By Steve Bain, Jeffrey W. Stephens
The problem-solving strategy of center scientific circumstances courses you to consider the sufferer as an entire, instead of as a series of unconnected signs. With its emphasis on daily perform strongly associated with underlying thought, the sequence integrates your wisdom with the realities of handling medical difficulties, and offers a foundation for constructing sound analytical and assured decision-making skills.
The middle parts of undergraduate examine are lined in a logical series of studying actions; an identical questions are requested of every medical case, through designated explanatory solutions. OSCE counselling situations, with similar questions and solutions, additionally function in each one section.
Key thoughts and demanding details are highlighted, and the reader-friendly format displays precisely the kind of query you'll come upon, making those volumes the right revision reduction for every type of case-based examination.
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Additional resources for Core Clinical Cases in Medicine and Medical Specialties (2nd Edition)
The patient needs to be given dietary advice and specific diabetes education on issues such as monitoring and foot care. This would usually involve the specialist diabetes nurse and a dietitian. Other aspects of cardiovascular risk need to be assessed and, in this case, blood pressure medication may be changed from a high-dose thiazide to an ACE inhibitor. 14 – A 32-year-old woman with abdominal pain and vomiting and a plasma glucose of 22 mmol/L and urinary ketones. A1: What is the likely diagnosis?
The diabetes is treated with four injections of insulin a day and his control is regarded as excellent. ’ 36 Diabetes Key concepts To work through the core clinical cases in this chapter, you will need to understand the following key concepts. HYPOGLYCAEMIA Hypoglycaemia in diabetes is caused by an imbalance of insulin (too much), exercise (too much) and glucose (too little). Patients usually experience warning symptoms and signs of hypoglycaemia, which prompt them to take treatment in the form of glucose.
6 mmol/L. A1: Are further assessments required before the italicized finding provokes a drug intervention? The total cholesterol warrants consideration in terms of primary prevention of cardiovascular disease. Issues include whether fasting lipids are required, the potential impact of diet, and what level of cholesterol justifies drug treatment. Total cholesterol is not altered by recent food intake (unlike triglycerides), and so a fasting sample is not mandatory. Most clinicians would, however, repeat the lipids to include an HDL-cholesterol, allowing for calculation of the LDL-cholesterol.