pregnancy 20 Cardiac rehabilitation 127, 180 Bourneville \200\231s dis. 638 Boutonni \200\231ere deformity 527 Cardiac tamponade 722 Cardiopulmonary resuscitation (CPR), compression only 794 712 Bowen \200\231s dis. 587i 590 Brachial plexus injuries control 306 \200\223307 drainage, in spinal 712, 756 77, 764, 765i Brachycephaly 138 Bradycardia fetal 45 neonatal 107 BRAF gene 592 Brain Calcifying tendinopathy injury 772 extrophy 132 hyperactivity 306 665i Calcium Cardiotocography (CTG) 44, 45, 45i IV treatment 112 in pregnancy 15 Blast injury 812 Bleeding Care after major trauma, improving 809 Calipers 216, 774 Callus, in fractures 738i Calluses 694 Calorimetry 554 Calv \200\231s v ertebra 702 Camus, A. 640 Canal of Schlemm 430 \201 rst trimester 260 in the newborn 120 in pregnancy 88 wounds 730 Blepharitis 416 Blep harospasm 460 Blindness 454 concussion 728 \200\223729 in malformations 140 neonatal bleeds 108 sexually dimorphic continuity 475 eff ectiveness and quality 327 Care orders 399 Care plans 360, 405, 473 areas 134 tumors 200 community 405 diabetic 3 obstetric 2, 3 schizophenia 360 canal wall down (CWD) 545 up (CWU) 545 Canaliculus 419 Canaloliths 555 Cancer in children 216 Brainstem death 777 Branchial cyst 576, 577i Braxton \200\223Hicks Blindsight 428 Blisters 602 Blogs Carers contractions 58 dementia 353 ECT 343 panic attack 345 schizophrenia 357 advice and help BRCA1 gene 283 Breast for 351 and HPV 272 syn.s 649 engorgement 94, 136 neonatal swelling 121 for people with learning disability 365 820 Caries 580, 581 Certi \201 cation dyslexia 396 encopresis 211 enuresis 211 family therapy Chondromalacia of stillbirth 83 of termination of pregnancy 259 of time off work patellae 688, 689 Chondrosarcoma 698 Chordomas 698 Chorea, Sydenham \200\231s 564 Choriocar cinoma 264, 281 Carney syn. 638, 649, 699 Carotico-cavernous \201 stula 420 Carotid body, tumor 386-387 477, 522 Cerumen 538 Cerumenolytics 538 Cervantes: Don Quixote holistic assessment of health needs 100 \200\223101 576 Carpal bones 744 Carpal tunnel injection 710 syn. 714 Chorionic language disorders gonadotrophin 6, 264, 294 407 215 Cervical cancer, learning problems 216, 314, 364 parasomnias 392 play therapy 377 psychosis 391 school refus al 212 sexual abuse 323 sleep disorders 392 substance abuse 362 suicide 338 talking to youn g Chorionic villus biopsy classi \201 cation 272 Cervical carcinoma 272 Cervical disc, prolapse pregnancy 17 Cartilage, sclerosis 655i Caruncle, urethral 268 Carunculae 10, 152 Choroid 438 Choroiditis 438 Choroidoretinitis 438 Chromosome 660, 661i Cervical dystocia 74 Cervical dystonia 660 Cervical erosion (ectopy) 270 Cervical hostility 248, myrtiformes 244 Case management 329, 474 abnormalities 152, 642, 652 Casualties, major 724 Casualty/emergency department see A&E Philadelphia 194 Chronic fatigue syn. 528 Chronic granulomatous 302 Cervical incompetence people on sex 328 dis. 198 Chronic illness, in children 105 Chronic organic Cataplexy 392 Cataract 442 tics & Giles de la Tourette see OHCM 724 Child soldiers 150 Child-centered care 100, 214 260 Cervical os 244 Cervical polyps 270 Cervical rib 660, 661i Cervical smear 270 Cervical spine congenital 138 Catastrophizing 375 Catathrenia 392 Catatonia 358 Cates plots 517 Catharsis 4, 382, 478 Cauda equina 674, 675, 770 Cauli \202 ower ear 536 Causalgia 739 CBRN (chemica l, biological, radiological, nuclear) risk 796 reaction 350 \200\223351 Cigarettes see smoking Ciliary dyskineasia 546 Circadian rhythms 4 04 Circulation, trauma 725 Circumcision 247 Circumcorneal \202 ush 430 City life, and men tal health 391 Childbirth see labor Childhood see children ChildLine 146 Children lordotic curve reversed 159 pediatric 659 Cervical spondylosis/ at risk 147, 214 behavior disorder spondylolisthesis 660 Cervicitis 270 Cervix 270 Clairvoyance 323 Clarke \200\231s test 688 Claudication of spine 674 Clavicle 740 Clavicula r fractures 741i Claw toes 692 Clawing, ulnar 760 Cleft lip/palate 138 Cleidocranial dysost osis 210 bellyache 170 common happenings eff acement 58 in pregnancy 62 ripeness 62 see also cervical 104 Cebocephaly 139 Cebrebrospinal \202 uid (CSF), meningitis/ normal values 203 Cell cycle, and dis. 649 Cellulitis 598 orbital 420 deafness 548 disabled 214 global killers 169 growth 180 ill 103 overruling 100 rights 147, 150, 212, 214 screening 150 CFTR gene 162 Chalazion 416 Chaos, edge of 397 Charles Bonnet syn. 438 Check lists 615 Ched iak \200\223Higashi syn. 138 Cleidotomy 72 Clergyman \200\231s knee 690 Climacteric 256 Climbi report 146 Clinical ecology 515 Clinical governance 497 Clinical reasoning 532 Clinodactyly 114 Cloning Centile charts 181, 224 \200\223227 Chinese philosophy 753 Chiropractic 515 Chizukit 161 Chlamydia 640 Central cord syn. 769i Central retinal artery/ vein occlusion 435 \200\223436 Chemonucleolysis 677 Chemosis 411 Cherry red spot 