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468 INDEX
immobility, prolonged
erythema, 402
leg ulcers, 306
immune deciency
cough, 118 –19
mouth lumps, 366
immunisation
crying baby, 188–9
febrile child, 200
immunosuppression
mouth ulcers, 370
pustules, 417
sore throat, 343
tongue pain, 373
impacted molar, earache, 131
impetigo
facial rash, 167–8
facial ulcers and blisters, 173–4
itchy scalp, 285–6
pustules, 416 –17
running nose, 356
inactivity, constipation, 21–2
incontinence
faecal, anal itching, 50
urinary, 438–40
vulval irritation, 267
infant colic, abdominal pain, 12–13,
36, 38
infants
constipation, 22
vomiting in, 45 –7
infections
abdominal pain, 10
anal itching, 50–1
confusion, 80–1
diarrhoea, 24–5
hand and wrist swellings, 303–4
inferior retinal detachment, vision loss, gradual,
154–5
inferior vena cava thrombosis
scrotal swelling, 259
swollen ankles, 324
infertility, 209–11
inammatory arthritis
hand and wrist pain, 301
hip pain, 318–20
inguinal tumour, groin swelling, 382
insect bites
blisters, 400–1
eyelid problems, 148
leg ulcers, 306
papules, 411–12
prolonged fever, 223
insomnia, 92–4
tiredness, 230
insulin, weight gain, 236
insulinoma, weight gain, 236–7
interstitial cystitis, dysuria, 429
interstitial lung disease, cough, 118–19
intertrigo, skinfold rash, 422
intestinal obstruction
abdominal pain, 12
abdominal swelling, 6
constipation, 23
epigastric pain, 30
vomiting, 39, 47
intoxication
confusion, 80
double vision, 145–7
intracranial abscess, headache, 89
intracranial lesions
double vision, 145
headache, 89–90
intracranial pressure, raised
headache, 90
vomiting in infants, 45, 47
intraduct carcinoma, nipple discharge, 75
intravascular pressure, increased, purpura and
petechiae, 413–14
intubation, hoarseness, 335–6
intussusception
abdominal pain, 12
crying baby, 188
diarrhoea, 27
rectal bleeding, 58
in children, 61
vomiting in infants, 45, 47
iritis
facial pain, 16 4, 166
red eye, 14 2–3
iron deciency, tiredness, 230–1
iron deciency anaemia
abnormal nails, 276–7
constipation, 21–2
diarrhoea, 25
excess body hair, 280
heavy periods, 390
itching, 212–13
mouth ulcers, 368–9
swallowing diculties, 333
tongue pain, 371
irritant eczema from sweat, skinfold
rash, 421
ischaemia, foot pain, 297–9
ischaemic bowel, abdominal pain,
9–
10
https://t.me/med1917
INDEX 469
ischaemic heart disease
consciousness, episodic loss of, 192
palpitations, 125–6
isoniazid
jaundice, 215
joint pain, 312
itching, 212–14
prolonged fever, 223
itchy eyes, 157–9
ITP (idiopathic thrombocytopenia purpura), 413
IUCD (intrauterine contraceptive device)
heavy periods, 389–90
painful periods, 395–6
pelvic pain, 376, 379–80
vaginal discharge, 264
jaundice, 215–17
epigastric pain, 32
itching, 212
vulval irritation, 267
JCA (juvenile chronic arthritis)
joint pain, 312
limp in child, 309–10
joint pain
acromioclavicular and arm and shoulder
pain, 291, 293
insomnia, 94
multiple, 312–14
referred, muscle pain, 315
single, 288–90
joint replacement, hip pain, 318–20
joint subluxation, recurrent, single joint pain, 288
joint swelling, symmetrical, hand and wrist pain,
301
junctional naevus, macules, 405–6
Kaposi’s sarcoma, papules, 411–12
Kaposi’s varicelliform eruption, 401
Kawasaki’s disease, febrile child, 201
keratitis, red eye, 142–3
kerato-acanthoma
facial ulcers and blisters, 173–4
nodules, 408
keratoconjunctivitis sicca, red eye, 14 2
keratoderma blenorrhagica, scales and
plaques, 418
keratosis, solar, scales and plaques, 418
keratosis obturans, ear discharge, 134
keratosis pilaris, papules, 411
ketamine-associated ulcerative cystitis
dysuria, 429
