BEDSIDE CLINICS 9TH EDITION

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BEDSIDE CLINICS IN MEDICINE PART I SIXTH EDITION Long Short & Spot Cases in Medicine (Includes 37 Tables & 193 Coloured Photographs) Arup Kumar Kundu md ficp mnas Professor, Department of Medicine KPC Medical College, Kolkata, India Formerly Professor of Medicine & In-charge, Division of Rheumatology R. G. Kar Medical College, Kolkata, India Formerly Assoc. Prof. of Medicine & In-charge, Division of Rheumatology N. R. S Medical College, Kolkata, India Author of: Bedside Clinics in Medicine, Part II MCQs in Internal Medicine Pearls in Medicine for Students Chapter in API Textbook of Medicine, 8th Edition Chapter in Postgraduate Medicine, 2009 Chapters in ‘Rheumatology : Principles and Practice', 2010 Chapters in Medicine Update : 2010 & 2011 & Section on Online Appendix of “Kumar & Clark's” Textbook, ‘Clinical Medicine', 6th & 7th Edition ACADEMIC PUBLISHERS 5A, Bhawani Dutta Lane Kolkata 700 073, India e-mail : info@acabooks.net website : www.acabooks.net
Published by : Kaustuv Paul For KSP Udyog 64 College Street, Kolkata-700 073 Regd. Office : Flat No. S2W4, Bidhan Nibas 4 Bidhan Sishu Sarani, Kolkata-700 054, India e-mail : kshovanp@yahoo.com Distributed by : Academic Publishers 5A, Bhawani Dutta Lane, Kolkata-700 073, India BEDSIDE CLINICS IN MEDICINE, PART I Copyright © 2010, Dr. Arup Kumar Kundu First Edition : October 1996 Second Edition : June 1997 Third Edition : January 1999 Fourth Edition : August 2002 Fifth Edition : April 2006 Sixth Edition : April 2010 Reprint : July 2010, January 2011, April 2011 Reprint : January 2012 ISBN : 978-93-80599-12-0 All rights reserved. This book is protected by Copyright Act. No part of this publication in general may be reproduced or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or any information storage and retrieval system, without the prior written permission of the author and the publisher. Breach of this condition is liable for legal action. In case of any dispute, all legal matters are to be settled under Kolkata Jurisdiction only Printed by : Graphic Offset Press (P) Ltd. 179A/1C, Manicktala Main Road, Kolkata-700 054, India Cover design and colour processing done by : Cosmos Graphics, 71/1A Patuatola Lane, Kolkata-700 009, India Price : Rs. 460.00
Page 2 and 3: Bedside Clinics in Medicine, Part I
Page 6 and 7: Dedicated to my father Professor (D
Page 8 and 9: From: Dr. J G Douglas Chest Clinic,
Page 10 and 11: Preface to the First Edition This i
Page 12 and 13: In their esteemed opinion about the
Page 14 and 15: “....... I have been an ardent re
Page 16 and 17: CONTENTS PERSPECTIVES..............
Page 18: Psoriasis..........................
