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448 INDEX
Addison’s disease (Continued)
tiredness, 230–1
weight loss, 239–40
adenitis, mesenteric, abdominal pain, 12
adenocarcinoma
blocked nose, 350
vulval ulceration/sores, 272
adenoidal hypertrophy, blocked nose, 350–1
adenoma
pituitary, excess body hair, 279, 281
villous, rectal bleeding, 58
adhesions, abdominal pain, 18
adrenal carcinoma
breast enlargement in men, 66
excess body hair, 279–80
adrenal disorders
absent periods, 386–7
excess body hair, 280
heavy periods, 389–90
sex-drive, loss of, 95–6
adrenocortical tumours, infertility, 209
adult respiratory distress syndrome, shortness of
breath, 106
adults
abdominal pain in, chronic/recurrent, 18–20
cough in, 115–17
diarrhoea in, 24–6
rectal bleeding in, 58–60
adverse drug reactions, see drugs, side eects
aerophagy, epigastric pain, 30
ageing
nocturia, 441–2
sex-drive, loss of, 95–6
agranulocytosis, sore throat, 343
airway obstruction, stridor, 347–8
akathisia, abnormal movements, 182
Albright’s syndrome, macules, 405
alcoholic neuropathy
calf pain, 294–5
muscle pain, 315
alcohol misuse
bad breath, 360–2
breast enlargement in men, 66–7
confusion, acute, 80–1
diarrhoea, 24
dizziness, 83–5
double vision, 145
erectile dysfunction, 244–
6
excessive sweating, 194–6
excessive urination, 432–3
falls, 197–8
ushing, 206–7
insomnia, 92–3
jaundice, 215–16
memory loss, 98
nocturia, 441
palpitations, 124
paraesthesiae and numbness, 218–19
sex-drive, loss of, 95–7
tense and anxious, feeling of, 203–4
thirst/dry mouth, 227
tiredness, 231
tremor, 234–5
vertigo, 101
vomiting blood, 42–4
weight gain, 236–7
weight loss, 239–40
alcohol withdrawal, hallucinations, 86–8
alkali, vomiting blood, 42
allergic eczema, skinfold rash, 421
allergic rhinitis
blocked nose, 350–1
cough, in children, 118
nosebleed, 353
running nose, 356–7
allergies
cough, 116
diarrhoea, 24
facial swelling, 170
itching, 212–13
leg ulcers, 308
macules, 405
alopecia
eyelid problems, 148, 150
traction, hair loss, 282–3
alopecia areata
abnormal nails, 276
hair loss, 282–4
α
1
-antitrypsin deciency, jaundice, 215
α-blockers, runny nose, 356
aluminium hydroxide, constipation, 21–2
alveolitis
cough, 115–16
shortness of breath,
112–13, 114
Alzheimer’s disease, memory loss, 98–9
amaurosis fugax, transient visual disturbance,
151–3
amenorrhoea
excess body hair, 280, 281
infertility, 209–11
primar y, 386; see also periods, absent
aminoglycosides
ear discharge, 136
tinnitus, 137
vertigo, 101
amoebiasis, diarrhoea, 24
amphetamines
erectile dysfunction, 244
https://t.me/med1917
INDEX 449
hallucinations, 86
weight loss, 239
amphotericin B, excessive urination, 432
amyloidosis
jaundice, 215
multiple joint pain, 312
anaemia
abdominal swelling, 7
aplastic
purpura and petechiae, 413
vomiting blood, 42
arm and shoulder pain, 292
blood in urine, 427
coughing up blood, 122
dizziness, 83
epigastric pain, 31
excessive sweating, 195
falls, 197–8
infertility, 209
irregular vaginal bleeding, 393
painful periods, 396
rectal bleeding, 59
shortness of breath, 107, 112–14
swollen ankles, 324
tinnitus, 137–8
tiredness, 230–1
tongue pain, 371–2
weight gain, 237
anaemia of chronic disease
abnormal gait, 180
jaundice, 216
joint pain, 313
nodules, 409
paraesthesiae and numbness, 219
swollen ankles, 325
anal ssure
anal itching, 50–1
anorectal pain, 55–6
painful intercourse, 250
penile pain, 253
rectal bleeding
in adults, 58–9
in children, 61–2
anal stula, anal swellings, 53
analgesic abuse, headache, 89–90
