevens—Johnson syndrome 65(169–70) Stokes—Adams attacks 1(4) stomach cardiaseeca ...