By Sanjay Sharma, Rashmi Kaushal

A useful source with four hundred self-assessment situations and information interpretation questions protecting all points of inner medication, with nice breadth of assurance, fabulous representation, vigorous presentation, unique solutions and certain discussion.

summary: a useful source with four hundred self-assessment situations and information interpretation questions overlaying all facets of inner drugs, with nice breadth of assurance, amazing representation, vigorous presentation, particular solutions and certain dialogue

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If these were the respiratory function tests of a young male with recurrent respiratory tract infections, what diagnosis would you consider? Question 36 A 64-year-old patient who had been attending the cardiology clinic for 15 years presented with increasing breathlessness on exertion and a reduced appetite. Examination of the face is shown (36a, b). Investigations are shown. 1 mu/l Atrial fibrillation Ventricular rate 80/min Enlarged left atrium Normal-sized left ventricle with good function Normal valves 1.

There is a high prevalence of hypertension in individuals of Afro-Caribbean origin, with almost 50% of patients over the age of 40 years being affected. This particular group of patients generally develop hypertension at a younger age and are at higher risk of hypertensive complications such as stroke, heart failure and renal failure than Caucasian patients. Hypertension in Afro-Caribbean patients is salt sensitive and responds well to a low-salt diet. Clinical Cases 29 Question 26 26b 26a A 41-year-old male was admitted to hospital with acute confusion.

B. Ulcerative colitis. c. Reiter’s syndrome. d. Behçet’s syndrome. e. Gonococcal septicaemia. 36 Answer 30 c. Extrapyramidal side-effects of haloperidol. The woman has clinical evidence of dyskinesia and parkinsonism. The most common cause of her neurological signs is drug-induced extrapyramidal disease. Neuroleptic drugs which include haloperidol are extensively used in treating agitation in the elderly. By blocking dopamine receptors in the basal ganglia, these drugs can offset extrapyramidal side-effects which include tremor, dystonia, akathisia, parkinsonism and tardive dyskinesia.

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