ABSTRACT

A 19-year-old student is admitted to hospital after being found unconscious in her room in the university halls of residence. Her roommate told the paramedics that the patient had recently failed her end of year exams. She was reportedly found with several packets of paracetamol and codeine phosphate nearby and an empty bottle of wine on her bedside table. You are the medic on duty...

100 Cases in Acute Medicine presents 100 acute conditions commonly seen by medical students and junior doctors in the emergency department, or on the ward or in the community setting. A succinct summary of the patient's history, examination and initial investigations, including photographs where relevant, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors.

Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. Fully revised and updated for this second edition, these cases will teach students and junior doctors to recognize important clinical symptoms and signs, and to develop their diagnostic and management skills.

chapter Case 1|3 pages

Acute Confusion

chapter Case 2|3 pages

Apparent Adverse Drug Reaction

chapter Case 3|3 pages

Shortness of Breath and a Cough

chapter Case 4|2 pages

Collapse and Confusion in a Young Woman

chapter Case 5|3 pages

Drowsy after a Fall

chapter Case 6|4 pages

Constipation with Confusion

chapter Case 7|3 pages

Diarrhoea Following Antibiotics

chapter Case 8|2 pages

Worsening Delirium

chapter Case 9|2 pages

Swollen Glands and Hearing Impairment

chapter Case 10|2 pages

Nose Bleed (Epistaxis) Following an Operation

chapter Case 11|2 pages

Deliberate Self-Harm with Antifreeze

chapter Case 12|3 pages

Right-Sided Chest Pain

chapter Case 13|3 pages

A Case of Deliberate Self-Harm

chapter Case 14|3 pages

Lymphadenopathy and Malaise

chapter Case 15|3 pages

Loss of Consciousness in Diabetes

chapter Case 16|3 pages

Fevers, Weight Loss, and Night Sweats

chapter Case 17|2 pages

The Ill Returning Traveller

chapter Case 18|2 pages

An Atypical Seizure

chapter Case 19|2 pages

Delirium and Urinary Symptoms

chapter Case 20|2 pages

Headache in Pregnancy

chapter Case 21|2 pages

Epigastric Pain and Vomiting

chapter Case 22|3 pages

Fever in a Returning Traveller

chapter Case 23|2 pages

Shortness of Breath During a Sickle Cell Crisis

chapter Case 24|2 pages

Chest Pain Radiating to the Back

chapter Case 25|2 pages

Shortness of Breath

chapter Case 26|2 pages

Recurrent Abdominal Pain

chapter Case 27|3 pages

A Persistent Cough

chapter Case 28|2 pages

Bloody Diarrhoea

chapter Case 30|2 pages

Progressive Lower Limb Weakness

chapter Case 31|3 pages

Seizure and Agitation

chapter Case 32|2 pages

Substance Misuse

chapter Case 33|2 pages

Unilateral Leg Swelling

chapter Case 34|3 pages

Vomiting Caused by Norovirus

chapter Case 35|2 pages

Fever and Sore Throat

chapter Case 36|2 pages

A Couple with Headaches and Vomiting

chapter Case 37|3 pages

Recurring Dizziness with Exercise

chapter Case 38|2 pages

Palpitations and Collapse

chapter Case 39|4 pages

Shortness of Breath in a Young Non-Smoker

chapter Case 40|4 pages

‘Indigestion’ with Radiating Pain

chapter Case 41|3 pages

Memory Loss and Unsteadiness

chapter Case 42|2 pages

Ecchymosis

chapter Case 43|2 pages

Petechiae and Limb Weakness

chapter Case 44|2 pages

Acute Breathlessness

chapter Case 45|2 pages

Dysphagia and Shallow Breathing

chapter Case 46|2 pages

Painful Ankles and Rash

chapter Case 47|3 pages

Collapse Associated with a Headache

chapter Case 48|2 pages

Blisters and Itchy Skin

chapter Case 49|3 pages

Postoperative Hypotension

chapter Case 50|3 pages

Drowsiness Bordering on Coma

chapter Case 51|3 pages

Anxiety with Graves' Disease

chapter Case 52|2 pages

Episodic Anxiety and Headache

chapter Case 53|3 pages

Cough, Fever, and Shortness of Breath

chapter Case 54|2 pages

Shortness of Breath Following a Fall

chapter Case 55|2 pages

A Lady with Fatigue

chapter Case 56|2 pages

Haematuria and Flank Pain

chapter Case 57|4 pages

Bradycardia and Malaise

chapter Case 58|3 pages

Swelling of Lower Limbs

chapter Case 59|2 pages

Haemoptysis and Shortness of Breath

chapter Case 60|2 pages

Headache and Eyelid Drooping

chapter Case 61|3 pages

Knee Swelling and Pain

chapter Case 62|2 pages

Lower Abdominal Pain

chapter Case 63|3 pages

Abdominal Pain, Bruising, and Confusion

chapter Case 64|3 pages

Jaundice and Pruritis

chapter Case 65|3 pages

Bleeding Gums and Nose

chapter Case 66|5 pages

Palpitations and Shortness of Breath

chapter Case 67|2 pages

Shortness of Breath and Pedal Oedema

chapter Case 68|2 pages

Sharp Central Chest Pain

chapter Case 69|4 pages

Chest Pain with Fever, Malaise, and Myalgia

chapter Case 70|3 pages

Deteriorating Renal Function

chapter Case 71|2 pages

Petechial Rash and Loss of Consciousness

chapter Case 72|3 pages

Wheeze and Productive Cough

chapter Case 73|2 pages

Flu-Like Illness and Generalised Weakness

chapter Case 74|3 pages

Fever and a Murmur

chapter Case 75|3 pages

Wheeze and Shortness of Breath

chapter Case 76|2 pages

Red Eyes and Sight Impairment

chapter Case 77|2 pages

Severe Abdominal Pain and Fever

chapter Case 78|2 pages

Rash and Flu-Like Symptoms

chapter Case 79|3 pages

Substance Abuse and Agitation

chapter Case 80|2 pages

Generalised Rash and Malaise

chapter Case 81|3 pages

Coffee-Ground Vomiting

chapter Case 82|3 pages

Blurred Vision with Headache

chapter Case 83|2 pages

Pruritic Rash and Alopecia

chapter Case 84|3 pages

Abdominal Pain, Diarrhoea, and Fever

chapter Case 85|3 pages

Progressive Dysphagia and Muscle Stiffness

chapter Case 86|2 pages

Headache and Double Vision

chapter Case 87|2 pages

Defective Vision and Eye Pain

chapter Case 88|3 pages

Back Pain and Weight Loss

chapter Case 89|2 pages

Abdominal Pain Following Alcohol Binge

chapter Case 90|2 pages

Abdominal Pain, Malaise, and Fever

chapter Case 91|4 pages

Respiratory Distress and Oedema

chapter Case 92|3 pages

Night Sweats, Polyuria, and Polydipsia

chapter Case 93|2 pages

Painful Shoulder and Malaise

chapter Case 94|2 pages

Facial Rash

chapter Case 95|3 pages

Self-Limiting Generalised Seizures

chapter Case 96|2 pages

Target-Like Rash and Fever

chapter Case 97|3 pages

Seizure

chapter Case 98|4 pages

Loss of Pain Sensation

chapter Case 99|4 pages

Shortness of Breath in a Returning Traveller

chapter Case 100|3 pages

A Woman “Off her Legs”