ABSTRACT

Undergraduate and postgraduate teaching increasingly favours a symptom-based approach to diagnosis. Unlike many other textbooks in acute medicine, this book reflects this shift in emphasis, presenting a logical and structured approach to the diagnosis and initial management of acutely unwell adults. It discusses the relevant pathophysiology of each clinical presentation, and provides a comprehensive table of differential diagnoses, highlighting common causes. The book's description of generic emergency management emphasises important diagnoses, and explains relevant history, examination findings and investigations involved in assessment or diagnosis. Senior medical students and junior doctors in their first four years after qualifying will find this an invaluable aid to honing their clinical practice. The logical systems of diagnostic thought will serve them throughout their careers. No book can replace hard work on the ward and in clinics but books can speed up the acquisition of skills by fostering sound basic principles and developing the right instincts. Diagnosis in Acute Medicine is particularly helpful in this regard. I strongly recommend it.A " - From the Foreword by Ian Pavord

part 1|6 pages

Introduction to medical diagnosis

part 2|26 pages

Critical illness

chapter 3|2 pages

The critically ill patient

chapter 4|8 pages

Acute respiratory illness

chapter 5|4 pages

Shock

chapter 7|6 pages

Acute kidney injury

part 3|18 pages

Cardiovascular and respiratory presentations

chapter 8|3 pages

Pleuritic chest pain

chapter 9|4 pages

Non-pleuritic chest pain

chapter 10|4 pages

Palpitation

chapter 11|4 pages

Oedema

chapter 12|2 pages

Limb pain

part 4|32 pages

Gastrointestinal presentations

chapter 13|5 pages

Abdominal pain

chapter 14|5 pages

Nausea and vomiting

chapter 15|3 pages

Gastrointestinal haemorrhage

chapter 16|3 pages

Dysphagia

chapter 17|4 pages

Diarrhoea

chapter 18|2 pages

Constipation

chapter 19|3 pages

Abdominal swelling

chapter 20|6 pages

Jaundice

part 5|20 pages

Neurological presentations

chapter 21|4 pages

Headache

chapter 22|3 pages

Transient loss of consciousness

chapter 23|7 pages

Focal neurological deficit

chapter 24|3 pages

Acute visual loss

chapter 25|2 pages

Vertigo

part 6|30 pages

Miscellaneous presentations

chapter 26|3 pages

Frequency of micturition

chapter 27|3 pages

Haematuria

chapter 28|4 pages

Joint pain or swelling

chapter 29|5 pages

Back pain

chapter 30|5 pages

Pyrexia of unknown origin

chapter 31|5 pages

Anaemia

chapter 32|4 pages

Skin rash

part 7|24 pages

Biochemical abnormalities

chapter 33|6 pages

Acid–base disturbances

chapter 34|4 pages

Hyponatraemia

chapter 35|3 pages

Hypernatraemia

chapter 36|3 pages

Hypokalaemia

chapter 37|2 pages

Hyperkalaemia

chapter 38|2 pages

Hypocalcaemia

chapter 39|3 pages

Hypercalcaemia