ketohalitosis of starvation, bad breath, 360
Kienböck’s disease, hand and wrist pain, 300–1
king’s evil, neck lumps, 338
Klinefelter’s syndrome
breast enlargement in men, 66–
7
knee pain, 321–3
referred, calf pain, 294
Köhler’s disease, foot pain, 297
koilonychia, abnormal nails, 276–7
Korsako ’s syndrome, memory loss, 98
labour, premature, abdominal pain, 15–16
labral tear, hip pain, 318–19
lactose intolerance, diarrhoea, 24, 27
lamellar nail dystrophy, abnormal nails, 276
laryngeal nerve palsy, recurrent, hoarseness,
335–6
laryngeal obstruction, shortness of breath, 106
laryngeal oedema, stridor, 347
laryngeal paralysis, stridor, 347–8
laryngeal stenosis, stridor, 347
laryngeal trauma, stridor, 347
laryngeal tumour
hoarseness, 335, 337
stridor, 347
laryngitis
hoarseness, 335–6
stridor, 347–8
laryngomalacia, stridor, 347
laxative misuse
constipation, 21
diarrhoea, 24
l-dopa, abnormal movements, 182
lead poisoning
abdominal pain, 13
calf pain, 294
Leber’s hereditary optic atrophy, vision loss,
gradual, 15 4
leg oedema, blisters, 400–1
legs, unequal length, limp in a child, 309
leg ulcers, 306–8
leishmaniasis
facial ulcers and blisters, 173, 175
febrile child, 201
lentigo maligna, facial ulcers and blisters, 173
leprosy
nodules, 408
paraesthesiae and numbness, 218
swollen glands, 224
tuberculoid, macules, 405
leptospirosis
jaundice, 215
sti neck, 344
leucocytosis, blood in urine, 427
leuconychia, abnormal nails, 276–7
https://t.me/med1917
470 INDEX
leukaemia
bleeding gums, 364
itching, 212–13
mouth ulcers, 368
nosebleed, 353–4
prolonged fever, 221, 223
purpura, 413
swollen glands, 224–5
vomiting blood, 42
vulval irritation, 267
leukoplakia
mouth lumps and marks, 365
vulval irritation, 267
levator ani syndrome, anorectal pain, 55
lice
eyelid problems, 148
itchy eyes, 157
itchy scalp, 285–6
vulval irritation, 267
lichen planus
abnormal nails, 276
bleeding gums, 363–4
erosive, mouth ulcers, 368
itching, 212
mouth lumps, 365
papules, 411
penile ulcerations and sores, 256 –7
scales and plaques, 418
tongue pain, 371–2
vulval irritation, 267
lichen sclerosus et atrophicus, anal itching, 50, 52
lichen simplex
itchy scalp, 285–6
scales and plaques, 418
life events, tense and anxious, 203–4
ligament rupture, knee pain, 321
ligament sprain, knee pain, 321–3
ligament strain, abdominal pain, 15 –16
limp in child, 309–11
lingual carcinoma, facial pain, 16 4
lipodermatosclerosis, leg ulcers, 307
lipoma
breast enlargement in men, 67
breast lumps in women, 69
groin swelling, 382
nodules, 408–9
vulval swelling, 270
listeriosis, febrile child, 200
lithium, muscle pain, 315
lithium carbonate, excessive urination, 432
lithotripsy, haemospermia, 247
livedo reticularis, erythema, 402, 404
liver cancer, jaundice, 215–16
liver congestion, abdominal pain, 15
liver disease
abnormal nails, 276
breast enlargement in men, 66–7
erythema, 402
heavy periods, 389–90
itching, 213
nosebleed, 353–4
purpura and petechiae, 413–14
tiredness, 231
weight loss, 240
liver failure
bad breath, 360–1
jaundice, 217
tremor, 233–4
weight gain, 236–7
lobar collapse, shortness of breath, 106, 112
loin pain, 33–5
loss of consciousness
episodic, 191–3
dizziness, 85
vertigo, 103
loss of sex-drive, 95–7
low body weight, insomnia, 92
low testosterone in men, sex-drive, loss of, 95–6
LRTI (lower respiratory tract infection), cough,
115–16
LSD, hallucinations, 86
lung carcinoma
abnormal nails, 277
arm and shoulder pain, 291
breast enlargement in men, 66–7
cough, 115
joint pain, 312–14
neck lumps, 339
prolonged fever, 222
lupus erythematosus, hair loss, 282, 284
lupus vulgaris