435, 436i, 651, 655 eye 36, 450 one-stop health Cephalic presentation 74 Cephalopelvic Chest compressions 721 injury 722, 724 Chesty infants 161 Chickenpox 144 Chignon 90 Child abuse 1 46 \200\223147 Child development 150, care 285 ovine (from sheep) 35 salpingitis 286 screening 287 tests 285, 287 Chloasma 17, 586 Choana 561 Choanal atresia 138 Chocolate cysts 288 Choice, as quality human 293, 770 \200\223771 of personalities see Capgras syn. Clostridial infection 37 Club foot 684 Coagulation, in disproportion 74 Cerebellar tumors 200 Cerebral abscess 201 Cerebral atrophy 363 Cerebral c oncussion 728 \200\223729 Cerebral oedema 200, 814 pregnancy 88 218 \200\223221 Child guidance 211 Child minders 217 Child poverty 147, 217 Child psychiatr y 389-396 Coarctation 136 Cobb angle 672 Coblation 565 Cocaine 362, 560, 632 Cochlea 534i Cochlear im plant 535i, high-altitude (HACE) marker 327 814 Cerebral palsy 214 Cerebral tumors 200, 201 Choking 795 Cholecystitis, in abuse 146 anorexia/bulimia 348 Asperger \200\231s syn. pregnancy 38 Cerebral venous sinus Cholestasis, in 549, 550 210, 394 Codman \200\231s triangle 698 Coeliac dis. 171 Coff ee, polyphenolic thrombosis 200 Cerebrospinal fever 204 pregnancy 26 Cholesteatoma 539, 544 Chondomalacia patellae attention de \201 cit disorder 212 see also \202 avonoids 441 Cognitive and analytic therapy (CAT) 388 autism 394 bed wetting 211 bullying 395 drug addiction 362 meningococcus 689 Cerebrospinal \202 uid normal values 203 rhinorrhoea 560 Chondrodermatitis 538 Chondroma 576, 699 Cognitive behavioral therapy (CBT) 373, 374 \200\223375 physicians 474 psychiatric treatment for screening 486 to treatment 402 \200\223403 for web records 502 Consortia, in primary Cornelia De Lange syn. 640 821 Corns 694 Coronary arteritis 646 Coronary 329 Cognitive dissonance Community psychiatric nurse (CPN) 329 Compartment syn. 668, 738 care 474 494 Cognitive impairment, Constipation in children 210 pregnancy 17 microcirculation 595 mild 352 Cognitive therapy 374, 376 Cognitive \200\223genital Compensation neurosis Coronary risk 482 Coronary thrombosis, prevention 482 Corrigan \200\231s syn. 640 Corticotr ophin releasing factor (CRF) 348 Coryza see OHCM 572 Cosh, liquid 359 Cost containment 780 Cot death 148 Cotard \200\231s syn. 640 Cottage hospitals 472 Cotton wool spots 448 Council tax rebate 351 Counseling Consultant in 738 communicable diseases (CDC) 203 Complaints procedure, for NHS patients 497 Complex regional pain dissociation 773 Cohen syn. 180 Coil (intrauterine Consultation analysis 480i going wrong 479 inner 478 models 478 phone 477 premonitions 505 in primary ca re syn. 739 Compliance/ contraceptive device) 298 Coin, ingestion 586, 783 Coitus 296 Colic, in babies 104 Collabor ative self- management 472 \200\223473 concordance, with medication 519, 585 Compound fractures 734 Compulsions 346, 373 Computers CBT 375 hand-held 518 in primary care 502 in skin diagnosis 611 478 \200\223481 time 476 unconscious 479 Collateral ligament, knee injury 754 Colles \200\231 fracture 743, 744 genetic 154 pre-pregnancy 2, 29 psychiatric 380 Counter-transference Consumption coagulopathy (DIC) 88, 120 reversed 744 Collier \200\231s sign 424 Coloboma 138 Color blindness 455 COMT gene, and cannabis 356 Contact dermatitis 433, 596 Contact lenses 458 Continuous negative Concha 419 Concordance 519, 585 Concussion 728 \200\223729 Condom 296 Conduct disorder 212 Conductive deafness 382 Countersuggestibility/ contrarian tendencies 382 Couple therapy 384 Court orders, and psych iatry 373 Court of Protection 403 Cover test 423 Covert sensitization 372 Cows \200\231 mil k 122 allergy 127 see endpapers for test Colporrhaphy 309 Colposcopy 272 \200\223273 Colposuspension 306 Coma, diabetic 186 Coma pos ition 799 Coma scales <4yrs 201 Glasgow (adult) 720 extrathoracic pressure (CNEP) 110 Continuous positve 550, 551 Condylomata 599 Cone biopsy 309 Cone defects 455 Con \201 dentiality 100, airway pressure (CPAP) 110 Contraception barrier 296 depot 304 emergency 299 hormonal 300 \200\223304 postcoital 299 postnatal 95 Contraceptive pill combined 95 emergency 95, 299 Comedone 600 Command tabards 807i Commission for Health Improvement (CHI) 469, 497 147, 343 Con \201 nement see birth Confusional arousal 392 Confusional state 350 Congenital adrenal hyperplasia 134 Congenital defects COX-2 and inhibitors 676 Coxa vara 680 Coxsackie infection 143 Crab lice 608 Cramps, heat 7 88 Cranial arteritis 434 Craniofacial dysostosis Commissioning, of care 524, 525 Common law 403 Common peroneal nerve 714 Contusion dislocation of hip 684 gastrointestinal 130 genitourinary 132 \200\223134 head and neck 138 heart 136 laryngeal stridor 138 pyloric stenosis 172 Coning/intracranial pressure 200 Conj unctivae, dry 450 Conjunctivectomy 433 Conjunctivitis 432 allergic 460, 461 gonococcal 36 p apillary 431 Connective tissue