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478 INDEX
PID (pelvic inammatory disease) (Continued)
painful intercourse, 251
painful periods, 395–6
pelvic pain, 380
frequent urination, 435
infertility, 211
irregular vaginal bleeding, 392–3
loin pain, 33
painful intercourse, 250 –2
pilocarpine, excessive sweating, 194
pilonidal sinus, infected, anal swellings, 53
pituitary disease, sex-drive, loss of, 95
pituitary exophthalmos, double vision, 145
pituitary tumour
absent periods, 386
erectile dysfunction, 245
headache, 90
pityriasis alba
facial rash, 167
macules, 405
pityriasis lichenoides chronica
papules, 411
scales and plaques, 418
pityriasis rosea
itching, 212–13
scales and plaques, 419
pityriasis versicolor
macules, 405–6
scales and plaques, 418
pizotifen, weight gain, 236
placental abruption, 15–17
plantar fasciitis, foot pain, 297–8
plantaris tendon, ruptured, swollen calves, 327
pleural eusion
abnormal nails, 276
shortness of breath, 106, 112–13
swollen ankles, 325
pleurisy, chest pain, 109–10
Plummer–Vinson syndrome
abnormal nails, 276
swallowing diculties, 332
PMR (polymyalgia rheumatica)
muscle pain, 315–17
tiredness, 230
PMS (pre-menstrual syndrome)
anxiety, 203–4
swollen ankles, 324
pneumonia
abdominal pain, 12, 14
confusion, 81
cough, 117, 118–20
diarrhoea, 27–8
epigastric pain, 30
shortness of breath, 106–7
sti neck,
344
vomiting in infants, 45–6
pneumothorax
chest pain, 109–10
shortness of breath, 106
poisoning/porphyria
abdominal pain, 13, 18
bleeding gums, 363
poliomyelitis, muscle pain, 315–16
polyarteritis nodosa
coughing up blood, 121
multiple joint pain, 312
muscle pain, 315
nodules, 408
prolonged fever, 221
vomiting blood, 42
polyarthritis
knee pain, 321–2
symmetrical joint pain, 312, 314
polycystic kidney disease, blood in urine, 426
polycythaemia
itching, 213
rubra vera, ushing, 206–7
polydipsia, 432
polymyositis
multiple joint pain, 312–13
muscle pain, 315–17
prolonged fever, 221
swallowing diculties, 332
polymyxin, ear discharge, 136
polyneuropathy
foot pain, 297
peripheral, numbness and paraesthesiae,
218–19
polyuria, 432
nocturia, 441–2
urinary incontinence, 438
porphyria
abdominal pain, 18
blisters, 400
muscle pain, 315–16
porphyria cutanea tarda, excess body hair, 279–80
post-concussional state
hallucinations, 86
headache, 89
posterior fossa tumours, facial pain, 164
posterior vitreous detachment, transient visual
disturbance, 151
postictal state, confusion, 80
post-nasal drip, cough, 118–19
post-partum perineal repair, painful
intercourse, 250
https://t.me/med1917
INDEX 479
post-radiotherapy brosis, frequent urination,
416, 435
post-traumatic stress disorder
insomnia, 92
tense and anxious, feeling of, 203
post-TURP, erectile dysfunction, 244
postural hypotension
dizziness, 83–4
falls, 198
postural instability, falls, 197–8
post-vasectomy
scrotal swelling, 259
testicular pain, 262
post-viral fatigue, tiredness, 230
potassium depletion, excessive urination, 432–3
potassium supplements, swallowing diculties,
333–4
Prader–Willi syndrome, weight gain, 236
pre-eclampsia
abdominal pain, 15–16
headache, 89, 91
nipple discharge, 75–6
pregnancy
abdominal pain in, 15–17
abdominal swelling, 6–7
absent periods, 386–8
anxiety, 15
breast pain, 72–3
early, irregular vaginal bleeding, 392
ectopic, loin pain, 33
erythema, 402, 404
fatty liver, jaundice, 215
frequent urination, 435–6
nipple discharge, 75–6
thirst/dry mouth, 227
vomiting, 39–40
weight gain, 236–8
pregnancy gingivitis, bleeding gums, 363–4
pre-menstrual tension, tense and anxious,
203–4