facial rash, 167–8
nodules, 408
luteoma, excess body hair, 279
LUTS (lower urinary tract symptoms)
frequent urination, 435
incontinence, 439
nocturia, 441
urinary retention, 445
LVF (le ventricular failure)
cough, 115–16
insomnia, 92
shortness of breath, 106–7
Lyell’s syndrome, blisters, 400
Lyme disease
erythema, 402
–4
https://t.me/med1917
INDEX 471
febrile child, 200
multiple joint pain, 312
prolonged fever, 221
lymphadenitis, reactive, neck lumps, 338–9
lymphangioma, bleeding gums, 363–4
lymph nodes
palpable, groin swelling, 382–3
prominent normal, neck lumps, 338–9
lymphogranuloma venereum (LGV)
swollen glands, 224–5
vulval sores, 272–3
lymphoma
breast lumps in women, 69
excessive sweating, 194–6
groin swelling, 382
itching, 213
neck lumps, 338–9
nodules, 408–10
prolonged fever, 221–3
purpura, 413
scales and plaques, 418–19
swallowing diculties, 332
swollen glands, 224–6
vulval irritation, 267
macular degeneration, vision loss, 154 –5
macules, 405–7
Madura foot, single joint pain, 288
malabsorption
bleeding gums, 363–4
diarrhoea, 24
memory loss, 98
malaria
febrile child, 201–2
jaundice, 215
prolonged fever, 221–2
malignancy
abdominal pain, 18
mouth lumps and marks, 367
muscle pain, 316
skinfold rash, 422
malignant melanoma
nodules, 408
papules, 411–12
ulcerating, facial ulcers and blisters, 173
malingering
abdominal pain, 12
back pain, 185, 187
memory loss, 98
Mallory–Weiss (M–W) tear, vomiting blood,
42–3, 44
malnutrition
hair loss,
282
insomnia, 92
swollen ankles, 324
weight loss, 239
mamillary duct stula, nipple discharge, 75
mania
hallucinations, 86
insomnia, 92
march fracture, foot pain, 297–8
marijuana, breast enlargement in men, 66
masseteric hypertrophy, facial swelling, 170
mastalgia, cyclical, breast pain, 72–3
mastitis
breast pain, 72–4
chest pain, 109
nipple discharge, 75
mastocytosis, systemic, ushing, 206
mastoiditis
crying baby, 188
earache, 131–3
ear discharge, 134, 136
McCune–Albright syndrome, breast enlargement
in men, 66
measles
erythema, 402–4
febrile child, 201
macules, 405
swollen glands, 224
ME (chronic fatigue syndrome)
muscle pain, 315, 317
tiredness, 230
Meckel’s diverticulum
abdominal pain, 12, 36
rectal bleeding in children, 61
medial shelf syndrome, knee pain, 321
mediastinal tumours
stridor, 347
swallowing diculties, 332–3
vomiting blood, 42
megacolon, acquired, constipation, 21–2
meibomian cysts, eyelid problems, 148–9
melaena, vomiting blood, 43–4
melanoma, 306; see also malignant melanoma
blocked nose, 350
choroidal, vision loss, 15 4
leg ulcers, 306
mouth lumps, 365
subungual, abnormal nails, 276–7
vulval ulceration/sores, 272
memory loss, 98–100
Ménière’s disease
abnormal gait, 179
deafness, 128
falls, 197
https://t.me/med1917
472 INDEX
Ménière’s disease (Continued)
tinnitus, 137–8
vertigo, 101–2
meningism, neck stiness, 344–5
meningitis
crying baby, 188
ear discharge, 136
febrile child, 201
gummatous, facial pain, 164
headache, 89–90
neck stiness, 344–5
vomiting, 39, 41, 45–6
meningococcal petechiae, sti neck, 346
meningoencephalitis, tremor, 233–4
menopausal ushes, insomnia, 92
menopausal vaginal dryness, painful
intercourse, 250
menopause
absent periods, 386–7
excess body hair, 279–80
excessive sweating, 194–5
ushing, 206–7
palpitations, 124
weight gain, 236
menorrhagia, 389–91
abdominal swelling, 7
meralgia paraesthetica, hip pain, 318 –19
mercury poisoning, bleeding gums, 363
mesenteric artery ischaemia, abdominal pain, 18
mesenteric infarction, abdominal pain, 11
metabolic disturbance
hallucinations, 86–7
shortness of breath, 108
metabolic vomiting in infants, 45
metastases
