This fourth edition of Medicine at a Glance, the leading title in the best-selling at a Glance series, provides an unparalleled overview of the study of medicine, closely following the core medical curriculum.

Ideal for medical students, Foundation programme doctors and those training in the allied health professions, Medicine at a Glance presents vital information on clinical presentations, diseases, and treatments in every major medical specialty, from cardiology to dermatology.

Medicine at a Glance:

• Has been fully revised to reflect essential clinical and curriculum updates.
• Contains brand new material in key areas such as imaging, women’s health, communication and data interpretation.
• Features a brand new, clearer text design, in the trusted at a Glance double-page spread style, in full-colour throughout. 
• Is the ideal, practical companion to clinical attachments, available in a range of digital formats for on-the-go study and revision.
• Includes a companion website at www.ataglanceseries.com/medicine featuring interactive multiple choice questions and digital flashcards.

Table of Contents

Preface
List of contributors
Acknowledgements
List of abbreviations

Introduction

• 1 How to be a medical student
• 2 Patient confidentiality
• 3 Consent
• 4 Relationship with the patient
• 5 History of presenting complaint
• 6 Past medical history, drugs and allergies
• 7 Family and social history
• 8 Functional enquiry
• 9 Principles of examination
• 10 Basic clinical skills
• 11 Is the patient ill?
• 12 The critically ill patient

Clinical presentations at a glance

Cardiovascular disease

• 13 Chest pain
• 14 Oedema
• 15 Palpitations
• 16 The painful leg
• 17 Heart murmurs
• 18 Shock

Respiratory disease

• 19 Breathlessness, cough and haemoptysis
• 20 Wheeze (stridor)
• 21 Pleural effusion
• 22 Pneumothorax

Gastroenterology

• 23 Unintentional weight loss
• 24 Constipation and change in bowel habit
• 25 Diarrhoea: acute and chronic
• 26 Vomiting and intestinal obstruction
• 27 Haematemesis and melaena
• 28 Rectal bleeding
• 29 Dysphagia
• 30 Abdominal pain and dyspepsia
• 31 Jaundice
• 32 Abdominal mass
• 33 Ascites

Renal medicine

• 34 Polyuria and oliguria
• 35 Dysuria, frequency and urgency
• 36 Haematuria

Endocrinology

• 37 Sweating, flushing and thyroid swellings
• 38 Obesity
• 39 Hirsutism and infertility
• 40 Erectile dysfunction and gynaecomastia

Infectious disease

• 41 Principles of infection
• 42 Diagnosis of infection
• 43 Fever and the assessment of the patient with presumed infection
• 44 Fever and infections in hospital patients
• 45 Fever of unknown origin
• 46 Fever and rash
• 47 Fever in HIV-infected patients
• 48 Fever in the returned traveller
• 49 Vaginal discharge and urethritis

Haematology

• 50 Anaemia
• 51 Clinical approach to lymphadenopathy and splenomegaly
• 52 The patient with abnormal bleeding or bruising
• 53 Leukopenia Oncology
• 54 Oncological emergencies

Neurology

• 55 Introduction to neurological diagnosis1
• 56 Introduction to neurological diagnosis2
• 57 Introduction to neurological diagnosis 3: neuroepidemiology
• 58 Common neurological symptoms
• 59 Weakness
• 60 Disturbance of vision: a neurological perspective
• 61 Sudden painless loss of vision
• 62 Tremor and other involuntary movements
• 63 Headache and facial pain
• 64 Episodic alterations in awareness and consciousness

Ophthalmology

• 65 The red eye Rheumatology
• 66 Introduction to rheumatological disease
• 67 Low back pain and other regional pain syndromes

Dermatology

• 68 Introduction to dermatology
• 69 Pruritis and rashes
• 70 Hair and nail disorders
• 71 Leg ulcers
• 72 Photodermatoses Women’s health
• 73 Pelvic pain
• 74 Urinary incontinence

Other acute medical emergencies

• 75 Attempted suicide by drug poisoning
• 76 Anaphylaxis
• 77 Allergic reactions
• 78 Cardiac and respiratory arrest
• 79 Delirium
• 80 Coma

Diseases and treatments at a glance

Cardiovascular disease

• 81 Hypertension
• 82 Hyperlipidaemia
• 83 Acute coronary syndromes
• 84 ST segment elevation myocardial infarction
• 85 Chronic coronary syndromes
• 86 Aortic dissection
• 87 Heart failure
• 88 Aortic valve disease
• 89 Mitral valve disease
• 90 Cardiomyopathies
• 91 Pericardial disease
• 92 Pulmonary embolism
• 93 Cardiac infections
• 94 Tachyarrhythmias
• 95 Bradyarrhythmias
• 96 Congenital heart disease

Respiratory disease

• 97 Lung function tests
• 98 Sleep apnoea
• 99 Respiratory failure
• 100 Arterial blood gas analysis
• 101CXR anatomy
• 102 Basic chest X-ray interpretation
• 103 CXR cases1
• 104 CXR cases2
• 105 Non-invasive ventilation
• 106 Mechanical ventilation
• 107 Lower respiratory tract infection: pneumonia
• 108 Upper respiratory tract infection
• 109 Asthma
• 110 Chronic obstructive pulmonary disease
• 111 Bronchiectasis
• 112 Cystic fibrosis
• 113 Sarcoidosis and other granulomatous lung diseases
• 114 Extrinsic allergic alveolitis (hypersensitivity pneumonitis)
• 115 Pulmonary fibrosis
• 116 Pulmonary eosinophilia and vasculitis
• 117 Fungi and the lung
• 118 Industrial lung disease
• 119 Lung disease caused by drugs
• 120 BOOP and ARDS
• 121 Primary tumours of the lung

