Case History and Data Interpretation in Medical Practice: Case Histories, Data Interpretation, Pedigree, Spirometry

563 Pages·2010·13.73 MB·English

Case History and
Data Interpretation
in Medical Practice

Case History and
Data Interpretation
in Medical Practice
Concerned mainly with Case Histories, Data Interpretation,
Cardiac Catheter, Pedigree, Spirometry,
Pictures of Multiple Diseases and a Brief Short Note
Second Edition
ABM Abdullah MRCP (UK), FRCP (Edin)
Professor of Medicine
Bangabandhu Sheikh Mujib Medical University
Dhaka, Bangladesh
JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD
Kolkata • St Louis (USA) • Panama City (Panama) • London (UK) • New Delhi
Ahmedabad • Bengaluru • Chennai • Hyderabad • Kochi • Lucknow • Mumbai • Nagpur
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Offi ce
4838/24 Ansari Road, Daryaganj, New Delhi - 110 002, India
Phone: [phone], Fax: [phone]
Registered Offi ce
B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi - 110 002, India
Phones: [phone], [phone], [phone]
[phone], Rel: [phone], Fax: [phone]
e-mail: [email protected], Website: www.jaypeebrothers.com
Offi ces in India
• Ahmedabad, Phone: Rel: [phone], e-mail: [email protected]
• Bengaluru, Phone: Rel: [phone], e-mail: [email protected]
• Chennai, Phone: Rel: [phone], e-mail: [email protected]
• Hyderabad, Phone: Rel:[phone], e-mail: [email protected]
• Kochi, Phone: [phone], e-mail: [email protected]
• Kolkata, Phone: [phone], e-mail: [email protected]
• Lucknow, Phone: [phone], e-mail: [email protected]
• Mumbai, Phone: Rel: [phone], e-mail: [email protected]
• Nagpur, Phone: Rel: [phone], e-mail: [email protected]
Overseas Offi ces
• North America Offi ce, USA, Ph: 001-636-6279734
e-mail: [email protected], [email protected]
• Central America Offi ce, Panama City, Panama, Ph: 001-507-317-0160
e-mail: [email protected], Website: www.jphmedical.com
• Europe Offi ce, UK, Ph: [phone]
e-mail: [email protected]
Case History and Data Interpretation in Medical Practice
© 2010, Jaypee Brothers Medical Publishers (P) Ltd
All rights reserved. No part of this publication should be reproduced, stored in a retrieval
system, or transmitted in any form or by any means: electronic, mechanical, photocopying,
recording, or otherwise, without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by author is original.
Every effort is made to ensure accuracy of material, but the publisher, printer and author
will not be held responsible for any inadvertent error(s). In case of any dispute, all legal
matters are to be settled under Delhi jurisdiction only.
First Edition : 2006
Second Edition : 2010
ISBN 978-93-80704-45-6
Typeset at JPBMP typesetting unit
Printed at ???
“Some patients, though conscious that their condition
is perilous, recover their health simply through their
contentment with the goodness of the physician.”
— Hippocrates, 400 BC
To
National Professor N Islam
Founder Vice Chancellor
University of Science and Technology
Chittagong, Bangladesh

Preface to the Second Edition
By the grace of Almighty Allah and the blessings of my well-wishers,
I have been able to bring out the second edition of “Case History and
Data Interpretation in Medical Practice”. Enriched with new cases and
pictures of a variety of clinical conditions, this edition will, I believe,
exceed the popularity and success of the previous one.
Logical and accurate interpretation of clinical information is not
only important to pass examinations but also necessary for management
of patient. It is an important and easy tool for quick and objective
evaluation of knowledge and competence of a physician. Hence, most
modern examination systems have incorporated this technique. The fi rst
edition of this book was published with the intention of helping students
learn the basics of data interpretation and practice by themselves. Its
huge popularity and wide acceptance among students has encouraged
me to upgrade the book and bring out this new edition.
All chapters of the previous edition have been fully revised to
eradicate the mistakes and fl aws. One hundred more new clinical cases
have been added. I have tried to bring variety in clinical set-up and the
amount of data provided in each set-up, so that students can learn to
approach a problem from different points of view. In addition, I have
included data on cardiac catheterization and a whole new chapter on
pictorial diagnosis, which contains 100 clinical pictures. I have also
tried to modify the book according to various helpful suggestions made
by teachers and students. I hope this new edition will be even more
helpful for the students to learn and practice data interpretation.
I would like to invite constructive criticism and suggestions
regarding this book from my readers, students, colleagues and doctors
which would help me improve it further.
I would also like to acknowledge gratefully all the books and
publications which I have consulted to gather information while writing
this book.
I must apologize for any printing mistakes in this book.
Last but not least, I would like to express my gratitude to my wife
and children for their untiring support, sacrifi ce and encouragement in
preparing such a book of its kind.
Finally, I wish every success of my readers in all aspects of life.
ABM Abdullah

