Contents
- Front matter
- 1 Thinking about medicine
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- The Old Hippocratic oath ∼425BC
- A New Hippocratic oath ∼2004AD
- Ideals
- Ideals and less than ideal methods of care
- The bedside manner and communication skills
- Asking questions
- What is the mechanism? Finding narrative answers
- Death: diagnosis and management
- Facing death
- Prescribing drugs
- Prevention
- Is this new drug any good? Analysis & meta-analysis
- Surviving house jobs
- Quality, QALYs, and the interpretation of dreams
- The inverse care law and distributive justice
- Psychiatry on medical and surgical wards
- The elderly patient in hospital
- On being busy: Corrigan's secret door
- Health and medical ethics
- Difficult patients
- Medicine, art, and the humanities
- 2 Clinical skills
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- 2 Clinical skills
- Taking a history
- Functional enquiry
- Physical examination
- The cardiovascular system
- The jugular venous pressure
- Pulses
- The heart sounds
- Cardiac murmurs
- The respiratory system
- Examining the chest
- Gastrointestinal history
- Examining the gastrointestinal system
- Genitourinary history
- The neurological system
- Cranial nerve examination
- Speech and higher mental function
- Psychiatric assessment
- Method and order for routine examination
- 3 Signs and symptoms
- 4 Cardiovascular medicine
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- 4 Cardiovascular medicine
- Cardiovascular symptoms
- ECG—a methodical approach
- ECG—abnormalities
- ECG—additional points
- Exercise ECG testing
- Ambulatory ECG monitoring (Holter monitor)
- Cardiac catheterization
- Echocardiography
- Cardiovascular drugs
- Angina pectoris
- Acute coronary syndromes (ACS)
- Management of acute coronary syndrome (ACS)
- Complications of MI
- Arrhythmias
- Narrow complex tachycardia
- Broad complex tachycardia
- Atrial fibrillation (AF) and flutter
- Pacemakers
- Heart failure—basic concepts
- Heart failure—management
- Hypertension
- Hypertension—management
- Rheumatic fever
- Mitral valve disease
- Aortic valve disease
- Right heart valve disease
- Cardiac surgery
- Infective endocarditis (IE)
- Diseases of heart muscle
- Pericardial diseases
- Congenital heart disease
- Driving and the heart
- 5 Chest medicine
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- 5 Chest medicine
- Bedside tests in chest medicine
- Further investigations in chest medicine
- Pneumonia
- Specific pneumonias
- Complications of pneumonia
- Bronchiectasis
- Cystic fibrosis (CF)
- Fungi and the lung
- Lung tumours
- Asthma
- Management of chronic asthma
- Chronic obstructive pulmonary disease (COPD)
- Acute respiratory distress syndrome (ARDS)
- Respiratory failure
- Pulmonary embolism (PE)
- Pneumothorax
- Pleural effusion
- Sarcoidosis
- Interstitial lung disease (ILD)
- Extrinsic allergic alveolitis (EAA)
- Idiopathic pulmonary fibrosis
- Industrial dust diseases
- Obstructive sleep apnoea syndrome
- Cor pulmonale
- 6 Endocrinology
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- 6 Endocrinology
- Diabetes mellitus: classification and diagnosis
- Treatment of diabetes mellitus
- Helping people with established diabetes
- Diabetic neuropathy and diabetic foot care
- Hypoglycaemia
- Thyroid function tests (TFTs)
- Thyrotoxicosis
- Hypothyroidism (myxoedema)
- Parathyroid hormone and hyperparathyroidism
- Hypoparathyroidism
- Adrenal cortex and Cushing's syndrome
- Addison's disease (adrenal insufficiency)
- Hyperaldosteronism
- Phaeochromocytoma
- Hirsutism, virilism, gynaecomastia & impotence/ED
- Hypopituitarism
- Pituitary tumours
- Hyperprolactinaemia
- Acromegaly
- Diabetes insipidus (DI)
- 7 Gastroenterology
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- 7 Gastroenterology
- Healthy, enjoyable eating
- The mouth
- Dysphagia
- Nausea and vomiting
- Dyspepsia (indigestion) & peptic ulcer disease (PUD)
- Gastro-oesophageal reflux disease (GORD)
- Hiatus hernia
- Diarrhoea
- Constipation
- Jaundice
- Upper gastrointestinal bleeding: 1
- Upper GI bleeding: 2 and
bleeding varices - Endoscopy and biopsy
- Liver failure
- Cirrhosis
- Hereditary haemochromatosis (HH)
- α1-antitrypsin deficiency
- Primary biliary cirrhosis (PBC)
- Autoimmune hepatitis (AIH)
- Liver tumours
- Ulcerative colitis (UC)
- Crohn's disease
- Irritable bowel syndrome (IBS)
- Carcinoma of the pancreas
- Nutritional disorders
- Carcinoid tumours
- Gastrointestinal malabsorption
- Coeliac disease
