Haematemesis

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Haematemesis

Haematemesis Haematemesis is the vomiting of blood. This may be frank blood or blood altered by the action of gastric acid and digestive enzymes, i.e. ‘coffee grounds’. Haematemesis is usually…

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Disorders

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Disorders

Gum Disorders Disorders of the gums are common, especially bleeding from the gums. Most disorders that cause bleeding are due to local infective disease but may be a manifestation of…

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Swellings

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Swellings

Groin Swellings These are common clinical problems, especially hernias. They are therefore common in clinical examinations. Causes Above The Inguinal Ligament • Sebaceous cyst • Lipoma • Direct inguinal hernia • Indirect inguinal hernia…

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Goitre

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Goitre

Goitre A goitre is an enlargement of the thyroid gland (Fig. 25). It can result from physiological causes such as puberty (due to increased demand for thyroid hormone) which require…

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Thrombocytopenia

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Thrombocytopenia

Thrombocytopenia Thrombocytopenia is a low platelet count below 150×109/L. The causes of a low platelet count can be grouped according to reduced production, decreased survival or sequestration in the spleen….

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Anaemia

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Anaemia

Anaemia Anaemia is defined as a haemoglobin concentration of<13.5 g/dL in men and<11.5 g/dL in women. Classification of anaemia according to red cell indices is useful because specific investigations can be tailored…

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(Blood)

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on (Blood)

Urea (Blood) Blood urea is a useful test of renal function. However, other factors such as liver failure, dehydration and protein breakdown may alter levels of blood urea. The normal…

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Hypomagnesaemia

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Hypomagnesaemia

Hypomagnesaemia The normal range of serum magnesium is 0.7–1.0 mmol/L. Hypomagnesaemia refers to a serum level below 0.7 mmol/L. Causes Excessive Losses • Diuretics • Severe diarrhoea • Prolonged vomiting • Polyuria (poorly controlled diabetes) • Prolonged…

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Hypoglycaemia

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Hypoglycaemia

Hypoglycaemia Hypoglycaemia is defined as a plasma glucose<2.5 mmol/L. The actual glucose level at which symptoms develop varies markedly. Causes Drugs • Insulin • Sulfonylurea • Alcohol • Aminoglutethimide • Quinolones • Pentamidine • Quinine Endocrine • Pituitary insufficiency…

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Hypercalcaemia

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Hypercalcaemia

Hypercalcaemia Hypercalcaemia is a serum calcium>2.62 mmol/L (normal range 2.12–2.62 mmol/L). It may be an asymptomatic laboratory finding. Symptoms usually become apparent with levels>3.50 mmol/L. Causes • Malignancy ■ Solid tumour with lytic bony metastases,…

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