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 315 Human papillomavirus (HPV) 272 473 Healthcare Human rights 119, 147, births 4 death 498 \200\223499 deliveries 4 visits 476, 516 Homelessness 363 Homeopathy 515 Homicide 395, 405, 722 Homocysteine 33 Homocysteine, and 315, 365 and market forces 507 and politics 327 UN Convention 119 Human universals 485 Humerus fractures Health-seeking behavior 105, 517 HealthSpace 502 HealthVault 502 Healthy personality, de \201 ned 315 Hearing aids 549 Hear ing loss/de \201 cit see 119 742 \200\223743 High-altitude medicine Hungarian method, in cerebral palsy 214 814 High-frequency oscillatory ventilation (HFOV) 110 Hunger 105 Hunter \200\231s syn. 644 Huntington \200\231s chorea 646 Hunt \200\231s syn. 64 6 Hurler \200\231s syn. 646 Hussein, Saddam 323 dementia 352 Homocystinuria 216 Homoerotomania 640 Homonymous deafness Hearing tests 540-541 Heart Hill \200\223Sachs lesion 662 Hindu manners 493 hemianopia 429 828 Hutchinson \200\231s triad 646 Hyaline membrane 118 Hyaluronan 691 Hydatidiform mole 26 4 Hydramnios 24 Hydroceles 130 Hydrocephalus 138 and devlopmental Immune reconstitution (in \202 ammatory) syn. (IR(I)S) 606 ankle 756 arm 740 birth 90 blast 812 brachial plexus 77, 764 chest 722 crush 724, 726 eye 4 52 face 758 \201 nger 746 \200\223749 foot 756 genitourinary 726 gunshot 722 hand 746 \200\223749 head 728 \200\223729 inhalational 732 leg 752 \200\223757 lung 724 major 724 me niscal 686, 754 multiple 724 nasal 560 neck 758 nerve 764 non-accidental 146 nose 560 obste tric 90, 92 penetrating 722 prevention 791 retinal 452 scores 810 smoke 732 soft tissue 705 , 715 spinal cord 766 \200\223774 sports 705 statistics 792 thumb 748 ulnar nerve 760 see a lso fractures Injury Severity Score delay 216 neonatal 112 treatment 186 Hypogonadism 646 Hypokalemic thyrotoxic Immune thrombocytopenia 120 periodic paralysis 652 Immunization 150, 151 Immunode \201 ciencies Dandy \200\223Walker 640 Hydronephrosis 174 Hydrops, fetal 117, 142 Hydrosalpinx 286 Hydrotherapy 676 Hygroma 576 Hy peractivity 212 Hyperacusis 553 Hyperarousal 367 Hyperbaric O2 therapy Hypomagnesaemia 112 Hypomania 354 Hypopharynx 159 Hypopituitarism 55, 180 Hypoproteinaemia 168 Hypopyon 413, 430 Hypospadias 132 Hypothalamic problems 198, 655 Immunoglobulins IgA gliadin 171 IgE, in asthma 165 IgG, IgM, IgA, decreasing 198 Immunology 198 Immunoreactive trypsin (IRT) 162 Immunotherapy, 184 Hypothalamic \200\223 550, 815 Hyperbilirubinaemia pituitary \200\223adrenal (HPA) axis, hyperactivity 348 Hypothyroidism 25, 182 rhinosinusitis 556 26, 115 Hyperemesis 18 Hyperglycaemia 24, 186 Hypergonadotropic Impetigo 586, 587i Impingement syn. 664 Implosion 372 Impotence 384 Imprinting 652, 653 Imp risonment, false 403 Improved access to psychological therapies (IAPT) 329 eyes 448 neonatal 182 hypogonadism 134 Hyperkalaemia 176 Hyperkinetic syn. 212 Hypermetropia 426 Hypernatraemic Hypoxia fetal 55 neonatal 107 \200\223110 Hypsarrythmia 206 Hysterectomy 253, 308 Hysteria 334 Hyst erosalpingogram Impulse control 367 dehydration 235 Hyperpathia 677 Hyperphagia 349 Hyperphagic short stature 