groin swelling, 382, 384
jaundice, 215–17
leg ulcers, 306
neck lumps, 338
nodules, 408
vulval swelling, 271
metatarsalgia, foot pain, 297
methanol, vision loss, gradual, 15 4
methotrexate, cough, 115 , 117
methyldopa, jaundice, 215
metoclopramide
abnormal movements, 182
absent periods, 386
metronidazole, ushing, 206
Microsporum infections, hair loss,
283
micturition
pain aer, penile pain, 255
syncope, consciousness, episodic loss of, 191
middle-ear infection, ear discharge, 136
migraine
headache, 89–91
ophthalmoplegic double vision, 145
paraesthesiae and numbness, 218, 220
vestibular, vertigo, 101–2
vision loss, sudden, 160 –1
visual disturbance, transient, 151–3
vomiting, 39, 41
milia, papules, 411
Milroy’s disease, swollen ankles, 324
MI (myocardial infarction)
abdominal pain, 10
chest pain, 109
falls, 198
minoxidil, excess body hair, 279
Mirizzi syndrome, jaundice, 215
miscarriage
abdominal pain, 15–16
irregular vaginal bleeding, 392
pelvic pain, 376–7
mitral ush, facial rash, 167–8
mitral stenosis
coughing up blood, 121
ushing, 207
mitral valve disease
ushing, 206
palpitations, 124
mittelschmerz
irregular vaginal bleeding, 392
pelvic pain, 379
Moeller’s glossitis, tongue pain, 371
molluscum contagiosum
eyelid problems, 148
papules, 411
skinfold rash, 421
Mondor’s disease
breast lumps in women, 69–70
breast pain, 72
Mongolian spot, 405
monoarthritis, recurrent, knee pain, 321
morphoea, hair loss, 282
Morton’s neuroma, foot pain, 297–8
motor neurone disease
abnormal gait, 179
abnormal movements, 182
calf pain, 294
shortness of breath, 112
swallowing diculties, 332
tiredness, 230
weight loss, 239
mouth breathing, thirst/dry mouth, 227–8
mouth lumps and marks, 365–7
https://t.me/med1917
INDEX 473
mouth ulcers, 368–70
mouthwashes, tongue pain, 371
mucocoele, mouth lumps and marks, 365–6
multi-infarct dementia, memory loss, 98–9
multiple sclerosis (MS)
abnormal gait, 179, 181
arm and shoulder pain, 291
calf pain, 294
deafness, 128–9
double vision, 145–6
erectile dysfunction, 244–5
facial pain, 16 4
paraesthesiae and numbness, 218–20
tiredness, 230
tremor, 233–4
urinary incontinence, 438
urinary retention, 444
vestibular, vertigo, 101–3
mumps
facial pain, 16 4
facial swelling, 170 –1
febrile child, 201
testicular pain, 262
Munchausen’s syndrome, vomiting blood, 42
muscle enzyme deciency, calf pain, 294
muscle fasciculation, abnormal movements, 182–3
muscle herniation, swollen calves, 327
muscle rupture, swollen calves, 328–9
muscles
painful, 315–17
pulled, chest pain, 109–10
muscle stiness, calf pain, 294–5
muscle strain
arm and shoulder pain, 291–2
calf pain, 294–5
hip pain, 318–19
muscle pain, 315
swollen calves, 327–8
muscular dystrophies
limp, 310
shortness of breath, 112
swollen calves, 327
muscular epigastric pain, 30
muscular neoplasm, swollen calves, 327
muscular strain, abdominal pain, 12
muscular wall pain, abdominal pain, 9
musculoskeletal pain
chest pain, 110
loin pain, 33–4
pelvic pain, 379
myalgia, epidemic, muscle pain, 315
myasthenia gravis
abnormal gait, 179
double vision, 145, 147
eyelid problems, 148, 150
swallowing diculties, 332
tiredness, 230
mycosis fungoides, scales and plaques, 418, 420
mydriatics
loss of vision, 162
red eye, 14 4
myelitis, dorsal, numbness and paraesthesiae, 218
myeloma
back pain, 185–6
neck stiness, 345
swollen glands, 224
myocardial infarct, epigastric pain, 30
myocarditis, chest pain, 109
myoclonus
abnormal movements, 182–3
palatal, tinnitus, 137
myokymia
abnormal movements, 182–3
eyelid problems, 148–9
myositis, orbital, double vision, 145
myotonic dystrophy, eyelid problems, 148
