de \201 nition 566 pediatric 103, 158 Stromal tumors 699 Stupor 336 Sturge \200\223Weber s yn. see Survey, primary/ 839 secondary 725 561 Spherocytosis 196 Spina bi \201 da 140 Spinal anesthesia 634 Spinal cord Sustainability of healthcare 515 Sutures OHCM 734 alternatives 730 fetal skull 43, 90 wound 730 compression 770 cross-section 768i Spinal curvatures 673 Spinal deformities 672 Spinal epid ural 67 Spinal fusion 676 Spinal infection 678 Spinal injury Styes 416 Subacromial bursa 664 Subaponeurotic Suxamethonium 622 Sweat test 162 Swimming 506 haematoma 90 Stargardt macular Subarachnoid degeneration 438 Stations of head 42, 58 Statistics hemorrhage, neonatal 90, 108 Subarachnoid space and epilepsy 527 therapeutic 676 Sydenham \200\231s chorea 654 Syme \200\231s amputation 654 Sympathetic re accidents and injuries 792, 810 bladder drainage 772 bowel care 772 dysre \202 exia 770 dyssynergia 770 fertility 773 GU a spects 772 imaging 766 immediate care 766 level 770 mechanism 767 occupational therapy 634i re referral 525 Subconjunctival Stature ophthalmia 452 Symphysis \200\223fundal height 40 hemorrhage 432 too short/tall 180 see also growth Subconscious 382 Subdural hemorrhage Status asthmaticus 164 Status epilepticus 208 Status migrainosus 301 \200\230stay and play \200\231 799 Steatorrhoea 162 Steatosis 26 Steeple sign 566 Stein \200\223Leventhal syn. 2 52 Stem cells Symptoms, unexplained 200 neonatal 108 334, 661 Synaesthesia 537 Syndrome X 156 Synechiae 430, 450 Synergists 423 Synovial \202 uid 708 \200\223709 Synovitis, transient, of Submandibular abscess 577i Submucous resection 556 \200\223557 Subnormality 216, 314 Substance abuse see drug abuse 774 physiotherapy 774 pregnancy 773 restoring function 771 sex 773 sport 774 subsequent functio n hip 682 Subtalar joint 694 Subungual haematoma Syphilis ethics 641 research 771 transplantation 640 treatment 438 Sterilization 95, 305 Steroid cre ams 596 Steroid eye drops 456 Steroid injections 708 \200\223711 congenital 646 in pregnancy 35 784 trephining 747i Succenturiate lobe 14 Sudden infant death syn. (SIDS) 148 Sudden visual los s 434 Sudeck \200\231s atrophy 738 Suff ering, and meaning Systematic 771t desensitization 372 treatment 766 urination 772 UTI 772 walking 774 Systemic lupus erythematosus (SLE) 589 In pregnancy 30 Systolic murmurs 136 T Tachypnoea 118 Tactile gnosi s 761 Tai chi 341, 753 Talbot \200\231s test 430 Talipes equinovarus 684 Talking Spinal metastases 679i Spinal MRI 768i Spinal shock 770 Spinal stenosis 674, 675i Spinal tu berculosis 678 Spinal tumors 678 Spiral bacteria 204 Spiral CT 658, 751 Spiral fractures 73 4, Steroids, and operations 616 Stertor 566 Stevens \200\223Johnson syn. 601 Sticky eye 121 Stillbirth 82 \200\22383 St ill \200\231s dis. 654 Still \200\231s murmur 137 Stings 782 Stitches 730 Stork mark 121 St ott & Davies, 315 Suicide assessment 338 attempted 338 and bullying 395 in depression 336, 338 \200\223339 gesture or \200\230for real \200\231 about sex 328 delay 215 or listening 320 \200\223321 Tall stature, causes 180 Talus 695i 749, 755 \201 bula 757i 339 Summary care record Spiritual journeys, yours 816 502 Sun protection factor Spiritual readings 520 Spiritual sensitivity 505 Spitz