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100 Cases in General Practice
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100 CASES
in General Practice
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100 CASES
in General Practice
Anne Stephenson MBChB MRCGP PhD(Medicine) FHEA
Senior Lecturer in General Practice and Director of Community Education, King’s
College London School of Medicine at Guy’s, King’s College and St Thomas’ Hospitals,
London, UK
Martin Mueller MD MHPE MRCGP DCH DRCOG DIMC DFFP FHEA
Senior General Practice Tutor, King’s College London School of Medicine at Guy’s,
King’s College and St Thomas’ Hospitals, London; Visiting Senior Lecturer, Centre
for Medical Education, Barts and The London School of Medicine and Dentistry,
London, UK
John Grabinar BMBCh MRCGP MA(Oxon) DObstRCOG DCH
Lewisham Primary Care Trust, Lewisham, UK
100 Cases Series Editor:
P John Rees MD FRCP
Dean of Medical Undergraduate Education, King’s College London School of Medicine
at Guy’s, King’s College and St Thomas’ Hospitals, London, UK
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First published in Great Britain in 2009 by
Hodder Arnold, an imprint of Hodder Education, an Hachette UK Company,
338 Euston Road, London NW1 3BH
© 2009 Hodder Arnold
All rights reserved. Apart from any use permitted under UK copyright law, this publication
may only be reproduced, stored or transmitted, in any form, or by any means with prior
permission in writing of the publishers or in the case of reprographic production in accordance
with the terms of licences issued by the Copyright Licensing Agency. In the United Kingdom
such licences are issued by the Copyright Licensing Agency: Saffron House, 6-10 Kirby Street,
London EC1N 8TS.
Whilst the advice and information in this book are believed to be true and accurate at the date
of going to press, neither the authors nor the publisher can accept any legal responsibility or
liability for any errors or omissions that may be made. In particular (but without limiting the
generality of the preceding disclaimer) every effort has been made to check drug dosages;
however it is still possible that errors have been missed. Furthermore, dosage schedules are
constantly being revised and new side-effects recognized. For these reasons the reader is
strongly urged to consult the drug companies’ printed instructions before administering any of
the drugs recommended in this book.
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
ISBN
978 0 340 96833 8
1 2 3 4 5 6 7 8 9 10
Commissioning Editor:
Sara Purdy
Project Editor:
Eva Senior
Production Controller:
Karen Dyer
Cover Designer:
Amina Dudhia
Typeset in 10/12 RotiSerif by Macmillan Publishing Solutions. (www.macmillansolutions.com)
Printed and bound in India
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