dis., 643 In pregnancy 30 Conrad, J. bone marrow 753 cerebral 728 \200\223729 eye 453 138 Craniostenosis 139 Creams 585 Creatinine, in pregnancy injury 760 Communication Conus medullaris 675 Conversion reaction 366 Convulsion with adolescents, on sexual issues 328 crisis intervention 378 and empowerment 15 Creativity, and in children, diagnosis psychosis 313 CREST syn. 589 Cri-du-chat syn. 152 Cricoarytenoid 206 eclampsia 48 febrile 206 management 208 neonatal 112 see also \201 t (seizure) 473 impaired 215 listening 320 \200\223321 milestones 215 nonverbal 324, 387, adductors 569 Crigler \200\223Najjar syn. 640 Criminality, in Cookie bite adolescents 390 394 antiogram 541i Coombs \200\231 test 115 Coping mechanisms 373 Coprophagia 210 Cord with parents 119 radio 804 therapeutic 370 with those hard of Crisis intervention/ resolution 378 Critical incident reporting 497 Crohn \200\231s dis. 170 Crosby capsule 171 Cross-tapering 369 Croup 158, 566 hearing 551 Heart of Darkness 331 Lord Jim 318 compression 768i, 770 injury 766 \200\223774 prolapse 72 through the medium of play 377 Conradi \200\223H nermann syn. 640 Conscience 367 Consciousness 382 clouding 350 de \201 ned 537 Community care in 329, 405 health councils 496 mental health teams Core competencies 471 Cornea vs epiglottitis 159 Cruciate ligament, knee abrasion 452 debridement 433 keratitis 432 ulcer 416, 432 injury 754 (CMHT) 329 midwives 474 nurses 474 pediatrics 217 CRUSE 498 Crush injury 812 Crush syn.s 738 Cryosurgery 591 Consent for data-sharing 502 pre-operative 614 822 Cryptorchidism 132 Dandruff 596 Dandy \200\223Walker syn. 640, 640i Danger labels in talking 215 in walking 214 union, fracture 738 Diagnosis computer-aided, CSF 203 CT in trauma, skin 611 indications 779 Cubital tunnel syn. 666 Cubitus valgus/varus Delirium 350, 351 Delirium tremens 363 Delivery see birth Deltoid inhibition 665, in primary care 532 Diagnostic peritoneal (Hazchem) 801i Dante: Divine Comedy lavage (DPL) 727 589, 640 Dialectical behavior therapy (DBT) 388 666 Culture, in primary care Darier \200\223Roussy nodules 741, 743 472, 492 Culture media 433 Cuneiform bones 703 Cupping, optic disc 441 Curettage (D&C) 308 Cusco \200\231s speculum 242 Custody Delusions 316, 407, 640 Dementia 350 \200\223353 Deming \200\231s de \201 nition of qualit y 637 Demographics of Diamond \200\223Blackfan syn. 640 Diaper see nappy Diaphragm, herniation 589 Darier \200\231s sign 610 Dazzle 442 De Clerambault 640 De Quervain \200\231s dis. 130 Diaphragm (cap), (tenosynovitis) 668, 711 poverty 217 Dendritic ulcers 416 Dental dis.s 580 \200\223581 Dentate gyrus 347 Denver test 218 \200\223219 Depersonalization 346 Depolarizing drugs 622 Depot contraception contraceptive 95, 296 Deafness legality 367 see also deprivation Diaphyseal aclasia 700 Diaphysis 683i Diarrhea 168 Diatetic care plans 3 DIC in adults 550 age-related 550 amplifying speech 551 assessment 540 childhood 548 and choosi ng a of liberty Cutaneous larval migrans 587i Cutaneous lupus 95, 304 Depression in neonates 120 in pregnancy 88 erythematosus (LE) 589 hearing aid 551 classi \201 cation 551 communication 551 conductive 551 congenital 548 coo kie-bite loss 541 factitious 540 mid-range hearing Cutaneous nerve of the Diet childhood 390 classi \201 cation 336 diagnosis 336 overdiagnosis 337, 341 postnatal 94, 40 8 \200\223409 treatment 336, thigh 714 Cutis laxa 643 Cutting 247, 339, 611 see also self-harm and asthma 165 diabetes 186 gluten free 171 Mediterranean 164 weight reducing 530 CVU 174 Cyanide, smoke injury Diff usion hypoxia 630 Digital nerve 746 Dignity, on psychiatric 340 \200\223343 loss 541 and noise 553 normal 551 range 551i rehabilitation 550 sensorineural 551 sudden 55 0 \200\223551 Deprivation, social 476 Deprivation of liberty, safeguards (DOLS) 403 732 Cyanosis at birth 107 and heart dis. 136 wards 315 Dilatation and Cybernetics 386 Cyclopia 139 Cycloplegics 456 Cyclothymia 354 Cylindroma 578 Cyst Derealization 346 Dermal tumors 590 \200\223593 curettage (D&C) 308 DIMC 790 Dinner-fork wrist deformity 744 Death Dermatitis 596 artefacta 611 herpetiformis 588 Dermatochalasis 416 Dermatoconjunctivitis active management Diphtheria 158 Diplegia 214 Diplopia 412, 422 monocular 442 Direct current 789 Disability Baker \200\231s 690 branchial 576 infected 577i kidney 132 nabothian 270 ovarian 281 thyrog lossal 576 Cystadenocarcinoma 501 at home 498 \200\223499 easeful 553 in utero 82 nonatal, prevention (allergic conjunctivitis) 432 Dermatographism 310, 586 in childhood 216 in trauma 725 see also learning 129 Death wish 337 Debridement 730 Deceleration injury 726 Decision analysis 479 Decision s upport Dermatomes 762 \200\223763 Dermatomyositis 589 Dermatophytes 598 Dermoscope 587 Desensitiza tion 372 Des \202 urane 618 Detached retina 444 Detention 281, 283 Cystadenoma 281 Cystic \201 brosis 162 Cystic glandular