Preface.
Acknowledgements.
How to use this book.
Part 1 Basics.
Approach to the patient.
Part 2 Cases.
Case 1 Postoperative dyspnoea.
Case 2 Inside out.
Case 3 A wound leak.
Case 4 An inflamed neck.
Case 5 Postoperative infection.
Case 6 A sore neck.
Case 7 Hidden infection.
Case 8 Burnt thorax.
Case 9 Burn treatment.
Case 10 Lumps on the scalp.
Case 11 A lump on the wrist.
Case 12 Recurrent abscesses over the sacrum.
Case 13 A septic great toe.
Case 14 A skin tumour.
Case 15 Two old gentlemen with facial ulceration.
Case 16 A pigmented spot on the face.
Case 17 A pigmented skin lesion that has got bigger.
Case 18 Lump on the chest wall.
Case 19 A patient with a chest drain.
Case 20 A fatal lung disease.
Case 21 A pulsating abdominal mass.
Case 22 Abdominal bruising.
Case 23 A painful calf.
Case 24 Black toes.
Case 25 A useful instrument in vascular surgery.
Case 26 A young woman with cold hands.
Case 27 A complication of varicose veins.
Case 28 A chronic leg ulcer.
Case 29 Another leg ulcer.
Case 30 A cerebral mass on magnetic resonance
imaging.
Case 31 A cerebral vascular catastrophe.
Case 32 A baby with a large head.
Case 33 A blow to the skull.
Case 34 A severe head injury.
Case 35 Another severe head injury.
Case 36 A spinal abnormality in a newborn child.
Case 37 Back injury.
Case 38 A lacerated wrist.
Case 39 A hand deformity.
Case 40 A deformed finger.
Case 41 A boy with a droopy eyelid.
Case 42 A lump on the lip.
Case 43 A white plaque on the tongue.
Case 44 A baby with two gross congenital deformities.
Case 45 A painful submandibular swelling.
Case 46 A lump over the angle of the jaw.
Case 47 A patient with difficulty swallowing.
Case 48 Another patient with difficulty in
swallowing.
Case 49 A third patient with dysphagia.
Case 50 Heartburn.
Case 51 Vomiting in a baby.
Case 52 A gastric ulcer.
Case 53 A bloody vomit.
Case 54 An acute abdominal emergency.
Case 55 A fateful vomit.
Case 56 A serious gastric lesion.
Case 57 A surgical specimen of stomach.
Case 58 An acutely painful, distended abdomen.
Case 59 Neonatal intestinal obstruction.
Case 60 A very constipated small boy.
Case 61 A painful distended abdomen in an old man.
Case 62 An unusual case of severe rectal bleeding in a
child.
Case 63 An abdominal mass in a young man.
Case 64 A striking and diagnostic facial appearance.
Case 65 Acute abdomen in a medical student.
Case 66 Yet another mass in the right iliac fossa.
Case 67 A symptomless finding on a barium enema
examination.
Case 68 Ulcerative colitis.
Case 69 A complication of longstanding ulcerative
colitis.
Case 70 A very old woman with an abdominal mass.
Case 71 A patient with subacute obstruction.
Case 72 A pathological anal verge.
Case 73 A painful mass at the anal verge.
Case 74 Another painful mass at the anal verge.
Case 75 An agonizing anal verge.
Case 76 A very painful buttock.
Case 77 A patient with recurrent perianal sepsis.
Case 78 A prolapsing anal mass.
Case 79 An ulcer in the rectum.
Case 80 An ulcer at the anal verge.
Case 81 A large swelling in the groin.
Case 82 A groin lump in an old woman.
Case 83 A lump at the umbilicus.
Case 84 A swelling in the abdominal wall.
Case 85 A jaundiced and very ill patient.
Case 86 A postmortem finding.
Case 87 A man with a grossly swollen abdomen.
Case 88 A massive haematemesis.
Case 89 A schoolmistress with attacks of abdominal
pain.
Case 90 A collection of calculi.
Case 91 A patient with jaundice and interesting physical
signs.
Case 92 The patient in Case 91 has surgery.
Case 93 A giant abdominal mass.
Case 94 A severe abdominal injury.
Case 95 A painless lump in the neck.
Case 96 Swollen legs in a young woman.
Case 97 A frightened girl with a breast lump.
Case 98 Breast screening.
Case 99 An ulcerating breast lesion.
Case 100 A sinister break.
Case 101 A woman with a sore nipple.
Case 102 A painless lump in the neck.
Case 103 A young immigrant with a lump in the neck.
Case 104 A lump in the neck that moves on swallowing.
Case 105 A woman with an obvious endocrine disease.
Case 106 A mass of cervical lymph nodes.
Case 107 A rapidly enlarging mass in the neck.
Case 108 A patient with colic, and its endocrine underlying
cause.
Case 109 A girl with hirsutes.
Case 110 Congenital disease of both kidneys.
Case 111 Haematuria of sinister origin.
Case 112 A gross congenital abnormality.
Case 113 A bladder stone found at autopsy.
Case 114 An insidius cause of lumbago.
Case 115 A man with difficulty passing urine and with an
interesting X-ray.
Case 116 Sciatica with a sinister cause.
Case 117 A patient with a very distended bladder.
Case 118 A foreskin problem in a child.
Case 119 An ulcerated prepuce.
Case 120 A missing testis.
Case 121 A swelling in the scrotum.
Case 122 Two examples of testicular tumours.
Case 123 A renal transplant recipient with a gastrointestinal
haemorrhage.
Part 3 Self-assessment.
MCQs.
EMQs.
SAQs.
Answers.
Index of cases by diagnosis.
Index