anal intercourse, anal itching, 50
anal itching, 50–2
anal swellings, 53–4
anal itching, 50
anal tuberculosis, anorectal pain, 55
ancylostomiasis, swollen ankles, 324
androgenic alopecia, hair loss, 282–3
aneurysm, dissecting/leaking, abdominal pain, 10
angina
arm and shoulder pain, 291–3
breast pain,
72–4
chest pain, 109–10
epigastric pain, 30
sore throat, 341
angiodysplasia, rectal bleeding, 58
angioedema
eyelid problems, 148
facial swelling, 172
angioneurotic oedema
facial swelling, 170 –1
swollen ankles, 324
ankles, swollen, 324–6
nocturia, 441–2
swollen calf, 327–9
ankylosing spondylitis
back pain, 185
joint pain, 312–13
knee pain, 321
neck stiness, 344–5
red eyes, 143
anorectal carcinoma
anal itching, 50
anal swelling, 53–4
anorectal pain, 56–7
penile pain, 253
anorectal pain, 55–7
anorexia nervosa
absent periods, 386, 388
diarrhoea, 26
excess body hair, 279–80
weight loss, 239
anterior knee pain syndromes, single joint pain, 288–9
anti-androgenics, loss of sex-drive, 95
antibiotics
diarrhoea, 24–5, 27–8
epigastric pain, 30–1
erythema, 402
vomiting, 39
anticholinergics
urinary retention, 444, 446
visual disturbance, transient, 151
anticoagulants
blood in urine, 426
haemospermia, 247
hair loss, 282
nosebleed, 353
rectal bleeding, 58
antidepressants
dizziness, 83
erectile dysfunction, 244
headache, 90
sex-drive, loss of, 97
weight loss, 241
https://t.me/med1917
450 INDEX
antihistamines, thirst/dry mouth, 227
antihypertensives
dizziness, 83
sex-drive, loss of, 95
antipsychotics, abnormal movements, 182, 184
ANUG (acute necrotising ulcerative gingivitis)
bad breath, 360–1
bleeding gums, 363–4
mouth ulcers, 368–9
anuria, urinary retention, 445
anxiety
abdominal pain, 36–7
abdominal swelling, 8
abnormal movements, 182
abnormal nails, 278
back pain, 185
chest pain, 109–11
dizziness, 83–4
erectile dysfunction, 244–5
excessive sweating, 194–5
ushing, 206–7
frequent urination, 435–6
hallucinations, 87
headache, 89
insomnia, 92
memory loss, 98–9
nocturia, 441
palpitations, 124–5
paraesthesiae and numbness, 218–19
pregnancy, 15
tense and anxious, feeling of, 203–5
thirst/dry mouth, 227–8
tremor, 233–5
weight loss, 239–40
aortic aneurysm
abdominal swelling, 6
back pain, 185–7
dissecting, 109
epigastric pain, 30
loin pain, 33, 35
aortic arch, double, stridor, 347
aortic stenosis
consciousness, episodic loss of, 191, 193
dizziness, 83–5
falls, 198
shortness of breath, 112, 114
aphonia, functional, hoarseness,
335
aphthous ulceration; see also mouth ulcers
bleeding gums, 363–4
mouth lumps and marks, 365–6
sore throat, 341
tongue pain, 371–2
apical tumour, arm and shoulder pain, 292–3
appendicitis
abdominal pain, 9–11, 12–13, 15, 17
crying baby, 188
diarrhoea, 24, 27, 29
febrile child, 200–1
frequent urination, 435–6
limp in child, 309, 311
loin pain, 33
painful periods, 395, 397
vomiting, 39–40
appendix, low mass, groin swelling, 382
areolar abscess, nipple discharge, 75–6
arm and shoulder pain, 285–7, 291–3
arrhenoblastoma
absent periods, 386
excess body hair, 279
arsenic
bleeding gums, 363
vision loss, gradual, 154
vomiting blood, 42
arterial bruits, tinnitus, 137
arterial disease, leg ulcers, 306–7
arterial insuciency
erectile dysfunction, 244–5
leg ulcers, 307–8
arteriovenous stula, tinnitus, 137
arthritis
abnormal gait, 179–80
foot pain, 297
hand and wrist swellings, 305
hip pain, 320
hoarseness, 335
psoriatic
joint pain, 313
knee pain, 321
single joint pain, 288–9
spinal, abdominal pain,
18
vision loss, sudden, 160 –2
ascites
abdominal swelling, 6–8
