Expect the Unexpected

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Expect the Unexpected

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. 
 
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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

Author(s):
Chia Yook Chin, Ng Wei Leik
ISBN:
  • 978-967-5492-94-5 (Paperback)
  • 978-629-7646-01-5 (E-book)
Edition:
1
Publication Year:
2024
Imprint:
Sunway University Press
Pages:
232
Binding:
Paperback
Dimensions:
153 mm x 229 mm