leucocytes see white cells leuconychia 154 leukemia 396, 453 leukaemoid reaction 393 Levemi r 203 levobupivacaine 559 levocetirizine 186 levomepromazine 93 levothyroxine 205 \200 \2236, 334 Lewy body dementia 343 LFT (liver function tests) 107, 569 joint aspiration 556 injection 557 pain 446, 452 \200\2237 X-rays 596 \200\230Jones \200\231 criteria 457 journal clubs 61 junior specialty training lacunar stroke (LACS) 351 LAD (left anterior registrars 67 descending artery) 574 justice 26 lamotrigine 204 Lange-Nielsen lice 416 lichenifi cation 139 lidocaine 206, 558, 559 maximum dose 559 syndrome 254 K K+ see potassium Kaiser-Fleischer rings 317 Kaposi \200\231s sarcoma 490 keratitis 427 ke ratoacanthoma 422 Kerley B lines 582 Kernig \200\231s sign 339, 358 Langenbeck retractors 113 lansoprazole 204 \200\2235 Lantus 203 laparoscopic life insurance 41 lightbulb sign 563 limb cholecystectomy 119 laryngeal mask airway leads (ECG) 528 movements 134 pain 444 \200\2237, 448 swelling 449 \200\22351 ulcers 424 se e also arm; leg (LMA) 544 laryngeal oedema 451 laryngoscopy 543 last menstrual period causes 359 Keshan disease 103 ketoacidosis, diabetic (DKA) 324, 326 ketones, dipstick test 590 ketotif en 186 kidney (LMP) 158 LAT/LAS posts 46 lateral corticospinal limbus (eye) 143 limited systemic sclerosis 593 tract 136 lateralising signs 339, 340 lavage, gastric 492 laxatives 205 lines acute kidney injury 372, central 380, 534 \200\2235, 583 CVP 380 Hickman 102 linitis plastica 588 379, 383, 568 bowel preparation 109 LBBB (left bundle branch block) 574, 575 chronic renal failure 372, 373, 379, 383, 568, 588 OHFP.indb 630 OHFP.indb 630 30/05/2014 16:19 30/05/2014 16:19 631 INDEX lower motor neuron lipase 569 lipoma 420 liraglutide 329 lisinopril 182 lispro 203 lists manic-depression 366 mannitol 207 Mantoux test 491 MAOI (monoamine lesions 353 lumbar puncture 552 \200\2233 anatomy 553 lumbar spinal stenosis 357, oxidase inhibitors) 174 Marcain 559 Marjolin ulcer 422 massive blood 448 lumps jobs 17 patient 17, 71 theater 112 breast 423 groin 462 \200\2236 neck 458 \200\22360 salivary gland 459 skin 420 \200\2231 th yroid 459 transfusion 401 lithium 206 liver disease mastitis 507 maternity leave 42 Maxolon 207 MDDUS (Medical Doctors \200\231 and Dentists \200\231 Defense Union of Scotland) 600 autoimmune 316 outcome 317 prescribing 172 vascular 314 Lund and Browder chart 467 liver failure 312 \200\22317 MDU (Medical Defense lung CXR 582 pleural eff usion 272, acute 314 \200\22315 causes 312 chronic 383 decompensated chronic 316 drugs causing 313 eme rgency care 312 liver function tests 569 see also specifi c conditions Union) 600 mean cell volume (MCV) 393 279, 582 pleural tap 538 \200\2239 TLC 586 TRALI 401 measles (rubeola) 415, 487 MMR vaccination 164 LVH (left ventricular hypertrophy) 573 lymph nodes, neck 458 lymphadenopathy 397, mebeverine 207 mechanical back pain 356, 357 liver function tests (LFT) 107, 569 liver ischaemia 314 Liverpool Care Pathway 92 living ac commodation 12 LMA (laryngeal mask airway) 544 LMP (last menstrual period) 158 meconium delivery 163 M decins Sans 421 lymphoblastic Fronti rs 600 leukemia 396 lymphocytes 566 lymphocytic leukemia 396 lymphoedema 449 lymphogranuloma vener eum 465 mediastinum, CXR 583 Medical Defense Union (MDU) 600 Medical Doctors \200\231 and Dentists \200\231 Defense Union of Scotland (MDDUS) 600 lymphoma 396 LMWH (low molecular weight heparin) 406 medical emergencies abdominal pain 288 acutely painful limb 444 aggressive patients 364 ana phylaxis 470 \200\2231 antepartum local administrators 3 local anesthetics (LA) 558 \200\2239 M macula 143 macular degeneration 430 macules 139 magnesium 103 allergy 559 concentrations 559 maximum dose 559 toxicity 558, 559 hemorrhage 505 blood clotting 404 bradyarrhythmias 256 \200\2237 breathlessness 270 burns 466 \200\2237 ch est pain 240 coma 338 \200\2239 compartment dose 650 Local Education Providers 3 magnesium carbonate 184 magnesium sulfate 207, Local Education Training Boards (LETB) 3 273 magnesium trisilicate 184 maintenance \202 uids 381 \200\2233 locums 38, 43 loperamide 206 loratadine 186 lorazepam 206 \200\2237, 344, syndrome 447 children 383 drug doses 650 eclampsia 347, 504 gas gangrene 447 gastrointestinal bleeding 298 HELLP synd rome 505 hyperglycaemia 324 hypertension 262 hypoglycaemia 322 hypotension 472 liver failur e 312 membership exams 57 overdose 492 malabsorption 307, 308 malaria 487, 488 Malarone 488 malathion 416 male urogenital system 155 345 children 235 dose 650 losartan 187 loss of consciousness 362 see also coma; seizures malignant low molecular weight hypertension 262 malignant melanoma 422 Mallory-Weiss tear 300 malnutrition 103 mammography 423 mania 162, 366 heparin 406 low sats 270 \200\2233 low urine output 378 \200\2239 lower GI bleeds 301 \200 \2233 causes 302 _OHFP.indb 631 _OHFP.indb 631 30/05/2014 16:19 30/05/2014 16:19 632 INDEX potassium levels 384 rashes 410 red eye 426 \200\2237 seizures 344 \200\2235 septic arthrit is 455 strangulated hernia 462 stroke 350 tachyarrhythmias 248 \200\2239 testicular torsion 463 see also emergency department; and specifi c conditions medical errors 30, 168 metformin 207 \200\2238, 329 methadone 208 methicillin-resistant S. aureus (MRSA) 649 cardiac 528 \200\2239 contracts 36 \200\2237 fetal 506 monoamine oxidase methotrexate 208 methylprednisolone 208 metoclopramide 185 inhibitors (MAOI) 174 monoarthritis 452 monocryl sutures 561 monospot (Paul Bunnell) dose 648 metoprolol 188 metronidazole 179, 208, test 315 montelukast 209 mood 162 mood 413, 649 MI see myocardial infarction (MI) microbiology 84, 511 Microlette 205 microscopy CSF 592 urine 590 disturbance 365 \200\2239 serious 31 causes 366 medical ethics see ethics Medical Examiner 100 medical notes 74 \200\2235 morphine 87, 91, 209 dose 648, 650 oral 210 anatomical terms 77 symbols used in 76 Morris retractors 113 Mosquito Halstead forceps 113 microvascular angina 246 mid-stream urine (MSU) 590 midazolam 93, 208 midpoint review 10 mi graine 304, 361 see also headache Medical Protection Society (MPS) 600 motor neuron disease Medical Research Council (MND) 349 (MRC) 600 medical teams 66 \200\2237 Medical Women \200\231s Federation 600 motor response, absence of 94 mouth miliary tuberculosis 491 Miller-Fisher anatomy 145 dry 91 examination 126 medications see drugs medicine, membership syndrome 593 mini-clinical evaluation Movicol 205 dose 648 exams 57 meetings 8, 10 melanocytic naevi 421 membership exams 57 membranous exercise (mini-CEX) 9 MPS (Medical Protection Mini-Mental State Examination (MMSE) 343 Society) 600 MRC (Medical Research glomerulonephritis 376 minimal change Council) 600 MRCGP (medical exam) 57 M ni re \200\231s disease 363 meningeal tuberculosis 491 meningism 339, 340 meningitis 36 0, 487 antibiotics 179 CSF 592 driving regulations 605 nausea and vomiting 304 treatment 64 9 glomerulonephritis 376 miotics 143 Mirena 498 miscarriage 497, 503 MRCP (medical exam) 57 MRCS (surgery) 57 MRI 85 MRSA (methicillin-resistant types of 503 misoprostol 208 \200\2239 mitochondrial S. aureus) 649 antibodies 593 mitral regurgitation 129 mitral stenosis 129 Mixtard see insulin mizolasti ne 186 MMC (Modernizing Medical MS (multiple sclerosis) 355 MST Continus see meningococcal morphine MSU (mid-stream urine) 590 septicaemia 413, 487 menopause 157 hormone replacement multidisciplinary team 68 multiple sclerosis (MS) 355 mumps 487 therapy 501 menorrhagia 157, 496 Mental Health Act (2007) 364 Careers) 2 MMR vaccination 164 MND (motor neuron disease) 349 mobile phones 12, 14 M bitz I block 259 , 261 M bitz II block 259, 261 Modernizing Medical Careers (MMC) 2 MMR vaccination 164 mupirocin 209 Murphy \200\231s sign 295 muscle formal admission under 162, 364 mental illness 161 meralgia parasthetica 448 meropenem 207 mesalazine 207, 309 mesangioprol iferative myopathy 354 pain 445, 446 power, MRC grading 134 trauma, Mohs \200\231 surgery 422 moles 421 molluscum rhabdomyolysis 374 glomerulonephritis 376 musculoskeletal system metabolic acidosis 584, contagiosum 415 ankle 148 back 356 \200\2237 elbow 151 examination 146 \200\22352 585 money 14, 40 \200\2231 see also pay metabolic alkalosis 584, 585 monitoring OHFP.indb 632 OHFP.indb 632 30/05/2014 16:19 30/05/2014 16:19 633 INDEX cranial nerves 126, 133 gait 136 peripheral nerves 126, foot 148 hand 135, 136, 152 hip 146, 147, 163 knee 147 pelvis 150, 588 wrist 151 National Institute for Health and Clinical Excellence (NICE) 134 angina 246 diabetes mellitus 330 GI bleeding 299 hypertension 264 pre-operative spinal tracts 136 neurology/ psychiatry 337 \200\22369 myasthenia gravis 355, 593 myasthenic crisis 355 Mycobacterium avium intracellulare 489 acute confusion 341 aggression and assessment 107 violence 364 back pain 356 \200\2237 coma 338 \200\22340 dementia 162, 342 \200\2233 dizzin ess 362 \200\2233 examination 160 \200\2232 focal neurology 353 \200\2235 headache 358 \200 \22361 mood disturbance/ psychosis 365 \200\2239 neurodegenerative disorders 349 pregnancy 502 see also specifi c conditions mydriatics 143 myeloid leukemia 396 myeloma 389 calcium and nausea and vomiting 304 antiemetics 185 causes 304 dying patients 93 palliative care 91 NBM see nil by mouth NCEPOD (National phosphate 570 myelopathy 354 myeloproliferative disease 396 myocardial infarction Confi dential Enquiry into Patient Outcome and Death) xxxvi, 600 (MI) acute anterior 579 acute inferolateral 578 acute posterior 580 breathlessness 272 cardiac m arkers 243, 567 care after 244 driving regulations 605 ECG changes 577, 578 non-ST elevatio n see seizures 344 \200\2238 stroke 350 \200\2232 neuromuscular junction 354 neuropathic pain 89 neuropathic ulcers 