ABSTRACT

This chapter, written for undergraduate medical students and post-graduate doctors in training, presents information on how to manage multiple symptoms — a case which they are likely to encounter in the future in a general practice setting. It presents the case of a 44 years old married women gives a rambling history of indigestion, aches and pains, constipation, swollen legs and so on. Her present symptoms have been troubling her 'for some time', which could be weeks or months. The chapter provides details of the patients' medical history and the key findings of clinical examination, together with initial investigation results data for evaluation, and helps them develop their skills of clinical reasoning. Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan.