风暴式医学教程 内科学【2025|PDF|Epub|mobi|kindle电子书版本百度云盘下载】

风暴式医学教程 内科学PDF格式电子书版下载

注意：本站所有压缩包均有解压码： 点击下载压缩包解压工具

Part I:The Patient Presents With1

History in the patient with chest pain3

Preface3

1.Chest Pain3

Introduction3

Differential diagnosis of chest pain3

Investigating the patient with chest pain4

Examining the patient with chest pain4

Acknowledgements4

2.Shortness of Breath9

Introduction9

History in the patient with breathlessness9

Dedication10

Examining the patient with breathlessness10

Investigating the patient with breathlessness12

History15

Differential diagnosis by description of the rhythm15

Introduction15

3.Palpitations15

Consequences of palpitations16

Examining the patient with palpitations16

Investigating the patient with palpitations17

4.Heart Murmurs19

Introduction19

Differential diagnosis of heart murmurs19

History in the patient with heart murmurs20

Examining the patient with heart murmurs20

5.Cough and Haemoptysis25

Introduction25

Differential diagnosis of cough and haemoptysis25

History in the patient with cough and haemoptysis25

Examining the patient with cough and haemoptysis26

Investigating the patient with cough and haemoptysis27

Examing the patient with PUO29

History in the patient with PUO29

Investigating the patient with PUO29

Introduction29

6.Pyrexia of Unknown Origin29

Causes29

7.Haematemesis and Melaena33

Introduction33

Differential diagnosis of haematemesis and melaena33

History in the patient with haematemesis and melaena33

Examining the patient with haematemesis and melaena34

Investigating the patient with haematemesis and melaena35

8.Change in Bowel Habit37

Introduction37

Differential diagnosis of a change in bowel habit37

History in the patient with a change in bowel habit38

Examining the patient with a change in bowel habit38

Investigating the patient with a change in bowel habit38

Introduction41

Differential diagnosis of weight loss41

9.Weight Loss41

History in the patient with weight loss42

Examining the patient with weight loss42

Investigating the patient with weight loss43

10.Jaundice45

Introduction45

Differential diagnosis of jaundice45

History in the patient with jaundice45

Examining the patient with jaundice47

Investigating the patient with jaundice48

11.Abdominal Pain51

Introduction51

Differential diagnosis of abdominal pain51

History in the patient with abdominal pain52

Examining the patient with abdominal pain52

Investigating the patient with abdominal pain53

Differential diagnosis of polyuria55

12.Polyuria and Polydipsia55

Introduction55

History in the patient with polyuria or polydipsia56

Examining the patient with polyuria or polydipsia57

Investigatig the patient with polyuria and polydipsia58

13.Haematuria and Proteinuria61

Introduction61

Differential diagnosis of haematuria and proteinuria61

History in the patient with haematuria and proteinuria62

Investigating the patient with haematuria and proteinuria63

Examining the patient with haematuria and proteinuria63

14.Hypertension67

Introduction67

Differential diagnosis of hypertension67

History in the patient with hypertension67

Examining the patient with hypertension68

Investigating the patient with hypertension69

History in the patient with headache or facial pain71

Differential diagnosis of headache and facial pain71

15.Headache and Facial Pain71

Introduction71

Examining the patient with headache or facial pain73

Investigating the patient with headache or facial pain73

16.Joint Disease77

Differential diagnosis of jointdisease77

History in the patient with joint disease77

Examining the patient with joint disease78

Investigating the patient with joint disease79

17.Skin Rashes81

Differential diagnosis by appearance81

History in the patient with skin rashes83

Examining the patient with skin rashes83

Investigating the patient with skin rashes85

History in the patient with loss of consciousness87

Differential diagnosis of loss of consciousness87

Introduction87

18.Loss of Consciousness87

Examining the patient with loss of consciousness88

Investigating the patient with loss of consciousness89

19.Confusional States93

Introduction93

Differential diagnosis of confusion93

History in the confused patient93

Examining the confused patient94

Investigating the confused patient95

20.Acute Neurological Deficit97

Introduction97

Differential diagnosis of stroke97

History in the stroke patient98

Examining the stroke patient98

Investigating the stroke patient99

History in the patient with lymphadenopathy or splenomegaly103

Differential diagnosis of lymphadenopathy and splenomegaly103

Introduction103

21.Lymphadenopathy and Splenomegaly103

Examining the patient with lymphadenopathy and splenomegaly104

Investigating the patient with lymphadenopathy and splenomegaly106

22.Sensory and Motor Neurological Deficits109

Introduction109

Differential diagnosis of sensory and/or motor neurological deficits109

History in the patient with sensory and/or motor neurological deficits110

Examining the patient with sensory and/or motor neurological deficits111

Investigating the patient with sensory and/or motor neurological deficits113

23.Bruising and Bleeding115

Introduction115

Differential diagnosis of bleeding or bruising115

History in the patient with bleeding and bruising115

Examining the patient with bleeding and bruising116

Investigating the patient with bleeding and bruising117

History in the patient with vertigo121

Differential diagnosis in the patient with vertigo or dizziness121

24.Vertigo and Dizziness121

Introduction121

Examining the patient with vertigo123

Investigating the patient with vertigo123

25.Anaemia125

Introduction125

Differential diagnosis of anaemia125

History in the anaemic patient125

Examining the anaemic patient127

Investigating the anaemic patient127

Part II:History, Examination, and Common Investigations131

26.Taking a History133

General principles--the bedside manner133

The history133

Presenting complaint133

History of presenting complaint133

Systems review134

Previous medical history134

Drug history138

Family history139

Social history140

27.Examination of the Patient143

Introduction143

First things first143

General inspection143

The face and body habitus144

The neck145

The hands146

The cardiovascular system148

The respiratory system151

The abdomen154

The nervous system157

The joints167

The skin167

Medical sample clerking169

28.The Clerking169

Introduction169

29.Common Investigations173

Introduction173

The cardiovascular system173

The respiratory system177

The gastrointestinal system181

The urinary system183

The nervous system184

Metabolic and endocrine disorders184

Musculoskeletal and skin disease189

Haematological disorders189

Part III:Diseases and Disorders193

30.Cardiovascular System195

Ischaemic heart disease195

Myocardial infarction200

Arrhythmias206

Heart failure211

Hypertension215

Valvular heart disease220

Miscellaneous cardiovascular conditions222

31.Respiratory Disease231

Asthma231

Chronic bronchitis and emphysema235

Tuberculosis237

Lung cancer240

Pneumonia244

Respiratory failure246

Miscellaneous respiratory conditions248

32.Gastrointestinal and Liver Disease253

Peptic ulcer disease253

Gastrointestinal haemorrhage254

Inflammatory bowel disease256

Crohn s disease259

Gastrointestinal tumours260

Malabsorption262

Diseases of the gallbladder264

Diseases of the pancreas265

Acute viral hepatitis267

Chronic liver disease269

Miscellaneous gastrointestinal disorders273

33.Genitourinary System275

Glomerular disease275

Acute renal failure278

Chronic renal failure280

Urinary tract infection283

Fluid and electrolyte balance284

Miscellaneous genitourinary conditions287

34.Central Nervous System289

Cerebrovascular disease289

Management of conditions causing headache293

Parkinsonism296

Multiple sclerosis299

Meningitis301

Epilepsy303

Infracranial tumours306

Miscellaneous neurological disorders307

35.Metabolic and Endocrine Disorders311

Diabetes311

Lipid disorders317

Metabolic bone disease319

Hyperparathyroidism324

Hypoparathyroidism325

Crystal arthropathy325

Hypercalcaemia327

Pituitary disorders327

Thyroid disorders331

Disorders of the adrenal glands336

Miscellaneous endocrine conditions339

36.Musculoskeletal and Skin Disorders341

Arthritis341

Osteoarthritis343

Systemic lupus erythematosus346

Polymyalgia rheumatica348

Other connective tissue disorders349

Primary skin diseases353

Skin manifestations of systemic disease355

Malignant skin tumours357

37.Haematological Disorders359

Anaemia359

Leukaemias367

Multiple myeloma370

Malignant lymphomas371

Bleeding disorders374

Disseminated intravascular coagulation375

Thrombotic disorders376

Introduction379

HIV and AIDS379

38.Infectious Diseases379

Malaria382

39.Drug Overdose387

Epidemiology387

Aetiology387

Presentation387

Management388

Investigations388

Part IV:Self-assessment391

Multiple-choice questions393

Short-answer questions399

Case-based questions400

MCQ answers401

SAQ answers402

Index405