presacral tumours, anorectal pain, 55
presbyacusis
deafness, 128–9
tinnitus, 137
prickly heat
itching, 212
papules, 411
primary testicular disease/damage, sex-drive, loss
of, 95
proctalgia fugax (PF), anorectal pain, 55–6
proctitis
pelvic pain, 376
rectal bleeding, 59
prolactinoma
absent periods, 386–7
nipple discharge, 75
prolapsed pile, anal swellings, 53–4
prolonged coughing, coughing up blood, 121–2
prolonged fever, 221–3
proptosis
double vision, 145
vision loss, gradual, 156
prostate calculi, haemospermia, 247
prostate cancer
back pain, 186 –7
blood in urine, 426–7
haemospermia, 247–8
nocturia, 442
penile pain, 253
prostatectomy, urinary incontinence, 438–9
prostatic abscess
penile pain, 253–4
urinary retention, 444
prostatic hypertrophy
blood in urine, 426–7
urinary incontinence, 438–40
urinary retention, 444–5
prostatitis
anorectal pain, 55–6
dysuria, 429
frequent urination, 435
haemospermia, 247–8
loin pain, 33
pelvic pain, 376
penile pain, 253–4
urinary retention, 444
pruritus, anal itching, 51
pseudodementia, memory loss and, 100
pseudogout
knee pain, 321–2
single joint pain, 288–9
pseudohermaphroditism, male, breast
enlargement in men, 66
pseudohypertrophy, swollen calves, 327
pseudoseizures, loss of consciousness, 191–2
psittacosis, neck stiness, 344
psoriasis
abnormal nails, 276
anal itching, 50
ear discharge, 134
facial rash, 167
guttate
papules, 411
scales and plaques, 418
itching, 212–13
itchy scalp, 285–
6
https://t.me/med1917
480 INDEX
psoriasis (Continued)
joint pain, 313–14
pustules, 416 –17
scales and plaques, 418–20
skinfold rash, 421
vulval irritation, 267–8
psoriatic arthropathy, multiple joint pain, 312
psychogenic, cough, 115, 118, 120
psychogenic amnesia, memory loss, 98
psychotic illness
bad breath, 360
hallucinations, 88
tense and anxious, feeling of, 203
ptosis, eyelid problems, 148–50
puberty
breast enlargement in men, 66–8
breast pain, 72
broangioma of, blocked nose, 350
heavy periods, 389–90
pubic symphysis pain
abdominal pain, 15–16
pelvic pain, 379
pulmonary arteriovenous malformations,
coughing up blood, 121
pulmonary embolism (PE)
chest pain, 110
coughing up blood, 121–3
shortness of breath, 106–7, 112–13
pulmonary brosis
cough, 115–16
shortness of breath, 112
pulmonary infarction, chest pain, 109–10
pulmonary oedema
coughing up blood, 121–2
swollen ankles, 325
pulmonary stenosis, loss of consciousness, 191
pulp space infection, hand and wrist pain, 300,
302
PU (peptic ulcer)
abdominal pain, 9–10, 18–20
chest pain, 109–10
epigastric pain, 30–1
vomiting blood, 42–3
weight loss, 239
purpura, 413–15
pustules, 416 –
17
pyelonephritis
abdominal pain, 9, 15–16
back pain, 185–6
chronic
excessive urination, 432
frequent urination, 435
prolonged fever, 221–2
loin pain, 33–5
vomiting, 39
pyloric stenosis, crying baby, 188
pyloric stricture, vomiting, 39
pyogenic granuloma, hand and wrist swellings,
303
pyometra
irregular vaginal bleeding, 392
vaginal discharge, 264
quadriceps weakness, falls, 197
quinine
tinnitus, 137
vertigo, 101
vision loss
gradual, 15 4
sudden, 160
quinsy
earache, 131
sore throat, 341–2
radiotherapy, urinary incontinence, 438
ranula, mouth lumps and marks, 365
RA (rheumatoid arthritis)
abnormal gait, 180
crico-arytenoid, hoarseness, 335
foot pain, 298
hand and wrist pain, 300–2
joint pain, 312–13
juvenile, limp in a child, 309
leg ulcers, 306–7
muscle pain, 315
neck stiness, 344–5
prolonged fever, 221–2
red eye, 14 3
single joint pain, 288–90
swollen glands, 224
tiredness, 230
weight loss, 239
RAU (recurrent aphthous ulceration), mouth
