Title | Contemporary Internal Medicine [electronic resource] : Clinical Case Studies / edited by Juan Bowen, Ernest L. Mazzaferri |
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Imprint | Boston, MA : Springer US, 1988 |
Connect to | http://dx.doi.org/10.1007/978-1-4615-6713-4 |
Descript | 336 p. online resource |
Case 1 Chronic Liver Disease and Neurologic Abnormalities -- In this case study of Wilsonโs disease, the author discusses contemporary views of its pathophysiology and clinical features, along with the differential diagnosis of chronic liver disease. -- Case 2 Dyspnea and Rapidly Enlarging Goiter -- A patient with Hashimotoโs thyroiditis and thyroid lymphoma provides the framework for a discussion of these increasingly more common disorders. The author includes a summary of the clinical approach to nodular goiter. -- Case 3 Atheroembolic Disease Mimicking Systemic Vasculitis -- This case highlights the clinical and laboratory features of atheromatous embolic disease of the kidneys, emphasizing laboratory features of the disease which may lead to diagnostic confusion. -- Case 4 Erythrocytosis -- A patient with polycythemia furnishes the setting for a discussion of the pathophysiology, differential diagnosis, and treatment of a classic problem in internal medicine. -- Case 5 Obstructive Sleep Apnea -- A patient with snoring, nightmares, and palpitations during sleep provides the basis for a discussion of the current concepts in the diagnosis and treatment of obstructive sleep apnea, an important but frequently misdiagnosed condition. -- Case 6 Dyspnea and Cirrhosis -- A case of alpha-1-antitrypsin deficiency is reviewed by an author who has done pioneering work in this area. The inheritance, pathophysiology, and clinical features of the disorder are discussed in detail. -- Case 7 Chest Pain in a Young Man -- This case study of a young patient with coronary artery disease emphasizes the logical evaluation of this common problem. The author analyzes testing strategies based on current concepts of medical decision-making. -- Case 8 A Reactive Arthropathy -- A patient with low back pain and joint complaints sets the stage for a discussion of the distinctive features, diagnosis, and treatment of the sero-negative spondyloarthropathies. -- Case 9 Community Acquired Pneumonia -- In this case study of a patient with pneumonia, the author reviews the current diagnostic and treatment decisions involved in this common and difficult clinical problem. -- Case 10 Lens Subluxation and Tall Stature -- A patient with Marfan syndrome is the motivation for a discussion of the clinical features, diagnosis, and pathophysiology of this important disorder. -- Case 11 Breast Cancer in a Premenopausal Woman -- This case study highlights the major contemporary clinical issues surrounding this tragic problem which is among the most difficult dilemmas facing the practicing physician. -- Case 12 Recurrent Fever, Chills, Pyuria, and Bacteriuria in an Adult Male Following Urinary Catheterization -- A case study of chronic prostatitis leads to a discussion of the causes, contemporary diagnostic approaches, and treatment of recurrent urinary tract infections. -- Case 13 Fever and Bloody Diarrhea -- A patient with infectious bloody diarrhea is presented with emphasis on the essential epidemiologic and clinical features. Recently recognized pathogens such as Campylobacter jejuni are discussed. -- Case 14 Chest Pain and Heart Murmur in a Young Woman -- This is a case of mitral valve prolapse, the most common heritable disorder of connective tissue with cardiovascular manifestations. The author discusses the causes, cardiac dynamics, diagnosis, and complications of mitral valve prolapse. -- Case 15 Peptic Ulcer Disease -- A patient with peptic ulcer disease provides the backdrop for a discussion of recent developments in the etiology, pathophysiology, diagnosis, and treatment of this common problem. -- Case 16 Microcytic Anemia -- A case of thalassemia provides the framework for a discussion of the distinctions between iron deficiency anemia, hemoglobinopathies, and other reasons for microcytosis. -- Case 17 Recurrent Abdominal Pain and Edema -- In this case of hereditary angioedema, the crucial clinical distinction between this life-threatening disease and other urticarial disorders is discussed. -- Case 18 Hepatitis in a Chinese Student -- This discussion focuses on the clinical evaluation of chronic hepatitis, with emphasis on the appropriate interpretation of serological tests for hepatitis. -- Case 19 A Woman with Rheumatoid Arthritis -- The author reviews pertinent clinical issues in the diagnosis and treatment of rheumatoid arthritis. -- Case 20 Aortic Stenosis -- The clinical features, natural history, and current therapy of obstructive aortic valvular disorders are discussed in the context of a patient with aortic stenosis. -- Case 21 A Case of Weakness and Fatigue in a Teenager -- A patient with Addisonโs disease provides the circumstances for a clinical discussion of acute and chronic adrenal insufficiency. -- Case 22 Practical Approach to Syncope -- A common and potentially serious clinical problem is discussed from the vantage point of the electrophysiologic derangements that may cause syncope. -- Case 23 Thrombocytopenia -- A patient with idiopathic thrombocytopenia gives insight into our contemporary understanding of the pathophysiology, diagnosis, and treatment of the immune thrombocytopenias. -- Case 24 New Onset of Dyspnea in a Middle-Aged Man -- A patient with dilated cardiomyopathy provides the basis for a discussion of this disorder. The author summarizes innovative diagnostic and therapeutic approaches which have been developed in the past decade. -- Case 25 Test Case -- A patient with acute myocardial infarction forms the framework for an approach to the contemporary management of this disorder. The author provides a step-by-step guide to management in a question-and-answer format