naevus 592 Spleen rupture 726 Spleno megaly 170 Spondylolisthesis 660, 674 Spondylosis 660 Spontaneous abortion, (SPF) 593 consultation model 478 Strabismus 422 Straight leg raise 670 Straight lift 774 Strains 756 Strawberry naevus 121i, fracture 756 Tamponade 722 Tanning 593 Targets 471 Tarsorrhaphy 416 Taser injuries 789 Tay \200\223Sachs dis. 654 TB see tuberculosis Tea, \202 avonoids 441 Teams Sunburn/sunscreen 593 Sunglasses 442 Super-ego 383 Super-surgeries 474 Superglue sutures 73 0 Superior oblique muscle 602, 611 422 Strawberry tongue 564, 647 Streps 166, 204, 564 Stress Suppressor genes 421 Supracondylar fracture spontaneous 260 Sport 742 Gartland in A&E 780 in psychiatric services \201 tness advice 527 injuries 705, 715 in spinal injury 774 Spots, exanthemata at work 333 and chronic dis. 347 hormones 347 relieving 347 classi \201 cation 743t Supraglottitis 158, 566 Suprasellar glioma 200 Supraspinatus 664 r upture 665i 329 Tears 418, 419 Teeth 142 \200\223144 Sprains 756 Spring sunshine 338 Squamous cell ca. 417, dental problems Stress incontinence 580 \200\223581 eruption 221 grinding 392 knocked out 784 Surface area of body 233 Surgery, canceling 616 Surgical emphysema 306 \200\223307 Stress (march) fractures 756 Stria terminalis, bed nucleus 134 590i Squamous chronic otitis 544 724 Surveillance, Teething 581 Telemedicine 137, 477, 583 Squint 422 SSRIS 340 \200\223341 Stridor developmental 218 congenital 138 840 Telephone consultation/ Thrombophilia 33 Thrombophlebitis 94 Thromboprophylaxis in hip/knee surgery Tracheo-oesophageal paradoxical 780, 789 telephone (GP) 476 \200\223477 Trial of labor 79 Trial of scar 79, 80 Trichiasis 451 Trichomonas 284 Trichotillomania 611 Tricyclics 340 triage 476 \200\223477 Telogen effl uvium 602 Temporal arteritis 434 Temporal lobe epilepsy \201 stula 130 Tracheobronchitis 566 Tracheostomy 566 Trachoma 450 Traction 742 706 in pregnancy 16, 32 206 Temporomandibular Thrombosis see methods 736 in spinal injuries 766 dislocation 758 coronary thrombosis; deep vein thrombosis (DVT); venous sinus thrombosis Temporomandibular dysfunction 542 Tragic literature, for psychological healing 347 withdrawal 368 Trigeminal nerve 420 Trigeminal zoster 420 Trigger \201 nger 668 Tripe pal ms 589 Triplets 68 Trismus 580 Trisomy 152, 642, 650 Triviology 517 Trochanter, fractures Tendinopathy ankle 713i biceps 664, 710 calcifying 664, 665i patella 688 supraspinatus 664 Tranquillization 359, 363 Transcendence 333, 357 Transcervical Thrush 284 Thumb injection 710 injuries 748 Thyroid dis. 25, 182 in pregnancy 25 Tibia, fracture 754 Tibial nerve 717 Tibial plateau 687i Tibial tuberosity 704i Tibiotalar joint 692 Time banks 391 Ti me management 466 Tinea 598 Tinnitus 552 Tip-toe walking 654 Tiredness 528 Tissue complianc e 625 Tobacco see smoking Tocolysis 50 Toddlers \200\231 diarrhea 168 Toe resection of the endometrium (TCRE) 308 Transcription factors Tendon injuries 712 hand 746 Tendons, wrist 669i Tennis elbow 666 injection 710 Tenosynovitis 712 Tenovaginitis 668 Tens ion see anxiety Tension pneumothorax 649 Transcutaneous 752 Trochlear nerve 422 Trophic feeding 122 Trophoblastic dis. 264 Truancy 212 Truncal obesity 531 Truncus arteriosus 640 see also