By R R Baliga
A brand new, totally up-to-date version of Baliga's highly regarded selection of brief situations prepared by way of scientific region, emphasising the major diagnostic positive aspects of scientific stipulations as typically awarded within the short-case a part of the ultimate MB and MRCP examinations. additionally integrated are most likely directions or instructions anticipated from the examiner for every , and the major issues which the candidate needs to inform the examiner. vital for the final-year undergraduate and trainee doctor.
From purchaser studies of the former edition:
'This ebook is the main priceless advisor that money can purchase for the ultimate assessments within the present MBChB undergraduate path. It covers vital parts of medical drugs in a question established structure and highlights classical situations. The questions raised are classical of examiners within the lengthy and brief case examinations.
This is a needs to purchase for any undergraduate clinical student!!!'
'The ebook is a needs to through the interval that the younger health care provider or scholar is at the wards. It permits one to target the $64000 actual findings and the relavant medical pearls linked to the several health conditions met... It discusses vital actual findings and their diagnostic value. i've got came across it worthy in getting ready for attending ward rounds and in addition for sprucing my medical abilities. The dialogue part is easily organised such that undergraduates in addition to postgaduates can benifit and the cloth is modern with strong references for extra reading.'
'Excellent practise for finals besides the MRCP ...MUST HAVE ahead of MRCP PACES.'
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Additional info for 250 cases in clinical medicine
In the absence of mitral stenosis, it suggests that there is high diastolic transmitral flow and severe mitral regurgitation. Inhalation of amyl nitrate increases both the duration and intensity of the diastolic murmur caused by mitral stenosis, whereas it decreases them if the diastolic rumble is solely caused by mitral regurgitation. Also the presence of an opening snap suggests mitral stenosis as the cause of the diastolic rumble. 4 Aortic regurgitation Fig. 1 Mixed mitral valve disease, showing multiple small calcified nodules.
ADVANCED-LEVEL QUESTIONS Which congenital cardiac conditions can be associated with mitral valve regurgitation? Ostium primum atrial septal defect (as a result of cleft mitral valve) Partial atrioventricular canal Corrected transposition of the great arteries. What are the mechanisms of mitral regurgitation? g. g. endocarditis, annular calcification, rheumatic heart disease, ruptured papillary muscle. g. g. g. g. in functional disease such as cardiomyopathy. How would you determine the severity of the lesion?
The high-frequency components of the ejection systolic murmur may radiate to the apex. This can then falsely suggests mitral regurgitation. This is known as the Gallavardin phenomenon (Lyons Med 1925;135:523). 33 250 Cases in Clinical Medicine Skin and gastrointestinal (GI) tract bleeding is caused by an acquired defect in von Willebrand factor; aortic valve replacement restores the normal structure of von Willebrand factor and thus restores normal haemostasis. Von Willebrand factor abnormalities are directly related to the severity of aortic stenosis and are improved by valve replacement in the absence of mismatch between patient and prosthesis.
250 cases in clinical medicine by R R Baliga