ulcers, 368–9
Raynaud’s disease
abnormal nails, 276
hand and wrist pain, 300
rectal bleeding
in adults, 58–60
in children, 61–3
rectal carcinoma, rectal bleeding, 58–9
rectal discharge, anal itching, 50
rectal polyp, rectal bleeding in children, 61–2
rectal prolapse
anal itching, 50
anal swellings, 53–4
https://t.me/med1917
INDEX 481
rectocoele, vulval swelling, 270
rectovaginal stula, anal itching, 50
rectum, carcinoma of penile pain, 253
red eyes, see eyes, acutely red and painful
referred pain
earache, 131
epigastric, 30
knee, 322–3
limping, 310
muscular, 316
pelvic pain, 376
Reiter’s syndrome
back pain, 185
knee pain, 321
multiple joint pain, 312 , 314
scales and plaques, 418–19
single joint pain, 288–90
relationship problems
erectile dysfunction, 244–5
painful intercourse, 252
sex-drive, loss of, 95–6
renal carcinoma, blood in urine, 426–8
renal colic
abdominal pain, 9–10
haematuria, 428
painful periods, 397
renal cysts, abdominal swelling, 6
renal disease
blood in urine, 427
excessive urination, 434
gross, abdominal swelling, 7
leg ulcers, 306
purpura, 414
tiredness, 230
weight gain, 237
renal failure
calf pain, 295
chronic, breast enlargement in men, 66
diarrhoea, 26
frequent urination, 437
itching, 212
purpura and petechiae, 413
sex-drive, loss of, 95
thirst/dry mouth, 229
tinnitus, 137–8
tiredness, 231
urinary retention, 445
vomiting, 39–40
weight gain, 236
weight loss, 240
renal infarction, loin pain, 33
renal stones
abdominal pain, 19, 36
back pain, 185–6
blood in urine, 426–7
vomiting, 40
renal tumours
abdominal swelling, 6
blood in urine, 427
breast enlargement in men, 67
loin pain, 33
reserpine, tongue pain, 371
respiratory distress, crying baby, 188
respiratory problems
chest pain, 110
insomnia, 92–3
retinal detachment
vision loss, sudden, 160
visual disturbance, transient, 151–3
retinal vein occlusion, vision loss, sudden, 106–61
retinitis pigmentosa, vision loss, gradual, 15 4
retropharyngeal abscess
sore throat, 341
stridor, 347
rheumatic fever
joint pain, 312–13
limp in a child, 309–10
rheumatoid nodules, 408
rhinitis; see also allergic rhinitis
atrophic, nosebleed, 353
cough, 115, 117, 118–19
vasomotor
blocked nose, 350–1
runny nose, 356–7
rhinitis medicamentosa
blocked nose, 350, 352
runny nose, 356
rib fractures, chest pain, 109–10
rib pain, loin pain, 33–4
rickets, limp in child, 309–10
RLS (restless legs syndrome)
abnormal movements, 182–3
insomnia, 92
Rocky Mountain spotted fever, purpura and
petechiae, 413
rosacea
erythema, 402–3
facial rash, 167–8
ushing, 206–7
pustules, 416 –17
roseola, febrile child, 200
rotavirus, diarrhoea, 24
Rotor syndrome, jaundice, 215
rubella
febrile child, 200
macules, 405–7
https://t.me/med1917
482 INDEX
rubella (Continued)
multiple joint pain, 312
swollen glands, 224
sacroiliitis, back pain, 186
salicylates, vertigo, 101
salivary gland carcinoma, mouth ulcers, 368
salivary gland stones, facial swelling, 170–1
salpingitis, vaginal discharge, 264
sandy fever, neck stiness, 344
saphena varix, groin swelling, 382–3
sarcoid
red eye, 14 2
swollen glands, 224–5
sarcoidosis
erythema, 402–3
excessive urination, 432
facial rash, 167–8
joint pain, 312–13
neck lumps, 338
nodules, 408–9
shortness of breath, 112
sarcoma
breast lumps in women, 69
facial swelling, 170
vulval sores, 272
vulval ulceration/sores, 272
scabies
excoriated, vulval ulceration/sores, 272–3
itching, 212–13
papules, 411–12
scalded skin syndrome
blisters, 400–1
febrile child, 200
scales and plaques, 418–20
scalp, itchy, 285–6
scaphoid fracture, hand and wrist pain,
