A Compilation of Common Clinical Cases Posing as Diagnostic Dilemmas
Expect the Unexpected: A Compilation of Common Clinical Cases Posing as Diagnostic Dilemmas is an anthology of common medical cases which covers valuable and insightful information on the various diagnostic complexities that may occur during medical practices.
“Expect the Unexpected will greatly benefit family physicians at different stages of their careers and also to clinicians providing first contact with patient care. This book is strongly recommended to enhance [medical practitioners’] expectations for unexpected clinical conditions.”
Prof Albert Lee, MBBS DCH MPH MD FRACGP FRCP Hon FFPH
Emeritus Professor of Public Health and Primary Care, The Chinese University of Hong Kong.
This title is available as an e-book.
To purchase, visit your preferred e-book provider.
This is a comprehensive anthology of cases featuring frequently encountered patient presentations in medical practice, with a focus on highlighting the diagnostic complexities. The curation stems from the years of experience and challenges faced by the authors. In each scenario, readers will find practical takeaways and succinct medical insights. These are aimed at fostering critical thinking and empathy skills among medical professionals. This book is also designed to help budding medical students, interns, as well as general medicine and family medicine trainees, to be familiar with the unfamiliar.
Foreword
Preface
Introduction
SECTION 1 HEADACHES
Case 1 21-year-old man with recent headache
Case 2 52-year-old man with five months of headache
Case 3 22-year-old woman with one week of headache
Case 4 32-year-old man with one week of headache
Case 5 30-year-old woman with headache for 10 years
Case 6 40-year-old woman with a demand for an investigation
Case 7 18-year-old man with new-onset headache
Case 8 58-year-old woman with headache post-COVID-19 vaccination
SECTION 2 GENITOURINARY CONDITIONS
Case 9 16-year-old girl with “dysuria”
Case 10 65-year-old woman with Type 2 diabetes mellitus and urinary tract infection
Case 11 58-year-old man with microscopic haematuria
Case 12 41-year-old woman with dysuria
SECTION 3 TIREDNESS
Case 13 32-year-old man with tiredness
Case 14 52-year-old woman with lethargy
Case 15 36-year-old woman with tiredness and breathlessness
SECTION 4 NEUROLOGICAL AND BEHAVIOURAL SYMPTOMS
Case 16 67-year-old man with unsteadiness
Case 17 20-year-old man with dizziness
Case 18 62-year-old sad woman
Case 19 82-year-old man who was not quite himself
Case 20 53-year-old man with loss of consciousness
SECTION 5 FEVERS AND COUGHS
Case 21 32-year-old woman with haemoptysis
Case 22 52-year-old woman with one week of fever
Case 23 4-year-old child with fever
Case 24 21-year-old man with high fever
Case 25 56-year-old woman with chronic cough
Case 26 32-year-old man with fever and cough
Case 27 16-year-old girl with chronic cough
Case 28 25-year-old man with fever
Case 29 11-year-old child with intermittent fever
SECTION 6 PAIN
Case 30 32-year-old man with right iliac fossa pain
Case 31 34-year-old woman with multiple joint pains
Case 32 40-year-old woman with sudden onset of chest pain
Case 33 50-year-old man with chest pain
Case 34 56-year-old man with epigastric pain
Case 35 33-year old woman with abdominal pain for three years
Case 36 30-year-old man with backache
SECTION 7 MISCELLANEOUS
Case 37 32-year-old woman with facial swelling
Case 38 60-year-old man with abnormal liver function
Case 39 72-year-old patient on long-term follow-up for hypertension
Case 40 50-year-old man who cannot tolerate anti-hypertensive agents
Case 41 “I want an X-ray!”
SECTION 8 SOCIAL CHALLENGES ENCOUNTERED
Case 42 16-year-old girl with amenorrhoea
Case 43 36-year-old woman with abdominal pain for two months
Case 44 Angry patient shouting and arguing with doctor
Case 45 A baby with severe neonatal jaundice
SECTION 9 ESSENCES OF PRIMARY CARE
Case 46 40-year-old asthmatic patient
Case 47 Patients on long-term regular follow-up
Case 48 “I want to see a specialist.”
Case 49 A heartsink patient
Case 50 A sorrowful widow
SECTION 10 AVOIDABLE LAB ERRORS
Acknowledgements
About the Authors
Index
Prof Dr Chia Yook Chin, MBBS, LRCP, MRCS, FRCP, FAFPM (Hon)
Professor Dr Chia Yook Chin is Head of the Department of Medical Sciences, School of Medical and Life Sciences at Sunway University, as well as an Honorary Professor at the Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya. She is a highly experienced senior academic primary care physician, having trained many postgraduate doctors at the Department of Primary Care Medicine, Faculty of Medicine, Universiti Malaya.
She was responsible for starting the first postgraduate master programme in primary care/family medicine in Malaysia and was active in teaching the students.
Although no longer teaching the Master in Primary Care programme as actively as before, she continues to teach and is the Director of the Graduate Certificate in Family Medicine training programme of the Academy of Family Physicians of Malaysia. She also recently started the postgraduate diploma programme—Postgraduate Diploma in Primary Care for the Elderly—for Sunway University, Malaysia. She continues to inspire young doctors with her enthusiasm, mentoring many young academics, practising doctors and young career scientists in research, and contributing to public education on hypertension.
Dr Ng Wei Leik, MBBS, MMed, AM (Mal)
Dr Ng Wei Leik is a practising primary care doctor and lecturer in the Faculty of Medicine, Universiti Malaya. He spent the first decade of his practice working as a primary care doctor in different parts of the country, serving both urban and rural areas. An alumnus of the Universiti Malaya, he was inspired by his former teachers to continue his career in primary care medicine.
Basic Information
- 978-967-5492-94-5 (Paperback)
- 978-629-7646-01-5 (E-book)