Buchanan \200\231s electrical nerve stimulation (TENS) 691 Transdermal nicotine patches 512 Transference 326, 382 Transforming growth factor 589 722 Tepid sponging 143 Teratoma 281 Terminal care 500 \200\223501 Termination of syn. Truth, and authenticity Transfusion exchange 115 intrauterine 116 neonatal 120 refusal, in pregnancy 481 Trypsin, pregnancy (TOP) 258 \200\223259 Test feeds 180 Testicular feminization immunoreactive 162 Tryptophanuria 216 Tubal patency 294 Tubal pregnancy 262 \200\223263 Tubal surgery 294 Tube rculids 598 Tuberculosis 85 twin \200\223twin 68 deformities 692 fracture 756 Toe walking 654 Toenails, ingrowing 694 Toilet training 210 To ken economy 373 Tolosa \200\223Hunt syn. 654 Tom, Dick & Harry 134 Testis Transient synovitis of the hip (TSOH) 682 Translocation carriers retractile/ undescended 132 too big 184, 649 too small 131, 638, 646 Tests, pre-operative 614 Tetanus 730 Tetany, heat 788 Tetracaine 632 Tetralogy of Fallot 136 Thalamic lesions 424 Thalassaemia 22 13, 152 Transposition of great vessels 136 Transsexualism 134 Transtrochanteric arthritis and bone 696 genital 274 gumma 598 hip 682 lung 160 meningeal 204 spine 678 uteri ne 274 (mnemonic) 713 fracture 753 Transverse arrest 71 Transverse lie 71 Trauma Tongue protruding 182 too big 638 Tonic pupil 424 Tonometry 413 Tonsillectomy 564, 565 Tonsillitis 564 TORCH infections 35, 82 Torticollis 660 Torture, in children 150 Torus fracture 755 To tal anomalous pulmonary drainage 136 Total parenteral prenatal diagnosis 152 advanced life support Theca cell tumors 281 Therapists, role in spinal Tuberous sclerosis 184, 721 arm 740 chest 206, 638 Tubo-ovarian abscess injury 774 Therapy, in the blunt 724 penetrating 722 286 Tubular defects 132 Tumorigenesis 649 Tumor necrosis factor community 329 Thiopental sodium 620 Third-spacing 235 Thomas \200\231 splint 736 Thomas \200\231 test 680 Thoracic outlet eye 452 \200\223453 imaging 727, 778 \200\223779 major 724 orbital 759 score 810, 811t supp ort, adjuncts 725 Trauma Score \200\224Injury Severity Score (TRISS) 810 Treacher \200\223C ollins syn. 655 (TNF) 594 inhibitors 595 Turner \200\231s syn. 655 TWEAK questions 363 Twins 68 Tylosis 572 Tympanic membrane nutrition (TPN) 122 compression 660 Thought disorder 316, Tourniquet 747 Tower skull 138 Toxemia 158, 160 Toxic epidermal 356, 358 Thought stopping 372 Three-day fever 143 Three-month colic 104 Throat 539 Tympanomastoid necrolysis 601 surgery 545 Toxidromes 191 Toxocara 438 Toxoplasmosis 438, 444 in pregnancy 34 Treatment, compulsory examination 537 sore 565 366, 399 Trekking 814, 815i Trendelenburg gait 680 Trendelenburg test 680 Triage Tympanometry 540, 547i Tympanosclerosis 539, Thrombocytopenia 120 in pregnancy 88 Thromboembolism 543, 546 TP53 germline U UK90 reference charts mutations 649 Trabeculectomy 440 Tracheal \201 stula 130 Tracheitis, bacterial 158 and contraception categories 797t and decision support 224 UKOSS 89 Ulna, fracture 650, 742 302 and pregnancy 32 retinal 435, 444 477 Ulnar nerve Urodynamics 307 Uro \202 owmetry 307 Urogenital system, Vastus medialis 688 Vegetative states 776 VEGF inhibitors 439 Vehicle accidents extrication 800 \201 rst aid 796 \200\223810 risk and prevention