020 7092 1500 (cid:27)www.rcoa.ac.uk 020 7404 1999 (cid:27)www.collemergencymed.ac.uk 020 3 188 7400 (cid:27)www.rcgp.org.uk 020 7772 6200 (cid:27)www.rcog.org.uk 020 7935 0702 (cid:2 7)www.rcophth.ac.uk 020 7092 6000 (cid:27)www.rcpch.ac.uk 020 7451 6700 (cid:27)www.rcpath. org 020 7935 1174 (cid:27)www.rcplondon.ac.uk 0131 225 7324 (cid:27)www.rcpe.ac.uk 00353186 39700 (cid:27)www.rcpi.ie Emergency Medicine General Practitioners Obstetricians and Gynecologists Ophthalmologists Pediatrics and Child Health Pathologists Physicians of London Physicians of Edinburgh Physicians of Ireland Physicians and Surgeons of Glasgow 0141 221 6072 (cid:27)www.rcpsg.ac.uk Psychiatrists 020 7235 2351 (cid:27)www.rcpsych.ac.uk 020 7636 4432 (cid:27)www.rcr.ac.uk 0131 527 1600 ( cid:27)www.rcsed.ac.uk 020 7405 3474 (cid:27)www.rcseng.ac.uk 0035314022100 (cid:27)www.rcs i.ie Radiologists Surgeons of Edinburgh Surgeons of England Surgeons of Ireland Selected learned bodies Academy of Medical Royal Colleges Academy of Medical Sciences Anato mical Society of Great Britain Association for Palliative Medicine Association for Study of Medical Education Association of Anesthetists Association of British Neurologists British Association of Dermatologists British Association of Pediatric Surgeons British Cardiac Soc iety British Geriatrics Society British Society for Rheumatology British Society of Gastroe nterology British Thoracic Society Resuscitation Council Royal Society of Medicine (cid:27)www.aomrc.org.uk (cid:27)www.acmedsci.ac.uk (cid:27)www.anatsoc.org.uk (cid:27)www. palliative-medicine.org (cid:27)www.asme.org.uk (cid:27)www.aagbi.org (cid:27)www.theabn.or g (cid:27)www.bad.org.uk (cid:27)www.baps.org.uk (cid:27)www.cardiac.org.uk (cid:27)www.bgs .org.uk (cid:27)www.rheumatology.org.uk (cid:27)www.bsg.org.uk (cid:27)www.brit-thoracic.or g.uk (cid:27)www.resus.org.uk (cid:27)www.roysocmed.ac.uk Online reference sources British National Formulary Cochrane Library NHS Clinical Knowledge Summaries NICE Evidence Search NICE Clinical Knowledge Summaries NICE Pathways NICE Guidance (cid:27)www.bnf.org (cid:27)www.thecochranelibrary.com (cid:27)www.cks.nhs.uk (cid:27)www.e vidence.nhs.uk (cid:27)cks.nice.org.uk (cid:27)pathways.nice.org.uk (cid:27)guidance.nice.o rg.uk _OHFP.indb 601 _OHFP.indb 601 30/05/2014 16:19 30/05/2014 16:19 602 Appendices Height conversion Meters (m) to inches (inch), multiply by 39.37 (12 inches to the foot) I nches to meters, multiply by 0.0254. m inch feet inch m inch feet inch 1.36 1.37 1.38 1.40 1.41 1.42 1.43 1.45 1.46 1.47 1.48 1.50 1.51 1.52 1.54 1.55 1.56 1.57 1 .59 1.60 1.61 1.62 1.64 1.65 1.66 53.5 54 54.5 55 55.5 56 56.5 57 57.5 58 58.5 59 59.5 60 60.5 61 61.5 62 62.5 63 63.5 64 64. 5 65 65.5 4 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 1.67 1.69 1.70 1.71 1.73 1.74 1.75 1.76 1.78 1.79 1.80 1.81 1.83 1.84 1.85 1.87 1.88 1.89 1 .90 1.92 1.93 1.94 1.95 1.97 1.98 66 66.5 67 67.5 68 68.5 69 69.5 70 70.5 71 71.5 72 72.5 73 73.5 74 74.5 75 75.5 76 76.5 77 77.5 78 5 5 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 Temperature Degrees Fahrenheit ( F) to degrees Celsius (centigrade C) C = ( F \200\223 32) \227 0.56 Degrees Celsius (centigrade C) to degrees Fahrenheit ( F) F = ( C \227 1.8) + 32 Pressure Millimeters of mercury (mmHg) to kilopascals (kPa) kPa = mmHg \227 0.113 Kilopascals (kPa) to millimeters of mercury (mmHg) mmHg = kPa \227 7.519 OHFP.indb 602 OHFP.indb 602 30/05/2014 16:19 30/05/2014 16:19 603 WEIGHT CONVERSION Weight conversion kg to pounds (lbs), multiply by 2.2046 (14lb to the stone; 16oz per lb) P ounds to kg, multiply by 0.4536. lbs 2lb 3oz 4lb 7oz 6lb 10oz 8lb 13oz 11 13 1 4 6 8 10 12 1 3 5 7 9 12 0 2 4 7 9 11 13 1 4 6 8 10 12 1 3 5 7 9 12 0 2 4 6 9 lbs 11 13 1 3 6 8 10 12 0 3 5 7 9 11 0 2 4 6 8 11 13 1 3 6 8 10 12 0 3 5 7 9 11 0 2 4 6 8 1 1 13 1 3 lbs 5 8 10 12 0 2 5 7 9 11 13 2 4 6 8 10 13 1 3 5 7 10 12 0 2 5 7 9 11 13 2 4 6 8 10 13 10 7 4 1 12 9 kg 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 3 3 34 35 36 37 38 39 40 41 42 St 0 0 0 0 0 0 1 1 1 1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 3 4 4 4 4 4 4 5 5 5 5 5 5 6 6 6 6 6 kg 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 7 2 73 74 75 76 77 78 79 80 81 82 83 84 St 6 6 7 7 7 7 7 7 8 8 8 8 8 8 9 9 9 9 9 9 9 10 10 10 10 10 10 11 11 11 11 11 11 12 12 12 1 2 12 12 12 13 13 kg 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 125 130 135 140 145 150 St 13 13 13 13 14 14 14 14 14 14 14 15 15 15 15 15 15 16 16 16 16 16 16 17 17 17 17 17 17 1 7 18 18 18 18 18 18 19 20 21 22 22 23 _OHFP.indb 603 _OHFP.indb 603 30/05/2014 16:19 30/05/2014 16:19 604 Appendices Body mass index (BMI) BMI calculation BMI Weight status BMI = weight (kg)/height2 (m2) eg: 77kg, 1.83m 77/(1.83 x 1.83) = 23 (normal) <18.5 Underweight 18.5 \200\22324.9 Normal 25.0 \200\22329.9 Overweight \211 30 \211 40 Obese Morbidly obese Body mass index chart for adults Weight in kg 40 50 60 70 80 90 100 110 120 130 140 150 6 6 6 5 6 4 6 3 6 2 6 1 6 5 11 5 10 5 9 5 8 5 7 5 6 5 5 5 4 5 3 5 2 5 1 5 4 11 4 10 1.98 1.96 1.94 1.92 1.90 1.88 1.86 1.84 1.82 1.80 1.78 1.76 1.74 1.72 1.70 1.68 1.66 1.64 1 .62 1.60 1.58 1.56 1.54 1.52 1.50 1.48 Under - Under - weight weight Normal Normal Over - Over - weight weight Obese Obese Morbidly Morbidly obese obese s e h c n s e r t e m n i d n a t e e i t h g e H f n i i t h g e H i 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Weight in stones Fig. A1 Body mass index. Plotting weight against height estimates BMI. OHFP.indb 604 OHFP.indb 604 30/05/2014 16:19 30/05/2014 16:19 605 DRIVING REGULATIONS Driving regulations (August 2013) The DVLA issues strict regulations about which medical co nditions aff ect your ability to drive. A summary of this information for holders of standa rd Group 1 licenses is shown here; the full guidelines are available on the DVLA website (( cid:27)www.dvla.gov.uk). This list is not exhaustive and a patient should stop driving if t hey, or their doctor, believe they are incapacitated. Neurology Stroke Cardiovascular Angina If symptoms at rest, at wheel or with emotion, cease until stabilized Cease for 1wk if succ essful angioplasty, else cease for 4wk Cease for 1wk Cease for 1wk* Cease 6mth after insert ion/shock* Cease for 1mth Cease for 1mth; resume only if minimal residual defi cit Cease for 1mth Variable* MI/ACS TIA Chronic neuro disorder Meningitis First seizure (or suspected) Epilepsy Angioplasty Pacemaker ICD (if inserted for incapacitation) ICD (if inserted prophylatically ) Cease for 4wk* CABG Cease for 4wk after Incapacitating arrhythmia controlled* Stable arrh ythmia Drive if well AAA \211 6cm Drive if well Cease for 6mth* Cease until 1yr since last seizure (continue if seizures during sleep only for >3yr)* Cease for 6 \200\22312mth* Severe head injury/intra- cranial bleed Brain tumors and mets Neurosurgery Visual fi eld de fects and diplopia Visual acuity Variable* Annual review required if 6 \200\2236.5cm; if \211 6.5cm, cease until repaired* Cease if s ymptomatic* Variable* Cease driving (may be allowed if stable) Aortic stenosis Psychiatry and substance abuse Severe psychiatric illness Alcohol dependenc e Opioid, benzo + cocaine dependence Other recreational drugs Other COPD Sleep apnoea + nar colepsy Chronic renal failure HIV Better than 6/12 corrected with both eyes Cease 4wk if low risk or cause found; else cease for 6mth* Once attacks controlled* Cease until stable for 3mth* Cease until 1yr abstinence* Cease for 1yr after previous use* Unexplained syncope Recurrent severe vertigo Diabetes Diabetes on insulin or oral hypoglycaemic agents Cease for 6mth after previous use* Must be able to recognize hypo and not had >1 hypo requiring assistance in past 12mth* Driv e if well Drive if well Cease until symptoms controlled* Drive if well Diabetes on diet only Recurrent hypoglycaemia Drive if well Cease until controlled Patient must notify the DVLA. If a patient refuses to notify the DVLA about a medical condition you have a duty to break confi dentiality and inform the DVLA on their behalf. Seek advice from senior colleagues. _OHFP.indb 605 _OHFP.indb 605 30/05/2014 16:19 30/05/2014 16:19 606 Appendices Interesting cases Note down any interesting or unusual cases which could be used for a teac hing or a Grand Round case presentation. Do not include personally identifi able patient in formation. Hospital number Details Hospital number Details Hospital number Details Hospital number Details OHFP.indb 606 OHFP.indb 606 30/05/2014 16:19 30/05/2014 16:19 607 INTERESTING CASES Hospital number Details Hospital number Details Hospital number Details Hospital number Details _OHFP.indb 607 _OHFP.indb 607 30/05/2014 16:19 30/05/2014 16:19 608 Appendices Telephone numbers 1 Hospital: Telephone: Extension Bleep OHFP.indb 608 OHFP.indb 608 30/05/2014 16:19 30/05/2014 16:19 _ _ O O H H F F P P i i n n d d b b 6 6 0 0 9 9 Y o u r \201 r m Time Monday Tuesday Wednesday Thursday Friday \200\231 s t i m e t a b l e 1 Y O U R F I R M \200\231 S T M E T A B L E I 1 6 0 9 3 3 0 0 / / 0 0 5 5 / / 2 2 0 0 1 1 4 4 1 1 6 6 1 1 9 9 : : 610 Appendices Telephone numbers 2 Hospital: Telephone: Extension Bleep OHFP.indb 610 OHFP.indb 610 30/05/2014 16:19 30/05/2014 16:19 _ _ O O H H F F P P i i n n d d b b 6 6 1 1 1 1 Y o u r \201 r m Time Monday Tuesday Wednesday Thursday Friday \200\231 s t i m e t a b l e 2 Y O U R F I R M \200\231 S T M E T A B L E I 2 6 1 1 3 3 0 0 / / 0 0 5 5 / / 2 2 0 0 1 1 4 4 1 1 6 6 1 1 9 9 : : 612 Appendices Telephone numbers 3 Hospital: Telephone: Extension Bleep OHFP.indb 612 OHFP.indb 612 30/05/2014 16:19 30/05/2014 16:19 _ _ O O H H F F P P i i