scrotal swelling, 259–60
weight gain, 237–8
aspergillosis, coughing up blood, 121
aspiration, cough, 115
aspiration pneumonitis, shortness of breath, 106
aspirin burns, tongue pain, 371–2
aspirin overdose
deafness, 128
tinnitus, 137
asthma
cough, 115–17, 118–20
insomnia, 92
shortness of breath, 106–8, 112–13
https://t.me/med1917
INDEX 451
atherosclerosis
nosebleed, 353
tinnitus, 137
atrial ectopics, palpitations, 124–5
atrial brillation, palpitations, 124
atrial utter, palpitations, 124
autoimmune diseases
abnormal nails, 276
bleeding gums, 363–4
hair loss, 283
mouth ulcers, 368–9
multiple joint pain, 313
avascular necrosis
hand and wrist pain, 300
hip pain, 318–20
single joint pain, 288–9
back pain, 185–7
pelvic pain, 379
referred
calf pain, 294
hip pain, 318–19
knee pain, 321
Ba ker’s c yst
knee pain, 321
ruptured
calf pain, 294
swollen ankles, 325
swollen calf, 327–8
balanitis
dysuria, 429
penile pain, 253–5
penile ulceration and sores, 256–8
balanitis xerotica obliterans (BXO)
penile pain, 253
penile ulceration and sores, 256–7
balanoposthitis, urinary retention, 444–6
barbiturates
blisters, 400
facial ulcers and blisters, 173
barotrauma
deafness, 128
earache, 131
running nose, 356
bartholinitis
painful intercourse, 250
vaginal discharge, 264
Bartholin’s abscess, vulval swelling, 270
Bartholin’s cyst, vulval swelling, 270–1
basal cell carcinoma (BCC)
eyelid problems, 148
facial ulcers and blisters, 173–4
nodules, 408–10
papules, 411
vulval ulceration/sores, 272
Beau’s lines, abnormal nails, 276–7
Behçet’s syndrome
dysuria, 429
mouth lumps and marks,
366
mouth ulcers, 368
multiple joint pain, 312
penile ulceration and sores, 256
pustules, 416
tongue pain, 371
vulval sores, 272–3
benign prostatic hypertrophy, dysuria, 429
benign tumours, hoarseness, 335
benzodiazepines
double vision, 145
tremor, 233
benzodiazepine withdrawal, insomnia, 92, 94
bereavement reactions, hallucinations, 86–7
Berloque dermatitis, macules, 405–6
β-blockers
scales and plaques, 418
tiredness, 230
tremor, 233
bile duct carcinoma, jaundice, 215
biliary cirrhosis, jaundice, 215–16
biliary colic
abdominal pain, 9–10
chest pain, 109
loin pain, 33
biliary obstruction
abdominal pain, 10
jaundice, 216
biorhythm disruption, insomnia, 92
birth injury, crying baby, 188
bisphosphonates
epigastric pain, 30
swallowing diculties, 332
bladder, enlarged, abdominal swelling, 6
bladder neck hypertrophy, frequent urination, 435
bladder neck obstruction, urinary retention, 444–5
bladder neck stenosis, urinary incontinence, 438
bladder stone
dysuria, 429
frequent urination, 435–6
incontinence, 438
bladder tumour
abdominal swelling, 7
anorectal pain, 56
blood in urine, 426–8
dysuria, 429
frequent urination, 435–6
haemospermia, 247
https://t.me/med1917
452 INDEX
bladder tumour (Continued)
penile pain, 253
urinary retention, 444–5
blepharitis
eyelid problems, 148–50
itchy eyes, 157–8
blepharospasm
abnormal movements, 182
eyelid problems, 148
blindness, see vision loss
blisters, 400–1
bloating
diarrhoea, 26
pelvic pain, 380
blood, coughing up, see coughing up blood
blood clotting disorders
haemospermia, 247
heavy periods, 389
knee pain, 321
nosebleeds, 354
purpura and petechiae, 413–15
rectal bleeding, 58
blood dyscrasias
abdominal swelling, 7
bleeding gums, 363–4
blood in urine, 426
groin swelling, 383
mouth ulcers, 369–70
nosebleeds, 354
prolonged fever, 222
purpura, 414
sore throat, 341–2
vomiting blood, 42–3
vulval irritation, 268
blood in urine, 426–8
haemospermia, 248
hip pain, 319
