Oxford Case Histories in Gastroenterology and Hepatology PDF
2.53 MB PDF
This book contains a series of cases that we have encountered in Oxford Gastroenterology practice. One purpose is to assist re-validation. Another is to provide a resource of real cases in preparation for specialist exams. A further purpose is more general, being educational for physicians in general internal or emergency medicine, or indeed gastroenterologists, since the cases are often advanced and sometimes challenging.
All 50 cases include a series of questions, to which we have given detailed, evidence-based answers, although it is the nature of evidence-based practice that clinical judgment is also necessary. We have expressed our views, and hope that you generally agree! We have specifically chosen cases to cover different areas within gastroenterology and hepatology. Included in this selection are acute cases where rapid diagnosis and treatment are crucial, as well as chronic disorders that require strategic thinking, and of course, the management dilemmas of daily practice.
We have used the format of case reports with detailed discussions of differential diagnosis and management, for three reasons. First, we believe that one of the best ways to learn advanced clinical medicine is through the analysis of individual cases. In almost all areas of medicine, it is extremely difficult to illustrate the practical process of diagnosis within the format of a traditional textbook. Second, we strongly believe that it is simply more interesting to consider real cases than to read a text. This allows a clinician to reflect on their own differential diagnosis and treatment. Finally, there is a lack of case series that stretch the abilities of experienced clinicians and specialists: most are aimed at medical students or young doctors doing early postgraduate exams. It is for this reason that the cases and questions are sometimes challenging, although many are simple, since the aim is to educate.
We would like to thank the many colleagues from many disciplines, including those allied to medicine for contributing cases, providing illustrations, or administrative support, and always for making helpful comments on the manuscript as it developed: these include (in alphabetical order and without titles!) Adam Bailey, June Beharry, Helen Bungay, Roger Chapman, Rowan Collinson, Godman Greywoode, Hennie Grundling, Tim James, Christiaan Jansen, Satish Keshav, Siraj Misbah, Juan Piris, Andrew Slater, Helen Small, Alina Stoita, Jan van Zyl, Bryan Warren, and David Williams. Cases 16, 26 and 42 were seen and cared for at the Gastroenterology unit, Universitas Hospital, Bloemfontein, South Africa, which we gratefully acknowledge. We would also like to thank our families for their tolerance, patience, and support for work that occupies evenings, early mornings, and weekends!
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