Contents
SECTION A
CLINICAL PRESENTATIONS
Abdominal pain 3
Abdominal swellings 9
Anorectal pain 25
Arm pain 28
Arm swellings 31
Ascites 33
Axillary swellings 38
Backache 42
Breast lumps 50
Breast pain 54
Chest pain 57
Clubbing 62
Coma 67
Confusion 72
Constipation 76
Convulsions 80
Cough 84
Cyanosis 88
Deafness 91
Diarrhoea 95
Dizziness 101
Dysphagia 105
Dyspnoea 109
Ear disorders 115
Eye disorders 119
Facial pain 123
Facial swellings 127
Facial ulcers 132
Faecal incontinence 136
Finger lesions 139
Finger pain 143
Foot deformities 149
Foot pain 152
Foot ulcers 157
Gait abnormalities 161
Goitre 165
Groin swellings 169
Gum disorders 176
Gynaecomastia 179
Haematemesis 182
Haematuria 187
Haemoptysis 191
Halitosis 196
Hallucinations 199
Hand deformities 202
Headache 207
Hemiplegia 212
Hepatomegaly 215
Hiccups 220
Hirsutism 224
Hypertension 228
Impotence 232
Intestinal obstruction 236
Jaundice 240
Jaw pain and swellings 245
Joint disorders 250
Kidney swellings 282
Leg pain 285
Leg swellings 291
Leg ulcers 295
Lip lesions 299
Lymphadenopathy 304
Melaena 308
Mouth ulcers 313
Muscle weakness and
wasting 318
Nail abnormalities 322
Nasal discharge 326
Neck lumps 331
Neck pain 336
Nipple discharge 340
Oedema 343
Oliguria 347
Palpitations 351
Penile lesions 354
Polyuria 359
Popliteal swellings 363
Pruritus 367
Pruritus ani 370
Pyrexia of unknown origin 374
Rashes 378
Rectal bleeding 387
Scalp lesions 394
Scrotal pain 397
Scrotal swellings 401
Shock 406
Splenomegaly 410
Steatorrhoea 416
Stridor 420
Sweating abnormalities 424
Syncope 427
Thirst 431
Throat conditions 434
Tiredness 438
Toe lesions 442
Tongue disorders 446
Tremor 451
Urethral discharge 454
Urinary incontinence 458
Urinary retention 462
Vaginal discharge 465
Visual problems 467
Voice disorders 471
Vomiting 474
Weight gain 479
Weight loss 483
SECTION B
BIOCHEMICAL PRESENTATIONS
Blood urea nitrogen 491
Hypercalcaemia 493
Hyperglycaemia 495
Hyperkalaemia 498
Hypokalaemia 500
Hypernatraemia 502
Hyponatraemia 504
Hypoglycaemia 506
Hypocalcaemia 509
Hypomagnesaemia 511
Metabolic acidosis 512
Metabolic alkalosis 514
Respiratory acidosis 515
Respiratory alkalosis 517
SECTION C
HAEMATOLOGICAL PRESENTATIONS
Anaemia 521
Clotting disorders 526
Leucocytosis 529
Leucopenia 533
Polycythaemia 535
Thrombocytopenia 538
Thrombocytosis 540
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