424 neuropathy 354 diabetic 330 neutropenia 486 febrile 486 neutrophils 566 New Deal on pay 36 newborn life nebuliser 230 neck examination 144 \200\2235 injury 440 \200\2231 lumps 458 \200\22360 lymph nodes 458 vessels 535 NSTEMI necrotising fasciitis 413 needle ST elevation see STEMI myopathic gait 136 myopathy 354 myringoplasty 110 myxoedema, pretibial 419 pericardiocentesis 479 needle-holders 113 needle-stick injuries 106, support 236 \200\2237 NHS (National Health 228 viruses associated with 106 nefopam 89, 209 Neisseria gonorrhoeae 465 Neisseria meningitide s 413 neonates Service) N N-acetylcysteine 182, 495 Na+ see sodium naevi 131, 421 nail clippings 411 naloxone 87, 2 09 entitlements 42 indemnity insurance 11 Patient Safety Agency 115 pension scheme 11 niacin see vitamin B3 NICE see National Institute for Health a nd Clinical Excellence nicorandil 209 nifedipine 190, 266 night blindness 103 night sedatio n 176 night shifts 73 nil by mouth (NBM) 111 prescribing 168 examination 163 meconium delivery 163 resuscitation 236 \200\2237 dose 650 Narcan 209 narcolepsy 347 Naropin 559 narrow complex neoplasia skin manifestations 419 see also cancer nephrectomy 110 nephritic syndrome 376 nephrotic sy ndrome 376 nerves tachycardia 251 nasal see nose nasogastric feeding 102 nasogastric tubes 549 ablation 89 blocks 89 cranial 126, 133 entrapment CXR 583 nasopharyngeal airway 230 National Confi dential nimodipine 190 nitrites, dipstick test 590 nitrofurantoin 209 nitroprusside 266 nits 416 NI V (non-invasive ventilation) 274 nodal rhythm 572 nodules 139 syndromes 448 Enquiry into Patient Outcome and Death (NCEPOD) xxxvi, 600 hand 135 peripheral 126, 134 nettle rash see urticaria neurodegenerative disorders 349 National Early Warning Score (NEWS) 224, 225 neurological National Health Service examination 132 \200\2236 see NHS _OHFP.indb 633 _OHFP.indb 633 30/05/2014 16:19 30/05/2014 16:19 634 INDEX non-Hodgkin \200\231s bowel 290, 292, 304, opportunistic lymphoma 396 non-invasive ventilation 311, 589 infections 488, 489 common bile duct 319 portal vein 314 SVC 283 upper airway 587 occupational health 13 occupa tional therapists 68 OCD (obsessive- compulsive disorder) 369 oculomotor nerve optic cup 143 optic disc 143 optic nerve (II) 133 optic neuritis 429 optic pathways 133 ora l contraceptive pill 501 oral glucose tolerance (NIV) 274 non-malefi cence 26 non-rebreather mask 230 non-ST elevation myocardial infarction see NSTEMI non-steroidal anti- test 571 Oramorph see morphine, infl ammatory drugs see NSAIDs Normacol 205 normal pressure oral orchitis 464 organization 17 oropharyngeal (Guedel) (III) 133 OD see overdose oesophageal cancer 294 intubation 543 refl ux 242 varices 300 hydrocephalus 343 normal vaginal delivery airway 230 oropharynx 145 orthostatic (NVD) 554 \200\2235 see also childbirth normal values see inside hypotension 474 front cover oesophagitis 294, 300 oestrogens, and surgery 108 Ortolani test 163 oseltamivir (Tamifl u ) 210 Osler \200\231s nodes 411 osmolality osmotic laxatives 205 osteoarthritis 453, 454 osteomalacia 103, 388 osteomyelitis 447 treatment 64 9 nose anatomy 145 examination 144 olfactory nerve (I) 133 oligomenorrhoea 157 oliguria 378 omeprazole 210 nosebleeds 460 notes fi tness to work 80 medical 74 \200\2237 dose 648 on-call 18, 72 oncological notifi able diseases 487 Novomix 203 Novorapid 203 NovoSeven 403 NSAIDs 86, 186 NSTEM I 242, 245 nuclear medicine 85 Nurofen see ibuprofen nurse practitioners 68 nurse special ists 68 nurses 68 nutrition 102 \200\2233 osteoporosis 103, 437 otitis externa 460 otitis media 460 otoscopy 144 outside agencies 24 ovarian examination 140 ondansetron 185 dose 648 online reference sources 601 open fractures 435 operating theater 114 \200\223 cancer 497, 499 cyst 500 torsion 500 15 clothing 114 design 114 etiquette 115 pre-operative over-examination 19 overdose 492 \200\2235 aspirin 494 clinical features 494 emergency care 492 paracetamol 495 overload, fl uid 379 oxybutynin 210 oxycodone 91, 210 OxyContin see oxycodone dying patients 93 enteral feeding 102 parenteral feeding 102 refeeding assessment 107 \200\2238 scrubbing up 114 staff 114 theater lists 112 watching operations 115 WHO Surgical Safety Ch ecklist 115 syndrome 102 requirements 103 NVD (normal vaginal delivery) 554 \200\2235 see also childbirth nylon sutures 561 nystagmus 363 nystatin 210 see also surgery ophthalmology oxygen saturation 225 OxyNorm see oxycodone oxytetracycline 211 vision loss 429, 430 visual acuity 143, 605 visual disturbances 431, O obsession 162 obsessive-compulsive P P wave 573 p-ANCA 593 P45 form 11 P60 form 11 Pabrinex 211 packed red cells 382, 605 visual fi eld testing 142 see also eye ophthalmoscopy 142 opioids disorder (OCD) 369 obstetrics arrest 238 examination 158 \200\2239 membership exams 57 resuscitation 238 long-acting 87 overdose 494 