myringitis, ear discharge, 134
myxoedema
arm and shoulder pain, 292
confusion, 80–1
facial swelling, 170
hair loss, 282
pretibial, nodules, 408–9
myxoid cyst, hand and wrist swellings, 303–4
naevus anaemicus, macules, 405
nails
abnormal, 276 –7
dystrophy, abnormal nails, 276–7
NAI (non-accidental injury)
crying baby, 188, 190
purpura, 415
weight loss, 241
nappy rash
crying baby, 188
skinfold rash, 421–2
narcolepsy
consciousness, episodic loss of, 191
hallucinations, 86–7
nasal fracture, nosebleeds, 353
nasal infection, nosebleeds, 353–4
nasal mucosal lesion, infected, runny nose, 356 –7
nasal polyps
blocked nose, 350
deafness, 128
runny nose,
356–7
https://t.me/med1917
474 INDE X
nasal sprays, blocked nose, 352
nasal tumours
blocked nose, 350
nosebleeds, 353, 355
nasopharyngeal carcinoma
blocked nose, 351
deafness, 128, 130
earache, 133
facial pain, 16 4
facial swelling, 170
swollen glands, 226
vestibular, vertigo, 101
nasopharyngeal tumour, red eye, 142
nausea
diarrhoea, 26
testicular pain, 263
near-death experience, hallucinations, 86
neck, sti, 344–6
neck abscess, neck stiness, 344
neck lumps, 338–40
nephritis
blood in urine, 426
swollen ankles, 324–5
nephrotic syndrome
eyelid problems, 148–9
hand and wrist swellings, 303, 304
swollen ankles, 324–5
nerve compression
arm and shoulder pain, 293
numbness and paraesthesiae, 218–19
nerve entrapment
hand and wrist pain, 300
numbness, 218–19
shoulder pain, 292
nerve root pain, cervicogenic, sore throat, 341
neuralgia
headache, 89
post-herpetic, abdominal pain, 18
neuritis
brachial and ulnar, arm and shoulder pain, 291
optic
abnormal gait, 181
vision loss, gradual, 154
vision loss, sudden, 160
visual disturbance, transient, 151
vestibular
abnormal gait, 179, 181
vertigo, 101–2
viral acoustic, deafness, 128
neurobroma, groin swelling, 382
neurobromatosis, macules, 405
neurosyphilis, memory loss, 98
nifedipine, palpitations, 124
night sweats, cough, 117
nipple discharge, 75–7
nipples, cracked/inamed, breast pain, 72–3
nitrates, headache, 89
nocturia, 441–
3
insomnia, 92–3
nodules, 408–10; see also papules
noise damage
chronic, tinnitus, 137
deafness, 128
non ulcer dyspepsia (NUD), epigastric pain, 30–1
nose
blocked, 350–1
runny/discharging, 356–8
nosebleed, 353–5
NSAIDs
epigastric pain, 30
erythema, 402
swallowing diculties, 332–3
swollen ankles, 325
vomiting blood, 43
numbness and paraesthesiae, see paraesthesiae and
numbness
obesity
abdominal swelling, 8
breast enlargement in men, 67
leg ulcers, 306
shortness of breath, 112–13
swollen ankles, 324–5
weight gain, 236–8
obsessive–compulsive disorder
tense and anxious, feeling of, 203
ocular muscles, pseudoparalysis of, double
vision, 145
oculomotor nerve palsy, eyelid problems, 148–9
oedema
foot pain, 297–8
leg ulcers, 306
weight gain, 236–7
oesophageal carcinoma, swallowing diculties,
332–4
oesophageal spasm, epigastric pain, 30
oesophagitis
chest pain, 110
swallowing diculties, 333–4
oesophagus malignancy, vomiting blood, 42–3
oestrogen, weight gain, 236
onchocerciasis
loss of vision, 154
red eye, 14 2
onychogryphosis, abnormal nails, 276–7
onychomycosis, abnormal nails, 276 –7
https://t.me/med1917
INDEX 475
onychorrhexis, abnormal nails, 276
opiates
confusion, 80
constipation, 21–2
double vision, 145
tremor, 233
weight loss, 239
optic nerve injury, vision loss, sudden, 160
oral neoplasia, bleeding gums, 363
orbital disease, double vision, 145
orbital fracture, double vision, 145
orchitis, testicular pain, 262–3
orf, pustules, 416
organ failure
tiredness, 230
weight loss, 239
organic nerve lesions, excessive sweating, 194
