Churchills Pocketbook of Differential Diagnosis

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SUBASH KC/NMC-15TH/2014Section ACLINICALPRESENTATIONS
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Page 1 and 2: SUBASH KC/NMC-15TH/2014
Page 3 and 4: SUBASH KC/NMC-15TH/2014Commissionin
Page 5 and 6: First Edition © Harcourt Publisher
Page 7 and 8: SUBASH KC/NMC-15TH/2014Acknowledgem
Page 9 and 10: B978-0-7020-3222-6.00143-7, 00143Ab
Page 11 and 12: xAbbreviationsSUBASH KC/NMC-15TH/20
Page 13: xii CONTENTSOedema 343Oliguria 347P
Page 17 and 18: 4 ABDOMINAL PAINSUBASH KC/NMC-15TH/
Page 19 and 20: 6 ABDOMINAL PAINFever■■Any rigo
Page 21 and 22: 8 ABDOMINAL PAINSUBASH KC/NMC-15TH/
Page 23 and 24: 10 Abdominal SwellingsHISTORYSUBASH
Page 25 and 26: 12 Abdominal SwellingsSTOMACH• Ca
Page 27 and 28: 14 Abdominal SwellingsCAUSESABDOMIN
Page 29 and 30: 16 Abdominal Swellings■■LFTsLiv
Page 31 and 32: 18 Abdominal SwellingsHerniaIn infa
Page 33 and 34: 20 Abdominal SwellingsRETROPERITONE
Page 35 and 36: 22 Abdominal Swellings■■LFTsAlk
Page 37 and 38: 24Abdominal Swellings■■MSURed c
Page 39 and 40: 26 ANORECTAL PAINbelow the dentate
Page 41 and 42: 28ARM PAINThis section deals with p
Page 43 and 44: 30ARM PAINand paralysis. Pulses may
Page 45 and 46: 32Arm Swellingsnon-pitting oedema s
Page 47 and 48: 34 ASCITESHISTORYSUBASH KC/NMC-15TH
Page 49 and 50: 36 ASCITESSUBASH KC/NMC-15TH/2014pu
Page 51 and 52: 38Axillary SwellingsThe great major
Page 53 and 54: 40 Axillary SwellingsSUBASH KC/NMC-
Page 55 and 56: 42BackacheBackache is one of the mo
Page 57 and 58: 44 BackacheSUBASH KC/NMC-15TH/2014T
Page 59 and 60: 46 Backachemotor neurone signs belo
Page 61 and 62: 48 BackacheSUBASH KC/NMC-15TH/2014
Page 63 and 64: 50BREAST LUMPSA lump in the breast
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52 BREAST LUMPSSUBASH KC/NMC-15TH/2
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54BREAST PAINPain in the breast is
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56 BREAST PAIN■■FNACBenign vers
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58 Chest PainSUBASH KC/NMC-15TH/201
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60 Chest PainSUBASH KC/NMC-15TH/201
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62CLUBBINGClubbing is the selective
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64 CLUBBINGFamily historyA family h
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66B978-0-7020-3222-6.00012-2, 00012
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68 COMASUBASH KC/NMC-15TH/2014CEREB
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70 COMASUBASH KC/NMC-15TH/2014The o
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72CONFUSIONConfusion is a behaviour
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74 CONFUSIONSUBASH KC/NMC-15TH/2014
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76CONSTIPATIONConstipation is a com
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78 CONSTIPATIONearly and having dif
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80ConvulsionsA convulsion is a seri
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82 ConvulsionsGeneral examinationA
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84COUGHCough is a reflex explosive
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86 COUGHof asthma, and a fixed insp
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88CyanosisCyanosis is the abnormal
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90CyanosisAir entry is poor with ch
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92 DeafnessHISTORYSUBASH KC/NMC-15T
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SUBASH KC/NMC-15TH/201494 Deafness
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96 DIARRHOEASUBASH KC/NMC-15TH/2014
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98 DIARRHOEASUBASH KC/NMC-15TH/2014
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100 DIARRHOEASPECIFIC INVESTIGATION
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102 DIZZINESSSUBASH KC/NMC-15TH/201
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B978-0-7020-3222-6.00021-3, 0002110
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106 DYSPHAGIAMotor neurone diseaseM
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108 DYSPHAGIAGENERAL INVESTIGATIONS
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110 DYSPNOEASUBASH KC/NMC-15TH/2014
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112 DYSPNOEAAdded soundsWheezing ma
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B978-0-7020-3222-6.00023-7, 0002311
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116 EAR DISORDERSSUBASH KC/NMC-15TH
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118EAR DISORDERSReferred painExamin
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120 EYE DISORDERSHISTORYSUBASH KC/N
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122 EYE DISORDERSFluorescein staini
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124 Facial PainHISTORYSUBASH KC/NMC
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126 Facial Pain■■MRITumours - e
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128 Facial SwellingsHISTORYSUBASH K
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130 Facial SwellingsSUBASH KC/NMC-1
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132Facial UlcersMost facial ulcers
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134 Facial UlcersSUBASH KC/NMC-15TH
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136Faecal IncontinenceFaecal incont
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SUBASH KC/NMC-15TH/2014138 Faecal I
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140 FINGER LESIONSSUBASH KC/NMC-15T
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B978-0-7020-3222-6.00030-4, 0003014
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144 FINGER PAINHISTORYTraumaticTher
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146 FINGER PAINSUBASH KC/NMC-15TH/2
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148 FINGER PAIN■■CXR with thora
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150 Foot DeformitiesHISTORYSUBASH K
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152Foot PainPain in the foot is a c
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154 Foot PainOtherMetatarsalgia cau
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SUBASH KC/NMC-15TH/2014B978-0-7020-
