Table Of ContentPass Finals
Pocket Essentials
Series Editors
Professor Parveen Kumar
Professor of Clinical Medical Education, Barts and the London, Queen Mary’s
School of Medicine and Dentistry, University of London, and Honorary Consult-
ant Physician and Gastroenterologist, Barts and the London Hospitals NHS
Trust and Homerton University Hospital NHS Foundation Trust, London, UK
and
Dr Michael Clark
Honorary Senior Lecturer, Barts and the London, Queen Mary’s School of Medi-
cine and Dentistry, University of London, UK
Commissioning Editor: Pauline Graham
Development Editor: Lynn Watt
Project Manager: Lucía Pérez
Designer: Miles Hitchen
Illustration Manager: Jennifer Rose
Illustrator: Richard Prime
Pass Finals
Third Edition
GEOFF SMITH
MD FRCP
Consultant Physician and Gastroenterologist,
Imperial College Healthcare NHS Trust, London
ELIZABETH CARTY
MD FRCP
Consultant Physician and Gastroenterologist,
Whipps Cross Hospital, Barts Health NHS Trust, London
LOUISE LANGMEAD
MD FRCP
Consultant Physician and Gastroenterologist,
The Royal London Hospital, Barts Health NHS Trust, London
Edinburgh London New York Oxford
Philadelphia St Louis Sydney Toronto 2013
© 2013 Elsevier Limited. All rights reserved.
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This book and the individual contributions contained in it are protected under copyright by
the Publisher (other than as may be noted herein).
First edition 2004
Second edition 2008
Reprinted 2009
Third edition 2013
ISBN 9780702046209
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress
Notices
Knowledge and best practice in this field are constantly changing. As new research and
experience broaden our understanding, changes in research methods, professional practices,
or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described
herein. In using such information or methods they should be mindful of their own safety
and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check
the most current information provided (i) on procedures featured or (ii) by the manufacturer
of each product to be administered, to verify the recommended dose or formula, the method
and duration of administration, and contraindications. It is the responsibility of practitioners,
relying on their own experience and knowledge of their patients, to make diagnoses, to
determine dosages and the best treatment for each individual patient, and to take all
appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or
editors, assume any liability for any injury and/or damage to persons or property as a
matter of products liability, negligence or otherwise, or from any use or operation of any
methods, products, instructions, or ideas contained in the material herein.
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SeriesPreface
Medical students and doctors in training are expected to travel
to different hospitals and community health centres as part of
their education. Many books are too large to carry around, but
the information they contain is often vital for the basic
understanding of disease processes.
The Pocket Essentials series is designed to provide portable,
pocket-sized companions for ntials series is designed to provide
portable, pocket-sized companions for larger texts like our own
Kumar and Clark’s Clinical Medicine. They are most useful for
clinical practice, whether in hospital or the community, and for
exam revision.
All the books in the series have the same helpful features:
succinct text
simple line drawings
emergency and other boxes
tables that summarise causes and clinical features of disease
examination questions and answers
They contain core material for quick revision, easy reference
and practical management. The modern format makes them
easy to read, providing an indispensable ‘pocket essential’.
Parveen Kumar and Michael Clark
Series Editors
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Preface to the
Third Edition
In this new edition of Pass Finals we have brought the text
up-to-date, aligning it with the 8th edition of Kumar and
Clark’s Clinical Medicine. The example questions have been
expanded and we have focused on clinical medicine and its
assessment. The layout of the book has changed to make it
more ‘pocketable’.
Our thanks go to Lynn Watt at Elsevier for her patience in
the face of adversity and slipping deadlines, and our families
for their tolerance as we spent our ‘free time’ in front of a
computer screen.
As ever, good luck – and remember: they want to pass you,
whatever it feels like on the day!
G.S.
E.C.
L.L.
June 2012
Acknowledgements
Our thanks go to Dr Nick Reading (Consultant Radiologist,
Whipps Cross University Hospital) for supplying images for
the radiology chapter.
vii
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Preface to the
First Edition
The range and depth of knowledge that medical students seem
to be expected to retain grows continuously. This is despite the
stated policy of many medical schools that the ‘information
load’ should be reduced in undergraduate teaching. Over the
last decade many traditional styles of examination have become
less common, replaced by multiple-choice style examinations
based on clinical scenarios and OSCE examinations, in place of
long and short cases.
The advance of molecular medicine and the increasing links
between basic sciences and clinical medicine have led us to
include these topics in the text. Common radiological
investigations are also included as they are becoming a key part
of many examinations. The use of evidence-based medicine
demands an understanding of statistics and trial design and
these topics are, as a result, also included.
In this book we have tried to distil a core dataset in general
and speciality medicine. The information is provided as
bulleted lists and is supported by diagrams and self-assessment
questions. By its nature, therefore, this is not a definitive
textbook of clinical medicine and the page references to the 6th
edition of Kumar and Clark’s Clinical Medicine are designed to
point the reader towards a more in-depth explanation of the
subject. We hope, however, that it will act as a source of rapid
access information for the important disease processes and
thereby act as a useful revision aid.
Finally we would like to thank those individuals that have
supported our efforts – notably Ellen Green and Siân Jarman
at Elsevier for their efforts and Sarah Russell for the design
work. Also to Parveen Kumar and Michael Clark for their
critique of the text and for writing Clinical Medicine in the first
place, and to our families for support and coffee during the
writing. Finally, we should thank the Good Samaritan for
ongoing inspiration.
Good Luck!
G.S.
E.C.
L.L.
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