300, 302
scarlet fever
erythema, 402
testicular pain, 262
SCC (squamous cell carcinoma)
bleeding gums, 363
blocked nose, 350
facial ulcers and blisters, 173
leg ulcers, 306
mouth lumps, 365
mouth ulcers, 368
nodules, 408, 410
vulval ulceration/sores, 272–3
schistosomiasis
blood in urine, 426
dysuria, 429
haemospermia, 247–8
penile pain, 253–
4
schizophrenia, hallucinations, 86–8
sciatica, numbness and paraesthesiae, 218–19
scleritis, red eye, 142
scleroderma
constipation, 21
muscle pain, 315
swallowing diculties, 332
scoliosis, idiopathic, limp in a child, 309
scrofula, neck lumps, 338
scrotal swelling, 259–61
scurvy
bleeding gums, 363–4
vomiting blood, 42
sebaceous cyst
anal swellings, 53
breast enlargement in men, 67
groin swelling, 382–3
infected
penile ulceration and sores, 256
neck lumps, 338–9
nodules, 408–9
scrotal swelling, 259–60
vulval swelling, 270–1
sebaceous gland carcinoma, itchy eyes, 157–9
seborrhoeic dermatitis, 418–19
earache, 131
hair loss, 282–3
skinfold rash, 421–2
seborrhoeic eczema
facial rash, 167–8
itchy scalp, 285–6
seborrhoeic keratosis, scales and plaques, 418–19
seborrhoeic warts, papules, 411
secondary hair loss, 282–3
sedatives, double vision, 145
seizures
partial
abnormal movements, 182–3
dizziness, 83
visual disturbance, transient, 152
seminoma
scrotal swelling, 259, 261
testicular pain, 262
senile macular degeneration, vision loss, gradual,
154–5
senile purpura, 413–14
sensory neuropathy, urinary incontinence, 438
sentinel pile, anal swellings, 53
sepsis
chronic, frequent urination, 435–6
falls, 197–8
https://t.me/med1917
INDEX 483
iatrogenic, scrotal swelling, 259
shortness of breath, 108
septal deviation
blocked nose, 350
nosebleed, 353
septal perforation, nosebleeds, 353
septicaemia
crying baby, 188
meningococcal
febrile child, 200, 202
purpura and petechiae, 413–15
swollen glands, 224–5
septic arthritis
febrile child, 201
foot pain, 297, 299
limp in a child, 309–11
single joint pain, 288–90
Sever’s disease, foot pain, 297
sex-drive, loss of, 95–7
sexual dysfunction, infertility, 209
shingles
breast pain, 72
chest pain, 109
facial pain, 16 4–5
facial ulcers and blisters, 174
loin pain, 33–5
shock, excessive sweating, 194
shortness of breath
acute, 106 –8
chronic, 112–14
sickle-cell anaemia
excessive urination, 432–3
thirst/dry mouth, 228
sickle-cell disease
abdominal pain, 13, 36
haematuria, 426
joint pain, 312
thirst/dry mouth, 227
sickling, abdominal pain, 37
sick sinus syndrome, palpitations, 124
sildenal, transient visual disturbance, 152
Simmonds’s disease, absent
periods, 386
singer’s nodes, hoarseness, 335
single joint pain, acute, 288–90
sinus bradycardia, loss of consciousness, 191
sinusitis
blocked nose, 351
chronic
bad breath, 360
blocked nose, 350–1
frontal headache, 89–90
hoarseness, 335–6
maxillary/frontal facial pain,
164–
5
runny nose, 356–7
sinus tachycardia, palpitations, 124–5
Sjögren’s syndrome
swallowing diculties, 332
thirst/dry mouth, 227–9
skin disorders
vulval irritation, 267
vulval sores, 273
skinfold rash, 421–3
skin friction, blisters, 400
skin tags
anal swellings, 53–4
papules, 411–12
skinfold rash, 421
skull fracture, basal, tinnitus, 137
skull injury, excessive urination, 432
slapped cheek syndrome
erythema, 402–3
facial rash, 167
sleep apnoea
consciousness, episodic loss of, 191
insomnia, 92–3
nocturia, 441
sleep deprivation, headache, 89
sleep hygiene, insomnia, 92–3
SLE (systemic lupus erythematosus)
bleeding gums, 363–4
coughing up blood, 121
erythema, 402
facial rash, 167–8
joint pain, 312–14
