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Common Mistakes in Clinical Medicine

Common Mistakes in Clinical Medicine

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About the Book

Common Mistakes in Clinical Medicine is a concise, pocket-sized collection of commonly committed errors, ideal for day-to-day use by medical students. Common Mistakes in Clinical Medicine also provides guidance on prescribing medication, including a list of dialysable and non-dialysable drugs, making this an ideal resource for medical students and practising doctors.



Table of Contents:
Contents 1. Medical Education 1 Basic Principles of Education 1; What to Know? 3; Patchy Knowledge 5; Syndromes and Signs 5; Books to Follow 6; Learning in the Age of Superspecialization 7; Value of Nonclinical Subjects 9; Recent and Old Knowledge 10; What to do and why to do? 11; Bedside Case Presentation 11; Maintenance of Records 12; Daily Note 13; Group Answer 14; Group Examination 14; Learning by Overhearing 15; Thesis 16; Appearing an Interview 16; Examinations and Failure 17; Duty in OPD, Indoor and Casualty 19; Teaching Hospital 20; Problem Solving and New Ideas 21; Undergraduate Teaching 22 2. Diagnosis 23 General Errors 23 Reaching at a Diagnosis 23; Going through the Treatment Papers at the Beginning 24; Taking History and Examining the Patient Repeatedly 25; One Track Mind 26; Inability to Use Common Sense 28; Assemble all the Points to Come to a Conclusion 31; Conversion Reactions 32 Errors in Analysis of Symptoms 32 The Chief Complaints 32; Uncommon Manifestations of Common Diseases/Common Manifestations of Uncommon Diseases 33; Inadequate Family History/Community History 35; Extramarital Sexual Contact 35; Sexual/ Genital Problem in Females 36; Missing Menstrual History/Obstetrics History 36; History of Rheumatic Fever 37; History of Animal Bite 38; Dry Cough 38; Noninfective Causes of Fever 38; True Convulsion and Pseudoconvulsion 39; Hemoptysis and Hematemesis 40; Bleeding Piles and Bacillary Dysentery 41; Evaluation of Chest Pain and Abdominal Pain 41 Prelims.indd 13 31-07-2015 11:50:41 xiv Common Mistakes in Clinical Medicine Errors in Elicitation of Signs 42 Comfort of the Patient 42; Privacy of the Patient 43; Examining a Patient under Treatment 43; Method of Examination 44; Doubtful Findings 45; Missing the Obvious 45; Jumping for a Conclusion 47; Blood Pressure Recording 47; Low Blood Pressure 51; Respiration 51; Bradycardia 53; Pulse Deficit 54; Irregularly Irregular Pulse 55; Regular Rhythm with Normal Heart Rate 55; Tachycardia 55; Temperature 56; Jugular Venous Pulse 58; Gag Reflex 59; Ninth and Tenth Cranial Nerve 60; Limitations of Sensory Examination 60; Romberg Test 61; Common Errors in Motor System Examination 61; All Paraplegia is not Due to Spinal Cord Disease 62; Interpretation of Vocal Resonance 63; Limitations of Physical Findings in a Respiratory Case 64; Red Urine 65; Cannon Wave and Cannon Sound 65; Inspecting Excreta in your Own Eye 66; Anemia and Hypoproteinemia 68; Mass in Left Iliac Fossa 69; Intestinal Obstruction 69; Examination of Genitalia 70; Per Rectal Examination 70; Looking for a Turning Point 71; Hurried Examination 72 3. Investigations 73 Investigating without Proper Planning 73; Prioritizing the Investigations 73; Timing of Investigation 75; Challenging a Report 76; Why we Get Wrong Reports? 81; Collection of Samples 83; A Report may be an Eye Opener 86; Limitations of Investigations 88; Giving Opinion on Investigations without Seeing the Patient 91; Persistence of Abnormal Report 92; Test of Choice 93; Urgent Evaluation of Certain Cases 94; Influence of Treatment on Investigations 95; Tests to Monitor Disease Course 96; Harmful Tests 98; Tests in Woman 98; Precautions before Testing 99; Common Mistakes in Ecg Interpretation 100; Diagnosis of Diabetes Mellitus 101 4. Management 102 Chloromycetin Therapy 102; Aminoglycoside Therapy 103; Restless Patient 103; Prevention of Bedsore 105; Prevention of Fecal Impaction 105; Prescription Prelims.indd 14 31-07-2015 11:50:41 Contents xv Over Phone 106; Prescribing without Seeing the Patient 107; Incomplete Prescription 107; Many Drugs in One Prescription 108; Prescribing in Pregnancy 109; Prescribing in Lactation 114; Drugs and Renal Failure 115; The Decision of not Treating an Illness 122; Poisoning 123; Intakes and Output 128; Putting Ryle’s Tube in a Patient of Tetanus 128; Issuing Discharge Certificate 129; Interdepartmental Referral 130; Dealing with Death 131; Brought Dead 137; Filling-up the Death Form 138; Left and Right 138; Hypoglycemia 139; Physical Verification of the Drugs 140; New Complaint while on Treatment 141; Adverse Drug Reactions 142; Control of Vomiting 144; Diarrhea with Dehydration 145; Food and Water in Arf 148; Treatment of Hypokalemia 149; Incurable Disease 149; Chronic Disease 150; Motivating to Complete Att 150; Pregnancy and Diseases 151; Drugs Changing the Color of Urine 152; Long-term Treatment 152; Drugs Worsening an Illness 153; Snakebite 154; Unknown Bite 156; Drug Interaction 156; Mode of Drug Administration 158; Benefit of Doubt 159; Ryle’s Tube in Corrosive Poisoning 160; Treatment Precedes Diagnosis 160; Care of Old People 161; Wrong Ideas about Insulin 162 5. Bedside Procedures 165 Administration of Intravenous Fluid 165; Blood Transfusion 169; Maintaining Asepsis 174; Administration of Local Anesthetics 175; Test for Bleeding Time and Clotting Time 175; Look for Patency 176; Keep the Patient under Observation 176; Lumbar Puncture 176; Feeding through Nasogastric Tube 179; Parenteral Alimentation 182; Pleural Aspiration 184; Peritoneal Aspiration 186; Pericardiocentesis 188; Aspiration of Amebic Liver Abscess 191; Catheterization of Bladder 192; Removal of the Catheter 194; Carotid Sinus Massage 196; Cardiac Massage 197; Intramuscular Injections 198; Medical Certificate of Cause of Death 202 Index 205 Prelims.indd 15 31-07-2015 11:50:41


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Product Details
  • ISBN-13: 9789351524182
  • Publisher: Jaypee Brothers Medical Publishers Pvt Ltd
  • Publisher Imprint: Jaypee Brothers Medical Publishers Pvt Ltd
  • Edition: 0002-
  • Language: English
  • Returnable: N
  • Weight: 222 gr
  • ISBN-10: 9351524183
  • Publisher Date: 30 Nov 2015
  • Binding: Paperback
  • Height: 126 mm
  • No of Pages: 226
  • Spine Width: 13 mm
  • Width: 178 mm


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