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As we present to you the latest and nineteenth edition of P.J.Mehta’s “Practical Medicine” we would like to acknowledge the guidance and contribution of the earlier editors of the same. Esteemed Dr. P.J.Mehta published the first edition of “Practical Medicine for Students and Practitioners” in the year 1979. Thereafter all the following editions have been updated with attention to all minute details and written comprehensively ensuring the coverage of maximum common clinical cases and other essential data. The book highlights the fact that in spite of constant advances in the field of medicine through new discoveries and high tech treatments; bedside medicine still plays an important role in everyday life.To make it more attractive and user friendly for the first time P.J. Mehta’s “Practical Medicine” is available in four colours and is accompanied by many extra visual aids to help students and practitioners to understand the subject of Medicine better. Signs and symptoms of many clinical cases have been clarified with the help of photographs. New figures, tables, charts and digital X-rays have been added throughout the book. The chapters on Cardiology and Neurology have been completely revised in accordance with the latest information and the HIV section has been updated with the latest guidelines.We would like to express our gratitude to many individuals and groups like Dr. Bharat Parekh and the Dept. of Imaging, Holy Spirit Hospital, Andheri (E), Mumbai, for the use of digital X-ray images in this edition., to the late Dr. Suren Kothari, Hon. Prof., Dept. of Radiology, BYL Nair Hospital for allowing us to use their X-rays, Dr. Sharad Shah for the ERCP pictures and Dr. Ami Shah for the Radiology line drawings.We are extemely grateful for the encouragement from Dr. Neha A. Kothari, Mrs. Ayesha S. Mehta, Mrs. Labdhi N. Mehta, Mrs. Shilpa S. Joshi and Dr. Deepti Ghia.Our heartfelt thanks go to Mr. P. S. Shah and Mr. Raju Shah of National Book Depot, Mr. Harshanandan Trivedi of Urvi Compugraphics and Mr. Anup Sheth of Chandulal & Co.Last but not the least to all students, teachers, friends and critics who have contributed constructive feedback, we express our sincere thanks. We hope that the enthusiasm expressed in receiving the earlier editions is extended to our latest edition in equal terms and hope that the book rises to your expectations.+ Read More

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Practical Pathology
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1. Blood Collection 2
2. Preparation of Blood 5
3. Estimation of Hemoglobin. Packed Cell Volume & ESR 9
4. Reticulocyte Count, LE Cell Test, Osmotic Fragility of Red Cells 13
5. Red Cell. White Cell & Platelet Counts & Red Cell Indices Red 16
6. Cell Morphology 21
7. Cell Morphology 25
8. Differential Leucocyte Count 31
9. Parasites in Blood 35
10. Bone Marrow Examination 38
11. Leukemias 43
12. Coagulation Studies 50
13. Blood Grouping and Transfusion.

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Common Medical Symptoms
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Common Medical Symptoms

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1.         Fever   1                      5.         Fatigue             18

2.         Edema             7                      6.         Hiccough         21

3.         Loss of Weight            12                    7.         Yawning          24

4.         Gain in Weight             15                                             



8.         Chest Pain        25                    12.       Cyanosis          44

9.         Dyspnea          30                    13.       Palpitation        49

10.       Cough 36

                        14.       Syncope & Hypotension

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Understanding ECG
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Understanding ECG

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1.         Introduction     ...         1

2.         Waves and Intervals    ...         9

3.         Position of the heart     ...         21

4.         Electrical axis of the heart       ...         28

5.         Normal Variants          ...         33

6.         The Normal ECG         ...         38

7.         Chamber Hypertrophy             ...         40

8.         Rhythm Disturbances ...         48

9.         Conduction Defects     ...         67

10.       Myocardial Infarction ...         81

11.       Drugs and Electrolytes             ...         93

12.       ECG in some diseases ...         97

13.       Stress Testing   ...         106

14.       Holter Testing ...         114

15.       ECG Quiz        ...         117

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Interpretation of ECG
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Interpretation of ECG