Vision 841 compression 666, arti \201 cial 444 \201 elds 412, 428 loss 434, 438, 454 tests 412 \200\223415 714, 742 abnormalities 132 function 716t, 742 injury 760 neuritis 666 Urography 28, 174 Urticaria 584i, 586, 603, 610 neonatal 121 pigmentosa 610 triggers 601 Visuospatial dysfunction 651 Ultrasound 791, 796 statistics 792 trauma care 723 Vehicle safety 798 Velamentous cord 14 Velo-cardiof acial syn. Vital signs of kidney 174 in pregnancy 46 \200\22347 of uterus 274 Ultraviolet (UV) ABCDE 725 in pediatrics 103 in psychiatry 325 (turmoil, etc) Vitamin A 450, 451i Vitamin C 161, 442 Vitamin D 150 \200\223151, 593 Uterus corneal burn 452 UVA and UVB 442, 593, anomalies 246 assessment of size 40 bicornuate 246 bleeding 84 cancer 278 contractions 74 d isordered action 74 dysfunctional bleeding 253 evacuation 86, 260 examination 244 \201 br oids 276 602 \200\223603 Ulysses syn. 655 Umbilical cord prolapse 642 Velocimetry 47 Venous antenatal screening 8 neonatal 150 \200\223151 renal osteodystrophy thromboembolism (VTE) 72 Umrah 493 Uncinate fasciculus 367 Uncinate process 558 Unemployment 105, 522 Union, dela yed 738 United Nations orthopedic 706 in pregnancy 32 Venous ulcers 604, 605 Ventilation 625 177 Vitamin drops, for infants 150 \200\223151, 161 Vitamin K de \201 ciency bleeding (VKDB) 120 in neonates 110 in pregnancy 277 Ventouse 76 Ventricular \201 brillation Vitiligo 586 Vitreous \202 oaters 434, 462 Vocal cords 537i, 568 \200\223569i Voice, hoar se 568 Voiding diffi culties 307, 772 Volatility 619 Volkmann \200\231s contracture Convention on inertia 74 infections 274 Human Rights 119 Convention on Rights of the Child 150, 214 (VF) 239 Ventriculoseptal after childbirth 94 defects 136 Universal newborn inversion 86 involution 94 leiomyoma 276 prolapse 290 retraction 94 retroversion 246 ruptur e 80 torsion 38 tumors 272 \200\223283 Venulitis 588 Verbal dyspraxia 541 Verbal \202 uency 352 Vernal hearing screening (UNHS) 548 Universals, in human health 315, 385 immoral 485 sexual 385 keratoconjunctivitis (VKC) 460 Verrucas 599 Verruciform (warty) lesions 589 Verrucosa cutis 598 Version, external 70 Vertebral collapse 678 Vertebral fracture 774 Vertex presentation 42 Vertigo 554 \200\223555 Very low birth weight 668 Voluntary sector 329 Volvulus 131 Vomiting Unterberger \200\231s test 554 Upper respiratory tract infection (URTI) 158 alternative the rapies Uveitis 448 in newborn 105 in pregnancy 17 anterior 430 V Vaccination 151 VACTERL anomaly 132 Vacuum extraction 76 Vagina hyperemesis 18 Von Gierke \200\231s syn. 655 Von Rosen splint 684 Voyeurism 373 Vulva 161 colds see OHCM 572 Urachus, patent 132 Urbanization, and mental health 391 anatomy 244 \200\223245 carcinoma 266 dysaesthesia 266 lumps 268 pain 266, 268 ulceration a nd warts Urea 176 atresia 246 bleeding 248 \200\223250 carcinoma 275 discharge 284, 285 during labor 58 exami nation 58, 242 imperforate 246 injuries 92 repair 309 rupture, traumatic in pregnancy 15 52, 119 Vestibular Ureaplasma 128 Ureter, double 132 Urethral carbuncle 268 Urethral rupture 750 Urethral syn. 306 \200\223307 Urethral valves 132 Urethrocele 290 Urge incontinence 306 Uric acid, in pr egnancy compensation 554 Vestibular neuronitis 554 Vestibulitis 266 Vibroacoustic dis. 553 Vicarious 268 Vulvitis, with painful bladder 307 Vulvodynia 266, 268 Vulvovaginitis 268 W Waardenburg syn . 