multiple joint pain, 313
pelvic pain, 377
prolonged fever, 222
urinary retention, 446
blood vessels, anomalous, stridor, 347
blood vomiting, 42–4
body hair, excess, 279–81
body piercing, anal itching, 50
boils
earache, 131–2
ear discharge, 134–5
penile ulceration and sores, 257
pustules, 416
vulval swelling, 270–
1
bone marrow damage, purpura and petechiae,
413, 415
bone pain
foot pain, 299
insomnia, 94
bone tumour
arm and shoulder pain, 285–7, 291–2
facial swelling, 171
limp in a child, 309
neck stiness, 344
bony metastases, excessive urination, 432
bony pathologies
abnormal gait, 180
hip pain, 318–19
insomnia, 94
neck stiness, 345–6
boredom
crying baby, 189
tiredness, 230
Bornholm disease
chest pain, 109
muscle pain, 315
Bouchard’s nodes, hand and wrist swellings, 303–4
bowel ischaemia, rectal bleeding, 58
bowel malignancy, pelvic pain, 379
bowel neoplasia, diarrhoea, 24
bowel obstruction
abdominal pain, 9
abdominal swelling, 6–8
constipation, 21–2
crying baby, 188
pelvic pain, 379
vomiting, 39, 45
bowel spasm, pelvic pain, 376
Bowen’s disease, scales and plaques, 418 , 420
brain abscess, neck stiness, 344
brainstem ischaemia, falls, 19 7
brain tumours
excessive sweating, 194
numbness, 218
branchial cysts, neck lumps, 338
breast abscess
breast enlargement in men, 67
breast lumps in women, 69–70
breast pain, 72–4
nipple discharge, 75
breast carcinoma
breast enlargement in men, 68
breast lumps in women, 69–71
breast pain, 72–4
nipple discharge, 75–6
breast enlargement in men, 66–8
breast lumps in women, 69–71
breast pain, 72
–4
breath, bad, 360–2
https://t.me/med1917
INDEX 453
bronchial carcinoma
breast enlargement in men, 68
excessive urination, 432
prolonged fever, 221–2
shortness of breath, 112, 114
swallowing diculties, 332
bronchiectasis
abnormal nails, 276–7
bad breath, 360–1
cough, 115
shortness of breath, 112–14
bronchiolitis
cough, 118 –20
crying baby, 188
febrile child, 200
bronchitis, chronic
abnormal nails, 276
ear discharge, 134
bronchogenic carcinoma
coughing up blood, 121–2
ushing, 206
brucellosis
excessive sweating, 194, 196
febrile child, 200
multiple joint pain, 312 , 314
BTB (breakthrough bleeding), irregular vaginal
bleeding, 392–4
bubble baths
anal itching, 50
vulval irritation, 267
bulbar palsy, swallowing diculties, 332
bulimia nervosa
vomiting, 39, 41
weight loss, 239
bunions, foot pain, 297–8
burns
blisters, 400
erythema, 402–3
red eye, 14 2
bursitis
arm and shoulder pain, 285–7, 291–3
foot pain, 297
hip pain, 318–19
knee pain, 321
BV (bacterial vaginosis), vaginal discharge, 264–5
café au lait spot, 405–6
calcium antagonists
ushing, 206
headache, 89
swollen ankles, 324–5
calcium channel blockers, runny nose, 356
calf pain, 294–6
calves, swollen, 327–9
Campbell de Morgan spot, papules, 411–12
Campylobacter
diarrhoea, 24
rectal bleeding, 58
cancrum oris
facial ulcers and blisters, 173
mouth lumps and marks, 365
Candida; see also thrush
mouth lumps and marks, 365–6
mouth ulcers, 369–70
oropharyngeal, sore throat, 341–2
penile ulceration and sores, 256–7
pustules, 416
skinfold rash, 421–2
tongue pain, 371–3
vaginal discharge, 265
vulval irritation, 267, 269
vulval sores, 273–4
carbamazepine, scales and plaques, 418
carbimazole, mouth ulcers, 370
carbon bisulphide, vision loss, gradual, 15 4
carbon dioxide retention, tremor, 233–4
carbon monoxide poisoning
confusion, acute, 80, 82
dizziness, 83, 85
headache, 89
memory loss, 98
tiredness, 230, 232
carcinoid syndrome
excessive sweating, 194, 196
ushing, 206–8
carcinoma