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  1. Firs I degree AV block, Loft axis deviation
  2. Ventricular premature beats
  3. Atrial fibrillation; Right axis deviation
  4. WPW syndrome
  5. Left bundle branch block
  6. Wenckebach's phenomenon: 2 : 1 AV block
  7. Low voltage
  8. Acute antero-lateral myocardial infarction; Left atrial enlargement
  9. Incomplete right bundle branch block; Left axis deviation
  10. Acute antero-lateral infarction with reciprocal changes in inferior leads
  11. Sinus tachycardia with left axis deviation
  12. Healed septal infarction: Right bundle branch block: (?) Atrial infarction
  13. Chronic obstructive pulmonary disease
  14. Right ventricular hypertrophy; Right atrial enlargement
  15. Acute inferior wall infarction' Sinus bradycardia
  16. Multifocal ventricular extrasystoles
  17. Acute inferior wall infarction; High degree AV block
  18. Ventricular premature beats in bigeminy
  19. Right axis deviation; Left atrial enlargement;
    Ventricular premature beats; T-wave changes
  20. Right bundle branch block; Infero-posterior infarction
  21. ST-T changes
  22. Interpolated ventricular premature beats
  23. Atrial fibrillation with slow rate
  24. Left bundle branch block
  25. Prolonged QT interval; PR interval; Sirnus bradycardia; Healed infero-septal infarction
  26. Lown-Ganong-Levine syndrome
  27. Left anterior hemi-block
  28. Right ventricular strain; Right atrial enlargement; T-wave changes
  29. Pericarditis
  30. Acute inferior wall infarction with' feciprocal changes
  31. Left posterior hemi-block
  32. Right bundle branch block; Left anterior hemi-block; Nodal rhythm; T-wave changes
  33. Dextrocardia
  34. Idioventricular tachycardia
  35. Technical dextrocardia
  36. Left ventricular hypertrophy
  37. Hypothermia
  38. Incomplete right bundle branch block
  39. Quinidine effect
  40. Right axis deviation with Right ventrk alar hypertrophy; possibly Fallot's tetrad
  41. Bidirectional tachycardia
  42. Left bundle branch block; Left axis deviation
  43. Ventricular tachycardia or supraventricular Tachycardia with aberrant conduction
  44. Intermittent WPW syndrome
  45. Left bundle branch block; Recent myocardial infarction
  46. Right ventricular hypertrophy; Left axis deviation
  47. Pulmonary embolism
  48. Biventricular hypertrophy
  49. Acute inferior myocardial infarction Complete AV block
  50. Early repolarisation
  51. Sinus arrhythmia
  52. Ventricular flutter
  53. Supra-ventricular tachycardia with aberrant conduction
  54. Ventricular premature beat
  55. Complete AV dissociation
  56. Atrial flutter with varying block
  57. Sino-atrial block
  58. Sinus bradycardia
  59. Ventricular premature beats (Bigeminy)
    First degree AV block
  60. Exlrasvstolic ventricular tachycardia
  61. Supraventricular parasystole
  62. Wenckebach's phenomenon
  63. Idioventricular rhythm
  64. Idioventricular tachycardia
  65. Intermittent bundle branch block
  66. Ventricular tachycardia-Torsades do poirites
  67. WTW syndrome
  68. Congenital complete heart block
  69. T -wave altemans
  70. Supraventricular extrasystoles
  71. 4:3 type second degree AV block
  72. Right atrial enlargement
  73. Hyperkalemia
  74. Hypokalemia
  75. 2:1 type second degree AV block
  76. Complete AV block
  77. Sick-sinus syndrome
  78. Notched T waves
  79. Interpolated ventricular premature beat
  80. First degree AV block
  81. Atrial fibrillation
  82. Hypercalcaemia
  83. High U waves
  84. Ventricular fibrillation
  85. Giant negative T waves

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Clinical Endocrinology
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Clinical Endocrinology

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The Endocrine System

1. Hypothalamus

2. Anterior Pituitary

3. Growth

4. Posterior Pituitary (Neurohypophysis)

5. The Thyroid Gland

6. The Adrenal Gland

7. Diabetes Mellitus

8. Diabetes Mellitus: Treatment

9. Acute Complications of Diabetes Mellitus

10. Chronic Complications of Diabetes Mellitus

11. Hypoglycaemia

12. The Parathyroids and Calcium Metabolism

13. Disorders Affecting Multiple Endocrine Glands

14. Endocrine Functions of the Male and Female Reproductive System

15. Breast

16. Eating Disorders

17. Endocrine Function of the Gastro-Intestinal Tract & GI Neuro Endocrine Tumor Syndrome

18. Endocrine Functions of Kidney

19. Endocrine Functions of Lung

20. Endocrine Functions of Neoplastic Tissue

21. The Pineal Gland.

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Emergencies in Medical Practice
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