胃肠病学 英文PDF电子书下载

Part I:The Patient Presents With 1

1.Indigestion 3

History of the patient with indigestion 3

Preface 3

Examining the patient with indigestion 5

Investigating indigestion 6

Acknowledgements 7

Differential diagnosis 9

History of the patient with swallowing problems 9

2.Swallowing Problems 9

Dedication 9

Examining the patient with swallowing problems 11

Investigating swallowing problems 11

3.Acute Abdominal Pain 15

History of the patient with acute abdominal pain 15

Examining the patient with acute abdominal pain 16

Investigating acute abdominal pain 17

History of the patient with chronic abdominal pain 21

4.Chronic Abdominal Pain 21

Examining the patient with chronic abdominal pain 22

Investigating chronic abdominal pain 22

5.Abdominal Distension 25

History of the patient with abdominal distension 25

Examining the patient with abdominal distension 25

Investigating abdominal distension 26

6.Weight Loss and Anorexia 29

History of the patient with weight loss 29

Examining the patient with weight loss 29

Investigating weight loss 30

7.Vomiting 33

History and differential diagnosis of vomiting 33

Examining the patient with vomiting problems 34

Investigating vomiting problems 34

8.Haematemesis and Melaena 37

History of the patient with haematemesis 37

Investigating haematemesis 38

Examining the patient with haematemesis 38

9.Diarrhoea 41

History of the patient with diarrhoea 41

Examining the patient with diarrhoea 42

Investigating diarrhoea 42

10.Rectal Bleeding 45

History of the patient with rectal bleeding 45

Examining the patient with rectal bleeding 45

Investigating rectal bleeding 46

History of the patient with anaemia 47

11.Anaemia 47

Examining the patient with anaemia 48

Investigating anaemia 49

12.Jaundice 51

History of the patient with jaundice 51

Examining the patient with jaundice 52

Investigating jaundice 52

Part II:History, Examination, and Common Investigation 52

Examining the patient with abnormal liver biochemistry 55

History of the patient with abnormal liver biochemistry 55

13.Abnormal Liver Biochemistry 55

Investigating abnormal liver biochemistry 56

14.Taking a History 61

The standard structure of a history 61

15.Examination of the Patient 65

Face 65

Hands 66

Neck, thorax, and upper limbs 67

Abdominal examination 68

Lower limb 68

Back 68

Rectal examination 70

Rectal examination technique 70

16.Writing Up A Medical Clerking 73

Purpose 73

Structure 73

Illustration 73

Sample medical clerking 74

Continuity 74

Formulating a differential diagnosis 74

Investigation 74

17.Common Investigations 77

Routine investigations 77

Biochemistry 79

Endocrine and metabolic tests 79

Liver enzymes and liver function tests 81

Liver biopsy 83

Tests of pancreatic function 84

Breath tests 84

Motility physioloqy 85

Serology tests 86

Genetic markers 88

Imaging 89

Anatomy, physiology, and function of the oesophagus 99

Inflammatory conditions 99

18.Oesophagus 99

Neoplasia 103

Anatomical and functional problems 106

Anatomy, physiology, and function of the stomach 109

Acute gastritis 109

19.Stomach 109

Peptic ulcer disease 111

Neoplasia of the stomach 115

Functional and anatomical problems 118

Postgastric surgery complications 119

20.Small Intestine 123

Anatomy, physiology, and function of the small intestine 123

Immune-related problems 124

Neoplastic problems 128

Infections 130

Anatomy, physiology, and function of the colon and rectum 135

Functional disorders 135

21.Colon 135

Inflammatory bowel disease 137

Neoplastic disorders 141

Part III:Diseases and Disorders 141

Anorectal conditions 145

Infections 148

22.Liver 151

Structure and function of the liver 151

Hyperbilirubinaemias 151

Viral hepatitis 153

Other infections involving the liver 159

Metabolic and genetic liver disease 160

Chronic liver disease 163

Cirrhosis 169

Tumours of the liver 175

Drugs and the liver 176

Liver abscesses 179

Parasitic infection of the liver 180

Polycystic liver syndromes 182

Gallstones 183

Anatomy, physiology, and function of the hepatobiliary system 183

23.Biliary Tract 183

Tumours of the biliary tract 187

Benign anatomical bile duct problems 188

Infections of the biliary tract 189

24.Pancreas 191

Anatomy, physiology, and function of the pancreas 191

Acute pancreatitis 191

Chronic pancreatitis 193

Pseudocysts 194

Cystic fibrosis 195

Tumours of the pancreas 195

Part IV:Self-assessment 199

Multiple-choice Questions 201

Short-answer Questions 206

Essay Questions 208

MCQ Answers 209

SAQ Answers 210

Index 213