anal swellings, 53–4
breast enlargement in men, 66–8
cough, 115
shortness of breath, 113
vomiting, 39
cardiac arrhythmia
dizziness, 83–4
falls, 197
cardiac failure
confusion, acute, 81
jaundice, 215
scrotal swelling, 260
tiredness, 231
weight gain, 236–7
weight loss, 240
cardiac ischaemia, chest pain, 110
cardiac pain, epigastric pain,
32
cardiac structural lesion, loss of
consciousness, 191
cardiomyopathy, hypertrophic obstructive
chest pain, 109
consciousness, episodic loss of, 191
https://t.me/med1917
454 INDEX
cardiovascular disease, erectile dysfunction, 245
carotico-cavernous stula, red eyes, 142
carotid body tumour, neck lumps, 338
carotid sinus syncope, loss of consciousness, 191, 193
carotidynia, sore throat, 341
cartilage injury, knee pain, 321–2
cataracts
double vision, 145
vision loss, gradual, 154–5
cat scratch fever
febrile child, 200
swollen glands, 224–5
cauda equina lesions
abnormal gait, 179, 181
anorectal pain, 55
erectile dysfunction, 246
incontinence, 438, 440
CCF (congestive cardiac failure)
leg ulcers, 306
runny nose, 358
scrotal swelling, 259
swollen ankles, 324–5
weight gain, 237
cellulitis
calf pain, 294–5
erythema, 402–3
eyelid problems, 149
facial rash, 167, 169
facial swelling, 170
febrile child, 200
leg ulcers, 307
orbital
eyelid problems, 148, 150
facial pain, 16 4, 166
facial swelling, 172
red eyes, 142
swollen ankles, 325
swollen calves, 327–8
central disc protrusions, back pain, 186
central retinal artery occlusion, vision loss,
sudden, 160–2
cerebellar ataxia
abnormal gait, 179
tremor, 233
cerebellar tumours, vertigo, 101
cerebral carcinoma, secondary, deafness, 128
cerebral haemorrhage, vomiting, 39
cerebral infection, confusion, 80
cerebral palsy, limp in child, 309
cerebral space-occupying lesions
double vision, 145–6
hallucinations, 86–7
memory loss, 99
cerebral tumour
confusion, acute, 80
numbness, 219
sti neck, 344
cerebromacular degeneration, vision loss, 15 4
cerebrospinal uid (CSF) otorrhoea, ear
discharge, 134–5
cerebrovascular accident (CVA)
abnormal gait, 179
confusion, acute, 80–2
falls, 197
memory loss, 98–9
tremor, 233
urinary incontinence, 438–40
vertigo, 101
vision loss, sudden, 160 –2
weight gain, 236
cerebrovascular disease
memory loss, 99
numbness, 218
cervical adenitis, facial swelling, 171
cervical carcinoma
irregular vaginal bleeding, 392
pelvic pain, 376, 379
vaginal discharge, 264
cervical ectropion, vaginal discharge, 264
cervical lymphadenitis, neck stiness, 344
cervical mucus, hostile, infertility, 209
cervical osteoarthritis, dizziness, 83
cervical polyp
heavy periods, 389
infertility, 209
irregular vaginal bleeding, 392
vaginal discharge, 265
vulval swelling, 270
cervical rib
arm and shoulder pain, 285–7, 291
neck lumps, 338
cervical spondylosis
arm and shoulder pain, 285–7, 291–2
breast pain, 72–3
earache, 131
headache, 89–90
neck stiness, 344–5
paraesthesiae and numbness, 218–19
upper, facial pain, 164
cervical stenosis, painful periods, 395
cervicitis
irregular vaginal bleeding, 392–3
painful intercourse, 250
painful periods, 395
vaginal discharge, 264–6
Chagas’s disease, swallowing diculties, 332
https://t.me/med1917
INDEX 455
chancroid
penile ulcerations and sores, 256 –7
vulval sores, 272–3
chemical burns
blisters, 400
erythema, 402
chemical inhalation, hoarseness, 335
chemical irritation
anal itching, 50
runny nose, 356
vulval irritation, 267–8
chemical urethritis, dysuria, 429
chemotherapy
hair loss, 282
muscle pain, 315
chest infection
chest pain, 109
coughing up blood, 121–2