limp in a child, 309
prolonged fever, 221
swollen glands, 224
thirst/dry mouth, 228
tiredness, 230
vomiting blood, 42
weight loss, 239
smoking
bad breath, 360–1
cough, 115–17
erectile dysfunction, 244
excessive urination, 434
hoarseness, 335–6
mouth ulcers, 370
thirst/dry mouth, 227
so tissue injury, knee pain, 321–2
solitary rectal ulcer syndrome
anorectal pain, 55
rectal bleeding, 61
solvents, hallucinations, 86
https://t.me/med1917
484 INDEX
somatisation disorder, tense and anxious feeling,
203, 205
sore throat, 341–3
sperm problems, infertility, 209–10
spinal arthritis, abdominal pain, 18
spinal cord carcinoma, arm and shoulder pain, 291
spinal cord compression
erectile dysfunction, 244
numbness and paraesthesiae, 218–20
urinary retention, 444, 446
spinal cord injury, excessive sweating, 194
spinal cord lesions, arm and shoulder pain, 292
spinal cord tumour, intramedullary, numbness
and paraesthesiae, 218
spinal fracture
back pain, 187
erectile dysfunction, 244
spinal nerve root pain
abnormal gait, 179
back pain, 185
spinal stenosis
back pain, 185–6
hip pain, 318–19
spinal tumour
pelvic pain, 376
testicular pain, 262
spine
epigastric pain, 30
neoplastic disease of, back pain, 185
spine cancer, arm and shoulder pain, 291
spironolactone, breast enlargement in men, 66
splenomegaly, abdominal swelling, 6
spondoarthritides
back pain, 185
hip pain, 319
knee pain, 322
multiple joint pain, 312–13
spondylolisthesis, back pain, 185–6
spondylosis, back pain, 185–6
spurious lump, breast lumps in women, 69
squamous and basal cell carcinoma of EAM, ear
discharge, 134
staphylococcal infection
pustules, 416 –17
skinfold rash, 421–2
starvation
bad breath, 360
confusion, 81
statins, side eects of, muscle pain, 315–16
STDs (sexually transmitted diseases)
anal itching, 51
dysuria, 429
groin swelling, 383
papules, 412
penis, carcinoma of, 257
testicular pain, 262
vaginal discharge, 266
vulval swelling, 271
vulval ulceration/sores, 274
stenosis
pyloric, vomiting in infants, 45,
47
vomiting, 39
steroids
anabolic
excess body hair, 279–80
jaundice, 215
weight gain, 236
confusion, 80
eye drops, red eye, 144
hip pain, 320
intranasal, runny nose, 357
painful tongue, 371
purpura, 413, 414
vomiting, 40
vomiting blood, 43
weight gain, 236
Stevens–Johnson syndrome
erythema, 404
facial rash, 167
mouth lumps, 366
sticky eyes, itchy eyes, 15 8–9
sti neck, 344–6
Stokes–Adams attacks, loss of consciousness,
191, 193
stomach cancer
abdominal pain, 19
blood vomiting, 42–3
vomiting, 40
stones, abdominal pain, 13, 19, 36
streptococcal infection
anal itching, 50
erythema, 402–3
sore throat, 341–2
streptomycin, deafness, 128
stress
abdominal pain, 12
absent periods, 386
insomnia, 92–3
itchy scalp, 285–6
memory loss, 98
palpitations, 124
tiredness, 230
weight loss, 239–40
stress incontinence, 419–21, 438–40
stridor in children, 347–8
stroke
https://t.me/med1917
INDEX 485
confusion, 80
double vision, 145–6
numbness, 218
vertigo, 103
strychnine poisioning, calf pain, 294
stye, eyelid problems, 148–9
subarachnoid haemorrhage, vomiting, 41
subclavian aneurysm, arm and shoulder pain, 291
subclavian steal syndrome
consciousness, episodic loss of, 191
dizziness, 83
substance abuse
confusion, 80
dizziness, 83
erectile dysfunction, 244, 246
hallucinations, 86–8
leg ulcers, 306
palpitations, 124
tiredness, 230
weight loss, 239
sulphonamides, swollen glands, 224
sulphonylureas, weight gain, 236
sunburn, erythema, 402
super-female syndrome, infertility, 209
SVT (supraventricular tachycardia)
consciousness, episodic loss of, 191
