Rapid Differential Diagnosis RAPID DIFFERENTIAL DIAGNOSIS A-Z of Symptoms, Signs and Laboratory Test Results in Medicine Amir H. Sam Royal Free and University College Medical School, University College London London EDITORIAL ADVISOR H.L.C. Beynon Consultant General Physician and Rheumatologist Royal Free and University College Medical School. University College London London SERIES EDITOR AmirH.Sam f/J Blackwell Publishing © 2003 by Blackwell Publishing Ltd Blackwell Publishing Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. First published 2003 Reprinted 2005, 2006 Library of Congress Cataloging-in-Publication Data Sam, Amir H. Rapid differential diagnosis: A-2 of symptoms, signs, and laboratory test results in medicine/Amir H. Sam; editorial advisor, H.L.C. Beynon. p.; cm. ISBN 1-4051-1097-X 1. Diagnosis, Differential-Handbooks, manual, etc. [DNLM: 1. Diagnosis, Differential-Handbooks. 2. Signs and Symptoms-Handbooks. 3. Laboratory Techniques and Procedures-Handbooks. WB 39 S187r 2003] I. Title. RC71.5.S25 2003 616.07'5-dc21 2003001431 ISBN-10: 1-4051-1097-X ISBN-13: 978-1-4051-1097-6 A catalogue record for this title is available from the British Library Set in 7'//91/,pt Frutiger by Kolam Information Services Pvt. Ltd, India Commissioning Editor: Vicki Noyes Editorial Assistant: Nicola Ulyatt Production Editor: Jonathan Rowley Production Controller: Kate Charman For further information on Blackwell Publishing, visit our website: http://www.blackwellpublishing.com Contents Foreword, vii List of abbreviations, ix Differential diagnoses, 1 Foreword This book is a collection of the differential diagnoses of the cases presented at the Royal Free Hospital Morning Report during the period 2000-2002. Those who have studied or worked at the Royal Free Hospital remember the Morning Report as a very enjoyable and valuable learning opportunity. In these medical meetings attended by several members of the consultant body, different consultant physicians and their teams discuss various medical presentations and their causes. The aim of Rapid Differential Diagnosis is to provide possible explanations for a range of symptoms, signs and laboratory test results which medical students and doctors may encounter during their study and clinical practice. Although not exhaustive, we hope that you find this book useful in your everyday practice as well as in revising for medical examinations. H.L.C. Beynon January 2003