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158 FOOT ULCERSHISTORYSUBASH KC/NMC
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160 FOOT ULCERS■■Nerve conducti
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162 GAIT ABNORMALITIESPast medical
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164 GAIT ABNORMALITIESSPECIFIC INVE
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166 GOITRESUBASH KC/NMC-15TH/2014Mu
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168 GOITRE■■Thoracic inlet X-ra
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170 Groin SwellingsSUBASH KC/NMC-15
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172 Groin SwellingsSUBASH KC/NMC-15
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174 Groin SwellingsObturator hernia
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176Gum DisordersDisorders of the gu
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178 Gum DisordersGENERAL INVESTIGAT
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180 GynaecomastiaHISTORYSUBASH KC/N
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182HaematemesisHaematemesis is the
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184 HaematemesisBleeding disordersT
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SUBASH KC/NMC-15TH/2014186 Haematem
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188 HaematuriaSUBASH KC/NMC-15TH/20
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190 Haematuria■■UreteroscopyTum
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192 HaemoptysisSUBASH KC/NMC-15TH/2
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194 HaemoptysisSUBASH KC/NMC-15TH/2
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196HalitosisHalitosis is a frequent
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198 Halitosis■■LaryngoscopyNaso
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200 HallucinationsHISTORYObtain a c
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202Hand DeformitiesImpairment of ha
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204 Hand DeformitiesSUBASH KC/NMC-1
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SUBASH KC/NMC-15TH/2014206 Hand Def
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208 HeadacheSUBASH KC/NMC-15TH/2014
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210 Headache■■U&EsHypertensive
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212HEMIPLEGIAHemiplegia is paralysi
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214 HEMIPLEGIA■■ESR infection,
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216 HEPATOMEGALYOTHERS•HISTORYCry
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218 HEPATOMEGALYSUBASH KC/NMC-15TH/
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220HiccupsHiccups (hiccoughs) are t
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222 HiccupsRespiratory examination
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224HirsutismHirsutism is the presen
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226 Hirsutismovarian syndrome. This
Page 241 and 242:
228HypertensionHypertension is the
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230 HypertensionGENERAL INVESTIGATI
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232IMPOTENCEImpotence is failure in
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234 IMPOTENCEhypertension. Check fo
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236Intestinal ObstructionMechanical
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238 Intestinal ObstructionLarge bow
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240JaundiceJaundice is yellow disco
Page 255 and 256:
242 JaundiceSUBASH KC/NMC-15TH/2014
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244 Jaundice■■MRCPBile duct ano
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246 JAW PAIN AND SWELLINGSHISTORYSU
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248 JAW PAIN AND SWELLINGSSUBASH KC
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250JOINT DISORDERSDisorders of join
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252 JOINT DISORDERSSUBASH KC/NMC-15
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254 JOINT DISORDERSand genital ulce
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256 JOINT DISORDERSare affected by
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258 JOINT DISORDERSSHOULDERCAUSESSU
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262 JOINT DISORDERS■■Aspiration
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264 JOINT DISORDERSEXAMINATIONSUBAS
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266 JOINT DISORDERSCarpal tunnel sy
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268 JOINT DISORDERSSPECIFIC INVESTI
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272 JOINT DISORDERSGENERAL INVESTIG
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276 JOINT DISORDERSbe a history of
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278 JOINT DISORDERS■■Joint aspi
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282KIDNEY SWELLINGSKidney swellings
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SUBASH KC/NMC-15TH/2014284 KIDNEY S
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286 LEG PAINNEOPLASTICOsteogenic sa
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288 LEG PAINInflammatoryPain in joi
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B978-0-7020-3222-6.00058-4, 0005829
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292 LEG SWELLINGSfailure, liver fai
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SUBASH KC/NMC-15TH/2014294 LEG SWEL
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296 Leg Ulcerspain suggests a neuro
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SUBASH KC/NMC-15TH/2014298 Leg Ulce
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300 Lip LesionsHISTORYSUBASH KC/NMC
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302 Lip LesionsSUBASH KC/NMC-15TH/2
Page 317 and 318:
304LymphadenopathyLymphadenopathy i
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306 LymphadenopathyEXAMINATIONExami
Page 321 and 322:
308MelaenaMelaena is the passage of
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310 MelaenaThere is usually no prec
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SUBASH KC/NMC-15TH/2014312 Melaena!
