Short Cases in Clinical Medicine by ABM Abdullah
Edited by:
ABM Abdullah
MRCP (UK), FRCP (Edin)
Dean, Faculty of Medicine
Professor of Medicine
Bangabandhu Sheikh Mujib Medical University
Dhaka, Bangladesh
Contents
Preface to the 6th Edition.
Preface to the 1s Edition
Acknowledgements.
SECTION A: SHORT CASES
Peripheral Vascular Disease.
Buerger’s Discase (Thromboangiitis
Obliterans)
Bardet-Biedl Syndrome.
Tongue.
Hairy Leukoplakia
Dupuytren’s Contracture.
Paget’s Disease…
Lupus Pernio
CHAPTER 1 General Examination
Introduction
Jaundice..
Cyanosis.
Clubbing-
Koilonychia
Examination of Hands.
Generalized Oedema
Cervical Lymphadenopathy
Generalized Lymphadenopathy
Pigmentation
Erythema Ab Igne
Gynaecomastia
Erythema Nodosum
Leprosy (Hansen’s Disease).
Superior Vena Caval Obstruction
(Superior Vena Caval Syndrome)
Inferior Vena Caval Obstruction
Hirsutism.
Polycystic Ovarian Syndrome.
Leg Ulcer
Pyoderma Gangrenosum…
Diabetic Foot.
Diabetic Ulcer
Diabetic Amyotrophy
Lipodystrophy of Thigh
Necrobiosis Lipoidica Diabeticorum 88
Unilateral or Bilateral Leg Swelling,
Angioedema
Deep Venous Thrombosis (DVT).
Cellulitis.
Erysipelas.
CHAPTER 2 Cardiovascular System.
Introduction
Mitral Stenosis
Mitral Regurgitation..
Mitral Valve Prolapse (Barlow’s
Syndrome or Floppy Mitral Valve)
Mitral Stenosis with Mitral Regurgitation
(Mixed Mitral Valve Disease) …….
Aortic Stenosis
Aortic Regurgitation
Aortic Stenosis with Aortic Regurgitation
(Mixed Aortic Valve Disease).
Tricuspid Regurgitation (TR).
Tricuspid Stenosis (TS).
Pulmonary Stenosis (PS).
Pulmonary regurgitation (PR)
Prosthetic Heart Valves
Congenital Heart Disease.
Tetralogy of Fallot (TOF)..
Ventricular Septal Defect (VSD)
Eisenmenger’s Syndrome.
Atrial Septal Defect (ASD)
Patent Ductus Arteriosus (PDA)
Coarctation of Aorta..
Marfan’s Syndrome
Dextrocardia
Short case of clinical medicine by abm Abdullah
Examination of Pulse
Atrial Fibrillation (Irregular Pulse)
Slow Pulse Rate (Complete Heart Block)…
Absent Pulse (Takayasu’s Disease).
Pericardial Effusion……
Chronic Constrictive Pericarditis
Acute Pericarditis
Rheumatic Fever
Hypertrophic Cardiomyopathy.
CHAPTER 3 Respiratory System
Introduction.
Pleural Rub or Crepitations.
Pleural Effusion..
Pneumothorax
Bronchiectasis…..
Bronchiectasis with Cystic Fibrosis
DPLD (Previously Called Fibrosing
Alveolitis or ILD)
Consolidation
Collapse of Lung.
Fibrosis of Lung
Lung Abscess
Chronic Obstructive Pulmonary
Disease (COPD).
Chronic Bronchitis
Emphysema.
Mass Lesion in Lung (Bronchial
Carcinoma)…..
Lobectomy and Pneumonectomy.
Rheumatoid Lung.
CHAPTER 4 Abdomen
Introduction
Splenomegaly (Not Hepatomegaly).
Splenomegaly (Tropical Splenomegaly
Syndrome).
Hepatosplenomegaly
Hepatosplenomegaly (Discussion
About Malaria)
Hepatosplenomegaly (Discussion
About Kala-Azar).
Post-Kala-Azar Dermal Leishmaniasis
(PKDL)
Hepatomegaly (Isolated)
Hepatomegaly (Discussion About
Hepatoma)…..
Hepatomegaly (Enlarged Tender
Liver, Viral Hepatitis)…
Tender Hepatomegaly (Discussion
About Liver Abscess).
Hepatomegaly (Discussion About
Hydatid Cyst).
Ascites
Ascites (Discussion About
Tuberculous Peritonitis)
Chronic Liver Disease or Cirrhosis
of Liver……
Porto-Systemic Encephalopathy
(Discussion About PSE or Hepatic
Precoma
Hepatomegaly (Discussion about
Primary Biliary Cirrhosis)….
Hepatomegaly (Discussion about
Haemochromatosis)
Abdominal Mass
Mass in Different Sites of Abdomen
Mass in the Epigastrium (Discussion
About Carcinoma of Stomach)
Mass in the Epigastrium (Discussion
About Carcinoma of Head of Pancreas).
Mass in the Epigastrium (Discussion
About Pancreatic Pseudocyst)…….
Mass in the Epigastrium (Discussion
About Aneurysm of Aorta)……
Mass in Right Iliac Fossa (Discussion
About Ileo-Caecal Tuberculosis)
Mass in Right Iliac Fossa (Discussion
About Crohn’s Disease)
Carcinoma of Colon.
CHAPTER 5 Haematology
Introduction..
Generalized Lymphadenopathy
(Hodgkin’s Lymphoma)…..
