Clinical problems in general medicine and surgery,2nd ed.

THE PROBLEMS: Difficulties with postoperative fluid balance in a 65-year-old man 1 A middle-aged man with postoperative fever 8 Postoperative hypotension 13 Postoperative confusion 20 Swelling in the neck in a 58-year-old man 29 1 2 3 4 5 6 A 26-year-old man with a swelling below the ear 35 7 Swelling in the neck 39 8 A young man with acute scrotal pain 43 9 A scrotal swelling in a 19-year-old man 46 10 A 46-year-old woman with a breast lump 51 11 A skin lesion in a 73-year-old man 57 12 A 27-year-old man with burns 61 13 Dysphagia in a middle-aged woman 69 14 Vomiting and collapse in an elderly woman 75 15 A 77-year-old man with vomiting 81 16 Weight loss in a middle-aged woman 89 17 Abdominal pain in a young woman 95 18 A man with acute upper abdominal pain 102 19 A woman with acute upper abdominal pain 108 20 A 67-year-old woman with acute lower abdominal pain 115 21 A 49-year-old man with abdominal pain and vomiting 120 22 Jaundice in an older woman 126 23 A young man with profuse diarrhoea 130 24 Rectal bleeding in a 65-year-old woman 138 25 A 42-year-old man with haematuria 145 26 A 70-year-old man with a painful hip 150 27 Acute back pain in a 75-year-old man 155 28 A 59-year-old man with calf pain 160 29 Acute leg pain in a 73-year-old woman 166 30 A 68-year-old woman with a leg ulcer 172 31 A 38-year-old man involved in a car crash 176 vii CONTENTS 32 Lower limb trauma in a young man 182 33 A 48-year-old man with chest pain 187 34 Severe epigastric pain in a middle-aged man 192 35 Breathlessness in a diabetic woman 199 36 Breathlessness in a 37-year-old woman 205 37 Collapse in a 63-year-old man 212 38 A 62-year-old man with breathlessness and yellow sputum 217 39 Persistent cough in a young woman 226 40 Fever, cough and breathlessness in a middle-aged man 232 41 Breathlessness and weight loss in a 58-year-old man 239 42 A 63-year-old woman with breathlessness on exertion 247 43 Acute breathlessness in a 21-year-old woman 252 44 Haematemesis in a 40-year-old man 258 45 A young woman with jaundice 264 46 A 34-year-old man with abdominal discomfort 269 47 Postoperative oliguria in an elderly woman 275 48 A 40-year-old man with lethargy and hypertension 283 49 A 35-year-old woman with hypertension 288 50 Intellectual deterioration in an elderly woman 295 51 A young man with depressed conscious state and seizures 300 52 A middle-aged man with sudden visual loss 305 53 A young man in a coma 310 54 A 31-year-old woman with vertigo 318 55 Headache in a middle-aged woman 323 56 Back pain in a 50-year-old woman 328 57 A woman with a lump in the neck 335 58 Severe dehydration in a young woman 342 59 A 22-year-old woman with palpitations and anxiety 349 60 A 21 -year-old woman with fever, lethargy and painful joints 353 61 A collapsed, breathless woman 359 62 Management of a young man who is HIV positive 364 63 Back and leg pain in a middle-aged man 369 64 Acute respiratory failure in a 68-year-old man 373 65 A young woman with lower abdominal pain 380 66 A young woman with abnormal vaginal bleeding 384