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 this is the case, how frequently 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 keep an eye on?
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 amassed a wealth of questions and reviews without delay 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 a thousand of the questions they've been requested besides their solutions. it is going to entice the numerous fanatics of Kumar & Clark, from first-year scholars to practicing medical professionals, and may offer an invaluable and engaging sounding board to aid be certain top practice.
This designated booklet gives you a brief and straightforward strategy to become aware of the solutions in your personal clinical questions…!
- The writing type is beautiful and conversational, designed to entertain in addition to instruct.
- Carries the ‘Kumar & Clark’ stamp of authority.
- All questions absolutely listed for ease of reference.
- Covers subject matters which are simply misunderstood in medication - strong guidance for clinical scholars, senior condominium officers/interns and experts in training/residents getting ready for written or oral exams.
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Extra info for 1000 Questions and Answers from Kumar & Clark's Clinical Medicine
It might be reasonable in your country to try omeprazole, metronidazole, amoxicillin and use clarithromycin instead of metronidazole for treatment failures. Tetracycline has been used in combination regimens it is also cheap and is a possible alternative to clarithromycin. Answer 27 Most duodenal ulcers and 80% of gastric ulcers are due to Helicobacter pylori infection. Eradication therapy of the organism is the same. It is usual to check that a gastric ulcer has healed (thereby excluding a malignant ulcer) by doing repeat gastroscopy; this is not necessary for duodenal ulcers.
Question 48 Can I make a diagnosis of irritable bowel syndrome (IBS) in a 40-year-old female patient without doing gastrointestinal investigations? Question 49 What is the cause of abdominal bloating, which is often a symptom in patients with irritable bowel syndrome (IBS)? Question 50 1. Where is the Traub’s area situated anatomically? 2. What does it mean if it is dull on percussion? 3. What is the proper way to percuss this area? Question 51 In general, it is claimed that only water and some salts are absorbed in the large gut, whereas the small gut is practically free of bacteria (which are present only in the large gut).
Clinically, it is thought that omeprazole enhances the local immune response by increasing intragastric pH. It also reduces the washout of antibiotics from the mucosa and lowers the inhibitory concentrations of pH-sensitive antibiotics. Answer 29 Rebound increased acid secretion lasting about 2 months occurs after 40 mg a day of omeprazole for 2 days. Yes, rebound hyperacidity also occurs after withdrawing histamine H2-receptor antagonists. Answer 30 The LOS is tonically closed at rest. This resting tone is maintained by both myogenic properties and active tonic neural excitation.
1000 Questions and Answers from Kumar & Clark's Clinical Medicine by Parveen Kumar CBE BSc MD DM (HC) FRCP FRCP(Edin), Michael L Clark MD FRCP