palliative care 91 strong 87 weak 87 399, 400 crossmatching 400 PaCO2, pregnancy 504 obstruction OHFP.indb 634 OHFP.indb 634 30/05/2014 16:19 30/05/2014 16:19 635 INDEX X-ray 588 paraproteinaemia 396 parathyroid disorders 388, PACS (partial anterior Pemberton \200\231s test 283 pemphigoid 418 pemphigus 418 pen-torch 14 penicillin G see circulation stroke) 351 389 PAD (peripheral arterial eff ect on blood tests 570 disease) 448 parathyroid hormone pediatric (PTH) basic life support 234 \200\2235 blood samples 520 \200\2231 capacity 28 confi dentiality 2 7 consent 403 developmental stages 165 examination 164 \200\2235 fractures 597 maintenance fl uids 383 neck injury 441 observations 235 prescribing 173 seizures 345 training exams 57 vaccination benzylpenicillin high 389, 570 low 388, 570 penicillin V see phenoxymethylpenicillin paratyphoid fever 487 parenteral nutrition pens 14 pensions 11, 41 Pentasa see mesalazine Peptac 184 peptic ulcer 290, 294, 300 pe rcutaneous endoscopic gastrostomy (PEG) 102 (PN) 102 parking 12 Parkinson \200\231s disease 349 Parkinson \200\231s-plus syndromes 349 paroxetine 211 partial anterior circulation stroke (PACS) 351 perforation, bowel 290, 291, 588 partial seizures 348 Parvolex pericarditis 242, 247 perindopril 182 peripheral arterial disease (acetylcysteine) 182 passivity (psychiatry) 162 past medical history 124 patch testing 411 paternity leave 42 pathology membership schedules 164 Paget \200\231s disease 389 (PAD) 448 peripheral blood fi lm 393 peripheral nerves calcium and phosphate 570 block 558 examination 126, 134 peritonitis, spontaneous pain 86 \200\2239 abdominal 288 \200\22396 back 356 \200\2237 bone 446 chest 240 \200\2238 chronic 89 gynecol ogical 500 joint 452 \200\2237 limb 444 \200\2238 muscle 445, 446 neuropathic 89 palliative care 91 WHO pain ladder 86 see also specifi c areas exams 57 bacterial 316 Patient Advice and Liaison Service (PALS) 31 patient confi dentiality see PERLA mnemonic 142 permethrin 416 perphenazine 185 personal limits 15 personal statements 5 3 personality disorder 162, confi dentiality patient lists 17, 71 patient-centered care 19 patient-controlled analgesia 366, 369 (PCA) 88 pertussis vaccination 164 petechiae 139 pethidine 211 pH patients aggressive 105, 364 communication with 21 dignity 19, 26 empathy with 19, 22 expectations 1 9 relatives see relatives Paul Bunnell (monospot) pain teams 88 palliative care 91 palonosetron 185 pancreatitis 588 acute 290, 296 chronic 2 96 liver function tests 569 ABG 584, 585 dipstick test 590 phaeochromocytoma 263, 333, 591 pharmacists 68 pharmacodynamic drug interactions 171 pharmacokinetic drug interact ions 171 pharmacopeia 181 \200\223221 see also prescribing; and individual drugs test 315 pay 12, 36 \200\2237 payslip 39 supplementing 38 \200\2239 pancytopenia 397 panic attacks 369 pantoprazole 211 pantothenic acid see PDAs 14 PE see pulmonary embolism vitamin B5 peak expiratory fl ow rate (PEFR) 130, 586, 587 PaO2 504 papules 139 paracentesis 313, 550 \200\2231 paracetamol 86, 87, 211 pharyngeal pouch 459 phenobarbitone 174, 212 phenothiazines 185 phenoxymethylpenicillin Pediculosis capitis 416 Pediculosis corporis 416 PEG (percutaneous endoscopic gastrostomy) 548 212, 412 dose 648 overdose 495 phenytoin 174, 212, 344, 345 pellagra 103 pelvis/pelvic paraesthesia 103, 354 paraffi n impregnated infusion 650 phimosis 155 phlebotomists 68 phobias 162, 369 phone anatomy 150 examination 150 infl ammatory gauze 469 paraldehyde 345 paralytic ileus 292, 311 paraphimosis 155 disease 497, 500 _OHFP.indb 635 _OHFP.indb 635 30/05/2014 16:19 30/05/2014 16:19 636 INDEX confi dentiality issues 27 mobiles 12, 14 useful numbers 12, 17, alcohol 484 carbon monoxide 469 food 487 paracetamol 495 PR interval 573 practical procedures see procedures pravastatin 215 pre-eclampsia 504 pre-hepatic jaundice 318 pre-operative 608, 610, 612 phosphate 570 police 24 poliomyelitis 487 polyarteritis nodosa 452 polyarthritis 452 polymerase chain rea ction enemas 205, 648 photophobia 431 Phthiriasis pubis 416 physiotherapists 68 phytomenadione 203, 212 Picolax 212 picture archiving and assessment 107 \200\2238 drug chart 108 patients with medical problems 107 (PCR), CSF 592 polymyalgia rheumatica 453, 454 special communication system (PACS) 596 polyneuropathies 355 polyps circumstances 108 pre-term labor 506 pre-tibial myxoedema 419 prednisolone 177, 213, PID (pelvic infl ammatory disease) 497, 500 cervical 497, 498 colorectal 302, 303 endometrial 497, 498 piercings 14 piles (hemorrhoids) 302, 309 polyuria 372 popliteal pulse 128 portal vein obstruction 314 positron emission pregabalin 89, 213 pregnancy 303 pioglitazone 329 piperacillin with 1st trimester 502 \200\2233 2nd/3rd trimester 504 \200\2235 anemia 505 antenatal care 158 a ntepartum tazobactam 179, 212, 649 Piriton see tomography (PET) 85 post-cannula