- Chronic pancreatitis
- Alcoholism
- 8 Renal medicine
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- 8 Renal medicine
- Urine
- Renal Histology
- Urinary tract infection (UTI)
- Renal calculi (nephrolithiasis)
- Urinary tract obstruction
- Glomerulonephritis (GN)
- The nephrotic syndrome
- Acute renal failure (ARF): diagnosis
- Chronic renal failure (CRF)
- Renal replacement therapy
- Interstitial nephritides and nephrotoxins
- Renal vascular disease
- Renal tubular disease
- Inherited kidney diseases
- Renal manifestations of systemic disease
- 9 Haematology
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- 9 Haematology
- Anaemia
- Iron-deficiency anaemia (IDA)
- The anaemia of chronic disease
- Sideroblastic anaemia
- The peripheral blood film
- The differential white cell count
- Macrocytic anaemia
- B12 deficiency and pernicious anaemia
- An approach to haemolytic anaemia
- Causes of haemolytic anaemia
- Sickle-cell anaemia
- Thalassaemia
- Bleeding disorders
- An approach to bleeding
- Anticoagulants
- Leukaemia and the house officer
- Acute lymphoblastic leukaemia (ALL)
- Acute myeloid leukaemia (AML)
- Chronic myeloid leukaemia (CML)
- Chronic lymphocytic leukaemia (CLL)
- Hodgkin's lymphoma
- Non-Hodgkin's lymphoma
- Pancytopenia, and bone marrow failure
- The myeloproliferative disorders
- Myeloma
- Paraproteinaemia
- Amyloidosis
- Erythrocyte sedimentation rate (ESR)
- Plasma viscosity (PV)
- Hyperviscosity syndrome
- Thrombophilia
- Immunosuppressive drugs
- 10 Infectious diseases(ID)
-
- 10 Infectious diseases(ID)
- The classification of pathogens
- Antibiotics: cephalosporins
- Antibiotics: others
- Blind ℞ for presumed septicaemia, pneumonia, etc
- Drug abuse and infectious diseases
- Pyrexia of unknown origin (PUO)
- Diagnosing the tropical traveller
- Gastroenteritis
- Immunization
- MalariaND: clinical features and diagnosis
- Malaria: treatment and prophylaxis
- Tuberculosis (TB)ND: TB-with-HIV: p397; BCG: p381
- Herpes virus infections
- Infectious mononucleosis (glandular fever)
- Influenza
- The common cold (coryza)
- Toxoplasmosis
- Cytomegalovirus (CMV)
- Viral hepatitis
- Human immunodeficiency virus (HIV)
- Complications of HIV infection
- What every doctor should know about HIV
- Antiretroviral agents
- Sexually transmitted infections/diseases (STI/STD)
- Vaginal discharge and urethritis
- Miscellaneous Gram positive bacteria
- Miscellaneous Gram negative bacteria
- Tetanus
- Enteric fever
- Bacillary dysentery
- Cholera
- Leprosy
- Spirochaetes
- Poliomyelitis
- Rabies
- Viral haemorrhagic (and related) fevers
- Arthropod-borne bacteria
- Some gastrointestinal protozoa
- Trypanosomiasis
- Leishmaniasis
- Fungi
- Nematodes (roundworms)
- Cestodes (tapeworms)
- Trematodes (flukes)
- Exotic infections
- 11 Neurology
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- 11 Neurology
- The chief questions of bedside neurology
- Cerebral artery territories
- Drugs and the nervous system
- Testing peripheral nerves
- Dermatomes
- Headache
- Migraine
- Blackouts
- Dizziness and vertigo
- Hearing loss
- Tinnitus
- Weak legs and cord compression
- Abnormal involuntary movements (dyskinesia)
- Stroke: clinical features and investigations
- Stroke: management and prevention
- Rehabilitation after stroke
- Transient ischaemic attack (TIA)
- Subarachnoid haemorrhage (SAH)
- Intracranial venous thrombosis (IVT)
- Subdural haemorrhage
- Extradural (epidural) haemorrhage
- Delirium (acute confusional state)
- Dementia
- Alzheimer's disease (AD)
- Epilepsy: diagnosis
- Anti-epilepsy drugs (AEDs)
- Parkinson's disease (PD) and parkinsonism
- Multiple sclerosis (MS)
- Space-occupying lesions
- Bell's palsy (idiopathic facial nerve palsy)
- Mononeuropathies
- Autonomic neuropathy (sympathetics & parasympatheticp)
- Polyneuropathies
- Bulbar palsy
- Motor neurone disease (MND)
- Cervical spondylosis
- Primary disorders of muscle (myopathies)
- Myasthenia gravis (MG)
- Lambert–Eaton myasthenic syndrome
- Neurofibromatosis
- Syringomyelia
- Retroviruses and neurology
- Models of brain functioning
- 12 Oncology and palliative care
- 13 Rheumatological and related illnesses
-
- 13 Rheumatological and related illnesses
- Points to note in the rheumatological history
- Back pain
- Arthritis—general points
- Rheumatoid arthritis (RA)
- Osteoarthritis (OA)
- Crystal arthropathies
- Spondyloarthritides
- Autoimmune connective tissue diseases
- Polymyositis and dermatomyositis
- Systemic lupus erythematosus (SLE)