n n d d b b 6 6 1 1 3 3 Y o u r \201 r m Time Monday Tuesday Wednesday Thursday Friday \200\231 s t i m e t a b l e 3 Y O U R F I R M \200\231 S T M E T A B L E I 3 6 1 3 3 3 0 0 / / 0 0 5 5 / / 2 2 0 0 1 1 4 4 1 1 6 6 1 1 9 9 : : This page intentionally left blank 615 Index Bold type indicates main references A AAA see abdominal aortic Academic Foundation Program 5 acute confusional state 162, 341 acute coronary syndrome (ACS) 242, 243 cardiac markers 243 risk stratifi cation 245 STEMI 242, 244 unstable angina 246 academic supervisors 3 acanthocytes 393 acarbose 329 accelerated (malignant) hypertension 2 62 accessory nerve (XI) 133 accident and emergency aneurysm Abbreviated Mental Test (AMT) 341 abbreviations and symbols xix \200\223xxxii prescriptions 169 ABCD resuscitation protocol 226 equipment 230 \200\2231 ABCD2 score 352 A BCDE approach, C-spine 594 \200\2235 see emergency department acute kidney injury (AKI) 372 accommodation (eye) 143 accommodation (home) 42 fl uid requirements 383 low urine output 379 urea and electrolytes 568 ACCS see acute care common stem ACE (angiotensin Acute Life-Threatening abdominal Events 224 acute lymphoblastic aortic pulse 128 examination 126 masses 131 paracentesis 313, 550 \200\2231 wounds 118 X-ra y 588 \200\2239 converting enzyme) inhibitors 182 acetylcholine receptor antibodies 593 leukemia (ALL) 396 acute myeloid leukemia (AML) 396 acute renal failure see acute acetylcysteine kidney injury (Parvolex ) 182, 495 abdominal aortic aneurysm (AAA) 290 acute respiratory distress syndrome (ARDS) 272, 283 acid-base disturbance 585 see also electrolyte imbalances driving regulations 605 leaking 474 X-ray 588 Acute Trusts 3 acute tubular necrosis (ATN) 372 acid-fast bacilli (AFB) 491 acidaemia 584 acidosis 584, 585 diabetic 324, 326 lactate 477 abdominal pain 288 \200\22396 causes 288, 290, 291 emergency care 288 referred 291 see also specifi c causes abdominoperineal (AP) Addisonian crisis 332 Addison \200\231s disease 568 adenosine 182 chemical cardioversion 531 acoustic neuroma 460 acquired immune defi ciency syndrome (AIDS) see HIV/AIDS acrivastine 1 86 acromegaly 263, 331 ACS see acute coronary ADH see antidiuretic resection 120 hormone adhesions 293 adnexae 157 adrenal disease 332 \200\2233 adrenal insuffi ciency 332 adrenaline abducens nerve (VI) 133 ABG see arterial blood gasses ABO blood groups 398 abortion (termination) 503 abrasions syndrome (epinephrine) 182 ACTH corneal 428 skin 139, 436 abscess 139, 421 anaphylaxis 471 children 235 dose 650 local anesthesia 558 newborns 236 (adrenocorticotrophic hormone) 217 actinic keratosis 421 activated partial breast 423 groin 463 thromboplastin time (APTT) 404, 567 abuse adrenocorticotrophic adults 105 alcohol see alcoholism substance 365, 605 Actrapid 203 acupuncture 89 acute abdomen 304 acute care common stem hormone (ACTH) 217 advanced life support (ALS) 228 \200\2239 advanced trauma life academia 64 academic clinical fellowship (ACF) 43, 46, 64, 67 support (ATLS) 232 (ACCS) 46 acute cholecystitis 295 OHFP End.indd 615 OHFP End.indd 615 30/07/2014 16:04 30/07/2014 16:04 616 INDEX adverse drug ALS see advanced life analgesia 86 \200\2239 reactions 168, 171 support ALT (alanine dying patients 93 patient-controlled 88 anaphylactic shock 476, Yellow Card Scheme 171 advice aminotransferase) 569 fi nancial 40 wound care 561 AF see atrial fi brillation AFB see acid-fast bacilli aff ect (psychiatry) 162 age-related macular alteplase 182, 198, 536 Alu-Cap 184 aluminum hydroxide 184 Alzheimer \200\231s disease 34 3 Ambu bag 230 amenorrhoea 157 Ametop 521 amiloride 183 aminophylline 183, 273 477 clinical markers 476 anaphylaxis 470 \200\2231 blood transfusion 401, 402 breathlessness 272 early signs 470 precipitants of 471 anatomical terms 77 aneurysm, abdomi nal aortic see abdominal aortic aneurysm degeneration 430 Aggrastat 182 aggressive patients 105, 364 dose 650 causes 364 Mental Health Act (2007) 162, 364 amiodarone 184, 253 bradycardia 260 amitriptyline 648 AML (acute myeloid leukemia) 396 amlo dipine 190, 266 angina aggressive relatives 105 agitation in dying patients 93 AIDS see HIV/AIDS airway 226, 230 c hildren 234 endotracheal 542 \200\2233 laryngeal 544 newborns 236 obstetric arrest 238 stri dor 284 driving regulations 605 microvascular 246 Prinzmetal 246 stable 242, 246 unstable 246 dose 648 amoxicillin 179, 184, 649 amphetamines 484 ampicillin 184 amylase 569 ANA (antinuclear anti bodies) 593 anemia 103, 392 \200\2237 angiodysplasia 302, 303 angioedema 451 angiography 110 angiotensin II receptor antagonists 187 angiotensin-converting alanine aminotransferase blood loss 394 breathlessness 272 of chronic disease 394 folate/folic acid enzyme inhibitors see ACE inhibitors animal bites 437, 649 anion gap 585 anisocytosis 393 a nkle (ALT) 569 albumin 569 pregnancy 504 