swelling 451 post-concussion chlorphenamine syndrome 438 post-dural puncture headache 361 post-foundation programs, curriculum vitae 54 \200\2235 hemorrhage 505 breech presentation 505 delivery 506 diagnosis 502 ectopic 497, 498 fetal li e 159 gestational diabetes 328, pituitary axis 331 placenta praevia 505 plague 487 plantar warts 421 plaques 139 Plasmodium spp. 488 platelet count 566 pregnancy 504 post-mortem 97 post-operative care 116 505 HELLP syndrome 505, platelets 399 Plavix see clopidogrel pleural eff usion 272, 279 fl uids 383 problems 117 wound management 118 post-partum hemorrhage 569 hypertension 504 miscarriage 497, 503 NICE guidelines 502 normal ranges 504 obstetric CXR 582 see also pneumothorax (PPH) 507 post-traumatic seizures 348 pleural tap 538 \200\2239 PN (parenteral examination 158 \200\2239 nutrition) 102 postcoital bleeding 157 posterior chamber of post-partum 507 prescribing 172 prolonged 505 rhesus negative women 502 termination of 503 pneumococcal vaccination 164 Pneumocystis jiroveci 489 pneumonia 242, 272, eye 143 posterior circulation stroke (POCS) 351 276 \200\2237 posterior columns 136 posterior interosseous syndrome 448 antibiotics 179 CXR 582 treatment 649 Prehn \200\231s sign 463 premature rupture of membranes (PROM) 506 prematurity 506 prerenal posterior tibial pulse 128 postgraduate courses 58 postmenopausal bleeding 157 pneumonitis, interstitial 593 pneumothorax 242, 272, 279 \200\22381 postnatal depression 507 postural (orthostatic) hypotension 474 hypoperfusion 372 aspiration of 538 CXR 582 tension 279 treatment 280 \200\2231 Pneumovax 330 PO43- see pho sphate POCS (posterior presbyacusis 460 presbyopia 143 prescribing 168 potassium 103, 384, 568 hyperkalaemia 384, 385 hypokalaemia 103, abbreviations 169 adverse drug 384, 385 reactions 168, 171 oral supplement 213 antibiotics 179 best practice 169 \200\22370 breastfeeding 173 C. diffi cile 180 circulation stroke) 351 PowerPoint 60, 61 PPH (post-partum poikilocytes 393 poisoning hemorrhage) 507 OHFP.indb 636 OHFP.indb 636 30/05/2014 16:19 30/05/2014 16:19 637 INDEX Prozac see fl uoxetine pseudo-gout 453, 455 pseudo-obstruction iatrogenic causes 483 post-operative 117 post-partum 507 septic screen 483 of unknown origi n (PUO) 483 changes to prescriptions 169, 170 children 173 controlled drugs 173 drug cards 169, 170 drug interacti ons 171 endocarditis (paralytic ileus) 292, 311 pseudo-seizures 347 pseudohyponatraemia 386 pseudohypoparathyroidism see also specifi c conditions pyridoxine see vitamin B6 prophylaxis 175 enzyme inducers 174 enzyme inhibitors 174 liver disease 172 night sedation 176 pharmacopeia 181 \200\223221 pregnancy 172 renal disease 172 steroids 177 388 pseudomembranous colitis Q QRS complex 573 QT interval 573 prolonged 254 quadruple therapy 307, 308 psoas muscle 588 psoriasis 417 psoriatic arthritis 453, 456 psychiatry see neurology/psychiatry (tuberculosis) 489 psychiatry membership quality of care 25 Quincke \200\231s sign 129 quinine 89, 214 Qvar 275 presentation, fetal 159 presentations 27, 60 \200\2232 presenting complaint 124 pressure co nversion 602 prilocaine 559 primary biliary exams 57 psychogenic seizures 347 psychological problems 33 psychosis 162, 365 \200\2239 causes 366 puerperal 507 psychotherapy 367 PT (prothrombin time) 567 R rabies 487 radial pulse 128 radial tunnel syndrome 448 radiation proctitis 302 radiculopa thy 354 radiography see X-rays radiology 12, 85 cirrhosis 316, 319 primary sclerosing cholangitis 316, 319 primary survey 232 Prinzmetal angina 246 prioritizing 72 procedures 509 \200\22363 PTH see parathyroid hormone Pthirus pubis 416, 465 ptosis 143 pubic lice 416, 465 public health, notifi able blood and injection 514 \200\223 membership exams 57 requests for 85 27 cardiology 528 \200\22336 core foundation skills 512 diseases 487 raised intracranial pressure publications 27, 38, 58 puerperal psychosis 507 Pulmicort see budesonide pulmonary emboli sm (PE) 242, 272, 278 (ICP) 304, 360 ramipril 182 dose 648 Ramsay-Hunt gastroenterology 548 \200\22351 lumbar puncture 552 \200\2233 respiratory 438 \200\22344 tr olley 510 urology 546 \200\2238 see also specifi c procedures syndrome 414 clinical risk ranitidine 214 dose 648 assessment 278 Wells score 278 Ransom criteria 296 rash 410 \200\22319 prochlorperazine 185 pulmonary oedema 272, dose 648 282 bacterial infections 412 \200\223 procyclidine 213 prolonged QT interval 254 PROM (premature rupture of membranes) 506 promet hazine 185, 186 prophylaxis DVT 407 endocarditis 175 tetanus 164, 436 \200\2237 CXR 582 pulmonary 13 emergency care 410 fungal infections 416 infestations 416 infl ammatory 417 systemic diseas e 419 viral infections 414 \200\22315 see also urticaria; and specifi c conditions RBBB (ri ght bundle branch rehabilitation 275 pulmonary tuberculosis 491 pulse 128 pulse oximetry 230 puncture