| Preface |
|
ix | |
| Acknowledgements |
|
xi | |
| Abbreviations |
|
xiii | |
| Reference Ranges for Common Investigations |
|
xvii | |
|
Case 1 A Teenager with Rash and a Fever |
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1 | (3) |
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Case 2 Hepatitis in a Nightshift Worker |
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4 | (3) |
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7 | (4) |
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Case 4 An Unusual Method of Deliberate Self-Harm |
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11 | (4) |
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Case 5 Sudden-Onset Headache |
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15 | (4) |
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Case 6 A Hypertensive Patient with Carpal Spasms |
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19 | (4) |
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Case 7 An Elderly Patient Admitted with a Fall |
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23 | (4) |
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Case 8 A Young Mother with Constipation |
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27 | (4) |
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Case 9 Arthritis, Miscarriage and Drowsiness |
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31 | (4) |
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Case 10 A Right Upper Quadrant Pain Puzzle |
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35 | (4) |
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Case 11 It's All in Your Head |
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39 | (4) |
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Case 12 Hyperpigmented Skin Lesions |
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43 | (4) |
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Case 13 Loss of Vision and a Maculopapular Rash |
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47 | (3) |
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Case 14 Chest Pain and an Abnormal Blood Film |
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50 | (3) |
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Case 15 A Confused Traveller |
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53 | (4) |
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Case 16 Hepatosplenomegaly |
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57 | (3) |
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Case 17 Cutaneous Ulceration in a Patient with Rheumatoid Arthritis |
|
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60 | (3) |
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|
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63 | (4) |
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Case 19 A Pleural Effusion on a Background of Knee Pain |
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67 | (4) |
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Case 20 Chest Pain with a Gynaecological Cause |
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71 | (4) |
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75 | (3) |
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Case 22 A Blistering Rash |
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78 | (4) |
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82 | (4) |
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Case 24 Recurrent Haemothorax |
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86 | (3) |
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Case 25 Fever and Unilateral Weakness |
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89 | (3) |
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Case 26 A Case of Parotitis Followed by Acute Hearing Loss |
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92 | (4) |
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96 | (4) |
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Case 28 Bilateral Hip Pain |
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100 | (3) |
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103 | (4) |
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Case 30 A Sauna Cleaner with Shortness of Breath |
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107 | (3) |
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Case 31 Recurrent Episodes of Acute Kidney Injury |
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110 | (4) |
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Case 32 A Farmer with Abdominal Pain |
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114 | (3) |
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Case 33 Severe Sepsis Following Tonsillitis |
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117 | (4) |
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Case 34 An Elderly Man with Confusion |
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121 | (4) |
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Case 35 Numb Fingers and Eosinophilia |
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125 | (3) |
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Case 36 Fever, Weight Loss and Night Sweats |
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128 | (4) |
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Case 37 Collapsed in the Corridor |
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132 | (4) |
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Case 38 A Hypernatraemic Patient |
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136 | (3) |
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Case 39 A Young Patient with a Chronic Cough |
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139 | (3) |
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Case 40 Recurrent Abdominal Pain and Diarrhoea |
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142 | (3) |
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Case 41 Seizures and Hand Lesions |
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145 | (4) |
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Case 42 Bilateral Foot Weakness |
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149 | (3) |
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Case 43 Rash, Fevers and Headache |
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152 | (3) |
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Case 44 An Elderly Woman with Painless Jaundice |
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155 | (3) |
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Case 45 Vomiting without Gastrointestinal Pathology |
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158 | (3) |
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Case 46 A Young Man with Chest Pain |
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161 | (3) |
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Case 47 Unilateral Facial Weakness |
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164 | (3) |
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Case 48 A Patient with Sickle Cell Disease and Flu-Like Symptoms |
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167 | (3) |
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Case 49 A Teenager with Palpitations |
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170 | (3) |
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Case 50 An Unusual Cause of Haematemesis |
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173 | (3) |