salt-poor 551 defi ciency 395 full blood count 566 haemoglobinopathies alcohol 174 and hypoglycaemia 323 poisoning 484 withdrawal 347, 348 anatomy 148 examination 148 393 haemolytic 393, 394 iron defi ciency 393, 395 laboratory fi ndings 393 leukemia 396 lymphom a 396 mean cell volume (MCV) 393 myeloproliferative disease 396 pancytopenia 397 paraprotei naemia 396 peripheral blood fi lm 393 pregnancy 505 sickle-cell disease/ ankle brachial pressure alcoholism 33, 104 index (ABPI) 424, 448 ankylosing spondylitis 453, driving regulations 605 liver function tests 569 management 104 ALERT scoring 224 alginates 184 alimemazine 185, 186 alkalaemia 584 alkaline phosphatase 455 annual leave 42 anogenital warts 421 antacids 184 antalgic gait 136 antenatal care 158 ante partum (ALP) 569 hemorrhage 505 anterior chamber of ALL (acute lymphoblastic leukemia) 396 eye 143 allergy 169 anterior circulation stroke 351 blood transfusion 402 local anesthetics 559 see also anaphylaxis trait 397 sideroblastic 393 thalassaemia 393, 397 vitamin B12 anterior corticospinal tract 136 allodynia 89 alloimmunisation, blood transfusion 401 anterior resection 120 anterior uveitis, acute 427 anthrax 487 anti-arrhythmics 253 anti-D 502 anti-Jo-1 antibodies 593 anti-MPO antibodies 593 anti-PR3 antibodies 593 anti-Ro antibo dies 593 anti-Scl-70 antibodies 593 defi ciency 395 anaesthestist, allopurinol 199, 212, 375, contacting 108 455, 483 ALP (alkaline anesthetics local 558 \200\2239 membership exams 57 pre-operative phosphatase) 569 a-agonists 260 a1-antitrypsin assessment 107 \200\2238 defi ciency 317 anal fi ssure 302, 303, 311 OHFP.indb 616 OHFP.indb 616 30/05/2014 16:19 30/05/2014 16:19 617 INDEX ataxia 362, 363 ataxic gait 136 atenolol 188, 266 anti-Sm antibodies 593 antibiotics see also entries under limb arrest see cardiac arrest arrhythmias choice of 649 pneumonia 179 prescribing 179 septicaemia 179 see also individual drugs dose 648 bradyarrhythmias 256 \200\223 athlete \200\231s foot 416 ATLS (advanced trauma life 61 breathlessness 272 driving regulations 605 tachyarrhythmias 248 \200\22354 transient 347 support) 232 atopic dermatitis 417 atorvastatin 215 atrial fi brillation (AF) 250, antibodies autoantibodies 593 autoimmune liver disease 316 hepatitis B 315 anticardiolipin 593 anticen tromere arterial blood gasses (ABG) 231, 522 \200\2233, 584 \200\2235 251, 252, 572 rate controlled 259 atrial fl utter 253, 572 atrioventricular block see acidaemia 584, 585 alkalaemia 584, 585 anion gap 585 base excess 585 normal ranges 584 arte rial cannulation 523 heart block atrophy, skin 139 atropine 187 dose 650 Atrovent 275 audit 59 Augmentin antibodies 593 anticoagulation 406 \200\2237 atrial fi brillation 252 limb ischaemia 446 see also individu al drugs accidental 535 arterial ulcers 424 arthritis antidepressants 367 antidiuretic hormone infectious 452 osteoarthritis 453, 454 psoriatic 453, 456 reactive 453, 456 rheumatoid 419, 453, (ADH) 300 syndrome of (co-amoxiclav) 179, 194, 437, 649 autoantibodies 593 autoimmune inappropriate secretion (SIADH) 386 gastritis 300 hepatitis 316 liver disease 316 sclerosing cholangitis 593 454 antiemetics 185 antihistamines allergy 186 antiemesis 185 septic 179, 453, 455 arthrocentesis (joint aspiration) 556 automated external defi brillators (AEDs) 228, 231, 532 \200\2233 autonomy 26 AV (atriovent ricular) block ascites 550 antihypertensives 266 antineutrophil cytoplasmic antibody (ANCA) 593 paracentesis 313, 550 \200\2231 ascitic tap 313, 550 \200\2231 ascorbic acid see vitamin C aspart 203 aspartate aminotransf erase antinuclear antibodies (ANA) 593 antiphospholipid see heart block (AST) 569 syndrome 457, 593 axial plane 77 AXR (abdominal X-ray) 588 \200\2239 azathioprine 417 aspiration antipsychotics 368 anuria 378 anxiety 162, 366, 369 aortic dissection 242, 247 aortic regur gitation 129 aortic stenosis 129 ascites 313, 550 \200\2231 joint 556 pneumothorax 538 aspiration pneumonia 276 aspirin 186 B back pain 356 \200\2237 causes 356 mechanical 356, 357 see also spinal dose 648, 650 overdose 494 driving regulations 605 AP (abdominoperineal) assault see aggressive resection 120 Apidra 203 apixaban 406, 407 appendicitis 293 application forms Foundation patients; aggressive relatives bacterial skin assessments see workplace- based assessments (WPBA) infections 412 \200\22313 Bactroban see mupirocin bag and mask 230 Baker \200\231s cyst 4 51 Bamford stroke associate specialists 66 AST (aspartate Program 4 \200\2237 specialty training 44 approved clinicians 162 apraxic gait 136 aqueous humor of aminotransferase) 569 classifi cation 251 banding, contracts 37 banding multiplier 37 bank holidays 42 Bankart le sions 563 barbiturates 174, 212 asterixis 313 asthma 272, 273 CXR 582 inhalers 275 respiratory function eye 143 ARDS (acute respiratory distress