wounds 437 pupillary refl exes 142 purpura 139 propranolol 188 protamine 213 proteins 103 CSF 592 urine (proteinuria) 375, Henoch-Sch nlein 418 meningococcal block) 574, 576 reactive arthritis 453, 456 rebanding (contracts) 36 \200\2237 records see notes recreation al drug use 33 rectocele 464 red cells septicaemia 413 pustular psoriasis 417 pustules 139 pyelonephritis 110, 484 pyloric stenosi s 588 pyoderma 504, 590, 591 protestogens, and surgery 108 prothrombin 404 prothrombin time (PT) 567 CSF 592 transfusion 400 urine 590 gangrenosum 418 pyrexia 482 \200\22391 _OHFP.indb 637 _OHFP.indb 637 30/05/2014 16:19 30/05/2014 16:19 638 INDEX red eye 426 \200\2237 refeeding syndrome 102 referees 53 referral letters 82 \200\2233 refe rrals 81 registrars 66 Reiter \200\231s syndrome see reactive arthritis rupatadine 186 RV (residual volume) 586 results chasing 84 interpreting 565 \200\22397 serial 17 S SAD PERSONS score 484 safety xxxvi resuscitation see cardiopulmonary resuscitation resuscitation fl uids 381 retention, urinary 377, 379 retepla se 198, 536 reticulocytes 393, 566 retinal artery with aggressive patients 105 relatives aggressive 105 communication with 21 confi dentiality 27 as interpreters 23 occupational health 13 prescribing 169 \200\22370 sagittal plane 77 salary 12, 36 \200\2237 salbutamol 214, 273 occlusion 429 relaxation 35 relaxation techniques 369 renal retinal vein occlusion 429 retinopathy 330 retractors 113 rhabdomyolysis 374 rhesus negativ e 502 rheumatic fever 453, 457 rheumatoid arthritis 453, dose 648, 650 inhaler 275 saline 0.9% 382 saline infusion 236 salivary gland lump 459 salme terol 214 dose 648 inhaler 275 artery stenosis 263 colic 290, 295 dialysis 373 failure acute 372, 379, 383, 454 568 skin manifestations 419 synovial fl uid 557 rheumatoid factor 593 rheumatological disease s ee chronic 372, 373, 379, Salmonella spp. 306 salt-poor albumin 551 Salter-Harris 383, 568, 588 fl uid requirements 383 stones 588 renal disease arthritis; joint pain classifi cation 597 Sando-K see potassium oral supplement saphena varix 462 sarcoma 420 S arcoptes scabiei 416 SBP (spontaneous bacterial rhinoscopy 144 rib, cervical 459 ribofl avin see vitamin B2 rickets 103, 388 rifampicin 174 , 214 right axis deviation 574 right bundle branch block (RBBB) 574, 576 right coronary art ery glomerulonephritis 376 hypertensive 263 nephritic syndrome 376 nephrotic syndrome 376 presc ribing 172 research 24, 38, 64 peritonitis) 316 SC (subcutaneous) injection 524 \200\2235 funding 64 residual volume (RV) 586 resigning 34 respiratory acidosis 584, (RCA) 574 right shift, FBC 393 rigors 347 ringworm 416 Rinne \200\231s test 144 risk factor s 124 rivaroxaban 406, 407 RNP 593 road traffi c accidents 434 scabies 416 scaling 139 Scarf test (shoulder) 150 scarlet fever 487 schistocytes 393 schizo phrenia 366, 368 Schober \200\231s test 149 scissors 113 sclera 143 scleritis 427 sclerosin g cholangitis, autoimmune 593 585 respiratory alkalosis 584, 585 respiratory arrest advanced life support 228 \200\2239, 651 children 234 \200\2235 equipment and tests 230 \200\2231 newborn 236 \200\2237 obstetric 23 8 trauma 232 see also trauma Road Traffi c Act 24 Rockall risk scoring system 299 Romano-Ward scoliosis 356 scotoma 143 scrubbing up 114 scrubs 14 scurvy 103 sebaceous cyst 420 seborrhe ic dermatitis 417 second-degree (M bitz) heart block 259, 261 respiratory function tests 586 \200\2237 syndrome 254 Romberg \200\231s test 135, 362 ropivacaine 559 rosuvastatin 215 rouleaux 393 Royal College s 601 rubella (German peak expiratory fl ow rate 130, 586, 587 spirometry 586 \200\2237 respiratory rate 235 respiratory system 269 \200\22385 measles) 415, 487 MMR vaccination 164 rubeola (measles) 415 rule of nines, burns 467 rumina tions secondary generalized breathlessness 270 \200\22383 cough 285 examination 126, 130 procedures 438 \200\22344 stri dor 284 responsibility 15 seizures 348 secondary survey 232 secretions in dying patients 93 suctioning 230 sectioning 162, 364 (psychiatry) 162 run-through training 43 OHFP.indb 638 OHFP.indb 638 30/05/2014 16:19 30/05/2014 16:19 639 INDEX skeletal X-rays 596 \200\2237 skin sectranopia, Shigella spp. 306, 307 shingles (herpes zoster) 414 shock 476 \200\22381 quadruple 133 biopsy 411 cancer 422 examination 138 \200\2239 lumps 420 \200\2231 rashes 410 \200\22319 s crapings 411 swab 411 sedation night 176 pre-operative 176 seizures 344 \200\2238, 442 anaphylactic 476, 477 cardiogenic 476, 477, adults 344 causes 344, 345, 347 children 345 description 346 emergency care 344 \200\2235 f i rst fi t 347 post-traumatic 348 479 causes 477 clinical markers 476 complications 476 haemorrhagic 477 hypovolaemic 476, skin infections 411 bacterial 412 \200\22313 blood tests 411 fungal 416 tuberculosis 491 vi ral 414 \200\22315 477, 478 Seldinger central line 534 Seldinger chest