180 Hyperprolactinaemia disorder 373 In vitro fertilization (IVF) 293, 294 In vitro maturation (IVM) 293 294 Hysteroscopic adhesiolysis 294 Hysteroscopy 308 I Iatrogenic dis. eye 456 rhinitis 556 and screening 487 Incapacity certi \201 cates 294 Hypersexuality 349, 477 351, 373 Hypersomnia 349 Hypersomnolence 652 Hyperstimulation 311 Hypertension Incident see major incident Incontinence 306 \200\223307 Incubators 108 Indemnity 803 Induction loop 550 of anesthesia 620, 624 of labor 62 Infant colic 104 Infant eczema 597 Infantile spasms 206 Infection (ISS) 810 Inotropes 203 Inreach mental health services 329 Insemination, arti \201 cial Ibsen, H. 316 Ichthyosis 589 IContacts 458 ICP \200\200, 200 Id 383 Id reaction 584t Ideas , odd 316 \200\223317 Identity 325 in children 156 crises 177 normal values 156 in pregnancy 48, 49 prevention 482 see also OH CM 140-42 294 Insomnia 392 Institutionalization 400 Insulin 186 Hyperthermia, malignant 628 disorder 334 Hyperthyroidism in children 182 and eyes 448 in pregnancy 25 resistance 252 Integrated care 405 Integrative medicine Idiopathic adolescent anterior knee pain syn. 688 Idiopathic chronic fatigue 528 abortion 260 neonatal 36, 112 pregnancy 34-35 puerperal 94 screen for 112 urinary 174 515 Hypertonic dehydration Integrative psychiatric services 329 Intellectual disability 234 Hypertrichosis Idiopathic thrombocytopenic purpura (ITP) 197 Inferior oblique muscle 216, 364 Intelligence 216, 314 Intensive case lanuginosa 589 Hypertrophic scars 731 Hyperventilation 344 Hyphaema 453 Hypnagogic sleep 31 6 Hypnosis 344 Hypoallergenic diets 423 neonatal 120 Infertility 292 \200\223295 Infestations 608 In \202 ammatory bowel Iduronate sulfatase 644 Ileus, meconium 162 Iliotibial tract syn. 688 Illness representatio n management 329 Interdisciplinary care 73, 217, 405, 515 dis. 171 Information technology Interleukin-6 654 Interleukins, in sepsis 479 Illusions 319 (ADD) 212 Hypocalcaemia, 502 Infraspinatus 662 Infundibulation 247 Inguinal hernia 130 Inhalational agents 618 molecular structure 113 adaptive 316 neonatal \201 ts 112 Hypocaloric feeding 122 Hypochondriasis 334, Intermediate care 472, 473 Imaging, in trauma 778 \200\223779 Imiquimod 590, 591 Immigration offi cers Intermenstrual loss 250 Intermittent positive 640 pressure ventilation (IPPV) in neonates 110, 118 starting 110 Hypogammaglob- ulinaemia 640 618i 150 potency 619 Immobilization of Hypoglycaemia causes 186 Inhalational injury 732 Injuries fractures 734 \200\223735 abdominal 726 Internet mothers 22 poisoning 191 Ketoacidosis 188 Kidney normal 58 onset 58 oxytocic drugs 62, 64 pain 66 \200\22367 placenta in 58 policies 64 \200 \22365 premature 50 preparation for 2 prolonged 74 regional analgesia 66 stages 58 vaginal examination 829 access, \200\230always on \200\231 518 use in health Irrigation, wound 732 Ischaemic contracture, after vessel injury 668 abnormality 132 ectopic 132 failure 176 \200\223178 horseshoe 132 infection 28 polycystic 1 32 in pregnancy 28 tumors 133 education 495 see also OHCM 719 Interosseus nerve compression 714 Ischaemic optic Intersex 134 Interspinous