syndrome) 272, 283 tests 586 asystole 257, 261 AT II receptor overdose 484 Barlow test 163 barrier methods of aribofl avinosis 103 arm antagonists 187 pulse 128 contraception 501 _OHFP.indb 617 _OHFP.indb 617 30/05/2014 16:19 30/05/2014 16:19 618 INDEX basal-cell carcinoma (BCC) 422 base excess 585 basic life support 226, 228, blepharitis 143 blister 139 fl uid 411 body mass index (BMI) 604 boils 421 bone blood 230 \200\2231 dipstick test 590 pre-op requests 107 metastases 570 pain 446 X-rays 596 botulism 487 bowel pediatric 234 \200\2235 BCG vaccine 164, 491 beclometasone 187 blood clotting anticoagulation 252, inhaler 275 406 \200\2237, 446 bed managers 68 behavioral therapy 89, disorders 404, 405, 497 emergencies 404 screen 107, 404, 567 vaginal bleeding 497 cancer 307, 311 gas 588 ischaemia/infarction 290, 367 Beh et \200\231s disease 452 Bell \200\231s palsy 355 bendrofl umethiazide 187 benefi cenc e 26 benign positional vertigo 363 benzodiazepines overdose 494 see also specifi c drugs be nzylpenicillin (penicillin G) 179, 188, 413 293, 302 blood cultures 515 blood gasses, arterial see obstruction 290, 292, 304, 311, 589 perforation 290, 291, arterial blood gasses blood glucose see glucose blood groups 398 blood loss 394 588 preparation 109, 189 wall oedema 588 brachial pulse 128 bradyarrhythmias 256 \200\223 estimation of 477 full blood count 566 see also hemorrhage 61 blood pressure 231 causes 256 drugs causing 260 ECG 259 emergency care 256 \200\2237 see also specifi c arrhyt hmias bereavement 367 beri beri 103 b-blockers 188 children 235 blood products cryoprecipitate 399 fresh frozen plasma 399 packed red cells 399 platelets 399 see also blo od transfusion blood salvage 403 blood samples bradycardia 260 bezafi brate 188, 189 bicarbonate brainstem arterial blood gasses 584 pregnancy 504 Bier s block 558 biguanides 329 bilateral paraesthe sia 354 biliary cirrhosis 316, 319 biliary colic 295 biliary tree 588 bilirubin 318, 569 se e also jaundice biochemistry 511 chasing results 84 CSF 592 laboratory 511 urine 591 dysfunction 339, 340 neurological lesions 354 branchial cyst 459 breaking bad news 22 breaks 15, 72 breast arterial blood gas (radial puncture) 522-3, 584 children 520 \200\2231 femoral stab 231, 516 venepuncture 514 \200\22315 cancer 423 examination 141 lumps 423 post-partum blood tests 84, 107, 566 \200\22371 problems 507 calcium see calcium cardiac arrest 228 cardiac markers 243, 567 clotting 107, 567 endocrine tests 571 full blood count 107, 566 infl ammatory breastfeeding, prescribing 173 breathing 226, 230 children 234 newborns 236 obstetric arrest 238 breathing masks 544 breathlessness 270 \200 \22383 biotin see vitamin B7 BiPAP (bi-level positive airway pressure) 274 bipolar disorder 366 biros 16 birth see childbirth bisacodyl 205 dose 648 bisoprolol 188 do se 648 response 567 liver function tests 107, causes 270, 272 dying patients 91 emergency care 270 functional status 130 post-operative 1 17 see also specifi c causes breech presentation 505 Bricanyl see terbutaline British Med ical Association (BMA) 11, 41, 600 Counseling Service 600 569 phosphate 570 skin infections 411 urea and electrolytes 107, 568 bite wounds 437 treatment 649 blood transfusion see transfusion blood tubes 517 BMA (British Medical bitemporal hemianopia 133 blast cells 393 bleeding see hemorrhage bleeding disorders 405 bleep 14, 16 Association) 11, 41 BMI (body mass index) 604 bodily fl uids 13 body lice 416 broad complex tachycardia 251 bronchiectasis 285 Bruce protocol 530 handing when tired 72 OHFP.indb 618 OHFP.indb 618 30/05/2014 16:19 30/05/2014 16:19 619 INDEX in-hospital 227 newborn life brucellosis 487 Brudzinski \200\231s sign 339 Buccastem see testicular 464 candesartan 187 Candida albicans 416, 489 Canesten see clotrimazole cannul ae support 236 \200\2237 obstetric arrest 238 pediatric basic life support 234 \200\2235 phenothiazines Budd-Chiari syndrome 314 budesonide 189 inhaler 275 care of 519 colors 519 intravenous peri-arrest 226 signs of life 227 see also specifi c conditions bulla 139 bullying 34 bundle branch block 574 cannulation 519 resiting of 412 cannulation 228 arterial 523, 535 children 521 intravenous 518 \200\22319 p ost-cannula swelling 451 cardiorespiratory ECG 575, 576 bupivacaine 559 bupropion (Zyban ) 189 burns 466 \200\2239 arrest advanced life support 228 \200\2239, 651 children 234 \200\2235 confi rmation of 94 equipment and tests 230 \200\2231 newborn 236 \200\2237 obstetric 238 trauma 232 assessment 467 chemical 469 complications 466 depth 468 dressings 468 \200\2239 electrical 469 emergency care 466 \200\2237 fl uid resuscitation 467 Lund and Browder chart 467 rule o f nines 467 severity 468 treatment 468 \200\2239 canteen 12 canthus 143 capacity 28 carbamazepine 174, 191 carbimazole 191, 335 carbohydrate s 103 carbon