Concerned mainly with Case Histories, Data Interpretation, Cardiac Catheter, Pedigree, Spirometry, Pictures of Multiple Diseases and a Brief Short Notes
Third Edition
ABM Abdullah MRCP (UK) FRCP (Edin)
Dean Faculty of Medicine and Professor of Medicine Bangabandhu Sheikh Mujib Medical University
Dhaka, Bangladesh
Headquarters
Jaypee Brothers Medical Publishers (P) Ltd
4838/24, Ansari Road, Daryaganj
New Delhi 110 002, India
Phone: +91-11-43574357
Fax: +91-11-43574314
Email: jaypee@jaypeebrothers.com
Overseas Offices
J.P. Medical Ltd
83 Victoria Street, London
SW1H 0HW (UK)
Phone: +44 20 3170 8910
Fax: +44 (0)20 3008 6180
Email: info@jpmedpub.com
Jaypee-Highlights Medical Publishers Inc
City of Knowledge, Bld. 237, Clayton
Panama City, Panama
Phone: +1 507-301-0496
Fax: +1 507-301-0499
Email: cservice@jphmedical.com
Jaypee Medical Inc
The Bourse
111 South Independence Mall East
Suite 835, Philadelphia, PA 19106, USA
Phone: +1 267-519-9789
Email: jpmed.us@gmail.com
Jaypee Brothers Medical Publishers (P) Ltd
17/1-B Babar Road, Block-B, Shaymali
Mohammadpur, Dhaka-1207
Bangladesh
Mobile: +08801912003485
Email: jaypeedhaka@gmail.com
Jaypee Brothers Medical Publishers (P) Ltd
Bhotahity, Kathmandu, Nepal
Phone: +977-9741283608
Email: kathmandu@jaypeebrothers.com
Website: www.jaypeebrothers.com
Website: www.jaypeedigital.com
© 2015, Jaypee Brothers Medical Publishers
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.
All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity.
Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com
Case History and Data Interpretation in Medical Practice
First Edition: 2006
Second Edition: 2010
Third Edition: 2015
9789351523758
6“Some patients, though conscious that their condition is perilous, recover their health simply through their contentment with the goodness of the physician.”
— Hippocrates, 400 BC
Dedicated to
Professor AKM Rafique Uddin Ex-Professor and Head, Department of Medicine Dhaka Medical College and Hospital Dhaka, Bangladesh7
8Preface to the Third Edition
Wide acceptability by the students, many doctors and senior teachers encouraged me to prepare the third edition of this book. Medicine is an enormously expanding subject with no leaps and bounds. This new edition is designed with presentation of many common and uncommon medical scenarios that I have faced in my day-to-day practice. With advancement of knowledge and new invention, I have also added new cases, new data, and latest information as far as possible. Also, I have added many new photographs.
In the answer part, a detail description of the disease is provided, so that the reader can gain basic information of the specific disease, even without going through a voluminous textbook. The skills needed to be competent clinician can only be mastered by thinking and exercising the brain, which are the essential part applied in this book.
My special thanks to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Mr Tarun Duneja (Director–Publishing), Ms Samina Khan, Mr Rajesh Sharma, Mr Prasun Kumar, Mr Kulwant Singh, Mr Sumit Kumar, and other staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their untiring endeavor and hard work, which made it possible for the timely publication of this book.
Last but not least, I do not know how to express my gratitude to my wife and children for their untiring support, sacrifice, tolerance and understanding during preparation of such a book.
I would like to invite constructive criticism and suggestions regarding this book from my readers, students, colleagues and doctors that would help me improve it further.
10Preface to the First Edition
Case history and data interpretation are becoming a very important tool in clinical medicine. These are designed and formulated in such a way that maximum time may be used by the candidate in thinking and minimum in writing, the best way of brain exercise. I think, this will increase a doctor's competence, confidence, efficiency and skill, in diagnosing a particular disease, formulating specific investigations and proper management. In addition, it is the best tool to be a good clinician and physician.
One must remember that specific answer is required, and if there are multiple possibilities, the best one should be mentioned. Answer must be precise and specific, vague one should be avoided. In this book, I have prepared many long and short questions with proper investigations, largely based on the real cases. Answers are given with brief short notes of the specific problems, so that the candidate may get some idea without going through a big textbook.
Questions are fun to do and answers are instructive. I hope, postgraduate students and other equivalent doctors will find this book a very useful one and will enjoy the questions. I do not claim that this book is adequate for the complete clinical medicine and one must consult standard textbook.
I would invite and appreciate the constructive criticism and good suggestions from the valued readers. I must apologize for the printing mistakes, which, in spite of my best effort, have shown their ugly face.
I gratefully acknowledge the publications and books, from where much information have been taken and included. I am always grateful and thankful to all my students who were repeatedly demanding and encouraged me for writing such a book. I am grateful to Kh Atikur Rahman (Shamim), Md Oliullah and Mr Biswanath Bhattacharjee (Kazal) for their great help in computer composing and graphic designing that made the book a beautiful and attractive one. My special thanks to Mr Saiful Islam Khan, proprietor and other staffs of “Asian Color Printing” whose hard work and cooperation have made almost “painless delivery” of this book.
Last but not least, I would like to express my gratitude to my wife and children for their untiring support, sacrifice and encouragement in preparing such a book of its kind.
12Acknowledgments
I had the opportunity to work with many skilled and perspicacious clinicians, from whom I have learned much of clinical medicine and still learning. I pay my gratitude and heartiest respect to them. I am also grateful to those patients whose clinical history and investigations are mentioned in this book. I would like to express my humble respect and gratefulness to Prof Pran Gopal Datta, Vice-Chancellor, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh, whose valuable suggestions, continuous encouragement and support helped me to prepare this book. I am also highly grateful to Dr Ahmed-Al-Muntasir-Niloy and Dr Mohammad Abul Kalam Azad, who have worked hard, checking the whole manuscript and making necessary corrections and modifications.
I also acknowledge the contributions of my teachers, colleagues, doctors and students, who helped me by providing pictures, advice, corrections and many new clinical problems:
- Prof MA Zaman, MRCP (UK), FRCP (Glasgow), FRCP (London)
- Prof MU Kabir Chowdhury, FRCP (Glasgow)
- Prof Md Gofranul Hoque, FCPS
- Prof AKM Khorshed Alam, FCPS
- Prof Md Abdul Mannan MD (EM), MCPS (Medicine), PhD (Endocrine)
- Prof Md Farid Uddin DEM, MD (EM)
- Prof Akhtarun Naher M Phil (Microbiology), WHO (Fellow)
- Dr Moral Nazrul Islam, MBBS (Dhaka), DD (Singapore), FDCS, FICD, DHRS (USA), Fellow, University of Miami School of Medicine, Florida, USA
- Dr Tahmida Hassan, MBBS, DDV, MD
- Dr Tazin Afrose Shah, FCPS (Medicine)
- Dr Shahnoor Sharmin, MCPS, FCPS, MD (Cardiology)
- Dr Mohammad Abul Kalam Azad, MBBS, FCPS (Medicine)
- Dr Md Razibul Alam, MBBS, MD, BSMMU
- Dr Samprity Islam, MBBS, BSMMU
- Dr Sadi Abdullah, MBBS, DTCD (DU)
- Dr Imtiaz Ahmed, MBBS
- Dr Faiza Mukarrama, MBBS
- Dr Sadia Sabah, MBBS
- Dr Shakawat Hossain (Rokon), MBBS.