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Case 51 Headache and Thrombocytopenia |
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176 | (3) |
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Case 52 Coffee Ground Vomiting |
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179 | (5) |
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Case 53 A Teenager with a Rash |
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184 | (3) |
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Case 54 Recurrent Lower Respiratory Infections Following a Renal Transplant |
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187 | (3) |
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Case 55 A Heavy Smoker with Proximal Weakness |
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190 | (3) |
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Case 56 A Hillwalker with Fever and Chest Pain |
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193 | (3) |
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Case 57 A Confused Young Man |
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196 | (3) |
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Case 58 Haemoptysis and Renal Failure |
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199 | (3) |
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Case 59 An Unwell Pet Shop Owner |
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202 | (2) |
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Case 60 Neck Pain and Sternal Swelling |
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204 | (3) |
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Case 61 Fevers and Cough (Part 1) |
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207 | (3) |
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Case 62 Chest Pain after Bad News |
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210 | (3) |
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Case 63 A Young Woman with Chest Pain |
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213 | (2) |
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Case 64 Recurrent Episodes of Hypoglycaemia |
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215 | (2) |
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Case 65 Rapidly Progressive Dementia |
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217 | (3) |
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Case 66 New Confusion in a Patient with Bipolar Affective Disorder |
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220 | (3) |
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Case 67 Hepatomegaly in a Patient with Newly Diagnosed Diabetes Mellitus |
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223 | (3) |
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Case 68 Collapsed Following Influenza |
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226 | (3) |
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Case 69 Abdominal Pain and Bloody Diarrhoea |
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229 | (3) |
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Case 70 A Patient with HIV and Personality Change |
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232 | (3) |
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Case 71 Proximal Weakness and Muscle Aches |
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235 | (3) |
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Case 72 A Rapidly Deteriorating Patient |
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238 | (3) |
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Case 73 Painless Jaundice |
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241 | (3) |
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Case 74 A Blistering Rash |
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244 | (3) |
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Case 75 A Patient with Crohn's Disease and Worsening Diarrhoea |
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247 | (4) |
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251 | (3) |
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254 | (4) |
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Case 78 Dysarthric, Dysphagic and Polyuric |
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258 | (3) |
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Case 79 A Relentless Rash |
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261 | (3) |
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Case 80 Renal Failure in an Intravenous Drug User |
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264 | (3) |
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Case 81 Delirium and Tachypnoea |
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267 | (3) |
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Case 82 Post-Partum Auditory Hallucinations |
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270 | (3) |
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Case 83 Shivering at the Station |
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273 | (3) |
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Case 84 Nocturnal Enuresis and Back Pain |
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276 | (3) |
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Case 85 Fever and Cough (Part 2) |
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279 | (3) |
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Case 86 Unconscious Outside a Club |
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282 | (3) |
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Case 87 Fevers, Night Sweats and Lymphadenopathy |
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285 | (3) |
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Case 88 Headache and Jaw Pain |
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288 | (3) |
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Case 89 Haemoptysis and Diplopia |
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291 | (3) |
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Case 90 Loss of Vision and Ophthalmitis |
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294 | (3) |
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Case 91 A Holiday Souvenir |
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297 | (4) |
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Case 92 A Febrile Canoeist |
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301 | (3) |
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Case 93 Tachycardia Leading to Ventricular Fibrillation |
|
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304 | (4) |
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Case 94 Confusion with Multiple Swollen Joints |
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308 | (4) |
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Case 95 A Confused Young Person with Focal Neurological Signs |
|
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312 | (4) |
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Case 96 Diarrhoea and Proximal Weakness |
|
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316 | (4) |
|
|
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320 | (3) |
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Case 98 Headache at the Cattle Farm |
|
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323 | (3) |
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Case 99 A Pregnant Woman with Loss of Vision |
|
|
326 | (2) |
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Case 100 An Unsolved Mystery |
|
|
328 | (5) |
| Index |
|
333 | |