monoxide poisoning 469 cardiotocography (CTG) 506 cardiovascular system 239 \200\22367 cardiac arrest children 234 \200\2235 drugs 228 equipment and tests 230 \200\2231 newborn 2 36 \200\2237 obstetric 238 resuscitation see bradyarrhythmias 256 \200\223 61 chest pain 240 \200\2238 examination 126, 128 \200\2239 heart failure 267 hypertension 262 \200\2236 procedures 528 \200\22336 tachyarrhythmias 248 \200\22354 Buscopan see hyoscine hydrobromide butterfl y needle 515, 521 advanced life support C c-ANCA 593 C-spine X-ray see cervical cardioversion 532 \200\2233 trauma 232 trolleys 228 chemical 531 career cardiac arrest team 228 cardiac arrhythmias see applications 4 \200\2237, 44 assessment 8 \200\22310 CVs 52 \200\2233, 54 \200\2235 exams 5 8 interviews 56 structure 45 carotid pulse 128 carpal tunnel spine X-ray calcium 103, 570 arrhythmias cardiac axis 572 hypercalcaemia 389 hypocalcaemia 388 calcium carbonate 189 calcium channel blockers 190 bra dycardia 260 calcium chloride 190 calcium gluconate 190 left deviation 574 right deviation 574 cardiac failure see heart failure cardiac markers 243, 567 cardiac monitors 528 \200\2239 syndrome 448 carvedilol 188 case presentations 61 case-based discussion see also ECG cardiac syncope 442 cardiac tamponade 479 cardiogenic shock 476, dose 650 calcium pyrophosphate (CbD) 9 crystal arthropathy see pseudo-gout cash dispensers 12 casts, urinary 590 cataracts 430 catecholamines, urinary 591 477, 479 Calcium Resonium 191 Calpol see paracetamol Campylobacter spp. 306, 307 cancer clinical markers 476 cardiopulmonary resuscitation (CPR) 223 \200\22338 ABCD system 226 adv anced life catheters blood (leukemia) 396, suprapubic 548 urethral 546 \200\2237 453 bone 570 breast 423 cervix 497, 499 colon 307, 311 endometrial 497, 499 esophagus 294 o vary 497, 499 skin 422 support 228 \200\2239 advanced trauma life support 232 dying patients 93 early warning cauda equina syndrome 356, 357 cause of death 96 \200\2237, 100 \200\2231 causes 242 CbD (case-based discussion) 9 scores 224 \200\2235 equipment and tests 230 \200\2231 _OHFP.indb 619 _OHFP.indb 619 30/05/2014 16:19 30/05/2014 16:19 620 INDEX CBD (common bile duct) chemical burns 469 chemical cardioversion 531 chemosis 143 chest drains 540 \200\2231 cholestatic jaundice 318 \200\223 obstruction 319 CCT (Certifi cate of Completion of Training) 43, 51 19 cholesteatoma 460 choroid 143 Christmas disease CXR 583 removal 541 surgical 541 cefalexin 192 cefotaxime 192 cefradine 192 ceftazidime 192 ceftriaxone 179, 192, 649 (hemophilia B) 405 chronic infl ammatory chest leads (cardiac rashes 417 monitor) 528, 529 chronic lymphocytic chest pain 240 \200\2238 leukemia (CLL) 396 chronic myeloid leukemia children 235 cefuroxime 192 celecoxib (Celebrex ) 191 cellulitis 412, 446 antibiotics 179 treatment 649 central lines 534 \200\2235 causes 240 emergency care 240 musculoskeletal 242, 247 chest X-ray (CXR) 107, (CML) 396 chronic obstructive pulmonary disease see COPD chronic pain 89 chronic plaque 231 asthma 582 central lines 583 chest drains 583 COPD 582 diaphragm 583 interpretation 582 \200\2233 lungs 582 mediastinum 583 nasogastric tubes 583 pleural eff usion 582 pneumonia 5 82 pneumothorax 582 pulmonary oedema 582 trachea 583 CXR 583 venous pressure 380 psoriasis 417 chronic renal failure 372, 373 central nervous abdominal X-ray 588 fl uid requirements 383 low urine output 379 urea and electrolytes 568 system (CNS) examination 132 \200\2236 central venous pressure (CVP) lines 380 cephalosporins 192 cerebellar ataxia 362 cerebellum 354 cerebral dysfunction 339 cerebrospinal fl uid (CSF) 592 chronic suppurative otitis media (CSOM) 460 Churg-Strauss syndrome 452, 593 Chvostek \200\231s sign 388 ciclosporin 417 cimetidine 174 cinnarizine 185 ciprofl oxacin 1 74, 193, 649 circulation 226, 231 chickenpox (varicella zoster biochemistry 592 culture 592 lumbar puncture 552 \200\2233 meningitis 592 microscopy 592 PC R 592 virus) 414 childbirth 506 fetal monitoring 506 neonatal resuscitation 236 \200\2237 children 234 obstetric arrest 238 obstetric resuscitation 238 vaginal delivery 554 \200\2235 children see pediatric chin lift 230 Chiro caine 559 Chlamydia trachomatis 465 chloramphenicol 174, 649 cirrhosis 316 cerebrovascular accident (CVA) see stroke cerebrum 354 Certifi cate of Completion of Training (CCT) 43, 51 primary biliary 316, 319 citalopram 193 Citanest 559 CK (creatinine kinase) 243, 567 clarithromycin 193, 649 clemastine 185 climacteric 157 clindamycin 194, 413 clinical fellow s 66 clinical governance 25 clinical incidents 32 clinical incompetence 33 clinical lecture ships 64, 66 clinical supervisors 3 clipboards 17 CLL (chronic lymphocytic certifi cate of eligibility for specialist registration (CESR) 43 cervical (cervix) eye drops 192 chlordiazepoxide 104, 193 chlorhexidine 193 