SN Chugh MD MNAMS FICP FICN FIACM FIMSA FISC
Professor of Medicine and Head Endocrine and Metabolism PGIMS, Rohtak, Haryana, India
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Bedside Medicine Without Tears
© 2007, SN Chugh
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition : 2007
9788180619717
Typeset at JPBMP typesetting unit
Dedicated to
My parents
Late Shri Chhabil Dass Chugh and Sanwari Devi and my wife Dr Kiran Chugh
and
My children
Daughter Dr Ashima Chugh
Son Dr Anshul Chugh
Daughter-in-law Dr Deepti Chugh and my teachers and students
5Preface
I have realised over the years that the students are not oriented well to practical examinations and face difficulty in the interpretation of clinical signs. They lack basic sense to analyse the symptoms and signs probably because either they do not attend the clinical classes or they lay more stress on theoretical discussion. In clinical case discussion, the questions are asked according to the interpretation of clinical symptoms and signs, and the students find difficulty in answering them because they are not ready to face practical examination immediately after the theory examination. The students prepare the subject for theory paper from the Textbook of Medicine but they do not have too many books on practical aspects of medicine. After the theory papers, the time given to the students is short to prepare for practical examination. They want to revise the subject as a whole for practical examinations because the examiners in practical examination do not limit themselves only to practical aspects but also can forward questions on theoretical aspects of medicine.
Today, the students want such a book which can orient them not only to clinical examination but also prepare them to face theoretical discussion about the case. Keeping in view the dire necessity of a book which can cater the needs of the students to their satisfaction and allow them to face the examination “without tears in their eyes”, I am bringing out the first edition of this book after consultations with students, residents and my teacher colleagues. I hope this book will not disappoint them at the hour of need.
The medicine being an ever-changing science, it is difficult to cope with the recent advances. I have attempted to include all the available informations in the literature, so as to present this book as updated. However, “to err is human”, and I am conscious of my deficiencies, therefore, I may be excused for any lapse or deficiency in this book as this is written by a single author.
I extend my sincere thanks to M/s Jaypee Brothers Medical Publishers (P) Ltd., for bringing the excellent first edition of the book. The publisher has taken special care to depict the clinical material provided to him clearly and carefully for which I am highly indebted. My special thanks to Mr Atul Jain of Jain Book Depot, Rohtak who had played vital role in the preparation of this book.
Mere words are not sufficient to express appreciation for my wife and children who have supported me during this period. I can say that it was impossible for me to bring out this book without their moral support.
At last, I request the readers to convey their suggestions or comments regarding this book to the publisher or author.
SN Chugh