By James C. Pile

Introducing the 1st evidence-based casebook for clinic clinicians

This e-book introduces illustrated, evidence-based scientific situations drawn from real-world health facility perform. Geared to the desires of health facility clinicians, Clinical Care Conundrums: tough Diagnoses in health facility Medicine makes a speciality of polishing medical reasoning and diagnostic abilities, giving readers the instruments to acknowledge and diagnose a big selection of illnesses, whereas selling diagnostic protection in medical institution medicine.

Written by means of prime specialists at the subject matters lower than dialogue, this quantity deals a hand-picked choice of case reports from the generally renowned medical Care Conundrum (CCC) sequence present in the magazine of clinic Medicine. each one bankruptcy offers a case to knowledgeable clinician, who explains his or her method of diagnosing difficult scientific dilemmas. each one bankruptcy concludes with a concise evaluate of contemporary literature and, if acceptable, with discussions of cognitive blunders that could impression medical analysis and sufferer care. Readers will find:

  • An attractive presentation type that mixes top of the range pictures and text
  • Coverage of either universal stipulations and unusual yet very important illnesses encountered within the health center setting
  • A examine the state-of-the-art of medical reasoning, a space of serious curiosity to clinicians
  • Practical "pearls" for every case research that readers can observe of their personal practice

Clinical Care Conundrums is an fundamental reference for hospitalists, hospital-based physicians and midlevel companies, physicians-in-training, and the numerous different clinical practitioners who arise opposed to tricky instances every day.

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Additional info for Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine

Example text

Lancet. 1991;337:1555–1557. 3. Quirt I, Shelley W, Pater J, Bodurtha A, McCulloch P. Improved survival in patients with poor-prognosis malignant melanoma treated with adjuvant levamisole: A phase III study by the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol . 1991;9:729–735. REFERENCES 25 4. Moertel CG, Fleming TR, MacDonald JS. Levamisole and fluorouracil for adjuvant therapy of resected colon carcinoma. N Engl J Med . 1990;322:352–358. 5. Thompson JS, Herbick JM, Klassen LW.

27 28 CHAPTER 4 A MIDLIFE CRISIS Heart rate was regular without appreciable murmur, rub, or gallop. Lungs were clear. Abdomen was soft and nondistended, with diffuse tenderness to palpation; bowel sounds were present; there was no rebound or guarding. She had normal rectal tone with brown, guaiac-negative stool. There was no costovertebral angle tenderness. She was oriented to person, place, and time but lethargic; deep tendon reflexes were 3+ bilaterally, and no focal neurologic signs were elicited.

Forensic Sci Int. 2007;172(2–3):e1. 10. Buchanan JA, Vogel JA, Eberhardt AM. Levamisole-induced occlusive necrotizing vasculitis of the ears after use of cocaine contaminated with levamisole. J Med Toxicol . 2011;7(1):83–84. 11. Bradford M, Rosenberg B, Moreno J, Dumyati G. Bilateral necrosis of earlobes and cheeks: another complication of cocaine contaminated with levamisole. Ann Intern Med . 2010;152(11):758–759. 12. Waller JM, Feramisco JD, Alberta-Wszolek L, McCalmont TH, Fox LP. Cocaine-associated retiform purpura and neutropenia: is levamisole the culprit?

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