disability Disability Living Allowance (DLA) 522 computer-assisted hyperplasia 274 Cystic hygroma 576 Cystinuria 216 Cystocele 290 Cystometry 307 Cystoplasty 307 Cytoplasmic inheritance 477, 502 in skin dis.s 611 and triage 477 Decision-making 532 Decompression sickness Disaccharidase de \201 ciency 168 Disasters, major 806 Disc compulsory 398, 400 cervical 660, 661i lumbar 674 optic 440 \200\223441 prolapse 660, 661i, see also 813 deprivation of liberty Detrusor problems 307 Developmental delay Deep brain stimulation 648 648 Cystourethroscopy 307 Cytokines 106 storm 654 Cytology 270 \200\223272 Cytomegalovirus (CMV ) 34 in the eye 448 D D&C 308 D antibodies 116 Dacroadenitis 418 Dacrocystitis 418, 419 Dae dalus 554 DALYS 169 Deep cervical abscess 675i 577i protrusion 678 slipped 674 Discectomy 677 Discharge 214 milestones 150 Deep vein thrombosis (DVT) 16, Developmental in pregnancy 32 prevention 706 dysplasia of hip 684 from ear 544 \200\223545 from nose 556 from outpatients 326 from vagina 284, 285 Disciform degeneration Di George \200\231s syn. 642 Di Guglielmo \200\231s syn. 642 Diabetes insipidus 132 Diabete s mellitus care plans 3 in childhood 156, 186 emergencies 186 GP clinics 488 group learning 488 in pregnancy 3, 24 Defense mechanisms 382 De \201 brillation 239 automatic 795 Deformity, \201 xed 680 Dehy dration 234 \200\223235 Dehydroepiand- 438 Discitis 678 Discoid eczema 586, 587i, 596, 602 rosterone 347 Delay in menstruation 248 Discoid lupus Dorsal raphe nucleus Dyspareunia 310, 384 Dysphagia 572 Dysphonia see hoarseness Dyspraxia, verbal 541 Dysre \202 exia 770, 772 Dysrhythmias, in pregnancy 20 sex 1, 384 smoking 512 vs thought control 823 erythematosus (LE) 602, 611 347 Dostoevsky, F. can psychopaths Discontinuation see withdrawal 494 love? 366 Edward \200\231s syn. 642 EEG aganist abstract thought 153 Disease in anesthesia 631 in dementia 649 in vegetative state and cell cycle 649 inherited 152 Crime and Dislocation elbow 742 hip 752 Punishment 153, 366, 468 Dyssynergia 772 Dystocia 72, 74 E Ear, Nose & Throat (ENT) 776 Ego 383 plays Russian roulette congenital 684 multiple 325 485 jaw 758 Lisfranc 756 midtarsal 756 patella 754, 755 shoulder 662, 740, 741i wrist 744 The Brothers Egotistical behavior disorders 534 symptoms, Karamazov 318 Down \200\231s syn. 12, 152 \200\223153 Dreams, vivid 393 Driving 373 Ehlers \200\223Danlos syn. 642, 643i prevalence 536 Earache 542 Eardrops 543 Ears Eisenmenger \200\231s syn. 642 Ejaculation, too soon \201 tness for 526 under the in \202 uence of alcohol 527, 791 Disorientation 350 Disruptive behavior disorders 212 384 examination 536 foreign body in 538 posterior perforation Elbow Drooling 567 Drowning 786 \200\223787 Drug abuse anatomy 666 arthroplasty 742 dislocation 742 golfer \200\231s 666 injection 710 ligaments 6 67i pulled 742 replacement 742 student \200\231s 666 tennis 666 Disseminated 539 wax in 538 intravascular coagulation (DIC) 88, 120 Dissociation and accidents 791, 796 cannabis and Eating disorders 348 Ebstein \200\231s anomaly 642 Echolalia 394 Echopraxia 358 Eclampsia 4 8 Ecstasy 553 Ectopia lentis 138 Ectropion 416, 417i cervical 270 Eczema 596 \200\223597 attention de \201 cit disorder 212 hysteria 334 light-near 424 Dissociative identity disorder 334 Distancing tactics 499 Distr action tests 548 Distributive justice 470 District nurses 474 Diverticula 573i, 651i Diving 813 Divorce 522 DNA ENT tumors 570 \200\223571 epidemiology and presentation 362 past abuse causing problem now 362 prenatal eff ects 100 psychosis (cannabis) Elderly people, visiting 486 Electric shock injuries 789 asteatotic (=eczema Electroconvulsive therapy (ECT) 342 \200\223343 317 craquel ) 604 discoid/nummular 586, 587i, 602, 611i and schizophrenia 317, 356 sperm count (low) Electro-gastrometry 574 Electrophysiology 623i Electrolytes herpeticum 597 infant 604 Edinburgh scale, disorders see genetic 295 Drug eruptions 601 Drugs disorders meaningless 152 mitochondrial 648 repair 648, 649 transcription 655 unwinding 655 needs 123, 234 \200\223235 in neonatal feeds 123 normal values 222 pyloric stenosis 172 in renal failure 176 Electromechanical dissociation 239 Electrophysiology 714 Electroretinogra phy 450 Eliot, T.S.: Four Quartets postnatal depression 409 \201 nance of 519 pre-op 613 withdrawal 368 Drunk driving 791, 796 Drusen 439, 449 Dry ey es 418 Dry mouth 579 DSM-IV 312 Dubowitz score 228 \200\223232 Duchenne \200\231s muscular dystrophy 642 Ductus arteriosus, patent 136 Duodenal atresia 152 Dupuytren \200\231s contra cture Education and access to health 470 \200\230Do not resuscitate \200\231, in neonates 119 Doctor \200\223patient accident prevention 791 and audit 506 breast cancer 482 and bullying 395 condom use 482 diabetes 488 dyslexia 396 e ff ectiveness 494 health 471, 494 health-seeking behavior 517 vs indoctrination 472 interne t resources