Pearls in Medicine for Students Arup Kumar Kundu
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1Pearls in Medicine for Students
“Great things are not done by impulse, but by a series of small things brought together”
—Vincent van Gogh (1853 – 1890)
2By the Same Author:
3Pearls in Medicine for Students
A Treasure Island in Medicine for Undergraduate and Postgraduate Students
Arup Kumar Kundu MD FICP MNAS Associate Professor Department of Medicine and In-charge, Division of Rheumatology Nil Ratan Sircar Medical College Kolkata, West Bengal India
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi 110 002 India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672
Rel: +91-11-32558559 Fax: +91-11-23276490 +91-11-23245683
Branches
Pearls in Medicine for Students
© 2008, Jaypee Brothers Medical Publishers
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: 2008
9788184482690
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
5to
My daughter Ushasi
My son Abhishek
My beloved students
for their constant inspiration and moral support
and
to my sick patients who have taught me
the beauty of Medicine
6
7Preface
I think myself a student even after learning medicine for more than two and half decades. Teaching a large number of students made me realize the need for such kind of book which deals with common medical presentations, and is lucid, handy, concise, updated as well as truly student-oriented. The aim of this book is to provide guidance for undergraduate and postgraduate students, and young physicians doing private practice or serving villages. This book is a distillation of my experience while answering questions for patients and health professionals over 25 years of practice. The manual consists of short descriptions of facts frequently encountered at the bedside, and I do believe that the cumulative symptomatology with differential diagnoses give a glimpse of real-life story of our day to day clinical practice. There are altogether 75 chapters in the book and each chapter may be regarded as a window of medicine; individual chapter also contains many jig-saw puzzles.
The contents are arranged alphabetically while the index gives a wider idea about the matters or topics present in the book. To write a book as a single-handed author is a challenging task, and I am fully aware of this. ‘Pearls' help us to crystallize knowledge in our memory very easily. I hope as well as expect that the book will be used as a quick-reference ready-reckoner handbook and a learning-revision tool to increase the core knowledge during early years of medical training. The problem-solving attitude will help the students in their theoretical as well as practical examination, and also in their professional life in future. I hope the extensive and beautiful colour photographs will boost the students while confronting with the patients at the bedside.
This work would not have been possible without the constant support and encouragement from my family members, especially to speak of my wife Bijoya Kundu, my daughter Ushasi and son Abhishek, which ultimately made the book a reality. I would like to appreciate the attitude of my colleagues Dr SK Pal, Associate Professor and Dr P Chattopadhyay, Assistant Professor who helped by giving some interesting clinical 8photographs for presentation in the book. I am grateful to all my patients whose photographs are printed here, and to the MSVP, N.R.S. Medical College and Hospital for permitting me to take the photographs.
I would also like to record my appreciation for Mr. Sandip Gupta, General Manager (Sales) and Mr. Sushil Shaw, Branch in-charge of Kolkata office for extending their cooperation in every step. My sincere thanks are extended to Shri JP Vij, CMD and Mr. Tarun Duneja, General Manager (Publishing), of M/S Jaypee Brothers Medical Publishers (P) Ltd, who have helped me throughout and also taken immense pain in publishing this book.
I welcome healthy suggestions and constructive criticisms from the thoughtful readers through e-mail to me (arup_kundu@hotmail.com) or the publishers.
Arup Kumar Kundu