By Parveen Kumar CBE BSc MD DM (HC) FRCP FRCP(Edin), Michael L Clark MD FRCP

What factors high blood pressure in childrens?
. Is it universal for epileptic sufferers to have post-ictal vomiting? if that is so, how usually does this ensue?
. Why is the prevalence of parkinsonism much less universal in people who smoke?
. what's the function of urine exam in diabetic regulate?

Where do you switch to if you have a tricky clinical query that wishes answering?

The 'Ask the writer' on-line function from the best-selling textbook Kumar & Clark's Clinical Medicine has accrued a wealth of questions and reviews at once from clinical scholars and medical professionals approximately subject matters which are of specific curiosity or hassle to them.

Kumar and Clark have introduced jointly over one thousand of the questions they've been requested in addition to their solutions. it is going to entice the various fanatics of Kumar & Clark, from first-year scholars to practicing medical professionals, and should offer an invaluable and fascinating sounding board to assist be sure most sensible practice.

This distinctive ebook will give you a brief and simple strategy to detect the solutions on your personal scientific questions.!

  • The writing type is beautiful and conversational, designed to entertain in addition to instruct.
  • Carries the 'Kumar & Clark' stamp of authority.
  • All questions totally listed for ease of reference.
  • Covers issues which are simply misunderstood in drugs - stable training for scientific scholars, senior residence officers/interns and experts in training/residents getting ready for written or oral exams.

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Sample text

Percuss with the patient on his or her right side. Answer 51 Small amounts of menaquinones (a form of vitamin K), which are synthesized by bacteria, are absorbed in the colon. 1 Alarm symptoms: indications for upper gastrointestinal endoscopy ● ● ● ● 46 ● Dysphagia Weight loss Protracted vomiting Anorexia Haematemesis or malaena 6 Gastrointestinal disease Answer 52 It is true that 55–60% of colonic tumours occur on the left side; this figure includes rectal cancers (20%). There is no convincing reason for this; suggestions include faecal stasis on the left side and mucosal deficiencies at a cellular level.

Answer 46 Multiple rectal ulcers are common in inflammatory bowel disease. g. g. herpes viral infections). Rectal spread occurs in gonococcal infection and can produce ulcers. The answer is to take samples for cultures and biopsies for histological diagnosis. Answer 47 A lateral internal sphincterotomy is the best surgical procedure. This is the advice of the American Gastroenterological Association (AGA) in its Medical Position Statement 2002. 1). Take a very careful history because most patients of this age with IBS will have a preceding history of IBS.

I read in your chapter on gastrointestinal disease that it can cause mouth ulcers and am now confused. Question 41 In pseudomembranous colitis, what is the first treatment of choice, metronidazole or vancomycin? Question 42 Is Crohn’s disease considered as an autoimmune disease. If it is, are there other predisposing factors to it other than genetics? If it is not, what is its nature? Question 43 Why does carcinoma of the ascending colon cause more anaemia than obstruction, and carcinoma of the descending colon more obstruction features and less anaemia?

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