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P.J. Mehta's
Practical Medicine
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Practical Medicine
Nineteenth Edition
Rs. 560/-
   
Highslide JS
PART I - CLINICAL CASES
1. HISTORY TAKING AND SYMPTOMATOLOGY
1. Weight loss 2   24. Heart burns 5
2. Weight gain 2   25. Vomiting 5
3. Anorexia 2   26. Hematemesis 5
4. Fever 2   27. Constipation 5
5. Chest pain 2   28. Flatulence 6
6. Dyspnea 2   29. Diarrhea 6
7. Cough 3   30. Bleeding per rectum 6
8. Hemoptysis 3   31. Jaundice 6
9. Palpitations 3   32. Epistaxis 6
10. Syncope 3   33. Bleeding gums 6
11. Polyuria 3   34. Hoarse voice 7
12. Pyuria 3   35. Itching 7
13. Frequency of micturition and nocturia 4   36. Hirsutism 7
14. Hesitancy and precipitancy of urine 4   37. Gynecomastia 7
15. Retention of urine 4   38. Backache 7
16. Hematuria 4   39. Hiccough 8
17. Anuria 4   40. Headache 8
18. Pain in the loin 4   41. Tinnitus 8
19. Abdominal pain 4   42. Tingling and numbness 8
20. Dysphagia 5   43. Cramps 8
21. Water brash 5   44. Intermittent claudication 8
22. Indigestion 5   45. Vertigo 8
23. Eructation 5        
             
2. GENERAL EXAMINATION
1. Built 9   11. Skin and its appendages 26
2. Body proportions 11   12. Vertebral column 29
3. Nutrition 14   13. Thickened nerves 30
4. Decubitus 14   14. Joints 30
5. Clubbing 14   15. Temperature 34
6. Cyanosis 15   16. Pulse 37
7. Jaundice 19   17. Jugular venous pulse 39
8. Pallor 21   18. Blood pressure 42
9. Lymphadenopathy 22   19. Hypertension 44

10.

Edema 24   20. Hypotension 49
             
3. ABDOMEN
1. Proforma 51   10. Alcoholic liver disease 77
2. Examination 52
  11. Malaria 79
3. Hepatomegaly 58   12. Kala azar 85
4. Splenomegaly 60   13. Typhoid 87
5. Ascites 63   14. Leukemia 91
6. Abdominal lump 64   15. Malignant lymphoma 95
7. Acute viral hepatitis 69   16. Human Immunodeficiency Virus (HIV)
Disease Acquired Immune Deficiency Syndrome (AIDS)
97
8. Cirrhosis of liver 74        
9. Portal hypertension 75        
             
4. RESPIRATORY SYSTEM
1. Proforma 110   9. Pulmonary tuberculosis 133
2. Examination 111   10. Chronic Obstructive Pulmonary Disease
(COPD) (Emphysema and Chronic
Bronchitis)
138
3. Pleural effusion 120   11. Pneumonia 140
4. Collapse of the lung 126   12. Bronchiectasis 143
5. Fibrosis of the lung 127   13. Lung Abscess 144
6. Pneumothorax 128        
7. Pulmonary cavity 130        
8. Bronchogenic carcinoma 130        
             
5. CARDIOVASCULAR SYSTEM
1. Proforma 146   11. Aortic stenosis (AS) 188
2. Examination 147   12. Cyanotic congenital heart disease 191
3. Rheumatic fever 154   13. Patent ductus arteriosis (PDA) 198
4. Infective endocarditis 156   14. Ventricular septal defect (VSD) 199
5. Ischemic heart disease 159  

15.

Atrial septal defect (ASD) 200
6. Cardiac failure 170   16. Coarctation of Aorta 202
7. Mitral stenosis (MS) 174   17. Aneurysm of Aorta 203
8. Mitral incompetence (MI) 181   18. Pericardial effusion 206
9. Mitral valve prolapse (MVP) 184   19. Cardiomyopathy 207
10. Aortic incompetence (AI) / Aortic
Regurgitation (AR)
185   20. Fitness for surgery (Pre-operative
Evaluation)
209
             
6. CENTRAL NERVOUS SYSTEM
1. Proforma 210   8. Cerebellum 271
2. Examination 212   9. Syphilis of nervous system 274
3. Cranial nerves 235   10. Tuberculosis of nervous system 277
4. Bulbar palsy 255   11. Cerebrovascular diseases 281
5. Hemiplegia 256   12. Parkinsonism 288
6. Paraplegia 259   13. Coma 295
7. Quadriplegia 267        
             