excessive urination, 432
palpitations, 124–6
swallowed blood, vomiting blood, 42
swallowed maternal blood, rectal bleeding in
children, 61–2
swallowing diculties, 332–4
swollen glands, 224–6
sycosis barbae
facial rash, 167
pustules, 416
Sydenham’s chorea, abnormal movements, 182
synovial giant cell tumour, hand and wrist
swellings, 303
synovitis
hand and wrist swellings, 303–4
traumatic, single joint pain, 288–9
syphilis
abnormal gait, 179–80
anal itching, 51
facial ulcers and blisters, 174
hoarseness, 335
incontinence, 438–40
joint pain, 312
macules, 406
mouth ulcers, 369
penis, carcinoma of, 256 –8
prolonged fever, 221–2
scales and plaques, 418–19
scrotal swelling, 259–60
secondary
scales and plaques, 418, 420
subclavian aneurysm, arm and shoulder
pain, 292
swollen glands, 224–5
testicular pain, 263
tremor, 233–4
urinary retention, 444
vertigo, 101–2
vision loss, gradual, 154
vulval ulceration/sores, 272–3
syphilitic aortitis, arm and shoulder pain, 291
syphilitic chancre
facial ulcers and blisters, 174
mouth ulcers, 368
syringobulbia, vertigo, 101
syringomyelia
incontinence, 438
numbness and paraesthesiae, 218–19
systemic infection
confusion, 80–1
sti neck, 344
systemic sclerosis
joint pain, 312, 314
multiple joint pain, 312
tabes dorsalis
abnormal gait, 179–80
erectile dysfunction, 244
tachycardia, vomiting blood, 44
tardive dyskinesias, abnormal movements, 182–3
TB (tuberculosis)
abdominal pain, 37
breast lumps in women, 69
breast pain, 72
cough, 115–17, 118–19
endometrial infertility, 209
erythema, 402–3
haemospermia, 247
hoarseness, 335
leg ulcers, 306
mouth ulcers, 368
neck lumps, 338
penile pain, 253–4
penis, carcinoma of, 256 –7
prolonged fever, 222–3
renal
blood in urine, 426–7
frequent urination, 435–7
scrotal swelling, 259
swollen glands, 224–5
https://t.me/med1917
486 INDEX
TB (tuberculosis) (Continued)
testicular pain, 262
tiredness, 230–1
vulval ulceration/sores, 272
weight loss, 239–40
tear ducts, blocked
eyelid problems, 148–9
itchy eyes, 157–8
teething, crying baby, 188–90
telangiectasia, mouth lumps and marks, 366
telogen euvium, hair loss, 282–3
temporal arteritis
facial pain, 16 4–6
headache, 89, 91
muscle pain, 317
vision loss, 160–2
visual disturbance, transient, 151–3
temporal lobe epilepsy, abdominal pain, 37
tendonitis
bicipital, arm and shoulder pain, 291–3
patellar, knee pain, 321
tendon xanthoma, hand and wrist swellings, 303
tenesmus, constipation, 22
tenosynovitis
arm and shoulder pain, 291
hand and wrist pain, 300–2
hand and wrist swellings, 303
tension and anxiety, 203–5
calf pain, 294
teratoma
blocked nose, 350
scrotal swelling, 259
testicular pain, 262
testes
maldescent of
groin swelling, 382, 384
retractile, groin swelling, 382–3
sex-drive, loss of, 95
testicular carcinoma
breast enlargement in men, 66
haemospermia, 247
testicular pain, 262
testicular pain, 262–3
testicular torsion
abdominal pain, 12
crying baby, 188
scrotal swelling, 259, 261
testicular pain, 262–3
testicular tumour, scrotal swelling, 259
testosterone deciency, erectile dysfunction, 244
tetanus, neck stiness, 344
tetracyclines, erythema, 402
thiamine deciency, memory loss, 98
third ventricular tumour, falls, 197
thirst/dry mouth, 227–9
thoracic outlet syndrome, arm and shoulder pain, 291
threadworms
anal itching, 50–1
vulval irritation, 267
throat, sore, 341–3
throat problems, earache, 131–2
thrombocytopenia
blood in urine, 426
nosebleeds, 353–4
purpura, 413–14
vomiting blood, 42
thrombophlebitis
breast lumps in women, 69
breast pain, 72
calf pain, 294