chlorphenamine 186 cancer 497, 499 ectropion 497, 498 erosion 497 polyps 497, 498 dose 648 chlorpheniramine see chlorphenamine chlorpromazine 185 choking 284 cholangiocarcinoma 319 c holangitis 318, 319 cervical rib 459 cervical spine X-ray 594 \200\2235 anteroposterior view 595 PEG view 595 primary sclerosing 316, leukemia) 396 319 clopidogrel 194 dose 648, 650 and surgery 108 cervicitis 497 cetirizine 186 chaperones 165 Charcot-Marie-Tooth syndrome 355 Charcot \200 \231s triad 319 chasing results 84 cholecystectomy, laparoscopic 119 cholecystitis 295 choledocholithiasis 319 cholera 487 cholestasis 318 Clostridium diffi cile 13, 180 clothing theater scrubs 114 ward dress code 14 liver function tests 569 clotrimazole 194 OHFP.indb 620 OHFP.indb 620 30/05/2014 16:19 30/05/2014 16:19 621 INDEX colostomy 110, 121 coma 338 \200\22340 foreign languages 23 informed 29 Jehovah \200\231s Witnesses 403 constipation 91, 310 \200 \22311, clotting see blood clotting clotting screen 107, 567 brainstem function 339, activated partial 340 thromboplastin time 404, 567 prothrombin time 567 emergency care 338 \200\2239 Glasgow Coma 588 causes 311 drugs causing 310 management 310 Scale 339, 340 hyperosmolar non- clozapine 368 cluster headaches 361 CML (chronic myeloid leukemia) 396 ketotic (HONK) 324, 326, 327 consultants 66 contact dermatitis 417 contacts and hypoglycaemic 322 \200\2233 CMV see cytomegalovirus CNS (central combined oral networking 50 contraceptive pill (COC) 501 continuing education 58 continuous positive airway pressure (CPAP) 282 nervous system) examination 132 \200\2236 co-amoxiclav 179, 194, Combivent 195, 275 comminuted fractures 435 common bile duct (CBD) contraception 501 emergency 501 pill checks 501 contracts 11, 36 \200\2237 monitoring and 437, 649 co-beneldopa 194 co-careldopa 194 co-codamol 87, 194 co-danthramer 205 co-dydramol 87 co-pr oxamol 87 coagulation defects 404, obstruction 319 common peroneal compression 448 communication 20 around death 95 breaking bad news 22 cross-cultural 23 dyi ng patients 92 ethical issues 26 with patients \200\231 relatives 21 written 20 rebanding 36 \200\2237 controlled drugs discharge summaries 78 \200\2239 405, 497 prescribing 173 conversion tables cobalamin see vitamin B12 COC (combined oral height 602 pressure 602 temperature 602 weight 603 convulsions contraceptive pill) 501 cocaine 484 codeine phosphate 91, 195 community acquired pneumonia 277 dose 648 coeliac disease 419 cognition 162 cognitive-behavioral therapy 89, 367 coil, contraceptive 501 cold sore 415 colectomy 119 colitis treatment 649 in children 345 eclampsia 347, 504 see also seizures Coombs test 392 coordination 135 COPD (chronic compartment syndrome 446, 447 competition for jobs 48 \200\2239, 50 competition ratios 48 \200\2239 complaints 31 complex partial seizures 348 obstructive pulmonary disease) 272, 274 \200\2235 ischaemic 301 pseudomembranous CXR 582 treatment 649 compound fractures 435 compulsion 162 computed tomography 307, 308 ulcerative see cord compression 356, 357 core training 43, 46 corneal abrasions 428 coronal plane 77 coron ary artery infl ammatory bowel disease collapse 442 \200\2233 colleagues (CT) 85 computer access 12 concussion 438 conduct, professional 20 \200\2231 confi dentiality 22, 2 4, 27 territories 574 alcohol abuse 33 clinical incompetence 33 communication with 20 mobile phone Coroner 100 images 27 referral to 101 con \201 dentiality interpreters 23 outside agencies 24 relatives 27 Coroner \200\231s Offi ce 100 Corrigan \200\231s sign 129 corticosteroids 89 numbers 12 problems with 33 psychological inhaled 273 potencies 219 prescribing 174, 177, 178 and surgery 108 topical 178, 219 see al so individual drugs confusion problems 33 acute 162, 341 assessment method 341 recreational drug use 33 Colles \200\231 fracture 562 colon conjunctiva 143 conjunctivitis 428 Conn \200\231s syndrome 333 consciousness, loss of 362 c onsent 22, 29 capacity 28 children 28 diffi cult situations 29 obstruction 290, 292, 304, 311, 589 perforation 290, 291, cortisol 571 cough 91, 285 counseling 89 helplines 600 miscarriage 503 588 colonoscopy 306, 309 colorectal polyps 302, 303 _OHFP.indb 621 _OHFP.indb 621 30/05/2014 16:19 30/05/2014 16:19 622 INDEX court appearances 24 Courvoisier \200\231s law 319 COX-2 inhibitors 86 CPAP (continuous pos itive airway pressure) 282 CPR see cardiopulmonary CXR see chest X-ray cyclizine 185 dose 648 debt clearance 40 decompensated chronic liver failure 316 cycloplegia 143 cyclothymia 366 cyproheptadine 186 cystocele 464 cysts deep venous thrombosis (DVT) 446, 450 pre-test probability 450 Wells score 450 resuscitation crabs 416 cramps 103 cranial nerve de \201 brillation 228, 231, Baker \200\231s 451 branchial 459 dermoid 459 epidermoid 420 epididymal 463 ganglion 420 ov arian 500 sebaceous 420 