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314 Mouth UlcersHISTORYTraumaticDia
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316 Mouth UlcersSUBASH KC/NMC-15TH/
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318Muscle Weakness And WastingMuscl
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320 Muscle Weakness And WastingEXAM
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322Nail AbnormalitiesNail abnormali
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324 Nail AbnormalitiesAcquiredInfec
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326Nasal DischargeNasal discharges
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328 Nasal DischargeSUBASH KC/NMC-15
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B978-0-7020-3222-6.00067-5, 0006733
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332 NECK LUMPSneck, generalised inf
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334 NECK LUMPSPharyngeal pouchPrese
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336NECK PAINNeck pain is a common p
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338 NECK PAINEXAMINATIONSUBASH KC/N
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340NIPPLE DISCHARGEThis is a common
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SUBASH KC/NMC-15TH/2014342 NIPPLE D
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344 OEDEMA• BurnsAnimal bites/sti
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346 OEDEMAGENERAL INVESTIGATIONS■
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348 OLIGURIASUBASH KC/NMC-15TH/2014
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B978-0-7020-3222-6.00072-9, 0007235
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352 PALPITATIONSEarly age of onset
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354PENILE LESIONSPenile lesions are
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356 PENILE LESIONSsickle cell disea
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358 PENILE LESIONSSPECIFIC INVESTIG
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360 POLYURIAEXCESSIVE FLUID INTAKE
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364 POPLITEAL SWELLINGSSUBASH KC/NM
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366 POPLITEAL SWELLINGSGENERAL INVE
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368 Pruritus(due to the accumulatio
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370Pruritus AniPruritus ani is itch
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372 Pruritus AniThe infection often
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374Pyrexia of Unknown OriginMost py
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376 Pyrexia of Unknown OriginSUBASH
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378RASHESA rash is a change in the
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380 RASHESSUBASH KC/NMC-15TH/2014In
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382 RASHESSUBASH KC/NMC-15TH/2014
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384 RASHESSUBASH KC/NMC-15TH/2014Le
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B978-0-7020-3222-6.00080-8, 0008038
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388 RECTAL BLEEDINGHISTORYSUBASH KC
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390 RECTAL BLEEDINGUpper gastrointe
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392 RECTAL BLEEDINGUpper gastrointe
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394Scalp LesionsLesions on the scal
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B978-0-7020-3222-6.00082-1, 0008239
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398 Scrotal PainSUBASH KC/NMC-15TH/
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Page 415 and 416:
402 Scrotal SwellingsSUBASH KC/NMC-
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404 Scrotal SwellingsSUBASH KC/NMC-
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406SHOCKShock is an abnormality of
Page 421 and 422:
408 SHOCKpneumothorax, while muffle
Page 423 and 424:
410SplenomegalyThe spleen must be e
Page 425 and 426:
412 SplenomegalySUBASH KC/NMC-15TH/
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414 SplenomegalySplenic vein hypert
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416SteatorrhoeaSteatorrhoea refers
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418 SteatorrhoeaSUBASH KC/NMC-15TH/
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420STRIDORStridor is a high-pitched
Page 435 and 436:
422 STRIDORSUBASH KC/NMC-15TH/2014g
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424SWEATING ABNORMALITIESExcessive
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B9426 SWEATING ABNORMALITIESinfecti
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428 SYNCOPESUBASH KC/NMC-15TH/2014(
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B978-0-7020-3222-6.00090-0, 0009043
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432 THIRSTSUBASH KC/NMC-15TH/2014Ta
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434Throat ConditionsA sore throat i
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436 Throat ConditionsEXAMINATIONSUB
Page 451 and 452:
438TirednessPersistent tiredness or
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440 Tirednesslifestyle. Is there an
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442Toe LesionsLesions of the toes a
Page 457 and 458:
444 Toe Lesionsearly adult life, us