Generalized Lymphadenopathy
(Chronic Lymphatic Leukaemia)………
Splenomegaly (Chronic Myeloid
Leukaemia)
Purpura.
Purpura (Discussion About Idiopathic
Thrombocytopenic Purpura).
Purpura (Discussion About
Henoch-Schönlein Purpura)
Splenomegaly (Hereditary Haemolytic
Anaemia).
Anaemia (Iron Deficiency Anaemia)
Splenomegaly (Discussion About
Polycythaemia Rubra Vera)..
Splenomegaly (Myelofibrosis).
CHAPTER 6 Endocrinology
Examination of Thyroid Gland
Face in Thyroid Disease (by Looking
at the Face)
Thyrotoxicosis (Hyperthyroidism
Thyroid disorders in pregnancy
Hypothyroidism
Hypothyroidism in Pregnancy
Graves’ disease
Goitre
Thyroid Malignancy
Acromegaly
Cushing’s Syndrome
Addison’s Disease
Tall Stature
Klinefelter’s Syndrome.
Short Stature….
Diabetes Mellitus
CHAPTER 7 Nephrology
Mass in Flank (Renal).
Bilateral Renal Mass (Polycystic
Kidney Disease)
Unilateral Mass (Renal Cell
Carcinoma)
Mass in Left or Right Iliac
Fossa (Transplanted Kidney)
Nephrotic Syndrome
CHAPTER 8 Neurology
Introduction
Neurological Examination of
Lower Limb.
Spastic Paraplegia (Spinal Cord
Compression).
Multiple Sclerosis (Presenting as Spastic
Paraplegia)
Multiple Sclerosis (Presenting in
other Forms)
Transverse Myelitis (Presenting
as Spastic Paraplegia)…
Flaccid Paraplegia..
Guillain-Barré Syndrome (Presenting
as Flaccid Paraplegia)
Monoplegia (Brown-Séquard
Syndrome)
Old Poliomyelitis (Presenting
as Monoplegia).
Polyneuropathy
Subacute Combined Degeneration
(Presenting as Polyneuropathy)
Motor Neuron Disease (MND).
Friedreich’s Ataxia
Cerebellar Lesion
Parkinson’s Disease
Chorea
Tremor.
Speech
Dysphasia.
Dysarthria
Examination of Hands (Wasting
of Small Muscles of Hands).
Syringomyelia
Myotonic Dystrophy
Myopathy (Muscular Dystrophy)
Carpal Tunnel Syndrome (Median
Nerve Palsy)
Ulnar Nerve Palsy
Radial Nerve Palsy
Cranial Nerves
Facial (VIIth) Nerve Palsy
VIth Nerve Palsy
Multiple Cranial Nerve Palsy
CVD with Hemiplegia
Gait Abnormality
Orofacial Dyskinesia
Foot Drop (Common Peroneal
Nerve Palsy)
Charcot Marie-Tooth Disease
(Peroncal Muscle Atrophy)
Cervical Myelopathy
Cerebello-Pontine (CP) Angle Lesion………
CHAPTER 9 Rheumatology
Introduction
Systemic Sclerosis
Raynaud’s Phenomenon or Disease………
Rheumatoid Hand
Knee Joint Arthritis (Examination
of Knee Joint).
Juvenile Idiopathic Arthritis (JIA/JCA)…..
Septic Arthritis
Haemophilic Arthritis.
Reiter’s Syndrome (or, Reactive
Arthritis)
Psoriatic Arthropathy
Ankylosing Spondylitis.
Dermatomyositis or Polymyositis……………
Proximal Myopathy
Gout
Systemic Lupus Erythematosus (SLE)…….
Vasculitis,
Osteoarthrosis
Charcot’s Joint
CHAPTER 10 Examination
of the Eye.
Introduction
Optic Atrophy
Papilloedema (Pure)
Retinal Vein Occlusion (Central and
Branch Retinal Vein Occlusion)………….
Hypertensive Retinopathy
Retinal Haemorrhage
Retinitis Pigmentosa
Plosis
Horner’s Syndrome
Argyll Robertson Pupil (AR Pupil)……..
Holmes Adie Pupil (Myotonic pupil)………..
Brief Discussion about Different
Types of Pupil
Exophthalmos…
Nystagmus.
Subhyaloid Haemorrhage.
Choroido-Retinitis.
Retinal Detachment
Drusen
Retinal Artery Occlusion
Miscellaneous Ocular Abnormality
CHAPTER 11 Dermatology
Introduction
Psoriasis
Erythema Multiforme and Stevens- (Shingles)…
Acanthosis Nigricans
Ichthyosis…….
Pemphigus Vulgaris.
Pemphigoid (Bullous)
Arsenicosis (Chronic Arsenic Toxicity)……
Scabies
Lupus Vulgaris
Lichen Planus.
Exfoliative Dermatitis
Alopecia
Vitiligo
Neurofibroma
Mycosis Fungoides
Tuberous Sclerosis
Kaposi’s Sarcoma…
Pityriasis Versicolor (Tinea Versicolor)…….
CHAPTER 12 Miscellaneous
Face in Different Diseases.
Wegener’s Granulomatosis
Turner’s Syndrome.
Down’s Syndrome.
Bilateral Parotid Enlargement.
Xanthelasma.
Sturge-Weber’s Syndrome.
Hereditary Haemorrhagic Telangiectasia…
Yellow Nail Syndrome
Skin Cancers
Normal Case.
Bibliography
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