By Steve Bain M.D., Janesh K. Gupta M.D.
You've got learn your textbook and your direction notes. Now you want to practice your wisdom to actual lifestyles medical events. middle scientific situations publications you to think about the sufferer as an entire, instead of as a chain of unconnected signs. With its useful process strongly associated with underlying concept, the sequence integrates your wisdom with the realities of coping with scientific difficulties, and gives a foundation for constructing problem-solving talents. The middle components of undergraduate research are lined in a logical series of studying actions: each one case is by means of an in depth solution, in addition to a few OSCE-style inquiries to assist you instruction for the examination. similar OSCE counselling kind questions and solutions additionally characteristic on the finish of every part. Key innovations and demanding info are highlighted, and the reader-friendly structure displays precisely the kind of query you'll stumble upon, making the best revision reduction for all sorts of case-based exam. the great quantity, clinical and Surgical Specialties, specializes in the next issues: ENT Ophthalmology Haematology Orthopaedics and Trauma Oncology Neurology Urology Infectious ailments Dermatology The center scientific circumstances sequence is really worthwhile within the run as much as scientific, written or OSCE examinations, and a vital revision reduction for all undergraduate scientific scholars at a variety of phases of their medical education. Steve Bain MA MD FRCP Professor of drugs (Diabetes), college of Wales, Swansea & Honorary advisor healthcare professional, Swansea NHS belief, Singleton health center, Swansea, united kingdom Janesh okay. Gupta MSc MD FRCOG medical Senior Lecturer & Honorary advisor in Obstetrics and Gynaecology, college of Birmingham, Birmingham Women's health center, united kingdom
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Additional info for Core Clinical Cases in Medical and Surgical Specialties: A Problem-Solving Approach
A3 No investigations are required for simple acute otitis media. Q4: What are the treatment options? A4 There is much debate about the need for antibiotic chemotherapy in acute otitis media. There are very obvious ﬂaws in the clinical trials that are evident to those with even a slight knowledge of ENT. Basically, if the child is well and has little in the way of constitutional symptoms, no treatment is required. If the child has mild discomfort, treat with analgesia, because the condition will settle in the vast majority.
Treatment for an acoustic neuroma is surgical. However, very small lesions can be watched for 6 months or a year to make sure that they are not growing quickly. Surgery often results in complete hearing loss and may also result in a facial palsy. The tumour is usually approached through the inner ear itself because this gives the least morbidity. 9 – What advice would you give to the patient who is having a mastoid exploration? Stress that the disease may cause a serious problem and even intracranial complications if left untreated.
Questions for each of the clinical case scenarios given Q1: Q2: Q3: Q4: What is the likely differential diagnosis? What is the important ﬁnding on examination? What additional features in the history would you like to elicit? What are the treatment options? 9 – Ear discharge. A 25-year-old man presents with progressive hearing loss of 3 years and recently an intermittent, but scanty, smelly discharge. 10 – Progressive hearing loss. A woman aged 53 years presents with a 12-month history of a progressive, left-sided, sensorineural hearing loss with occasional tinnitus.