ITU

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on ITU

12 ITU Shock Case history (1) A 60-year-old bank manager presents with crushing central chest pain. This started 45 minutes ago and has remained constant ever since. On examination he…

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Liver and Biliary Tract Disorders

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Liver and Biliary Tract Disorders

5 Liver and Biliary Tract Disorders Abnormal liver biochemistry ‘Liver function tests’ are routinely requested. Serum bilirubin, aminotransferases, alkaline phosphatase, γ-glutamyl, transpeptidase (γ-GT) and total proteins are measured. These are…

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Poisoning

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Poisoning

13 Poisoning Self-poisoning This is a common problem, leading to over 100 000 hospital admissions in England and Wales per annum. It is also a problem in developing countries: in cities,…

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Psychiatry

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Psychiatry

16 Psychiatry Delirium (see also p. 153) Delirium is the most commonly misdiagnosed psychiatric disorder in the general hospital and many cases go undetected. Yet it is the most common…

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Infectious Diseases

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Infectious Diseases

1 Infectious Diseases Pyrexia of unknown origin (PUO) Pyrexia of unknown origin (sometimes called fever of unknown origin, FUO) is best defined as a fever persisting for more than 2…

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Nutrition

Apr 3, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Nutrition

3 Nutrition Feeding the patient Case history A surgical colleague phones you to ask about parenteral nutrition for a 70-year-old man who had an oesophago-gastrectomy 5 days previously. Postoperative care…

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