relationship 468 Doctors acquiescent 478 appraisal/ 314 EMA (eosin-5- maleimide) 115, 196 assessment/ revalidation 508 compassion, dried Embolism amniotic 89 fat 738 Embryos up 516 dependency on 326 duty 468 inappropriate feelings 379 668 donated 640, 641 ethics 641 Dupuytren \200\231s fracture 756 Duty, in primary care 468, 516 Duty of care 403 Dwar \201 sm 640, 650, 652 Dying, care of 498 \200\223499 Dylan, Bob 169, 316 Dynamic therapy 382 Dyop 415 Dysarthria 214 Dyschromatopsia 434 Dysfunctional uterine bleeding 253 Emergency Dept. see A&E 495, 504 isolated 379 neuroses 478 panic 518 stress 333, 379 uncomfortable questions 379 mother-and-baby 496 vs nannying 484 obesity 156, 530 offi cials 494 past, in \202 uencing Emergency medicine 657 Emergency services, ranks 804t Emotion vs reason 494 Emotional blunting 350, 356 current consultation 479 work \200\223home con \202 icts 468 peer education see also GPS Emotional deprivation 494 \200\223495 Domiciliary care 476 Donne, J.: The Flea 609 Donor embryo 641 Donor insemination 293 Dopple r 47 611 via psychotherapy 371 via radio dramas 494 as route out of loneliness 331 Dyslexia 396 Dysmature, see preterm Emotional factors in dis. 334 Empathy 367 128 Dysmenorrhoea 250 824 Emphysema, surgical 724, 759 Employment, and Epicanthic folds 422 Epidural abscess 679i Epidural analgesia 66, in primary care 468, Extrication, from vehicle accidents 800 Exudates, hard 448 Eye 481, 532 and stem cells 641 poverty 217 Empowerment Etomidate 621 European Court of 635 \200\223636 Epidural space 634i Epigenetics 653 Epiglottis anatomy 433i color of irises 425 in diabetes 446 \200\223447 and drugs 456 \200\223457 eff erent defects 424 examination 412 \200\223415 injury 452, 453 movement (palsies) and minor illness 517 and self-care 473 of women 495 Human Rights 119 Evidence-based anatomy 567i image 159i medicine (EBM) in anesthesia 637 back pain 671 limitations 312 in primary care 489 Ewing \200\231s sarcoma 698 Examination back 670 ENT 536 eye 412 \200\223415 gynecological 242 hi p 680 knee 686 mental state 324 \200\223325 neonatal 112 obstetric 40 pediatric 102 postnat al 94 preoperative 614 shoulder 662 Encephalitis herpes simplex (HSE) Epiglottitis 158, 566 \200\223567 vs croup 159 200 lethargicans 392 in neonates 34, 112 signs and causes Epilepsy adult 726 422 see also OHCM 378-381 painful 430 \200\223432 red 430 \200\223432 in systemic dis. 448 \200\223449 34, 202 Encephalocele 140 Encephalopathy bilirubin 115 and \201 ts 206 in high altitude autosomal dominant 392 eff ect of music 207 management 208 \200\223209 neonatal 112, 207 not epilepsy 207 pregnanc y and trauma score 453 vocabulary 411 watery 418, 419 Eyedrops, systemic eff ects 457 cerebral oedema 814 pre-conception counseling 29 and swimming 527 types 206 neonatal 44, 112 in neutropenic patients 195 in paracetamol poisoning 192 in renal dis. 176 , 178 in Reye \200\231s syn. 652 in vegetative state Eyelids disorders 416, 417, 418 F Face Epileptic injuries 758 malformations 138 presentation 71 encephalopathy 207 Epiphoria 418 Epiphysis 683i Exanthem subitum 143 Excessive lateral pressure syn. 688 Exchange transfusion Facial nerve 574 Factitious syn.s deafness 540 dermatological 611 776 Wernicke \200\231s 18 Enchondroma 700 Encopresis 211 End-inspiratory apnoea fractures 737t 115 Executive function 353 Exenteration 272, 309 Exercise Episcleritis 432 Episiotomy 92 Epispadias 132 Epistaxis 559, 562 Epithelioma 590 Epley head maneuvers Fecal soiling 210 Failure to thrive 180 Fallot \200\231s tetrad 136, 642 False imprisonment 403 Familial cancer syn.s 649 Families and glycaemic control 526 392 Endocarditis 166 infective (IE) 166 over-exercising 705 in treatment of depression 341 Exhibitionism 364, 367 Existentialism 47 1 Exomphalos 131 Exophoria 422 Exophthalmos 420, 448 Exostoses ear 538 in osteochondroma Endolymph 554 Endometrial thickness 555 Eponyms, explained 639 Epstein \200\231s pearls 121 Erb \200\231s dystrophy 642 Erb \200 \231s palsy 764 Erb \200\231s paralysis 764 Erotic connection, quality of 385 at risk 147 breakdown 105 dysfunctional 387 in schizophrenia 356 in unemployment 522 Family planning 296 \200\223304 Family practitioner 470 Family therapy 386 Fanconi anemia 644 Fas t food 156 FAST scan 727 Fasting, pre-op 615 Fat embolism 738 Fat \201 le syn. 640 Fat pa d syn. 688 Fat pads, elbow 742 Fatty liver, acute 26 Faulks, S.: On Green 279 Endometriosis 288 Endometritis 274 Endometrium ablation 253, 308 cancer 278 hyperplasia 274 polyps 274 resection 253, 308 sampling 279 tub erculosis 274 Endophthalmitis 453 Endoscopic discectomy Erotomania 640 Erysipelas 598 Erythema chronicum migrans 587i, 588 Erythema infectiosum 700 Exotropia 422 Expected delivery date (EDD) 1 142 Erythema multiforme Exploding head syn. 392 Exposure, in trauma 725 Exposure response therapy 373 Exposure ther apy 372 Expressed