Concerned mainly with Case Histories, Data Interpretation, Cardiac Catheter, Pedigree, Spirometry, Pictures of Multiple Diseases and a Brief Short Note
Second Edition
ABM Abdullah MRCP (UK), FRCP (Edin)
Professor of Medicine Bangabandhu Sheikh Mujib Medical University
Dhaka, Bangladesh
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Case History and Data Interpretation in Medical Practice
© 2010, Jaypee Brothers Medical Publishers (P) Ltd
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 : 2006
Second Edition: 2010
9789380704456
Typeset at JPBMP typesetting unit
Printed at ???
“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
To
National Professor N Islam
Founder Vice Chancellor
University of Science and Technology
Chittagong, Bangladesh
7Preface to the Second Edition
By the grace of Almighty Allah and the blessings of my well-wishers, I have been able to bring out the second edition of “Case History and Data Interpretation in Medical Practice”. Enriched with new cases and pictures of a variety of clinical conditions, this edition will, I believe, exceed the popularity and success of the previous one.
Logical and accurate interpretation of clinical information is not only important to pass examinations but also necessary for management of patient. It is an important and easy tool for quick and objective evaluation of knowledge and competence of a physician. Hence, most modern examination systems have incorporated this technique. The first edition of this book was published with the intention of helping students learn the basics of data interpretation and practice by themselves. Its huge popularity and wide acceptance among students has encouraged me to upgrade the book and bring out this new edition.
All chapters of the previous edition have been fully revised to eradicate the mistakes and flaws. One hundred more new clinical cases have been added. I have tried to bring variety in clinical set-up and the amount of data provided in each set-up, so that students can learn to approach a problem from different points of view. In addition, I have included data on cardiac catheterization and a whole new chapter on pictorial diagnosis, which contains 100 clinical pictures. I have also tried to modify the book according to various helpful suggestions made by teachers and students. I hope this new edition will be even more helpful for the students to learn and practice data interpretation.
I would like to invite constructive criticism and suggestions regarding this book from my readers, students, colleagues and doctors which would help me improve it further.
I would also like to acknowledge gratefully all the books and publications which I have consulted to gather information while writing this book.
I must apologize for any printing mistakes in 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.
Finally, I wish every success of my readers in all aspects of life.
ABM Abdullah
9Preface 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. Also, 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 whole 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 many 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 which made the book a beautiful and attractive one.
My special thanks to Mr Saiful Islam Khan, proprietor and other staffs of “Asian Colour Printing” whose hard work and co-operation 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.
ABM Abdullah
10Acknowledgments
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, MBBS, MCPS, ACORL (Odessa), PhD (Kiev), MSc in Audiology (UK), FCPS, FRCS (Glasgow), 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, who has worked hard checking the whole manuscript and making necessary corrections and modifications.
I also acknowledge the contribution of the following-my teachers, colleagues, doctors and students, who helped me by providing pictures, advice, corrections and many new clinical problems:
- National Professor N Islam, IDA, DSc, FRCP, FRCPE, FCGP, FAS, Founder and Vice Chancellor, University of Science and Technology, Chittagong.
- National Professor MR Khan MBBS (Cal), DTM & H (Edin), DCH (Lond), FCPS (BD), FRCP (Edin), President, Shishu Sasthya Foundation, Director, Institute of Child Health & Shishu Sasthya Foundation Hospital, Visiting Professor, ICDDR,B.
- Prof MN Alam, FRCP (Glasgow), FCPS (BD), Ex-Professor of Medicine, BSMMU, Dhaka.
- Prof MA Zaman, MRCP (UK), FRCP (Glasgow), FRCP (London), Principal and Professor of Cardiology, Bangladesh Medical College, Dhaka.
- Prof Tofayel Ahmed, FCPS (BD), FCPS (Pak), FACP, FCCP (USA), MRCP, FRCP (Edin, Glasgow and Ireland), Ex-Professor and Chairman, Department of Medicine, BSMMU, Dhaka.
- Prof Quazi Deen Mohammad, MD (Neuro), FCPS (Med), Principal and Professor of Neurology, Dhaka Medical College, Dhaka.
- Prof MU Kabir Chowdhury, FRCP (Glasgow), Professor of Dermatology, Holy Family Red Crescent Medical College and Hospital, Dhaka.
- Prof Md Abdul Wahab, DTCD, MRCP, FRCP, Professor of Medicine, Holy Family Red Crescent Medical College and Hospital, Dhaka.
- Prof Md Gofranul Hoque, FCPS, Principal and Professor of Medicine, Chittagong Medical College and Hospital, Chittagong.
- Prof Taimur AK Mahmud, MCPS, FCPS, Professor of Medicine, BSMMU, Dhaka.
- Prof AKM Khorshed Alam, FCPS, Professor of Hepatology, BSMMU, Dhaka.
- Prof Kanu Bala, MBBS, PhD, FRCP (Ire), FRCP (Edin), Professor of Ultrasound and Imaging, Professor of Family Medicine, University of Science and Technology Chittagong.
- Prof Mahbub Anwar, DTCD, MD, FCCP (USA), Professor of Medicine and Chief Pulmonologist, ZH Sikder Medical College and Hospital, Dhaka.
- Prof Chandanendu B Sarker, FCPS, MD, Professor and Head of the Department of Medicine, Mymensing Medical College and Hospital, Mymensing.
- Dr Abdul Wadud Chowdhury, MBBS (DMC), FCPS (Med), MD (Cardiology), Associate Professor of Cardiology, Dhaka Medical College and Hospital, Dhaka.
- Dr Moral Nazrul Islam, MBBS (Dhaka), DD (Singapore), FDCS, FICD, DHRS (USA), Fellow University of Miami School of Medicine, Florida, USA. Senior Consultant of Dermatology, Male Infertility and Sexology, Laser and Cosmetic Surgery.
- Dr Joynal Abedin Khan, MBBS, D Card, Associate Professor, East West Medical College and Hospital, Dhaka.
- Dr Md Farid Uddin, DEM, MD (EM), Associate Professor, BSMMU, Dhaka.
- Dr Tahmida Hassan, MBBS, DDV, MD, Assistant Professor of Dermatology and Venereology, Sir Salimullah Medical College and Mitford Hospital, Dhaka.
- Dr Tazin Afrose Shah, FCPS (Medicine), Associate Professor of Medicine, Delta Medical College and Hospital, Dhaka.
- Dr Shahnoor Sharmin, MCPS, FCPS, MD (Cardiology), Dhaka Medical College, Dhaka.
- Dr Ayesha Rafiq Chowdhury, FCPS (Medicine), BSMMU.
- Dr Mohammad Abul Kalam Azad, MBBS, FCPS (Medicine), BSMMU.
- Dr Md Razibul Alam, MBBS, MD, BSMMU.
- Dr Samprity Islam, MBBS, BSMMU.
- Dr Monirul Islam Khan, MBBS, BSMMU.
- Dr Tanjim Sultana, MD, Internist (USA).
- Dr Omar Serajul Hasan, MD, Internist (USA).
- Dr Sadi Abdullah, MBBS, Dhaka Medical College, Dhaka.
My special thanks to Shri Jitendar P Vij (Chairman and Managing Director), Mr Tarun Duneja (Director-Publishing), Mr KK Raman (Production Manager), Mr Sunil Dogra, Mr Gopal Sharma, Mr Lalit Sharma, Mr Sanjay Chauhan and Ms Samina Khan of M/s Jaypee Brothers Medical Publishers (P) Ltd, who have worked tirelessly for the timely publication of this book.