425, 548 traumatization 333 Vicar \200\231s knee 690 Videoconferencing 583 Videotaping 480 Vincent \200\231s angina 581 Violence 750 Vaginismus 384 Vaginitis 268, 284 atrophic 256 15 Urinary tract abnormalities 132 injury 750 malfunction 306 obstruction 132, 306 in pregnancy 28 tumors 13 2 Valgus hallux 692, 693i Valvular dis. 136, 166 in pregnancy 20 Wagner \200\223Grossman theory 569 Waist circumference domestic 514 managing 359 risk of recurrence 329 Vaporizers 619 Varicella 144 Varicose ulcers 604 Varicose veins, in pregnancy 17 530 Viral infection, in Waiter \200\231s tip sign 764 Wakefulness 211 Walk-in centers, nurse- pregnancy 34 \200\22337, 142 Urinary tract infection (UTI) in children 174 in pregnancy 28 Virally induced lower led 472 airways dis. (VILAD) 161 Virilism 134 Virtual outreach 583 Virtual reality 317 Visceral inj ury 726 Viscosupplementation Vasa praevia 14 Vasculitis 588, 589 antineutrophil cytoplasmic antibody- associated 432 Walking Urine anatomy 681 delay 214 spinal injury 774 clean voided 174 collection 174 frequency 306 incontinence 306 \200\223307 infection 28, 17 4 retention 306 voiding problem 307 War child soldiers 150 complex disasters 807 stress 347 Vasectomy 305 Vasomotor rhinitis 556 691 842 Wards, noisy 553 in ethnic groups 181 in pregnancy 2 preterm 128 Welder \200\231s eye 452 Well-man and well- Wisdom teeth 581 Wiskott \200\223Aldrich syn. larynx 159 neck 659, 660 reassuring signs 750 Warfarin embryopathy 640 655 Witch \200\231s milk 121 Withdrawal Warthin \200\231s tumor 578 Warts Xanthelasma 417 Xerophthalmia 450 Xerosis 450 Xerostomia 579 XXY 646 Y Yeasts 598 anogenital 268 common types 599 \201 liform 584 seborrhoeic 586 Water requirement 168 Wav e, blast 812 Wax, in ear 538 Weaning woman clinics 488 of alcohol 363 of psychotropics 368 Wittgenstein \200\231s pupil 410i Wood \200\231s light 598 Woolf, V. 101, 549 Work certi \201 cation 477 Worried well 487 Wounds 730 healing 731 see also individual Wells, Horace, downward spiral 619 Werner \200\231s syn. 655 West syn. 207 Wheelchairs 216, 774 Wheezing 161, 164 W hiplash 660, 758 Whistleblowing 509 Whistling, diffi culty vaginal 284 Yeats, W.B. 636 Yin-yang 753 Yoga 212, 341, 515, 520, 753 of babies 126, 127 from ventilator 111 if mother HIV +ve 23 574, 648 organs Weber \200\231s test 540 Wedge fracture 658 Weight woman (AS Byatt) Wrist Z Z & M statistics 810 Z score 227 Zenker \200\231s diverticulum drop 760 injection 710 injuries 744, 745i tendons 669i X X0 655 X-linked inheritance 319 White lesions 586 Whooping cough 160 immunization 151 Wickham \200\231s striae 602 Wilms \200\231 tumor 133 Wine, red 441 Winkler \200\231s dis. 655 Wisdom, Ulysses syn. 655 at birth 128 in babies 573 too light 52, 129 too heavy 53 Zinc de \201 ciency 169 Zoster in childhood 156, 180, chickenpox 144 geniculate 652 ophthalmic 420 224 \200\223227 too heavy 180 too light 180 154, 183 X-rays indications 778 \200\223779 We thank Bernard Ho, Ayoma Ratnappuli, Mark Cassar, Shahzad Arain, Manish Verma, Mathuranay agham Niroshan, and James Sewell for their help with the index.