Clinical Cases in Internal Medicine

Section 1. Gastroenterology and Hepatobiliary Systems

Case 1.1 “I have tummy pain…”
Case 1.2 “I am loosing weight…”
Case 1.3 “Not regular…”
Case 1.4 “As dark as coffee ground…”
Case 1.5 “There is blood in my stool…”
Case 1.6 “It is itching allover…”
Case 1.7 “Not feeling well..”
Case 1.8 “I have the runs…”
Case 1.9 “Nothing is working for me..”

Section 2. Cardiovascular and Respiratory Systems

Case 2.1 “Short of breath…”
Case 2.2 “Still coughing…”
Case 2.3 “I was admitted in hospital…”
Case 2.4 “I have been smoking for over 20 years..”
Case 2.5 “Nearly fainted in the bathroom…”
Case 2.6 “Like a stone on my chest…”
Case 2.7 “Not feeling well…”
Case 2.8 “In the backyard…”
Case 2.9 “While at the university campus...”
Case 2.10 “I am coughing up blood…”

Section 3. Nervous System

Case 3.1 “Tremor in hands…”
Case 3.2 “Not moving…”
Case 3.3 “Is it because of my back pain?”
Case 3.4 “I have severe headache…”
Case 3.5 “Because of double vision…”
Case 3.6 “In the intensive care…”
Case 3.7 “Things are spinning around me..”
Case 3.8 “My feet are painfully hot”

Section 4. Rheumatology and Immune System

Case 4.1 “Stiff in the morning…”
Case 4.2 “Progressive pain in my knees…”
Case 4.3 “After my fall…”
Case 4.4 “Is it series…”
Case 4.5 “I have pain in my heels”
Case 4.6 “Red and tender…”
Case 4.7 “I was nearly dead…”

Section 5. Endocrine System

Case 5.1 “the trouble with my vision…”
Case 5.2 “I feel too hot…”
Case 5.3 “Did not work …”
Case 5.4 “Tried hard to lose weight…”
Case 5.5 “They rushed me to the emergency room..”
Case 5.6 “Too tired..”

Section 6. Haematology Ststem

Case 6.1 “Looking pale…”
Case 6.2 “After returning from a holiday in Europe…”
Case 6.3 “Bleeding gums…”
Case 6.4 “Unexpected outcomes…”
Case 6.5 “Before travelling to Congo in Africa…”
Case 6.6 “Sweating and chills”

Section 7. Renal System

Case 7.1 “After a severe attack of diarrhoea”
Case 7.2 “…fluid build up in my body”
Case 7.3 “I only feel tired…”
Case 7.4 “burning pain on passing urine…”

Index of cases

1. Peptic ulcer

2. Malabsorption, coeliac disease

3. Colon cancer

4. Cirrhosis and portal hypertension

5. Inflammatory bowel disease

6. Hepatitis

7. Acute pancreatitis

8. Acute diarrhoea

9. Irritable bowl syndrome

10. Bronchial asthma

11. Pulmonary tuberculosis

12. Pneumonia

13. Chronic obstructive pulmonary disease

14. Pulmonary embolism

15. Myocardial infarction and atherosclerosis

16. Congestive heart failure and mitral stenosis

17. Aortic stenosis and syncope

18. Heart block and syncope

19. Lung cancer

20. Parkinson’s disease

21. Stroke

22. Disc prolapse

23. Meningitis

24. Myasthenia gravis

25. Heat stroke

26. Benign paroxysmal positional vertigo

27. Diabetic polyneuropathy

28. Rheumatoid arthritis

29. Osteoarthritis

30. Osteoporosis

31. Systemic lupus erythematosus

32. Reactive arthritis

33. Gout

34. Anaphylaxis

35. Acromegaly

36. Hyperthyroidism

37. Adrenal tumour

38. Metabolic syndrome, diabetes mellitus type 2

39. Diabetes mellitus, type 1

40. Addison’s disease

41. Iron deficiency anaemia

42. Multiple myeloma

43. Immune thrombocytopenic purpura

44. Chronic myeloid leukaemia.

45. Glucose-6-phosphate dehydrogenase deficiency-Haemolysis

46. Fever- Malaria

47. Acute renal failure

48. Nephrotic syndrome

49. Chronic renal failure

50. Urinary tract infection