Download PDF by Andrew T. Raftery, Eric K. S. Lim, Andrew J. K. Ostor: Churchill’s Pocketbook of Differential Diagnosis

Diagnosis

By Andrew T. Raftery, Eric K. S. Lim, Andrew J. K. Ostor

With the ability to make an accurate analysis is likely one of the key points of each scientific student's and junior doctor's medical education. Problem-based studying is more and more getting used to target the reasons at the back of the presentation of a scientific characteristic. The 3rd version of this best-selling booklet is packed filled with details to aid the reader circulation from a featuring challenge to a correct analysis.

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Sample text

Uterine lesions. Abscess. Ectopic pregnancy. Iliac artery aneurysm. Lymphadenopathy. Appendix mass. Bone tumours. ■■ Barium enema Carcinoma. Diverticular disease. ■■ Small bowel enema Crohn’s disease. Carcinoma. Lymphoma. ■■ Colonoscopy Carcinoma (biopsy). Diverticular disease. ■■ Laparoscopy Carcinoma, Crohn’s disease, ileo-caecal TB. ■■ Bone scan Bone tumour. SUPRAPUBIC CAUSES BLADDER • • • Acute retention Chronic retention Carcinoma UTERUS • • • Pregnancy Fibroids Carcinoma Abdominal Swellings 23 BOWEL • • • Diverticular mass Crohn’s disease Carcinoma OTHER • Urachal cyst.

Paget’s disease of bone – ‘sclerotic’ white vertebrae. ■■ US Aortic aneurysm. Renal lesions. Uterine lesions. SPECIFIC INVESTIGATIONS ■■ PSA Prostatic carcinoma. ■■ Serum calcium Raised in malignancy, myeloma and bony metastases. ■■ Bence Jones protein May be raised in myeloma. ■■ Plasma protein electrophoresis Monoclonal gammopathy in myeloma. ■■ CT Pancreatic lesions. Aortic lesions. Pelvic lesions. ■■ Technetium scan Hot spots with bony secondaries. Occasional hot spots with inflammatory disease.

Perianal abscesses should be incised and drained. Failure to do so may result in development of a fistula-in-ano. Section A 28 ARM PAIN This section deals with pain in the upper limb unrelated to joint pains. The majority of causes of arm pain are related to either neurological or vascular lesions. g. g. g. g. exertional HISTORY Symptoms of cervical lesions include: pain and stiffness in the neck; pain radiating down the arm. Cervical cord compression may occur. ARM PAIN 29 Cervical spondylosis represents ‘wear and tear’ of the cervical spine.

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