- Vasculitis
- Giant cell (or cranial or temporal) arteritis (GCA)
- Polymyalgia rheumatica (PMR)
- Systemic conditions causing eye signs
- Skin manifestations of systemic diseases
- Specific diseases and their skin manifestations
- Skin diagnoses not to be missed
- 14 Surgery
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- 14 Surgery
- Pre-operative care
- Consent
- Prophylactic antibiotics in surgery
- Bowel preparation in colorectal surgery
- Sutures
- Anaesthesia
- The control of pain
- General post-operative complications
- Urine output↓ (oliguria)
- Deep vein thrombosis (DVT)
- Swollen legs
- Specific post-operative complications
- Stoma care
- Blood transfusion and blood products
- Nutritional support in hospital
- Parenteral (intravenous) nutrition
- Diabetic patients undergoing surgery
- Jaundiced patients undergoing surgery
- Surgery in those on steroids
- Surgery in those on anticoagulants
- The acute abdomen
- Acute appendicitis
- Acute pancreatitis
- Aneurysms and dissections of arteries
- Diverticular disease
- Angiodysplasia
- Gallstones
- Gangrene and necrotizing fasciitis
- Skin ulcers
- Mesenteric ischaemia
- Limb ischaemia
- Obstruction of the bowel
- Some paediatric surgical emergencies
- Torsion of the testis
- Urinary retention & benign prostatic hypertrophy
- Urinary incontinence
- Urinary tract malignancies
- Bladder tumours
- Breast lumps & breast carcinoma
- Colorectal adenocarcinoma
- Carcinoma of the stomach
- Carcinoma of the oesophagus
- Lumps
- Lumps in the groin and scrotum
- Lumps in the neck
- Submandibular triangle:
- Lumps in the thyroid
- Abdominal masses
- Around the anus
- Haemorrhoids (piles)
- Hernias
- Inguinal hernias
- Varicose veins (VVs)
- Gastric surgery and its aftermath
- Operations for peptic ulcers
- Fundoplication for gastro-oesophageal reflux
- Minimally invasive surgery
- 15 Epidemiology
- 16 Clinical chemistry
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- 16 Clinical chemistry
- On being normal in the society of numbers
- The laboratory and ward tests
- Intravenous fluid therapy
- IV fluids on the surgical ward
- Acid–base balance
- Kidney function
- Urate and the kidney
- Electrolyte physiology
- Sodium: hyponatraemia
- Hypernatraemia
- Potassium
- Hyperkalaemia
- Hypokalaemia
- Calcium: physiology
- Hypocalcaemia
- Hypercalcaemia
- Magnesium
- Zinc
- Selenium
- Metabolic bone diseases 1. Osteoporosis
- 2. Paget's disease of bone
- 3. Osteomalacia
- Plasma proteins
- Plasma enzymes
- Tumour markers
- Hyperlipidaemia
- The porphyrias
- 17 Eponymous syndromes
- 18 Radiology
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- 18 Radiology
- The art of the request
- Chest x-ray (CXR)
- Plain abdominal x-ray (AXR)
- Computed tomography (CT)
- Magnetic resonance imaging (MRI)
- Ultrasound (US)
- Nuclear medicine
- Radionuclide imaging in cardiology
- Cardiac CT and MRI
- Radiological GI procedures and imaging
- Urinary tract imaging
- Neuroimaging
- Contrast in imaging
- 19 Reference intervals, etc.
- 20 Practical procedures
-
- 20 Practical procedures
- Placing IV cannulae (drips)
- Catheterizing bladders
- Tapping ascites
- Diagnostic aspiration of a pleural effusion
- Pleural biopsy
- Inserting a chest drain
- Lumbar puncture (LP)
- Cardioversion/defibrillation
- Cricothyroidotomy
- Subclavian venous cannulation
- Inserting a temporary cardiac pacemaker
- 21 Emergencies
-
- 21 Emergencies
- Headache: differential diagnosis
- Breathlessness: emergency presentations
- Chest pain: differential diagnosis
- Coma
- The Glasgow coma scale (GCS)
- Shock
- Anaphylactic shock
- Acute myocardial infarction
- Acute coronary syndrome—without ST-elevation
- Severe pulmonary oedema
- Cardiogenic shock
- Broad complex tachycardia
- Narrow complex tachycardia
- Acute severe asthma
- Acute exacerbations of COPD
- Pneumothorax
- Tension pneumothorax
- Pneumonia
- Massive pulmonary embolism (PE)
- Acute upper gastrointestinal bleeding
- Meningitis
- Emergency management of encephalitisND
- Status epilepticus
- Cerebral abscess
- Head injury
- Raised intracranial pressure (ICP↑)
- Diabetic ketoacidosis (DKA)
- Other diabetic emergencies
- Thyroid emergencies
- Addisonian crisis
- Hypopituitary coma
- Phaeochromocytoma emergencies
- Acute renal failure (ARF)—management
- Acute poisoning—general measures
- Acute poisoning—specific points
- Some specific poisons and their antidotes
- Salicylate poisoning
- Paracetamol poisoning
- Burns
- Hypothermia
- Major disasters
- End matter