thyroglossal 459 532 \200\2233 dehiscence, wound 118 dehydration examination 126, 133 craniotomy 110 crash calls 16 newborns 504 obstetric 504 see also cardiopulmonary hypovolaemia 379, 380 low urine output 378 urea and electrolytes 568 delayed primary closure 118 deliberate self-harm (DSH) 493 \200\2235 resuscitation creatine kinase (CK) 243, cytomegalovirus (CMV) 567 hepatitis 315 in HIV/AIDS 399 retinitis 489 risk after 484 delirium 162, 341 delivery (birth) see creatinine 568 pregnancy 504 creatinine clearance 591 cremation childbirth delta wave 573 delusion 162 dementia 162, 342 \200\2233, 366 D D-dimer 278 dabigatran 406, 407 dacryocystitis 143 dalteparin 195 DANISH (cerebellar forms 38, 98 \200\2239 problematic implants 98 critical illness cover 41 critical incident form 32 Crohn \200\231s disease 309, 392 cross- cultural causes 343 support organizations 342 see also specifi c types depersonalisation 162 depression 366, 367 communication 23 signs) 362 dapaglifozin 329 day case surgery 116 DC cardioversion 532 \200\2233 de Musset \200\231s sign 129 deafness 460 death certifi cate 96 \200\2237, crossmatching 400 crusting 139 cryoprecipitate 399 Cryptococcus neoformans 489 crystalline antidepressants 367 colleagues 33 postnatal 507 derealisation 162 dermatitis (eczema) 417 d ermatology see skin dermatomes 135 dermatophytes 416 dermoid cyst 459 desloratadine 186 det emir 203 development, arthropathy 452, 455 crystalloids 381 CSF see cerebrospinal fl uid CT (computed 100 \200\2231 reforms 100 death and dying tomography) 85 arrangements for 90 care of patient after CT-pulmonary angiography 278 CTG (cardiotocography) death 95 certifi cation of cause of death 96 \200\2237, 100 \200\2231 506 cultures pediatric 165 dexamethasone 185, 195 diabetes insipidus 331 diabetes mellitus 328 \200\223 communication 95 cremation forms 38, blood 515 CSF 592 stool 309 urine 591 CURB-65 276 curriculum 8 \200\22310 curriculum vitae (CV) 52 \200\2233 98 \200\2239 30 declaration of death 94 \200\2235 do not resuscitate driving regulations 605 gestational 328, 505 HbA1c 328 hyperglycaemia 324 \200\2236 managem ent 329, 330 sick day rules 329 skin manifestations 419 type 1 325, 328 type 2 325, 329 dia betic foot 330 diabetic ketoacidosis (DKA) 324, 326 diabetic nephropathy 330 diabetic neuro pathy 330 diabetic retinopathy 330 (DNAR) orders 90 dying patients 92 \200\2233 fear of 90 post-mortem 97 referral to Coroner 101 registration of death 100 requests for post-foundation programs 54 \200\2235 Cuscoe \200\231s speculum 157 Cushing \200\231s refl ex 358 Cushing \200\231s syndrome 263, 332 euthanasia 90 thinking about 90 see also breaking bad CV see curriculum vitae CVA (cerebrovascular accident) see stroke news CVP (central venous Deaver retractors 113 debt 40 \200\2231 pressure) lines 380 OHFP.indb 622 OHFP.indb 622 30/05/2014 16:19 30/05/2014 16:19 623 INDEX dry gangrene 447 dry mouth 91 dsDNA antibodies 593 DSH see deliberate self- disulfi ram 174 diverticular disease 290, dialysis 373 diamorphine 91, 195 295, 302, 307 dizziness 362 \200\2233 DKA (diabetic dose 650 diaphragm, CXR 583 diarrhea 306 \200\2239 harm DTaP/IPV/Hib vaccine 164 ketoacidosis) 324, 326 causes 307 drugs causing 306 management 306 notifi cation 487 overfl ow 307 Duke criteria for infective endocarditis 485 DM see diabetes mellitus duloxetine 89 dumping syndrome 323 duodenal biopsy 308 DVLA (Driver and Vehicle Licensing A gency) 605 do not resuscitate (DNAR) orders 90 doctors \200\231 mess 12 Doctors \200\231 Support Network (mental illness) 600 diazepam 89, 176, 195, 345 children 235 dose 650 DVT see deep venous documentation 11 DIC (disseminated intravascular coagulation) 405 thrombosis discharge dying patients 92 \200\2233 summaries 78 \200\2239 fi tness to work notes 80 history taking 127 investigation requests 84 medical notes 74 \200\2237 referral letters 82 \200\2233 docusate sodium 205 domperidone 185 DOPS (Direct Observation of Procedural Skills) 9 agitation 93 analgesia 93 communication 92 food and fl uids 93 identifi cation of 92 invest igations 93 Liverpool Care Pathway 92 diclofenac 86, 196 diet, and constipation 311 diffi cult patients aggression and violence 105 alcoholism 33, 104 elderly 104 dignity, patient \200\231s 19, 26 digoxin 196 nausea and vomiting 93 resuscitation 93 secretions 93 stopping medication 92 dorsalis pedis pulse 128 double gloving 547 double vision 431 doxazosin 197 doxycycline 197 , 649 Doyen retractor 113 DPP-4 inhibitors 329 drains, chest 540 \200\2231, 583 dress see c lothing dressings, burns 468 \200\2239 Dressler \200\231s syndrome 244 driving regulations 605 droperidol 185 drug-related bradycardia 260 dose 650 overdose 494 toxicity 259 dysfunctional uterine bleeding 497, 498 dysmenorrhoea 157 dyspareunia 157 dyspepsia 294 dys pnoea see dihydrocodeine 87, 91, 197