PART II - TABLE-WORK
7. MEDICAL EMERGENCIES
1. Cardiac arrest 301   32. Respiratory acidosis 324
2. Cardiac failure 304   33. Metabolic acidosis 324
3. Ischemic heart disease 304   34. Respiratory alkalosis 325
4. Stokes Adams syndrome 304   35. Metabolic alkalosis 325
5. Hypertensive crisis 304   36. Dehydration 325
6. Hypertensive encephalopathy 305   37. Hypernatremia 326
7. Shock 305   38. Hyponatremia 326
8. Anaphylactic shock 307   39. Hyperkalemia 326
9. Pulmonary embolism and
Deep Vein Thrombosis
307   40. Hypokalemia 327
10. Hemoptysis 308   41. Acute hypercalcemia 327
11. Bronchial asthma 310   42. Amebic dysentery 327
12. Respiratory failure 311   43. Bacillary dysentery 328
13. Tension pneumothorax 312   44. Cholera 328
14. Hematemesis 313   45. Typhoid 329
15. Acute gastroenteritis / Food poisoning 314   46. Dengue 329
16. Acute pancreatitis 315   47. Leptospirosis 329
17. Hepatic coma 315   48. Diphtheria 330
18. Coma 316   49. Tetanus 331
19. Meningitis 316   50. Rabies 331
20. Cerebrovascular diseases 317   51. Cerebral malaria 331
21. Subarachnoid hemorrhage 317   52. Acute poisonings 331
22. Epilepsy 317   53. Organophosphorous compound
poisoning
333
23. Sickle cell crisis 319   54. Acute alcoholic intoxication 333
24. Acute hemolytic crisis 319   55. Barbiturate poisoning 333
25. Aplastic anemia 319   56. Acute salicylate poisoning 334
26. Hemophilia 320   57. Carbon monoxide poisoning 334
27. Renal colic 320   58. Carbon dioxide narcosis 335
28. Acute retention of urine 321   59. Snake bite 335
29. Acute renal failure (ARF) 321   60. Scorpion bite 336
30. Diabetic ketoacidosis 322   61. Hyperpyrexia 338
31. Hypoglycemia 323   62. Drowning 338
             
8. ELECTROCARDIOGRAPHY
1. Introduction 339   6. Rhythm disturbances 346
2. Normal ECG 339   7. Conduction defects atrioventricular
block (AV block)
353
3. Waves and complexes 340   8. Effect of Drugs and electrolytes 354
4. Myocardial infarction 345        
5. Ventricular Enlargement 345        
             
9. RADIOLOGY
1. X-ray chest 356   5. Barium studies 366
2. X-ray chest - Heart 361   6. X-ray of bones 370
3. Plain X-ray abdomen 362   7. X-ray skull 374
4. Urogenital system 364        
             
10. INSTRUMENTS
1. Endotracheal tube 378   25. Record syringe and needle 391
2. Tracheostomy tube 379   26. B.D. Syringe and needle 391
3. Laryngoscope 380   27. Tuberculin syringe 392
4. Oxygen mask and Oxygen Cannula
(Nasal Prongs)
381   28. Insulin syringe 392
5. Nebulizer chamber 381   29. Lumbar puncture needle 393
6. Metered dose inhaler 381   30. Cisternal puncture needle 393
7. Spacehaler 382   31. Vim’s Silverman’s needle 393
8. Rotahaler 382   32. Menghini’s needle and syringe 393
9. Nelson’s inhaler 382   33. Bone Marrow aspiration needle 394
10. Ambu bag
(Self-inflating Ventillation Bag)
382   34. Pleural biopsy needle 394
11. Airway 383   35. Trucut needle 394
12. Mouth gag 384   36. Southey’s tube and needle 394
13. Tongue depressor 384   37. Tourniquet 395
14. Trocar and cannula 384   38. Venesection needle 395
15. Asepto syringe and bulb 385   39. Scalp vein needle 395
16. Simple rubber catheter 385   40. Pleural or ascitic aspiration needle 395
17. Foley's self-retaining catheter 385   41. Intravenous Cannulas
(venflow or angiocath)
395
18. Malecot's catheter 387   42. Three way 396
19. Condom catheter 388   43. I.V. Set 396
20. Urosac bag 388   44. Clinical thermometer 397
21. Stomach tube 388   45. Flatus tube 398
22. Ryle's tube (RT) or Nasogastric Tube 389   46. Proctoscope 398
23. Sengstaken Blakemore tube (S.B. Tube) 390   47. Stethoscope 399
24. Infant feeding tube 391   48. Central Venous Catheter 399
             