crying baby, 188
febrile child, 200–1
chest pain, 109–11
breast pain, 72
chickenpox
blisters, 400–1
facial rash, 167
febrile child, 200
itchy scalp, 285
childhood tics, abnormal movements, 182 , 184
children
abdominal pain in, 12–14
constipation, 22
diarrhoea in, 27–9
rectal bleeding in, 61–3
streptococcal perianal infection in
anal itching, 50
vomiting in, 40
chlamydia
anal itching, 51
irregular vaginal bleeding, 394
itchy eyes, 159
painful periods, 396
pelvic pain, 377, 380
scrotal swelling, 260
testicular pain, 263
urinary frequency, 436
vaginal discharge, 264–6
chloasma
facial rash, 167
macules, 405–6
chlorpromazine, jaundice, 215
choanal atresia, unilateral, blocked nose, 350
cholangitis, jaundice, 215
cholecystitis
abdominal pain, 9
epigastric pain, 31
cholestasis, jaundice, 215
cholesteatoma
deafness, 128
earache, 131
ear discharge, 134–5
chondritis of costal cartilage, breast
pain, 72
chondrodermatitis nodularis chronica helicis,
nodules, 408
chondrodermatitis nodularis helicis externa,
earache, 131
chondromalacia patellae (CP)
knee pain, 321–2
single joint pain, 288–9
choreoathetosis, abnormal movements, 182
chorionic carcinoma, irregular vaginal
bleeding, 392
choroidal melanoma, vision loss, gradual, 154
choroidoretinitis, vision loss, gradual, 154–5
Christmas disease
nosebleed, 353
purpura and petechiae, 413
chronic infection
diarrhoea, 24–5
joint pain, 313
leg ulcers, 306
tinnitus, 137
tiredness, 230
urinary incontinence, 439
weight loss, 239
chronic kidney disease (CKD)
excessive urination, 432–3
thirst/dry mouth, 227–8
chronic pain, insomnia, 92–3
cimetidine
breast enlargement in men, 66
muscle pain, 315
sex-drive, loss of, 95–6
cirrhosis
alcoholic
jaundice, 215–16
purpura and petechiae, 413
sex-drive, loss of, 95–6
swollen ankles, 324–5
vomiting blood, 42–4
claudication, intermittent
abnormal gait, 179–80
calf pain, 294–6
muscle pain, 315
clavicular fracture, crying baby, 188
clobrate, muscle pain, 315
https://t.me/med1917
456 INDEX
clot retention
blood in urine, 428
urinary retention, 444
clubbing
abnormal nails, 276–7
breast enlargement in men, 68
multiple joint pain, 314
shortness of breath, 114
CMPI (cow’s milk protein intolerance)
abdominal pain, 12, 36, 38
diarrhoea, 27–9
rectal bleeding in children, 61–3
vomiting in infants, 45–6
coagulopathy
knee pain, 322
nosebleed, 353
cocaine
hallucinations, 86, 88
nosebleeds, 354
runny nose, 356–7
coccydynia, anorectal pain, 55
cochlear vessels, thrombosis of, deafness, 128
coeliac disease
abdominal pain, 12–13, 18–19, 36–7
diarrhoea, 24, 27
mouth lumps, 366
mouth ulcers, 368–9
swollen ankles, 324
tiredness, 230–1
weight loss, 239–40
coee-ground vomit, 44
colic, crying baby, 188–9
colon constipation, 22
colonic carcinoma
pelvic pain, 379
rectal bleeding, 58
colonic disease, abdominal swelling, 7
confusion, acute, 80–2
memory loss, 98
congenital adrenal hyperplasia
absent periods, 386
excess body hair, 279
congenital heart disease, shortness of breath, 112
congestive cardiac failure (CCF), shortness of
breath, 112–13
conjunctivitis
itchy eyes, 157–8
red eyes, 142–4
single joint pain, 289
connective tissue disorder
erythema,
402–4
excessive sweating, 194–5
joint pain, 312–14
limp in child, 310
muscle pain, 315–17
paraesthesiae and numbness, 218–19
prolonged fever, 222
purpura and petechiae, 413–14
swollen glands, 225
thirst/dry mouth, 228
tiredness, 230–1
weight loss, 240
consciousness, episodic loss of, 191–3
constipation, 21–3
abdominal pain, 12–13, 15, 18–20, 36–7