emotion, 677i 588 Endothelial dysfunction Erythema nodosum 588 Erythema toxicum 121 Erythroblastosis 116 Erythroderma 589 Erythromyel osis 642 Erythroplasia 588, 598 Erythrovirus 142 Escharotomy 733 Esmarch bandage 744 Esopho ria 422 Esotropia 422 Ethics 595 Endotracheal intubation baby 110 in epiglottitis 158 tube sizes 627 Dolphin Street 468 Febrile convulsions 206 Feeding high 333 Extensor expansion, knee 712i Extensor tendons, \201 nger 713i Extracorporeal membrane ox ygenation 109 Extradural anesthesia Engrams 537 Enteral feeding 122 Enterocele 290 Enterocystoplasty 307 Entropion 416, 417i En uresis 211 Enzyme anxieties 121 bottle 127 breast 124 \200\223126 enteral 122 gavage 122 parenteral 122 probl ems 124 \200\223126 in childcare 100 and cochlear and alcohol 363 de \201 ciencies 152 inducers 300 therapy 183 635 \200\223636 obstetric 66 Feet, \202 at 692 Femoral epiphysis, implants 549 embryology 293 and embryology Extradural bleed 200 Extradural space 634i Extrapyramidal signs slipped 682, 683i Femoral fractures 752i, 753 Eosinophilic granuloma 293, 641 and judgment 319 patient-centered 641 (bone) 704 360 Femoral nerve block 633 Epi-Lasik 464 Fertility Fire service helmets Formularies 519 Fothergill \200\231s op. 308 Foundation year 472 Fourth dis. 143 Fovea cent ralis 445, 447 Foveola 445, 447 Fractures union 738 vertebral 774 wrist 744-745 zygomatic bone 759 825 and control 296 \200\223304 postcoital test 294 spine injury 773 Fetal abnormality scan 46 804t First aid 790 \200\223798 First rib syn. 660 Fishbones 784 Fit (seizure) adult 726 cla ssi \201 cation 206 febrile 206 management 208 neonatal 112 toxaemic 96 Fragile X syn. 648 Fragility fractures 709 Fragoli delusions 640 Franceschetti \200\231s sy n. 655 Fraser guidelines (=Gillick competence) 297 Fetal alcohol syn. 138 Fetal blood sampling 44 Fetal circulation 109 Fetal distress 55 Feta l echocardiography acetabular 750 ankle 756 avulsion 754 Barton 744i, 745 Bennett \200\231s 744 blood loss 798 clavicle 740 Colles \200\231 743, 744 complications 738 compound 734 description 734 dis. 734 Dupuytren \200\231s (bilateral Freckles 586 Free \201 eld voice testing 46 Fetal head 42 Fetal hydrops 117 Fetal membranes 68 Fetal monitoring 44 \200\22345 Fetal nuchal Fixation 734 \200\223735, 753 Fixed deformity 680 Flail chest 722 Flashbacks 317 Flashing l ights 462 Flat foot 692 Flavonoids 441 Fleas 608 Flexor tendons foot 713i hand 669i Floater s 462 Flooding therapy 372 Floppy infants 124 Fluid balance 537 Free will (and free won \200\231t) 367, 790 Freiberg \200\231s dis. 703 Frenulum rupture 146 Freud, Sigmund 382 Frey \200\231s syn. 579 Friendless loners 323 Frigidity 384 Froment \200\231s sign 760 Frontal cortex and gaze 410 translucency (FNT) 11 Fetal well-being 46, 47 Fetoplacental unit 14 Fetoscopy 11 Fetus malleolar) 756 epiphyseal 734 \200\223735, 737t face 758 femoral neck 752i, 753 femur 752 \201 bula 754 \200\223755 foot 756 forearm 742 fragility 709 Galeazzi 644 hand 748 healing 736, 738 hip 750 humerus 740, 742 immobili zing 734 intertrochanteric 752 knee 754 Le Fort 758 Lisfranc 756 Maisonneuve \200\231s 756 malleolar 756 malunion 738 management 734 \200\223735 mandible 758 March 694 maxilla 759 me tacarpal 748 Monteggia 650 non-union 738 nose 560 olecranon 742 open 734, 751 os calcis 756 patella 754 pathological 734 pelvis 750 phalanx 748 Pott \200\231s 756 radius 742 reductio n methods abdominal palpation 40 abnormal lie 71 acidosis 44 antenatal care 8 asphyxia of 90, 107 attitude 40 biophysical pr o \201 le 46 death in utero 82 delivery 58 engagement 40 excessive size 24 growth 52 hemor rhage of 14 heart rate 40, 44 \200\22345 malformations Frontal lobe tests 353 Frozen shoulder 664 FSH 252, 256 FTO genes, and obesity in children 234 \200\223235 in neonates 122 Fluorescein 531 angiography 446 Fluorescence in situ Fugue 334 Fulguration 288 Functional endoscopic sinus surgery (FESS) 558 hybridization (FISH) 13 Fluorescent antibody tests 160 Flushing 600 Flying, \201 tness for 527 Focused assessment with sonography for trauma (FAST) 724, 727 Folate 22, 196 Follicle stimulating Fundus auto \202 uorescence 456 eye 445, 447 normal 410 Fungi 598 \200\230funny turns \200\231 207 Furuncles 598 Furunculosis, ear 542 G Gait 680, 681 Galactosaemia 115 Galeazzi fracture 644 Gallows traction 736i Gamekeeper \200\231s thu mb 130 \200\223140 malpresentation 70 \200\22371 maturity 44 monitoring 44 \200\22345 mortality \201 gures 97 movement 8 mul tiple 68 position 40 prematurity 50 \200\22351 presentation 40 skull diameters 42 ultrasoun d 10, 46 unstable lie 71 valproate syn. 29 Fever in children 106, 143 Fiber diet 210 Fibreo ptic endoscopy hormone (FSH) 248 Folliculitis 606 Fontanelles 43 Food fads 210 insecurity 105 not enough 168 see also feeding 748 Gamete intrafallopian transfer (GIFT) 293 Foot Gamma- amputation 654 club 684 deformities 