1000 questions & answers from clinical medicine by Parveen Kumar CBE BSc MD DM (HC) FRCP FRCP(Edin),

By Parveen Kumar CBE BSc MD DM (HC) FRCP FRCP(Edin), Michael L Clark MD FRCP

What reasons high blood pressure in young children?
. Is it universal for epileptic sufferers to have post-ictal vomiting? if that is so, how usually does this happen?
. Why is the prevalence of parkinsonism much less universal in people who smoke?
. what's the position of urine exam in diabetic keep watch over?

Where do you switch to in case you have a tough clinical query that wishes answering?

The 'Ask the writer' on-line characteristic from the best-selling textbook Kumar & Clark's Clinical Medicine has accumulated a wealth of questions and reviews at once from clinical scholars and medical professionals approximately issues which are of specific curiosity or trouble to them.

Kumar and Clark have introduced jointly over a thousand of the questions they've been requested besides their solutions. it is going to entice the numerous enthusiasts of Kumar & Clark, from first-year scholars to training medical professionals, and should offer an invaluable and fascinating sounding board to assist be certain most sensible practice.

This detailed ebook provides you with a brief and straightforward approach to detect the solutions for your personal scientific questions.!

  • The writing type is attractive and conversational, designed to entertain in addition to instruct.
  • Carries the 'Kumar & Clark' stamp of authority.
  • All questions totally listed for ease of reference.
  • Covers issues which are simply misunderstood in drugs - strong practise for clinical scholars, senior residence officers/interns and experts in training/residents getting ready for written or oral exams.

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Answer 13 The patient described is sometimes referred to as a ‘healthy carrier’. These patients seem tolerant of the virus and the prognosis is very good. Liver histology in such patients shows no significant damage and biopsies or therapy are not recommended. 90% of patients who are HBV carriers who develop HCC have cirrhosis, which is rare in a healthy carrier as described above. Further reading Lok AS, Heathcote EJ, Hoofnagle JH (2001) Management of hepatitis B. Gastroenterology 120: 1828–1853.

Antibiotics have no effect on the levels. Answer 21 Blood culture for meningococcal septicaemia. 1. 1 Meningococcal septicaemia ● ● Minutes count! Give IV penicillin immediately. Meningococcal vaccination: travellers to Saudi Arabia for the Hajj and Umrah pilgrimages must receive the polysaccharide vaccine (A, C, W 135 and Y serogroups). 21 4 Infectious diseases, tropical medicine and STI Answer 22 Yes. The reservoir for Escherichia coli 0157 is mainly the intestines of cattle. g. sprouts and lettuce; unpasteurized milk is another source.

Reflux of bile and other duodenal contents into the stomach is thought to play a role. Answer 12 Either morning or evening. It has a prolonged action so that the effect lasts over 24 hours. Answer 13 Neither drug is recommended in pregnancy, but ranitidine is probably safe. No drug should be used in pregnancy unless absolutely essential. Answer 14 Yes; the inhibition of gastric mucosal cyclo-oxygenase (COX) activity is a systemic effect. Answer 15 A patient with a bleeding peptic ulcer, which is usually due to Helicobacter pylori, should have eradication therapy.

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