drain 540 \200\2231 selenium 103 self-discharge 20 self-harm 484 Sengstaken-Blakemore septic 379, 476, 477, 480 \200\2231 slapped cheek fever (fi fth spinal 476, 477, 481 disease) 415 SLE (systemic lupus shoes 14 short Synacthen test 571 shortness of breath see erythematosus) 419, 453, 457 tube 300 breathlessness sleep senior specialty training shoulder hygiene 176 night shifts 73 registrars 66 anatomy 150 dislocation 562 \200\2233 examination 150 impingement test 150 senna 205 dose 648 sensation 135 sensory ataxia 362 sensory loss 353, 354 sepsis slide presentations 60 \200\2231 Slow-K see potassium oral shoulder dystocia 506 shuffl ing gait 136 SIAHD (syndrome of supplement SMA (smooth muscle antigen) 498 meningococcal 413, 487 severe 481 inappropriate ADH secretion) 386 small bowel obstruction 589 septic arthritis 453, 455 sick day rules, diabetes 329 Sick Doctors \200\231 Trust smallpox 487 smartphones 14 smear test 498 smooth muscle antigen antibiotics 179 treatment 649 septic screen 483 septic shock 379, 476, (alcohol and drug addiction) 600 sick sinus syndrome 261 sickle-cell disease/ trait 397, 453 sickle-cell screen 107 siderobl astic anemia 393 sigmoid volvulus 588 sigmoidoscopy 110, 121, (SMA) 593 social history 124 social phobia 369 social workers 68 SOCRATES mnemonic 86 sodiu m 103, 568 477, 480 \200\2231 clinical markers 476 EGDT 481 septicaemia antibiotics 179 meningococcal 413 hypernatraemia 387 hyponatraemia 103, Seretide 215, 275 Serevent 275 serial results 17 serious untoward incidents 30 306, 307 silk sutures 561 silver sulfadiazine cream 469 386 \200\2237 urinary 591 sodium bicarbonate, newborns 236 sodium citrate blood simple fractures 435 Sim \200\231s speculum 157 simvastatin 215 seroconversion, HIV/ tubes 517 AIDS 490 dose 648 sodium valproate see seroma of breast 423 seronegative sinus bradycardia 258, valproate 259, 260 soft tissue arthropathies 452 drugs causing 260 injuries 435 signs 596 sertraline 215 service provision 16 severe acute respiratory syndrome (SARS) 487 Sevredol see morphine, sinus rhythm 572 sinus tachycardia 250, 251 sinusitis 359, 361 SIRS (systemic sore throat 461 sotalol 188 space-occupying lesions 355 spastic gait 136 specialist registr ars 66 specialties in medicine 51 specialty training 43, 47 infl ammatory response syndrome) 481 oral sexual harassment 34 sexually transmitted infections 465 sitagliptin 329 Situational Judgment Tests (SJT) 5 sharps 13 situational syncope 443 Sj gren \200\231s syndrome 593 applications 44 career structure 45 needle-stick injuries 106, 228 _OHFP.indb 639 _OHFP.indb 639 30/05/2014 16:19 30/05/2014 16:19 640 INDEX in-patient Stevens-Johnson syndrome 418 competition 48 \200\2239 fi xed-term preparation 111 instruments 113 operating theater 114 \200\223 Stokes-Adams attacks 347 stomas 121 stones appointments 67 options 46 \200\2237 recruitment process 44 15 post-operative care 116, gallbladder 319 kidney 588 specifi c gravity of urine 590 118 post-operative stool culture 309 STOP (surgical termination of pregnancy) 503 Spencer Wells forceps 113 spermatocele 463 spherocytes 393 spider naevi 131 SPIKES model 22 spinal problems 117 pre-operative assessment 107 \200\2238 strabismus 143 strains 435 strangulated terminology 110 theater lists 112 watching hemorrhoids 303 strangulated hernia 290, anesthesia 558 anatomy 149 cord compression 356, operations 115 see also operating 462 theater; and specifi c procedures strangulation of bowel 292 streptokinase 198, 536 stress 357 curvature 356 examination 149 shock 476, 477, 481 stenosis 355 tracts 136 tuberculosis 491 surgical instruments 113 surveillance 487 \200\230Surviving Sepsis \200\231 campaign 481 s utures 436, 560 \200\2231 materials 561 removal 561 size 561 causes 35 work-related 34 stridor 284 stroke (CVA) 350 \200\2233 ABCD2 score 352 Bamford spinothalamic tract 136 Spiriva 275 spirometry 586 \200\2237 spironolactone 215, 333 sple nomegaly 131 spondylarthropathies 452 spondylolisthesis 357 spondylolysis 357 spondylosis 3 57 spontaneous bacterial classifi cation 251 driving regulations 605 emergency care 350 SVC (superior vena cava) obstruction 283 SVT (supraventricular tachycardia) 250, 251, 253 swabs 411 swallowing, stro ke patients 352 swelling, limb 449 \200\22351 Symbicort 216, 275 symbols and study expenses 58 study leave 58 subarachnoid hemorrhage 360 subclavian artery 535 subclavian vein 535 subconjunctival peritonitis (SBP) 316 sprains 435 hemorrhage 428 whiplash injury 440 subcutaneous (SC) injection 524 \200\2235 squamous-cell carcinoma (SCC) 422 abbreviations xix \200\223xxxii subdural haematoma 343, ssDNA antibodies 593 ST elevation myocardial infarction see STEMI patient notes 76 prescriptions 169 sympathectomy 89 Synacthen see 438 substance abuse 365 driving regulations 605 ST segment 573 stable angina 242, 246 Staphylococcus aureus cellulitis 