دانلود کتاب پزشکی گوارش: موارد بالینی کشف نشده
Gastroenterology: Clinical Cases Uncovered, 1ed

Clinical gastroenterology is both simple and complex. The simplicity comes from the finite number of diagnoses that are commonly encountered, and the relatively limited number of symptoms that typically indicate disease of the gastrointestinal system. However, there are hidden depths to the practice of the speciality. Gastroenterologists deal with disease affecting many separate organs that all form part of the same system – the liver, pancreas, stomach, etc. The clinical consequences of some diseases can be dramatic and complex, particularly, for instance, dysfunction of the liver. Symptoms such as abdominal pain, altered bowel function and changes in weight can be combined in myriad ways to pose true clinical puzzles. This book aims to guide the reader through this complexity by offering real case studies and showing how, in practice, clinicians can achieve some degree of clarity, and offer to patients a reasonable diagnostic and therapeutic plan

In the first section, the book offers a basic and brief overview of anatomical, physiological and pharmacological facts that inform our thinking about gastroenterological problems, and suggests how best to approach the patient in the second chapter. Thereafter, in the second section, each chapter deals with presenting symptoms and signs and the subsequent chapters are arranged in six sections to cover disease processes affecting the upper gastrointestinal tract, lower gastrointestinal tract, liver, pancreas and biliary tract, nutrition, and so – called functional bowel disorders. These are important and often overlooked because there is a profound lack of understanding about their pathogenesis. However, there are many patients with irritable bowel syndrome and the like, and a robust and reliable clinical approach to treating them is essential.

Contents

Case 1 A 61-year-oId woman with progressive dysphagia
Case 2 A 52-year-old man with a typical chest pain
Case 3 A 57-year-old woman with upper abdominal discomfort
Case 4 A 36-year-old man with upper abdominal discomfort and heartburn
Case 5 A 27-year-old woman with nausea and vomiting
Case 6 A 73-year-old man with haematemesis and melaena
Case 7 A 68-year-old woman with fatiguer weight loss and altered bowel habit
Case 8 A 23-year-old woman with constipation
Case 9 A 24-year-old woman with chronic diarrhoea
Case 10 A 51-year-old woman with acute nausear vomiting and diarrhoea
Case 11 A 79-year-old woman with altered bowel habit and weight loss
Case 12 A 54-year-old man with rectal bleeding
Case 13 A 66-year-old woman with anaemia
Case 14 A 64-year-old man with abnormal liver function tests
Case 15 A 45-year-old man with acute jaundice
Case 16 A 53-year-old woman with jaundice and abnormal liver tests
Case 17 A 53-year-old man with abdominal swelling
Case 18 A 36-year-old man who drinks alcohol
Case 19 A 79-year-old man with right upper quadrant colicky abdominal discomfort
Case 20 A 19-year-old man with acute abdominal pain
Case 21 A 35-year-old woman with anorexia
Case 22 A 48-year-old man with an increased body mass index
Case 23 A 21-year-old student with chronic abdominal pain