692 dislocations 756 \202 exor tendons 713i \202 at 692 fractures 756 ligaments 757i pain 694 hydroxybutyrate (GHB) 392 Gang culture 390 Ganglia 668 Gangliosidosis 654 Ganser syn. 644 G arbology 516 Garden classi \201 cation of femoral neck fractures 753t of supracondylar fra ctures 743t 536 Fibroids 276, 277 Fibrosarcoma 698 \200\223699 Fibula fracture 756, 757i Field defects 428 Fifth dis. 142 Filiform lesions, warts 736 Footling breech scaphoid 744 skull 728, 758 Smith \200\231s 744 spine 766 \200\223774 spiral 734 splintage 734 \200\223735 stress 694, 756 talus 756 tarsal 756 tibia 754 tibial plateau 752 torus 755 presentation 70 Forceps 76 \200\22377 Forearm fractures 742 Foreign bodies in the ear 538 in the eye 452 in gestion 783, 795 in the nose 560 removal 782 584 Filshie clip 305 Finkelstein \200\231s test 668 Finger Gardnerella 284 Gastroenteritis 168 Gastrointestinal bleeding 168 Gastrointestinal crushed 778 extensor tendons 713i infection 746 injuries 746 \200\223749 malformations 130 Finkel \200\231s sign 668 Forensic psychiatry 329, 364, 367, 373 826 Gastrointestinal suppressor genes 421 transcription factor Gottron \200\231s papules 589 Gout, in eyes 448 Gower \200\231s sign 717 GPS Gunshot injury 722 Gustilo classi \201 cation 735 Guthrie test 183 Gynecological stromal tumors (GIST) 699 Gastroschisis 131 Gaucher \200\231s syn. 644 Gavage feeding 122, 123i Gene therapy 198 General anesthesia (GA), depth monitoring 631 General Medical Council 649 tumorigenesis 649 uniparental disomy accountability 497 busy 476 co-operation 507 contract 471, 502 core activities 472 facts 47 6 job description 470 list size 471, 476 non-principals 474 numbers 471, 476 principals 472 service provision 507 special interest (GPSI) examination 242 652 H HAART 145 see also DNA disorders Geniculate herpes 574 Genital cutting 247 Genital warts 268 Genitalia, ambiguous in pregnancy 23 Haemangioma 566 Haemangiopericytoma 699 (GMC) 509 134 Haemarthrosis 754 Haematocolpos 246 Haematoma advice on capacity Genitourinary injury 726 pelvis fracture 750 Gentamicin daily 175 Germ cell tumors 281 Germ an measles 142 Gestation 403 guidelines 379 General practice clinics 488 facts 476 hospitals 488 organization 474 \200 \223476 partnership size 476 see also GPS; primary fetal scalp 90 nasal septum 560 pinna 538 472 \200\223473 Haematometra 274 Haematosalpinx 246 Haematuria 178 Hemoglobin reference intervals 222 staff 474 stereotypes 476 targets 471 team 214, 474 telephone triage assessing age 46 Dubowitz score 228 multiple 68 see also small for gestational age (SGA) Ge stational care Haemolysis 196 Haemolytic dis. of newborn 116 Haemolytic uraemic Genetic counseling 476 \200\223477 154-155 Genetic disorders carriers 152 \200\223154 chromosomal time 476 training 472 triage and decision trophoblastic neoplasia 264 Giant cell arteritis 434 Giant cell tumor of bone 698 syn. 176 Haemophilus 204 culture 433 support 477 abnormalities 152, 194, 642, 652 cystic \201 brosis 162 familial cancers 649 gene probe u se 152 gene therapy 198 Li \200\223Fraumeni syn. 648 multiple cancers 648 preimplantation d iagnosis 13 underperforming 509 workload reduction Haemopneumothorax Giant papillary 477 722 Hemorrhage conjunctivitis 431 Gillick competence 297 Ginger, for vomiting 500 Gingival dis. 581 Ginsbe rg, A.: Howl 343 Glasgow coma scale see also doctors; general practice accidental 56 antepartum 56 dental socket 760 gastrointestinal Grand mal epilepsy 206 Grandmothering 256 Granuloma annulare 586 pyogenic 602 120, 172 (GCS) 720 for children 201 Granulomas, eyes 448 Granulomatous dis., chronic 198 Granulosa tumor 281 Grati \201 cation disorder intracranial 728 intraocular 453 intraventricular prenatal analysis 10 prevention 2, 10, 152 screening 153 Glaucoma acute 430 chronic 440 developmental 425 drug induced 456 simple 440 90, 108 Genetics multiple injury 724 newborn 120 occult 726 postpartum 84 in pregnancy 88 retinal 160, 448 s ubconjunctival 432 vitreous 434 anti-oncogenes 421 cell cycle and dis. 649 cloning 293, 770 \200\223771 cystic \201 brosi s 162 disomy 652 embryological control 701 environmental 207 Gravidity 1 Greek words, in Gleeson scores 167 Gliadin 171 Global warming 168 Globus hystericus 572 Globus pharyngeus 5 72 Glomerulonephritis 178 Glomus tympanic dermatology 585 Greene, G. murder 103 virtue is no excuse 243 Russian roulette 485 Green \202 ashing car light Hajj 493 Hallpike test 555 Hallucinations 316, 317, 357 \200\223358, 392 interactions 653 epigenetics 653 and existentialism 652 gene probes 152 gene tracking 154 germ line mutation s 798, 803 Grief 498 Groaning 392, 553 Grommets 546-547 Group learning 488 Group therapy 376, 520 Grow th tumor 552 Gloves and socks syn. 142 Hallucinogen persisting perception disorder 317 Hallux valgus 692, 693i Halo naevus 592 Halos Glucose-6-phosphate dehydrogenase 115 648 guarding the