abdominal swelling, 6–7
colon, 22
crying baby, 188–9
overow, diarrhoea, 24–5
urinary retention, 444–5
vomiting, 39
contact dermatitis
blisters, 401
hair loss, 282–3
itching, 212–13
itchy scalp, 285
scales and plaques, 419
vulval ulceration/sores, 272–3
contact lenses, itchy eyes, 157
contraceptives, oral
absent periods, 386–7
heavy periods, 389–90
irregular vaginal bleeding, 392–4
mouth lumps, 366
nipple discharge, 75
painful periods, 396
visual disturbance, transient, 153
COPD (chronic obstructive pulmonary disease)
cough, 115–16
insomnia, 92
shortness of breath, 106–8, 112
–13
tremor, 233
corneal abrasion, red eye, 14 2–3
corneal ulcer, red eye, 142–4
Cornelia de Lange syndrome, excess body
hair, 279
corpus cavernosum thrombosis, erectile
dysfunction, 244
corrosive acid, vomiting blood, 42
cortical blindness, vision loss, sudden, 160–1
corticosteroids
joint pain, 312
nosebleed, 353
Corynebacterium diphtheriae, runny nose, 356
costochondritis, chest pain, 109–10
cough
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INDEX 457
in adults, 115 –17
in children, 118–20
croupy, crying baby, 188
excessive urination, 434
purpura and petechiae, 413–14
coughing up blood, 121–3
cough syncope, loss of consciousness, 191
cowpox, pustules, 416
Coxsackie virus, mouth ulcers, 368
cramps
calf pain, 294–6
muscle pain, 315
cranial nerve palsies, double vision, 145–6
CREST syndrome, swallowing diculties, 332
CRF (chronic renal failure)
breast enlargement in men, 66
excessive urination, 432–3
vulval irritation, 267
crico-arytenoid rheumatoid arthritis,
hoarseness, 335
Crohn’s disease
abdominal pain, 9, 36–7
anal itching, 50–1
anal swellings, 54
anorectal pain, 55–7
constipation, 22
diarrhoea, 24
mouth lumps, 366
prolonged fever, 221
croup
cough, 118 , 120
febrile child, 200
stridor, 347–8
crying baby, 188–90
cryoglobulinaemia, purpura and petechiae,
413–14
cryptorchidism, breast enlargement in men, 66
cryptosporidium, febrile child, 201
CSF (cerebrospinal uid) leakage
ear discharge, 134–5
runny nose, 356–7
CT (carpal tunnel) syndrome
arm and shoulder pain, 285–7, 291–2
hand and wrist pain, 300–2
paraesthesiae and numbness, 218–20
Cushing’s disease
absent periods, 386
confusion, acute, 80
excessive urination, 432
sex-drive, loss of,
95
Cushing’s syndrome
excess body hair, 279
facial swelling, 170
ushing, 206–7
weight gain, 236–7
cyanosis
confusion, acute, 81
shortness of breath, 108
cyproterone
breast enlargement in men, 66
sex-drive, loss of, 95–6
cystic brosis
cough, 118 –20
diarrhoea, 27–8
cystic glandular hyperplasia
heavy periods, 389
irregular vaginal bleeding, 392
cystic hygroma, neck lumps, 338
cystitis
dysuria, 429
infective, frequent urination, 435–7
interstitial
blood in urine, 426, 428
frequent urination, 435
incontinence, 438–40
pelvic pain, 379–80
ketamine-associated ulcerative
blood in urine, 426
dysuria, 429–30
nocturia, 441
painful intercourse, 250
penile pain, 253–5
cystocoele, vulval swelling, 270
cysts
breast lumps in women, 69–70
breast pain, 72–3
cytotoxics
absent periods, 386
purpura, 413
vomiting, 39
dacrocystitis, eyelid problems, 148
danazol, excess body hair, 279
Darier’s disease, papules, 411
deafness, 128–30
deck-chair legs, 402–3
decompression sickness, joint pain, 312
dehydration
confusion, acute, 81
diarrhoea, 25, 29
febrile child, 202
hallucinations, 87
thirst/dry mouth, 227–9
vomiting, 40
delirium, febrile, hallucinations, 86–7
demeclocycline, excessive urination, 432
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