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446Tongue DisordersTongue disorders
Page 461 and 462:
448 Tongue DisordersSUBASH KC/NMC-1
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450 Tongue Disorders■■HIV testH
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452 Tremorthyrotoxicosis may also c
Page 467 and 468:
454Urethral DischargeAny inflammato
Page 469 and 470:
456 Urethral DischargeSUBASH KC/NMC
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458Urinary IncontinenceUrinary inco
Page 473 and 474:
460 Urinary Incontinencethe lower a
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462Urinary RetentionRetention of ur
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464 Urinary RetentionGENERAL INVEST
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466 Vaginal DischargeGENERAL INVEST
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468 Visual ProblemsDiabetic retinop
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B978-0-7020-3222-6.00101-2, 0010147
Page 485 and 486:
472 Voice DisordersSUBASH KC/NMC-15
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474VomitingVomiting is the forceful
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476 VomitingSUBASH KC/NMC-15TH/2014
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478 VomitingSUBASH KC/NMC-15TH/2014
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480 Weight GainSUBASH KC/NMC-15TH/2
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484 Weight LossHISTORYGeneralThe ti
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486 Weight LossGENERAL INVESTIGATIO
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SUBASH KC/NMC-15TH/2014This page in
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<PII>, <AID>492 Blood Urea Nitrogen
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B978-0-7020-3222-6.00107-3, 0010749
Page 509 and 510:
496 HyperglycaemiaSUBASH KC/NMC-15T
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498HyperkalaemiaHyperkalaemia is an
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500HypokalaemiaHypokalaemia is a re
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502HypernatraemiaThe normal serum s
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504HyponatraemiaThe normal serum so
Page 519 and 520:
506HypoglycaemiaHypoglycaemia is de
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B978-0-7020-3222-6.00113-9, 0011350
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510 HypocalcaemiaSUBASH KC/NMC-15TH
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512Metabolic AcidosisMetabolic acid
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514SUBASH KC/NMC-15TH/2014Metabolic
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B978-0-7020-3222-6.00118-8, 0011851
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518 Respiratory AlkalosisINVESTIGAT
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522 AnaemiaSYMPTOMS AND SIGNSSUBASH
Page 537 and 538:
524 AnaemiaSUBASH KC/NMC-15TH/2014
Page 539 and 540:
526Clotting DisordersCongenital dis
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B978-0-7020-3222-6.00121-8, 0012152
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530 LeucocytosisMISCELLANEOUSConvul
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532 Leucocytosis■■CTMalignancy.
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B978-0-7020-3222-6.00123-1, 0012353
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536 PolycythaemiaSYMPTOMS AND SIGNS
Page 551 and 552:
538ThrombocytopeniaThrombocytopenia
Page 553 and 554:
540ThrombocytosisThrombocytosis is
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IndexNote to index: For ease of use
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544 indexSUBASH KC/NMC-15TH/2014ank
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546 indexSUBASH KC/NMC-15TH/2014Bab
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548 indexSUBASH KC/NMC-15TH/2014cae
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550 indexSUBASH KC/NMC-15TH/2014cho
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552 indexSUBASH KC/NMC-15TH/2014dee
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554 indexSUBASH KC/NMC-15TH/2014‘
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556 indexSUBASH KC/NMC-15TH/2014Fri
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558 indexSUBASH KC/NMC-15TH/2014hae
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560 indexSUBASH KC/NMC-15TH/2014hyp
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562 indexSUBASH KC/NMC-15TH/2014iro
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564 indexSUBASH KC/NMC-15TH/2014liv
Page 579 and 580:
566 indexSUBASH KC/NMC-15TH/2014mic
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568 indexSUBASH KC/NMC-15TH/2014non
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570 indexSUBASH KC/NMC-15TH/2014par
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572 indexSUBASH KC/NMC-15TH/2014por
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574 indexSUBASH KC/NMC-15TH/2014Rei
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576 indexSUBASH KC/NMC-15TH/2014scl
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578 indexSUBASH KC/NMC-15TH/2014ste
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580 indexSUBASH KC/NMC-15TH/2014thr
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582 indexSUBASH KC/NMC-15TH/2014vas
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