genome Glue ear 539i, 546, 546i, 547 Glue sniffi ng 362 Gluten enteropathy 171 Glycogen storage di s. 649, 652, 653 homeotic genes 701 imprinting 652, 653 karyotype examples of breast-fed babies 180 diff ractive charts 181, 226 \200\223227 and ethnicity 181 fetal 52, 53 and health 180 restriction/ phenomena 462 hallucinatory 317 (glycogenoses) 182, 652, 655 655 Halothane 618 Hammer toes 692, 695i Hand master genes 701 mitochondrial 648 mosaic karyotypes Glycosuria, in pregnancy 24 Gnosis, tactile 761 Goiter 577i Gold area, in major incident 807 Golden hour 7 23 Golfer \200\231s elbow 666 Gonadotrophins 184 Gonococcus 286 retardation 52, 655 clawing 760 foot & mouth dis. 143 fractures 748 incisions 747i infections 746 injuries 746 \200\223748 nerve division 760 Growth hormone 180, 651 Grunting 118 Guardianship, under Metal Health Act 402 Gumma, TB 598 Gunpowder test 639 655 nature vs nurture 653, 701 oncogenes 421, 648 in oncology see OHCM 432-43 p53 gene 648 PCR tests 13 Hand \200\223Sch ller \200\223 Hip Homosexual bullying congenital dis. 136 failure 20, 136 fetal rate 44 \200\22345 ischaemic, risks 482 in pregna ncy 6, 20 rheumatic 166 sounds 137 827 Christian syn. 644 developmental dysplasia 684 dislocation 752 395 Handicap, de \201 nition Homosexuality 328, 334 Honeycomb lung 644 Hope 314, 326 Hopkins, G.M. 315 Hordeolum 416 Hor mone replacement therapy (HRT) 256 \200\223257 216, 314 Hangman \200\231s fracture 659i Happiness, and mental congenital 684 eff usion 683i examination 680 fractures, prevention health 314 Harlequin color, in neonates 121 Hartnup \200\231s dis. 644 Hasner \200\231s val ve 419 Hat-pin testing 428 Hawkins test 663 Hawthorne eff ect 491 Hazards 800 HAZCHEM board s 801i Head Heart Protection Study of 753 irritable 682 movements 681i pain, in, children 682 replacement 706, 707i resurfacin g 707i shortening 680i transient synovitis 482 Heartburn, in pregnancy alternative therapies 17 Heartsink patients 330 Heat, adverse eff ects 515 Horner \200\231s syn. 424 Horseshoe kidney 132 Hospice 498 \200\223501 Hospital medicine 46 7 Hospitals 493, 788 Height adult 530 children 180, 224 \200\223225 ethnic groups 181 maternal 4 682 alternatives 473 avoiding dependency banging 392, 394, 648 engagement 40 fetal 42 injury 728 \200\223729 tuberculosis 682 Hippocampus 347 Hippocratic approach to on 326 cottage 472 forced admission 400 Heimlich maneuver 795 Helicopter transportation quality 327 Hirschsprung \200\231s dis. 130, 210 imaging 729t, 778 808 nodding 660 Head lice 608 \200\223609 Headache, in children Helicotrema 554 Heliotrope rash 589 HELLP syn. 26 Hemianopia 429i Hemiparesis 214 Hemiverte bra 673 Henoch \200\223Schonlein purpura 197 Hepatic enzyme induction 363 Houghton images 313 House dust mites 556, 596 Hissette \200\223Ridley fundus 451 Histiocytoma 698 Histiocytosis X 644 History Housemaid \200\231s knee 690 Housing 201 Healing central idea 520 fractures 734 wound 731i see also self-healing and healthcare 105 improving 391 instability 105 mental health 391 for the mentally disable d 364 Housman, A.E.: A gynecological 242 medical 639 obstetric 2 pediatric 100 psychiatric 322 health Hepatitis active vs passive 565 and child poverty 217 and childhood nutrition 234 halothane 618 maternal 26 neonatal 36 prevention 151 Hepatomegaly 170 Hepatoportoenter- ost omy 117 Herbalism 161, 336, 515 Hereditary Hitler, Adolf 323 HIV Shropshire Lad 468 in childhood 145 mother to child Howie hypothesis 476 Hueston \200\231s table-top test 668 de \201 nition 470 determinants 471 education 494 \200\223495 empowerment 473 global 129, 168 improvement (CHI) transmission 35 ophthalmic 448 oral/dental 580 periodontal disease Hulme, K.: The Bone People 146 Human chorionic gonadotrophin (hCG) 581 in pregnancy and labor 23, 35 prevention 482 skin 606 weaning 23 spherocytosis 196 Hermaphroditism 134 Hernia 130 Heroin abuse 362 Herpangina 143 Herpes 497 pregnancy test 6 ovarian inequalities 523 measures 470 needs 470 political dimensions hyperstimulation 294, 311 Hives 603 HLA-B27 430 Hoarseness 568 Hodgkin \200\231s dis. see OHCM trophoblastic dis. 264 Human cloning 293, 771 Human Fertilization 471 promotion 495 reproductive 1, 243 universals 315 geniculate 574 ophthalmic 416, 420 in pregnancy 36 simplex (CNS) 200 skin 599 vulval 268 zo ster 144, 420, 599 and Embryology Authority (HFEA) 293, 641 Health Care 658 Hodgkinson \200\231s score 353 Hoff a \200\231s fat pad syn. 688 Hoff man elimination 622 H olism 471 Holistic medicine 99, 327, Commission 497 Health improvement targets 512 Health Protection Human immunode \201 ciency virus see HIV Human needs, universal Herpes simplex encephalitis (HSE) 200 Herpesvirus HHV-6 143 HHV-8 607 Hesse, H. 319 Heterochromia 425 HHV see herpesvirus High Court applications Agency 782 Health visitors 474 Health worker, universal 515, 520, 565 Holmes \200\223Adie syn. 424 Home