oropharyngeal carcinoma, sore throat, 341, 343
orthostatic hypotension
consciousness, episodic loss of, 191–3
falls, 197–8
visual disturbance, transient, 151
Osgood–Schlatter’s disease
knee pain, 321–2
single joint pain, 288
Osler–Weber–Rendu syndrome, mouth lumps
and marks, 366
osteitis, facial pain, 164
osteoarthritis (OA)
abnormal gait, 179–80
falls, 197
hand and wrist pain, 300–1
hip pain, 318–19
insomnia, 92
joint pain, 312–13
knee pain, 321–3
leg ulcers, 306
loin pain, 33
single joint pain, 288–9
osteochondritis
dissecans, knee pain, 321–2
foot pain, 297–8
osteomalacia, back pain, 185–6
osteomyelitis
back pain, 185–6
crying baby, 188
febrile child, 201
foot pain, 297–9
hand and wrist pain, 300, 302
limp in child, 309–11
osteoporosis
back pain, 185–
6
excessive urination, 432
osteosarcoma, knee pain, 321, 323
otitis externa (OE)
crying baby, 188
deafness, 128–9
earache, 131–2
ear discharge, 134–6
otitis media
chronic, tinnitus, 137–8
chronic, vertigo, 101, 103
crying baby, 188
deafness, 128–30
diarrhoea, 27–8
earache, 131–3
ear discharge, 134–5
febrile child, 200–1
tinnitus, 137–8
vomiting in infants, 45–6
otosclerosis
chronic, tinnitus, 137, 139
deafness, 128, 130
outow obstruction
frequent urination, 436
urinary incontinence, 438–40
urinary retention, 446
ovarian cancer
abdominal pain, 19
abdominal swelling, 7
diarrhoea, 24
irregular vaginal bleeding, 392
pelvic pain, 376, 379–81
urinary frequency, 436
ovarian cysts
abdominal pain, 15
absent periods, 387
anorectal pain, 55
chocolate, painful periods, 395
frequent urination, 435
painful intercourse, 250
painful periods, 396
pelvic pain, 376–7, 379
weight gain, 236–8
ovarian failure, premature, absent periods, 386–7
ovarian masses, abdominal swelling, 6
ovarian tumours
bilateral, absent periods, 386
excess body hair, 279–80
ovaries, in pouch of Douglas, painful intercourse, 250
overactive bladder
dysuria, 429
overactive bladder syndrome
frequent urination, 435–6
nocturia, 441
urinary incontinence, 438–40
https://t.me/med1917
476 INDEX
overfeeding, vomiting in infants, 45–6
ovulation, defective, infertility, 209
ovulatory bleeding, irregular vaginal bleeding,
392–3
pachyderma oralis, mouth lumps and marks, 365
pachydermoperiostosis, excessive sweating, 194
Paget’s disease
hip pain, 318–19
knee pain, 321–2
of nipple
breast lumps in women, 69
discharge, 75
of skull
deafness, 128–9
headache, 89–90
vision loss, gradual, 154–5
pain, intense, excessive sweating, 194
painful bladder syndrome, dysuria, 429
painful intercourse, 250 –2
painful tongue, 371–3
palmar erythema, 402–3
palpitations, 124–6
tense and anxious, feeling of, 203
Pancoast tumour, arm and shoulder pain, 293
pancreatic carcinoma
abdominal swelling, 6
back pain, 185
epigastric pain, 30
jaundice, 215–17
pancreatitis
abdominal pain, 9–10, 18–19
acute, back pain, 185–6
epigastric pain, 30
jaundice, 215–16
panic disorder, tense and anxious, feeling of,
203–4
papillary necrosis, loin pain, 33–4
papilloedema, transient visual disturbance, 152
papilloma
blocked nose, 350
eyelid problems, 148
stridor, 347
papules, 411–12; see also nodules
paracetamol overdose, jaundice, 215
paraesthesiae and numbness, 218–20
paraphimosis, penile pain, 253
paraplegia, urinary incontinence, 438–40
paraproteinaemias, purpura and petechiae,
413–14
parasites
diarrhoea, 24
weight loss, 239
Parkinson’s disease
abnormal gait, 179–80
falls, 197–8
tiredness, 230–1
tremor, 233–4
urinary incontinence, 438
paronychia
chronic, abnormal nails, 276
hand and wrist pain, 300
hand and wrist swellings, 303–4
parotid tumour, facial swelling, 170, 172