thrombosed haemorrhoids
anorectal pain, 55–6
thrush
anal itching, 50
mouth ulcers, 368–9
vaginal discharge, 264–6
vulval irritation, 267–8
vulval sores, 272
vulval ulceration/sores, 273–4
thyroglossal cyst, neck lumps, 338–9
thyroid carcinoma, neck lumps, 338, 340
thyroid disorders, infertility, 209
thyroid dysfunction
heavy periods, 390
irregular vaginal bleeding, 393
thyroid eye disease, itchy eyes, 157–9
thyroiditis, sore throat, 341
thyrotoxicosis
absent periods, 388
diarrhoea, 24, 25
erythema, 402
excessive sweating, 195
palpitations, 124–5
tremor, 233–5
weight loss, 239
TIA (transient ischaemic attack)
confusion, 80
consciousness, episodic loss of, 192
numbness and paraesthesiae, 218–20
vision loss, sudden, 160 –2
visual disturbance, transient, 151, 153
Tietze’s syndrome, chest pain, 109–10
tinea capitis, hair loss, 282
–3
tinea cruris, skinfold rash, 421–2
tinnitus, 137–9
vertigo, 102–3
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INDEX 487
tiredness, 230–2
crying baby, 189
TMJ (temporomandibular joint) dysfunction
earache, 131–2
facial pain, 16 4–5
tinnitus, 137
TN (trigeminal neuralgia)
earache, 131
facial pain, 16 4–6
tobacco, vision loss, gradual, 15 4
toddlers, diarrhoea, 24, 27–8
Tolosa–Hunt syndrome, double vision, 145
tongue, 371
ssured, tongue pain, 371
hairy, mouth lumps and marks, 365
painful, 371–3
tongue carcinoma, tongue pain, 371–2
tonsillar concretions, mouth lumps and marks, 365
tonsillitis
earache, 131
febrile child, 200–1
sore throat, 341, 343
swollen glands, 224
vomiting in infants, 45–6
torticollis
acute, neck stiness, 344–5
ocular, double vision, 146
spasmodic, abnormal movements, 182
torus, mouth lumps and marks, 365
Tourette’s syndrome, abnormal movements,
182–3
toxic erythema, 402–4
toxoplasmosis
febrile child, 201
red eye, 14 2
trachea-oesophageal stula, cough, 118
tracheitis
febrile child, 200
stridor, 347
transient global amnesia, memory loss, 98
transient visual disturbance, 151–3
trauma
abnormal gait, 179–80
abnormal nails, 276–7
anorectal pain, 55
bleeding gums, 363–4
blisters, 400–1
blocked nose, 350
blood in urine, 426
breast pain, 72
coughing up blood, 121
dysuria, 429
earache,
131–2
ear discharge, 134–5
facial swelling, 170 –1
haemospermia, 247–8
hand and wrist pain, 300–1
hand and wrist swellings, 303
hoarseness, 335
limp in child, 309–10
memory loss, 98–100
mouth lumps and marks, 365
mouth ulcers, 368–9
penis, carcinoma of, 257
purpura and petechiae, 413–15
rectal bleeding, 58
in children, 61
red eye, 14 2
scrotal swelling, 259
sore throat, 341
testicular pain, 262
tongue pain, 371–2
vertigo, 101
visual disturbance, transient, 152
vulval irritation, 267–8
traumatic haematoma, vulval swelling, 270
tremor, 233–5
trichiasis, secondary, eyelid problems, 148 –9
Trichomonas vaginalis, vulval irritation, 267–8
trichotillomania, hair loss, 282, 284
tricyclic antidepressants
abnormal movements, 182
excessive sweating, 194
overdose, hallucinations, 86
thirst/dry mouth, 227
urinary retention, 444
trigger thumb or nger, hand and wrist
pain, 300
Troisier’s sign
abdominal pain, 20
swallowing diculties, 334
swollen glands, 226
vomiting blood, 44
tropical diseases
leg ulcers, 306
prolonged fever, 221–2
single joint pain, 288–9
swollen glands, 224
trypanosomiasis, swollen glands, 224
tuberculous abscess, nipple discharge, 75
tuberculous cystitis, frequent urination, 435
tuberculous endometritis, heavy periods, 389
tuberous sclerosis
facial rash, 167
papules, 411–12
tularaemia, swollen glands, 224
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