Gastroenterology

• 122 Food poisoning and gastrointestinal infections
• 123 Reflux
• 124 Peptic ulcer disease
• 125 Diverticular disease
• 126 Iron deficiency
• 127 Abnormal liver function tests
• 128 Inflammatory bowel disease
• 129 Malabsorption
• 130 Pancreatitis and pancreatic cancer
• 131 Gallstone disease
• 132 Inflammatory liver disease: viral and immune
• 133 Acute and chronic liver disease
• 134 Metabolic liver disease (including alcohol)
• 135 Upper gastrointestinal cancer
• 136 Colorectal cancer
• 137 Imaging in gastrointestinal disease
• 138 Functional gastrointestinal disorders
• 139 Nutrition

Renal medicine

• 140 Renal physiology and function tests
• 141 Hypokalaemia and hyperkalaemia
• 142 Hyponatraemia and hypernatraemia
• 143 Disorders of acid–base balance
• 144 Urinary calculi
• 145 Nephrotic and nephritic syndromes
• 146 Glomerulonephritis
• 147 Renal involvement in systemic disease
• 148 Hereditary renal disorders
• 149 Tubulointerstitial disease
• 150 Acute renal failure
• 151 Chronic renal failure and the dialysis patient
• 152 The renal transplant recipient
• 153 Drugs and renal failure
• 154 Benign prostatic hypertrophy
• 155 Urinary tract infection

Endocrinology

• 156 Diabetes mellitus
• 157 Complications of diabetes
• 158 Diabetic emergencies
• 159 Hyperprolactinaemia and acromegaly
• 160 Hypothyroidism
• 161 Hyperthyroidism
• 162 Calcium metabolism
• 163 Adrenal disease
• 164 Miscellaneous endocrine disorders
• 165 Hypogonadism

Infectious disease

• 166 Bacteraemia and septic shock
• 167 Common viral infections in adults
• 168 HIV infection and AIDS
• 169 Common fungal infections
• 170 Specific bacterial infections
• 171 Malaria
• 172 Tuberculosis
• 173 Tropical infectious diseases
• 174 Diseases predisposing to infection
• 175 Immunological deficiency syndromes

Haematology

• 176 Haematinic deficiency anaemias
• 177 Haemolytic anaemia
• 178 Thalassaemia and sickle cell disease
• 179 Bone marrow failure
• 180 Acute leukaemia
• 181 Chronic leukaemia
• 182 Lymphoma
• 183 Myeloproliferative disorders
• 184 Myeloma
• 185 Myelodysplasia
• 186 The blood in systemic disease
• 187 Platelet disorders
• 188 Disorders of coagulation
• 189 Anticoagulation and antiplatelet drugs
• 190 Thrombophilia

Oncology

• 191 Aetiology of cancer
• 192 Diagnostic strategies and basic principles of cancer management
• 193 Cancer screening and early detection
• 194 Breast cancer
• 195 Prostate cancer
• 196 Cancer with an unknown primary
• 197 Paraneoplastic syndromes and hormone-producing cancers
• 198 Palliative care

Neurology

• 199 Head CT cases
• 200 Head MRI cases
• 201 Stroke
• 202 Management of stroke
• 203 Other vascular disorders of the brain
• 204 Dementias
• 205 Epilepsy
• 206 Multiple sclerosis
• 207 Infections of the central nervous system
• 208 Tumours and the nervous system
• 209 Spinal cord disease
• 210 Neuromuscular disease
• 211 Peripheral neuropathy
• 212 Movement disorders

Rheumatology

• 213 Osteoarthritis
• 214 Gout and pseudogout
• 215 Arthritis associated with infectious agents
• 216 Metabolic bone disease
• 217 Other bone disease
• 218 Rheumatoid arthritis
• 219 Seronegative spondyloarthropathies
• 220 Vasculitis
• 221 Systemic lupus erythematosus
• 222 Inflammatory muscle disease and selected forms of vasculitis

Dermatology

• 223 Eczema and urticaria
• 224 Psoriasis
• 225 Acne, rosacea and hidradenitis
• 226 Disorders of skin pigmentation
• 227 Blistering diseases
• 228 Skin infections and infestations
• 229 The skin and systemic disease
• 230 Skin tumours
• 231 Orogenital disease Women’s Health
• 232 Endometriosis and adenomyosis
• 233 Polycystic ovary syndrome
• 234 Hypertensive disorders in pregnancy
• 235 Cardiovascular disease in pregnancy
• 236 Other medical and surgical conditions in pregnancy Miscellaneous
• 237 Fluid replacement therapy
• 238 Illness in elderly people
• 239 Chronic tiredness and other medically unexplained symptoms
• 240 Psychiatric disorders
• 241 Substance abuse
• 242 Alcohol abuse and dependence
• 243 Drug toxicity (adverse drug reactions)