Churchill's Pocketbook of Differential Diagnosis 3rd Edition

Book Metadata

• Full Title: Churchill's Pocketbook of Differential Diagnosis

• Authors: Andrew T. Raftery, Eric Lim, and Andrew J. K. Östör

• Editors: Laurence Hunter (Commissioning Editor) and Clive Hewat (Development Editor)

• Year of Publication: 2010

• Total Number of Pages: 595 pages.

Copyright Summary

Published by Elsevier Limited, this Third Edition updates previous versions released in 2001 and 2005. The text is registered under ISBN 978-0-7020-3222-6 and International ISBN 978-0-7020-3223-3. 

Legal notices emphasize that practitioners must rely on their own experience and knowledge of the patient when determining dosages and treatments, as the publisher and authors assume no liability for injuries or damages resulting from the material.

Preface Analysis

The authors' primary intent for this third edition was to modernize the text by incorporating younger co-authors and adding new chapters reflecting contemporary clinical needs, such as halitosis, nail abnormalities, and tiredness. 

The book aims to fill the clinical gap for a didactic, scannable approach to differential diagnosis in an era of self-directed learning. A significant innovation is the introduction of color-coding to indicate the relative frequency of conditions: green for common, orange for occasional, and red for rare. 

The primary audience includes medical students preparing for examinations and junior staff or practitioners requiring a portable reference for wards and clinics.

Chapter List

Section A: Clinical Presentations

• Abdominal pain

• Abdominal swellings

• Anorectal pain

• Arm pain

• Arm swellings

• Ascites

• Axillary swellings

• Backache

• Breast lumps

• Breast pain

• Chest pain

• Clubbing

• Coma

• Confusion

• Constipation

• Convulsions

• Cough

• Cyanosis

• Deafness

• Diarrhoea

• Dizziness

• Dysphagia

• Dyspnoea

• Ear disorders

• Eye disorders

• Facial pain

• Facial swellings

• Facial ulcers

• Faecal incontinence

• Finger lesions

• Finger pain

• Foot deformities

• Foot pain

• Foot ulcers

• Gait abnormalities

• Goitre

• Groin swellings

• Gum disorders

• Gynaecomastia

• Haematemesis

• Haematuria

• Haemoptysis

• Halitosis

• Hallucinations

• Hand deformities

• Headache

• Hemiplegia

• Hepatomegaly

• Hiccups

• Hirsutism

• Hypertension

• Impotence

• Intestinal obstruction

• Jaundice

• Jaw pain and swellings

• Joint disorders

• Kidney swellings

• Leg pain

• Leg swellings

• Leg ulcers

• Lip lesions

• Lymphadenopathy

• Melaena

• Mouth ulcers

• Muscle weakness and wasting

• Nail abnormalities

• Nasal discharge

• Neck lumps

• Neck pain

• Nipple discharge

• Oedema

• Oliguria

• Palpitations

• Penile lesions

• Polyuria

• Popliteal swellings

• Pruritus

• Pruritus ani

• Pyrexia of unknown origin

• Rashes

• Rectal bleeding

• Scalp lesions

• Scrotal pain

• Scrotal swellings

• Shock

• Splenomegaly

• Steatorrhea

• Stridor

• Sweating abnormalities

• Syncope

• Thirst

• Throat conditions

• Tiredness

• Toe lesions

• Tongue disorders

• Tremor

• Urethral discharge

• Urinary incontinence

• Urinary retention

• Vaginal discharge

• Visual problems

• Voice disorders

• Vomiting

• Weight gain

• Weight loss

Section B: Biochemical Presentations

• Blood urea nitrogen

• Hypercalcemia

• Hyperglycemia

• Hyperkalaemia

• Hypokalaemia

• Hypernatraemia

• Hyponatraemia

• Hypoglycemia

• Hypocalcaemia

• Hypomagnesaemia

• Metabolic acidosis

• Metabolic alkalosis

• Respiratory acidosis

• Respiratory alkalosis

Section C: Haematological Presentations

• Anaemia

• Clotting disorders

• Leucocytosis

• Leucopenia

• Polycythaemia

• Thrombocytopenia

• Thrombocytosis

Clinical Value Prop: Why Read This?

For the practicing physician, this pocketbook serves as a vital rapid-reference tool. Its color-coded system provides immediate visual cues regarding the likelihood of specific diagnoses, helping clinicians prioritize common conditions while remaining vigilant for rare but critical ones. 

Each chapter concludes with "Emergency Boxes" that highlight significant pathology requiring urgent action, such as identifying a surgical abdomen or tension pneumothorax. Furthermore, the addition of biochemical and hematological sections provides a ready check for assessing abnormal laboratory results in a clinical context.

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