parotitis, bacterial, facial swelling, 170
paroxysmal arrhythmia, loss of consciousness,
191–2
patella, recurrent dislocation of, knee pain, 321
patellar tendinitis, single joint pain, 288
PCOS (polycystic ovary syndrome)
absent periods, 386–7
excess body hair, 279–80
infertility, 209
weight gain, 236
pelvic abscess, pelvic pain, 376–7
pelvic adhesions, painful intercourse, 250
pelvic congestion
painful intercourse, 250
painful periods, 396
pelvic pain, 376, 379–80
pelvic stula, vaginal discharge, 264–5
pelvic fracture
erectile dysfunction, 244
urinary incontinence, 438
pelvic infection, back pain, 185–6
pelvic inammation, frequent urination, 435
pelvic masses
abdominal swelling, 6
extracolonic, constipation, 22
groin swelling, 383
swollen ankles, 324–5
urinary retention, 444–5
pelvic pain
acute, 376–8
chronic, 379–81
painful periods, 397
pelvic pain syndrome
acute pelvic pain, 376
painful intercourse, 250
painful periods, 395
pelvic space-occupying lesion, frequent
urination, 435
pelvic tumour
groin swelling, 382
painful intercourse, 252
pemphigoid
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INDEX 477
bleeding gums, 364
blisters, 400–1
mouth ulcers, 368
vulval ulceration, 272
pemphigus, 371–2
bleeding gums, 364
blisters, 400–1
facial ulcers and blisters, 173
mouth ulcers, 368
vulval sores, 272–3
penicillamine, blisters, 400
penicillins, swollen glands, 224
penile pain, 253–5
penile ulcerations and sores, 256 –8
penis, carcinoma of
penile pain, 253
penile ulcerations and sores, 256
perianal abscess
anal swellings, 53–4
anorectal pain, 55–6
painful intercourse, 250
perianal haematoma, anorectal pain, 55–6
perianal skin tags, anal itching, 50–1
pericarditis
chest pain, 109–10
constrictive, jaundice, 215
perimenopause
heavy periods, 389–90
irregular vaginal bleeding, 392
sex-drive, loss of, 95–6
periodic syndrome, abdominal pain, 36–7
periods
absent, 386–8
heavy, 389–91
painful, 395–7
periorbital oedema, eyelid problems, 148
peripheral neuropathy
hand and wrist pain, 300–1
numbness and paraesthesiae, 219
peripheral vascular disease (PVD)
calf pain, 294–5
muscle pain, 315–16
numbness and paraesthesiae, 218
peritonitis
abdominal pain, 9
epigastric pain, 30
peri-urethral inammation, dysuria, 429
personality change, tense and anxious
feelings, 205
personality disorders
factitious illness, 306
hallucinations,
87
memory loss, 98
Perthes’s disease, limp in a child, 309–10
pertussis, cough, 118–19
petechiae, 413–15
bleeding gums, 364
facial rash, 167
sti neck, 346
Peutz–Jeghers spots
macules, 405, 407
mouth lumps and marks, 366
Peyronie’s disease
erectile dysfunction, 244
penile pain, 253
PF (proctalgia fugax), anorectal pain, 55–6
phaeochromocytoma
excessive sweating, 194–5
ushing, 206–7
weight loss, 239
pharyngeal carcinoma, swallowing diculties, 332
pharyngeal pouch
neck lumps, 338–9
swallowing diculties, 332
pharyngitis
earache, 131
febrile child, 200
hoarseness, 336
sore throat, 341–2
swallowing diculties, 332
phenothiazines
absent periods, 386–7
erythema, 402
falls, 197
sex-drive, loss of, 95–6
tremor, 233
phenytoin
bleeding gums, 363
excess body hair, 279
swollen glands, 224
phimosis
erectile dysfunction, 244
penile pain, 253–4
urinary retention, 444
phlebitis, swollen calves, 327
phobias, tense and anxious, feeling of, 203
phosphorus poisoning, bleeding gums, 363
phototoxicity
erythema, 403
facial rash, 167, 169
phyllodes tumour, breast lumps in women, 69
pica, abdominal pain, 37
PID (pelvic inammatory disease)
acute pelvic pain, 376–81
chronic
heavy periods, 389–91
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