Book Review

Training in Medicine – Oxford University Press, 2016 Edited by Elaine Jolly, Andrew Fry and Afzal Chaudhry

When I first saw the title of this book, my initial assumption was that it was a training ‘guidebook’ – one of those texts which aims to help trainees to navigate their way through the treacherous waters of work-life balance, ARCPs, e-portfolio and so on. In this regard the title is misleading – this is in fact a medical text book, aimed at those undertaking ‘early years speciality training’ with a particular focus on Core Medical Training. Published in 2016, it is the most recent addition in of a series of books produced by Oxford University Press, whose other titles include Training in Anaesthesia, Ophthalmology and Obstetrics and Gynaecology.

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Making Sense of Acute Medicine: a guide to diagnosis

Making Sense of Acute Medicine: a guide to diagnosis details a symptomatic approach to acute medicine. It begins with a preface that states that many junior doctors seem to employ a ‘scattergun approach to diagnosis’, and often ‘multiple tests’ are requested when a more thoughtful p r o b l e m – b a s e d approach might be better employed. The authors, both Professors of Medicine, are clearly experienced physicians with a wealth of clinical and teaching expertise.

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Gastrointestinal Emergencies

Gastrointestinal Emergencies describes itself as “the definitive reference guide for the management of gastrointestinal emergencies and endoscopic complications”, The book covers the huge topic of acute gastroenterology in a succinct and easy to read format. At just over 200 pages it covers a lot more than what you might expect and makes for easy and enjoyable reading.

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Acute Medicine: A Practical guide to the management of medical emergencies

Any junior doctor navigating the early stages of training will recognise the need to develop the ability to crystallise the essence of a clinical case with a few succinct questions and directed examination, enabling subsequent investigations and treatments to be well directed. Whilst the acquisition of this experience requires hard yards on the shop floor, this book makes an excellent companion for the junior doctor in the Emergency Department or the Admissions Unit. It offers an accessible and concise guide to the management of acute medical problems, with succinct ‘aide memoires’ for focussed assessment.

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Sudden Hemiplegia in a young patient

Abstract

Stroke is more common in older patients; when it occurs in younger persons the causes may be slightly different. If adequately investigated, a cause can be ascertained in significant proportion of younger patients with stroke. Dissection of the internal carotid artery is an important cause of stroke in this age group and probably accounts for about 20% of cases. An association with elevated plasma homocysteine has been previously reported. We report a case of spontaneous internal carotid artery dissection associated with raised plasma homocysteine in a twenty-two year old, previously healthy man.

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