11. PROCEDURES
1. Transvenous pacing 401   11. Ascitic tapping 412
2. Cardioversion 401   12. Gastric analysis 412
3. Lumbar puncture 402   13. Glucose tolerance test (G.T.T.) 413
4. Cisternal puncture 406   14. Intravenous therapy 414
5. Liver biopsy 406   15. Subcutaneous infusions 416
6. Kidney biopsy 408   16. Tracheostomy 416
7. Bone marrow aspiration 409   17. Oxygen therapy 417
8. Pleural fluid aspiration 410   18. Enema 418
9. Aspiration of pneumothorax cavity 410   19. Parenteral hyperalimentation 419
10. Pericardial aspiration 411        
             
12. HEMATOLOGY
1. Blood collection 421   11. Electronic cell counters 432
2. Preparation of blood 422   12. Red cell indices 434
3. Hemoglobin estimation 425   13. Red cell morphology 434
4. Packed cell volume (PCV) 426   14. Anemias 436
5. Erythrocyte sedimentation rate (E.S.R.) 427   15. Differential leucocyte count 442
6. Reticulocyte count 428   16. Parasites in blood 444
7. Osmotic fragility of RBCs 429   17. Leukemias 444
8. Total red cell count 430   18. Multiple Myeloma 444
9. Total white cell count 431   19. Coagulation studies 446
10. Platelet count 432   20. Normal Hematological Values 547
             
13. CLINICAL PATHOLOGY
1. Urine examination 452   3. Feces examination 458
2. Sputum 458   4. Helminthic infections 460
             
14. PATHOLOGY SPECIMENS
1. Central nervous system 467   5. Large intestines 473
2. Cardiovascular system 468   6. Liver 474
3. Lung 470   7. Kidney 476
4. Small intestine 473        
             
15. DRUGS
1.

Cardiovascular Drugs

478   4. Drugs in Central Nervous System
Diseases
498
a. Inotropic Drugs 478   a. Opioids 498
b. Anti-arrhythmic Drugs 479
  b. Analgesics & Anti-inflammatory Drugs 499
c. Anti-anginal Agents 482   c. Drugs in Migraine 501
d. Anti-hypertensive Agents 483   d. Drugs in Gout and Arthritis 502
e. Anti-thrombotic Agents 489   e. Anti-epileptic Drugs 502
f. Heparins/Aprotinin 489   f. Muscles Relaxants 504
g. Diuretics 490   g. Anti-psychotic Drugs 505
2. Autonomic Nervous System 492   h. Sedatives / Hypnotics 506
a. Catecholamines 492   i. Anti-depressants 508
b. Cholinergic & Anti-cholinergic Agents 493   j. Anti-parkinsonism Drugs 509
3. Drugs in Respiratory Diseases 494   k. Drugs in Stroke 511
a. Anti-asthma Agents 494   l. Drugs in Degenerative Brain Disorders 511
b. Agents for Cough and Expectoration 496   5. Antibacterial Agents 512
c. Anti-allergic Drugs 497   a. Sulfonamides 512
d. Serotoninergic Agents 497   b. Quinolones 513
        c. Beta-lactams 514
        d. Macrolides 516
        e. Aminoglycosides 517
        f. Tetracyclines 518
6. Anti-tuberculous Drugs 518   g. Chloramphenicol 518
7. Anti-leprosy Drugs 520   16. Anti-malignancy Agents 533
8. Anti-amoebic Drugs 521   17. Hemopoietic Drugs 535
9. Drugs for Kala- azar 522   18. Chelating Agents 537
10. Anti-malarial Drugs 522   19. Drugs in Endocrine Disorders 537
11. Anti-helminthic Agents 524   20. Drugs for Diabetes 541
12. Anti-fungal Agents 527   21. Lipid Lowering Agents 542
13. Anti-viral Agents 529   22. Gastro-intestinal Drugs 543

14.

Anti-retroviral Agents for HIV Infection 530   23. Electrolytes 545
15. Alcohol 532   24. Plasma Expanders 546
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