Preface to the First Edition
Case history and data interpretation are becoming a very important
tool in clinical medicine. These are designed and formulated in such
a way that maximum time may be used by the candidate in thinking
and minimum in writing, the best way of brain exercise. I think, this
will increase a doctor’s competence, confi dence, effi ciency and skill,
in diagnosing a particular disease, formulating specifi c investigations
and proper management. Also, the best tool to be a good clinician
and physician.
One must remember that specifi c answer is required, and if there
are multiple possibilities, the best one should be mentioned. Answer
must be precise and specifi c, vague one should be avoided.
In this book, I have prepared many long and short questions with
proper investigations, largely based on the real cases. Answers are
given with brief short notes of the specifi c problems, so that the
candidate may get some idea without going through a big textbook.
Questions are fun to do and answers are instructive. I hope,
postgraduate students and other equivalent doctors will fi nd this book
a very useful one and will enjoy the questions. I do not claim that this
book is adequate for the whole clinical medicine and one must consult
standard textbook.
I would invite and appreciate the constructive criticism and good
suggestions from the valued readers.
I must apologize for the printing mistakes, which, in spite of my
best effort, have shown their ugly face. I gratefully acknowledge the
publications and books, from where many information have been taken
and included.
I am always grateful and thankful to all my students who were
repeatedly demanding and encouraged me for writing such a book.
I am grateful to Kh Atikur Rahman (Shamim), Md Oliullah and
Mr Biswanath Bhattacharjee (Kazal) for their great help in computer
composing and graphic designing which made the book a beautiful
and attractive one.
My special thanks to Mr Saiful Islam Khan, proprietor and other
staffs of “Asian Colour Printing” whose hard work and co-operation
have made almost “painless delivery” of this book.
Last but not least, I would like to express my gratitude to my wife
and children for their untiring support, sacrifi ce and encouragement in
preparing such a book of its kind.
ABM Abdullah
Acknowledgments
I had the opportunity to work with many skilled and perspicacious
clinicians, from whom I have learned much of clinical medicine and
still learning. I pay my gratitude and heartiest respect to them. I am
also grateful to those patients whose clinical history and investigations
are mentioned in this book.
I would like to express my humble respect and gratefulness to
Prof Pran Gopal Datta, MBBS, MCPS, ACORL (Odessa), PhD (Kiev),
MSc in Audiology (UK), FCPS, FRCS (Glasgow), Vice Chancellor,
Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh,
whose valuable suggestions, continuous encouragement and support
helped me to prepare this book.
I am also highly grateful to Dr Ahmed-Al-Muntasir-Niloy, who
has worked hard checking the whole manuscript and making necessary
correc tions and modifi cations.
I also acknowledge the contribution of the following—my teachers,
colleagues, doctors and students, who helped me by providing pictures,
advice, corrections and many new clinical problems:
• National Professor N Islam, IDA, DSc, FRCP, FRCPE, FCGP,
FAS, Founder and Vice Chancellor, University of Science and
Technology, Chittagong.
• National Professor MR Khan MBBS (Cal), DTM & H (Edin),
DCH (Lond), FCPS (BD), FRCP (Edin), President, Shishu Sasthya
Foundation, Director, Institute of Child Health & Shishu Sasthya
Foundation Hospital, Visiting Professor, ICDDR,B.
• Prof MN Alam, FRCP (Glasgow), FCPS (BD), Ex-Professor of
Medicine, BSMMU, Dhaka.
• Prof MA Zaman, MRCP (UK), FRCP (Glasgow), FRCP (London),
Principal and Professor of Cardiology, Bangladesh Medical College,
Dhaka.
• Prof Tofayel Ahmed, FCPS (BD), FCPS (Pak), FACP, FCCP (USA),
MRCP, FRCP (Edin, Glasgow and Ireland), Ex-Professor and
Chairman, Department of Medicine, BSMMU, Dhaka.
• Prof Quazi Deen Mohammad, MD (Neuro), FCPS (Med), Principal
and Professor of Neurology, Dhaka Medical College, Dhaka.
• Prof MU Kabir Chowdhury, FRCP (Glasgow), Professor of
Dermatology, Holy Family Red Crescent Medical College and
Hospital, Dhaka.