Page 21 and 22: confidence of the patient is achiev
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40 Bedside Clinics in Medicine b) B
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44 Bedside Clinics in Medicine Case
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46 Bedside Clinics in Medicine acce
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48 Bedside Clinics in Medicine FEAT
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50 Bedside Clinics in Medicine Caus
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54 Bedside Clinics in Medicine SBE
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62 Bedside Clinics in Medicine 5. D
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64 Bedside Clinics in Medicine * Tu
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66 Bedside Clinics in Medicine Tabl
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68 Bedside Clinics in Medicine (ii)
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70 Bedside Clinics in Medicine 5. P
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72 Bedside Clinics in Medicine Caus
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74 Bedside Clinics in Medicine Diff
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76 Bedside Clinics in Medicine 4. A
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78 Bedside Clinics in Medicine 1. D
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80 Bedside Clinics in Medicine Case
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82 Bedside Clinics in Medicine Purp
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84 Bedside Clinics in Medicine (B)
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86 Bedside Clinics in Medicine 4. S
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88 Bedside Clinics in Medicine Path
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90 Bedside Clinics in Medicine 2. U
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92 Bedside Clinics in Medicine Spec
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94 Bedside Clinics in Medicine 3. X
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Bronchial Asthma 95 Case 12 Bronchi
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Bronchial Asthma 97 (B) Restrictive
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Bronchial Asthma 99 (C) Hyperpnoea
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Bronchial Asthma i q 1 (B) Recent c
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Bronchial Asthma i 03 5. Acute bron
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Bronchial Asthma 105 e) Dettrich's
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Gastrointestinal System 107 Scheme
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Pyloric Stenosis 109 Case 13 Pylori
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Pyloric Stenosis 111 3. Barium meal
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5. Dark urine. Acute Viral Hepatiti
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Acute Viral Hepatitis 115 Stages of
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Acute Viral Hepatitis 117 2. Chroni
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Cirrhosis of Liver 119 5. I.V drug
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Cirrhosis of Liver 121 • Genetic
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Cirrhosis of Liver 123 Aetiology of
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Cirrhosis of Liver 125 What is non-
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What is haematochezia ? Cirrhosis o
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Cirrhosis of Liver 129 (vi) Plantar
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Cirrhosis of Liver 131 * Secondary
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Cirrhosis of Liver 133 b) Duplex do
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Nervous System 135 (D) SENSORY SYST
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N ervo us System 137 (Ii) Deviation
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Hemiplegia 139 What is your case ?
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Hemiplegia 141 * Actually, there is
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8B -\
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144 Bedside Clinics in Medicine (E)
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146 Bedside Clinics in Medicine (ii
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152 Bedside Clinics in Medicine ata
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154 Bedside Clinics in Medicine * A
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156 Bedside Clinics in Medicine see
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158 Bedside Clinics in Medicine ***
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160 Bedside Clinics in Medicine Fea
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162 Bedside Clinics in Medicine the
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164 Bedside Clinics in Medicine is
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166 Bedside Clinics in Medicine Ass
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168 Bedside Clinics in Medicine Alw
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170 Bedside Clinics in Medicine Pos
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172 Bedside Clinics in Medicine Com
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Peripheral Neuropathy 173 Case 18 P
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176 Bedside Clinics in Medicine (E)
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178 Bedside Clinics in Medicine Pre
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180 Bedside Clinics in Medicine Wha
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182 Bedside Clinics in Medicine d)
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188 Bedside Clinics in Medicine Sch
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192 Bedside Clinics in Medicine * P
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194 Bedside Clinics in Medicine (iv
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198 Bedside Clinics in Medicine Nep
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202 Bedside Clinics in Medicine Cas
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204 Bedside Clinics in Medicine * F
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206 Bedside Clinics in Medicine Dif
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208 Bedside Clinics in Medicine Sec
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210 Bedside Clinics in Medicine Poi
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216 Bedside Clinics in Medicine In
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218 Bedside Clinics in Medicine Cau
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220 Bedside Clinics in Medicine b)
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222 Bedside Clinics in Medicine (F)
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224 Bedside Clinics in Medicine (v)
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238 Bedside Clinics in Medicine Why
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246 Bedside Clinics in Medicine
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252 Bedside Clinics in Medicine Chr
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266 Bedside Clinics in Medicine Why
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268 Bedside Clinics in Medicine So,
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270 Bedside Clinics in Medicine Fig
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Ascites 271 2. Scars, haemorrhagic
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8. Hepatomegaly—Firm liver indica
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Abdominal Lump 275 10. Transjugular
