《临床诊疗难题100例》（第2版）

English | 2024 | ISBN: 1032382333 | 424 pages | True PDF | 34.84 MB

A 57-year-old man presented to the emergency department complaining of a worsening cough. The cough had been present for approximately two weeks and was productive of green sputum. The patient had seen his general practitioner one week earlier and taken a course of amoxicillin for a presumed lower respiratory tract infection with no improvement of symptoms. He was febrile, experiencing frequent headaches and a feeling of general malaise, and had been unable to eat solid food for the last 48 hours due to facial pain on chewing. You have been asked to assess him and devise a management plan... 100 Diagnostic Dilemmas in Clinical Medicinepresents 100 real-life scenarios seen in the hospital and community setting. A succinct summary of the patient's history, examination and any initial investigations is followed by a detailed consideration of the diagnosis and management of each case, in the short, medium and, where appropriate, long term. Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These extended true-to-life cases will teach students and junior doctors to recognize important medical conditions and to develop their diagnostic and management skills. Key features

一位57岁的男性患者因持续加重的咳嗽到急诊科就诊。咳嗽已经持续约两周，伴有绿色痰液。一周前他看过家庭医生，并且服用了阿莫西林治疗疑似下呼吸道感染的症状，但症状并未改善。他发热、经常头痛，并感到身体不适，由于咀嚼时脸部疼痛导致过去两天内无法进食固体食物。请您评估患者并制定管理计划…… 100个临床医学中的诊断难题包含了医院和社区环境中看到的真实案例情景。患者的病史总结、体格检查及任何初步的检验结果之后，是详细考虑每例病例的诊断和治疗方案（在短期、中期以及需要时延长）。 迅速而适当的临床决策，并选择最合适的行动方案，是成为一名医生培训过程中最重要的挑战之一。这些扩展的真实案例将教会学生和初级医生识别重要的医疗状况并培养他们的诊断和管理技能。 关键特点

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