412, 446 toxic shock 480 suction 230 suicide 484 sulfasalazine 216 sulphonylureas 216, 329 superfi cial tetracosactide syncope 362, 442 cardiac 442 driving regulations 605 vasovagal attacks 260, statins 215 status asthmaticus 214 status epilepticus 195, 199, thrombophlebitis 445 superior vena cava (SVC) 347, 442 syndrome of inappropriate obstruction 283 206, 212 ADH secretion (SIADH) 386 synovial fl uid 557 syphilis 465 syringe drivers 88 systemic infl ammatory response syndrome (SIRS) 481 systemic lupus Stemetil see phenothiazine STEMI 242, 244, 574 supervised learning events (SLEs) 9 suprapubic catheter 548 supraventricular cardiac markers 243, 567 ECG changes 578, 580 thrombolysis 350, 536 tachycardia (SVT) 250, 251, 253 steppage gait 136 stereotypy 162 sterilization 501 steristrips \204 436 steroids see surgery (career) 57 surgery (clinical) bowel preparation 109, erythematosus (SLE) 453, 457 189 checklist 111 elective 119 \200\22320 skin manifestations 419 corticosteroids systemic rheumatic disease 452 stethoscope 14 HFP End.indd 640 OHFP End.indd 640 30/07/2014 16:04 30/07/2014 16:04 641 INDEX TIA (transient ischaemic attack) 352, 605 time management 18 timetables 17, 609, 611 TIMI ( Thrombolysis in systemic sclerosis tendon refl exes 134 tenecteplase 198, 536 TENS (transcutaneous electrical nerve stimulatio n) 89 tension headache 359 tension pneumothorax 279 terbutaline 217, 273 autoantibodies 593 limited 593 systems review 125 Myocardial Infarction) risk score 245 T T wave 573 t-PA (tissue plasminogen timolol 188 tinea inhaler 275 terlipressin 300 termination of pregnancy corporis 416, 489 cruris 416 faciei 416 pedis 416 tinzaparin 218 tiotropium 218 inhaler 275 tirofi ban 218 tissue forceps 113 tissue glue 436 tissue plasminogen activator) 350 T3 571 T4 205 \200\2236, 334 tachyarrhythmias 248 \200\223 (TOP) 503 terminology, surgical 110 testes 54 cancer 464 ectopic 464 torsion 290, 463 atrial fi brillation 250, 251, 252, 259, 572 atrial fl utter 253, 572 broad complex 251 causes 248 chemical tetanus 487 immunization 164, 436 \200\2237 tetracosactide (Synacthen ) 217 activator (t-PA) 350 cardioversion 531 defi brillation 228, 231, TLC (total lung tetracycline 217 thalassaemia 393, 397 theater see operating capacity) 586 Todd \200\231s paresis 346 tolbutamide 216 tonometer 143 torsade de pointes 2 51, 532 \200\2233 ECG 251 emergency care 248 \200\2239 narrow complex 251 supraventricular theater theater lists 112 theophylline 218 thiamine see vitamin B1 thiazolidinediones 329 t hiopental 344 third degree (complete) heart block 259, 261 254 tachycardia 250, 251, 253 treatment 253 ventricular fi brillation 251 ventricular total anterior circulation stroke (TACS) 351 total iron-binding capacity total lung capacit y (TLC) 586 third-space fl uids 380 thought insertion 162 throat, examination 144 thrombocytopenia 405 heparin-induced 406 thrombolysis 350, 536 Thrombolysis in Myocardial Infarction (TIMI) risk score 245 thrombophlebitis, superfi cial 445 tachycardia 250, 251, 254 TACS (total anterior total parenteral nutrition (TPN) 102 Toxbase 492 toxic epidermal necrolysis circulation stroke) 351 Tamifl u see oseltamivir tamoxifen 216 tamsulosin 217 target cells 393 tax issues 41 Tazo cin see piperacillin with tazobactam TB see tuberculosis teaching 60 \200\2232 (TEN) 418 toxic shock 480 Toxoplasma gondii 489 TPN (total parenteral nutrition) 102 trache a, CXR 583 traction-countertraction thromboprophylaxis 407 thyroglossal cyst 459 thyroid technique 563 training 16 medical students 63 core 43, 46 less than full-time 42 specialty see specialty disease 334 \200\2235 dysfunction and team assessment of behavior (TAB) 9 hypertension 263 TED stockings 108 Tegretol see training function test 571 hormones 571 hyperthyroidism 334, training fellowships 64 TRALI (transfusion- associated lung injury) 401 carbamazepine teicoplanin see vancomycin telangiectasia 139 temazepam 176, 217 temperature conversion 419, 571 hypothyroidism 334, 419, 497, 571 tramadol 87, 91, 219 transcutaneous electrical nerve stimulation (TENS) 89 transfer factor 587 transfusion 398 \200\223403 lump 459 subclinical disease 335 chart 602 temporal (giant-cell) arteritis 361 visual loss 429 thyroid peroxidase antibodies 593 thyrotoxic storm 334 thyrotropin receptor antibodies 593 TEN (toxic epidermal necrolysis) 418 Tenckhoff catheter 373 tendon hammer 14 ABO blood groups 398 complications 401 crossmatching 400 thyroxine 571 OHFP End.indd 641 OHFP End.indd 641 30/07/2014 16:04 30/07/2014 16:04 642 INDEX typhoid fever 487 typhus fever 487 culture 591 diabetes mellitus 590 dipstick tests 484, 590 haematuria 374 high output 372 lo w output 378 \200\2239 microscopy 590 osmolality 591 proteinuria 375 tests 590 \200\2231 to xicology 591 urobilinogen 318 urogenital prolapse 464 urogenital system 155 urokinase 198 u rological system