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Abdominal Lump 277 3. Now try to
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(C) Abdominal Lump 279 the mass is
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Hepatosplenomegaly 281 the hands of
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Hepatosplenomegaly 283 * ‘Congest
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Hepatosplenomegaly 285 What is dipp
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(B) Moderate (2-5 fingers or upto t
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Hepatosplenomegaly 289 Important ph
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Hepatosplenomegaly 291 c) Sternal t
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Cerebellar Disorder 293 Case 34 Cer
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Cerebellar Disorder 295 Sensory ata
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Bulbar Palsy 297 Case 35 Bulbar Pal
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Bulbar Palsy 299 Table 24 : Differe
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Anaemia 301 5. Anaemia with finger
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Cyanosis 305 Case 37 Cyanosis What
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Cyanosis 307 2. Hands blue and feet
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What is unilateral jaundice ? It is
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Jaundice 311 Features Extrahepatic
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Pulse 313 * Among steps of bilirubi
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Pulse 315 2. Increased intracranial
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Pulse 317 (B) Low volume pulse (pul
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Water-Hammer Pulse 319 Case 40 Wate
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Water-Hammer Pulse 321
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Abnormal Temperature 323 N.B. : The
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Diagnostic clues in fever : - • T
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Abnormal Temperature 327 * Never fo
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Oedema 329 N B. : Total body water
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Oedema 331 Common causes of pedal o
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Clubbing 333 N.B. : When you examin
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Moon Face 335 Koilonychta develop,
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Dwarfism (Cretinism) 337 (F) With h
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Tall Stature 339 What is achondropl
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Emaciation 341 Where lies the deffe
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Emaciation 343 How to diagnose obes
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Signs of pyridoxine (vitamin BJ def
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(B) If engorged : a) Pressure, b) P
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Spider Naevi 349 Case 49 Spider Nae
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Examination of the Hands 351 8. Clu
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Examination of the Hands 353 m) Bro
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Case 52 Wasting of the Small Muscle
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Claw Hand 357 3. If associated with
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Gynaecomastia 359 Drugs producing g
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Hypo- or Hyperpigmentation 361 2. I
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Scabies 363 3. Nocturnal pruritus (
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Psoriasis 365 Case 57 Psoriasis Des
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Pityriasis Versicolor 367 Case 58 P
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Haemorrhagic Spots 369 (B) 5. Senil
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Haemorrhagic Spots 371 5. Rendu-Web
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Leprosy 373 2. Ill-defined (with ma
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Leprosy 375 (B) (C) (D) 5. Dermal l
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Neurofibromatosis 377 Conditions as
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3. Symmetrical swelling (puffiness)
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3. Throacic inlet syndrome (special
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Systemic Lupus Erythematosus (SLE)
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8. C autoantibody—having prognost
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Subcutaneous Nodules 387 What is er
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394 Bedside Clinics in Medicine by
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396 Bedside Clinics in Medicine Hyp
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402 Bedside Clinics in Medicine **
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404 Bedside Clinics in Medicine Exa
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406 Bedside Clinics in Medicine Use
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408 Bedside Clinics in Medicine Ocu
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412 Bedside Clinics in Medicine (Ii
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414 Bedside Clinics in Medicine hor
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426 Bedside Clinics in Medicine (A)
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434 Bedside Clinics in Medicine How
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436 Bedside Clinics in Medicine D/D
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438 Bedside Clinics in Medicine sta
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Tests of Memory 441 Diagnosis of sp
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444 Bedside Clinics in Medicine Pre
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450 Bedside Clinics in Medicine Con
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454 Bedside Clinics in Medicine Dip
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458 Bedside Clinics in Medicine (11
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464 Bedside Clinics in Medicine mov
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466 Bedside Clinics in Medicine Eff
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468 Bedside Clinics in Medicine (C)
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472 Bedside Clinics in Medicine Tes
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478 Bedside Clinics in Medicine Int
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Trophic Changes (Neurogenic) 483 Ca
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Charcot Joint 485 6. Test the spina
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Abnormal Gait 487 Radiological feat
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490 Bedside Clinics in Medicine YOU
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A Abadie’s sign 174, 180, 241, 48
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494 Index Coagulation disorders 368
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496 Index Groping reflex 443 Guaiac
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498 Index Madarosls 373, 396 Main d
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500 Index Posterior column 176, 295
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502 Index Tidal percussion 63, 84 T
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BEDSIDE CLINICS 9TH EDITION

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