Clinical Conundrums to Practice Diagnostic Reasoning / by Smitha Bhat.

Format:

Book

Author/Creator:

Bhat, Smitha.

Series:

Medicine Series

Language:

English

Subjects (All):

Medicine.

Internal medicine.

Clinical medicine--Research.

Clinical medicine.

Clinical Medicine.

Internal Medicine.

Clinical Research.

Local Subjects:

Clinical Medicine.

Internal Medicine.

Clinical Research.

Physical Description:

1 online resource (493 pages)

Edition:

1st ed. 2025.

Place of Publication:

Singapore : Springer Nature Singapore : Imprint: Springer, 2025.

Summary:

This book is a series of snippets and clinical problems which use case vignettes and short case histories in the form of puzzles to encourage the student to gather relevant information and come to a clinical diagnosis. Clinical case scenarios are buttressed with patient stories and include laboratory and imaging data when applicable. Many puzzles are made more compelling by including historically relevant facts and fascinating factoids. Humour, human interest, and pathophysiology come together in intriguing mysteries that help the student practice diagnostic reasoning in a fun, engaging manner. The puzzles are based on internal medicine and subspecialties, including diabetes, endocrinology, toxicology, infectious diseases, hematology, neurology, gastroenterology, and many more. Undergraduate and postgraduate medical students may use them as a fun way to revise and relax. For medical college faculty, the book presents a relevant, relatable method to teach pathophysiology and clinical reasoning.

Contents:

Part Ⅰ: Clinical conundrums

1. Reversible cause of coma in a previously healthy adult : The miraculous recovery

2. A Group of People Presenting with Gastrointestinal Symptoms and Blurring of Vision: Mass Casualty

3. Patient presenting with vomiting, hypovolemia, Kussmaul’s breathing and normal blood sugars – Pratik decides to party!

4. Sudden Death in Polar Climes : The Arctic Trek

5. Rash and neuropathy in an adult male: The retreat by the Ganges

6. Fatigue and gait disturbance: The failed assassination

7. Cluster of Unexplainable Symptoms: The Hysterical Wife

8. Adult male with muscle ache& difficulty in moving - Heavy Fuel

9. Young woman with agoraphobia, anxiety and difficulty in ambulation: Frankenstein’s sister

10. Dysphagia in a young male with no pallor or lymphadenopathy – Hard to Swallow

11. Adult male presenting with anxiety, palpitations and diaphoresis - Anxious Allen

12. Cluster of Patients with Unexplained Jaundice : The Great Indian Wedding

13. Adult Male Presenting with Left Foot Drop and Tingling Numbness both Feet: Nervous Norman

14. Sudden loss of consciousness in a fit, young patient: The cricketer who collapsed

15. Tachycardia, Hypotension and Agitation in A Post-Partum Mother: The Mother in Distress

16. Young lady with abdominal cramps and difficulty in breathing : The shy bride

17. Adult male admitted to intensive care unit with tachycardia, hypertension and agitation : It’s where my demons hide

18. Fever, rash and arthritis in a young female: Andrea is angry!

19. Young female with polyuria: The painful co-passenger

20. Disproportionate Fatigue and Abdominal Pain in An Adult Male with Cirrhosis and Portal Hypertension - Sometimes The Hoofbeats Are Zebras

21. Subacute onset of Apathy and fatigue in a previously well male: The apathetic attender

22. Hirsutism in women : Hairy Harini

23. Commonly Missed Diagnoses in The Elderly : The Quiet Grandma

24. Dizziness, Blurred Vison and Slurred Speech : The Depressed Decorator

25. Middle aged male with burning sensation at fingertips and rash – The Alpha gal and her husband

26. Bone, skin and GI symptoms in a young female : The bachelorette party

27. Fever and rash in a traveller: The catastrophic rash

28. Loose Stools, Breathlessness and Blurring of Vision in a Previously Healthy Person: The Girl who Felt Guilty

29. Face swelling and abdominal pain in a young female – Anagha’s absenteeism

30. Family clustering of vague symptoms and neurological signs : The depressed worker

31. Blurring of Vision and Eye Pain in A Young Male: The Man from Myanmar

32. Loose Stools and Constipation in a Stressed Executive – cut it out

33. Daytime sleepiness , anemia and hepatomegaly in a middle aged female : Shauli’s somnolence

34. Loss of Libido in a Previously Healthy Male : The Unfulfilled Wife

35. Elderly male with backache & restricted movement :The Security Guard Who Always Stood Straight

36. Polydipsia, polyuria and pruritus – the paan chewing Babu

37. Gum bleeding, tinnitus and fatigue: The bloody apple

38. Elderly Patient with Pruritus, Splenomegaly and Constitutional Symptoms: Itchy Ignatius

39. Low mood and multiple disparate somatic complaints : Morose Monroe

40. An adult male with diverse haematological, skeletal and skin anomalies - Thimma with thrombocytopenia

41. Life threatening disease acquired in the wilderness : the sick spelunker

42. Collapse while standing at a live performance – the deadly laugh

43. Acneiform Eruptions and oral ulcers in a Young Adult Male - Acne Angst

44. Elderly male with difficulty in swallowing, unsteadiness of gait and slurred speech : The sad reunion

45. Headache, Diplopia and Drowsiness in a previously Healthy Young Female: The Pernicious Pimple

46. Post Coital headache - Not tonight, John

47. Subacute confusion in the previously well : the muddled model

48. Acute confusion in an elderly gentleman : Grandad in the department store

49. Headache and seizures in a previously healthy female: The Sceptical Husband

50. Complicated course of an adult patient admitted with hiccup, vomiting, and altered sensorium - Pass the salt please

Part ⅠI: Call the Lab

51. Monitoring glycemic status in patients with end stage renal disease

52. High Creatinine and Very High Urea : The Risk of Roadside Munchies

53. Fatigue & hiccup in an elderly lady : weakness is not a symptom of normal aging!

54. Patient on regular MHD presents with carpopedal spasm : Post-holiday blues

55. Fever, Body Ache And Decreased Urine Output : The Flu That Wasn’t A Flu

56. Young Lady With Possible Drug Overdose Admitted With High Anion Gap Metabolic Acidosis : Danger in the dormitory

57. Sudden deterioration in malnourished female : The Peril of Good Intentions

58. Anemia , rash and jaundice in a young woman

59. Patient admitted with exacerbation of bronchial asthma does not improve : lab report trends are more important than numbers

60. Lung cancer with bone metastasis : unexpectedly normal calcium values

Part ⅠII: Short Puzzles

61. Fluctuating somatic and psychological complaints in a new mother - The Worried Grandmom

62. Hypoglycemia not reverting with sugar: The unexplained hypos

63. Ascending weakness with no sensory signs in a 5 year old girl – Holiday blues

64. Middle aged male meets with an accident while driving on a straight well-lit empty road : The improbable accident

65. Middle aged male concerned about verruca - Just a wart?

66. Transfusion dependent adolescent presents with rhinorrhoea and epistaxis : The Troubled teen

67. Weakness of limbs and difficulty in swallowing after an attack of gastroenteritis : Supercilious Sanjay

68. Cardiovascular deterioration after sexual intercourse : The happy couple

69. Middle aged male with varicocele – The bag of worms

70. Altered Behaviour and Agitation in a Post Operative Patient : The Bike accident

71. Refractory shock after trauma – the bloody biker.

Notes:

Description based on publisher supplied metadata and other sources.

ISBN:

981-9506-36-0

OCLC:

1535169321