spacers neuropathy 434 Isoimmunization 116 Itch 586 677 Interstitial cystitis 306, 307 Intertrochanteric pregnancy 19 Ivemark \200\231s syn. 646 J Jactatio capitis 392, Kielland \200\231s forceps 76 Kienb ck \200\231s dis. 702 Kierkegaard, S. 516 Kiessselbach \200\231s plexus 58 Labyrinthitis 554 Lacerations face 758 management 730 pretibial 755 tibia 754 fracture 752 Intervertebral disc 562 Kim Jong-il 323 Kipling, R. 536 Kirschner wire 734 Kissing 570 Kleihauer test 9 Kleine \200\223Levin syn. 349 Klinefelter \200\231s syn. 646 Klippel \200\223Feil syn. 648 Klumpke \200\231s palsy 764 Kluver \200\223Bucy syn. 200 Knee 394, 648 central protrusion 678 other problems 674 Interview, psychiatric Jakob \200\223Creutzfeldt syn. see OHCM 720 Jaundice 318 \200\223325 neonatal 115 in pregnancy 26 Jaw fracture 758 Jealousy 650 Jervell and Lange- Nielsen 548 Intestinal abnormalities Lachman \200\231s test 686 Lacrimal drain anatomy 130 \200\223131 Intimacy 385 Intracranial bleeding 419 Lacrimal sac 418 Lacrimation 418 \200\223419 Lactation 95 108 Intracranial injury, in children 90 Jitters 114 Jobe test 663 Joints suppression 149 Intracranial lesions 200 Intracranial pressure (ICP), increase 200 Lag screws 735 Lagophthalmos 416 Lake Louise criteria, for acute mountain sickness 815 arthroscopy 686 bursae 687i bursitis 690 cartilage 754 clergyman \200\231s 690 examination 686 haemarthrosis 754 housemaids 690 joint injection 708 \200\223710 ligaments 687i locking 690 loose bodies 690 osteoarthritis 691 pain 688 replacement 691, 706 aspiration 708 \200\223711 classi \201 cation 701 contractures 644 injections 708 \200\223 711 replacement 706 tuberculosis 696 types 701 Intracranial thrombosis 200 Intracytoplasmic Lamellar bone 701i Laminectomy 674 Landau \200\223Kleff ner syn. 215 morphologically- selected sperm injection (IMSI) 293 Jones criteria, for Intraocular pressure Landouzy \200\223Dejerine syn. 648 Langerhans cell rheumatic fever 166 430, 440 Joyce, J. 320 Jumper \200\231s knee 688 Justice Intraosseous route 236 Intrauterine histiocytosis 644 Language 215 delay 548 contraceptive device (IUCD) 95, 298 \200\223299 distributive 470 and psychopathy 367 infection 707 Laparoscopy 309 sterilization 305 Juvenile idiopathic Intrauterine death 82 Intrauterine diagnosis swelling 690 arthritis (JIA) 654 Knowing the good \200\224 Laparotomy 262 10, 140 in pelvic trauma 751 doing the bad 485 K Kafka, F. 347 Kaposi \200\231s sarcoma 417, 607 Intrauterine growth Know thyselves 325 K bner 584 Kocher \200\231s manipulation Large babies 53 Larkin, P. 147 Larrey, Baron retardation (IUGR) 52, 128 Intravenous Dominique 790 Laryngeal abscess 568 Laryngeal carcinoma 740 Koestler, A. 316 Kohler \200\231s dis. 703i Koplik \200\231s spots 142 Korsakoff \200 \231s syn. 363 Krukenberg tumor 280 Kubner phenomenon 584, 586, 594 K ntscher nail 734 Kwa shiorkor 168 Kyphosis 672, 702 L Labor Kaposi \200\231s varicelliform eruption 597 Kartagener \200\231s syn. 646 Karyotype 655 Kas ai procedure 117 Kawasaki dis. 646 Keats, John 337, 553 Keisselbach \200\231s plexus 562 Ke loid scar 610, 731 Keratectomy 433 Keratitis 432 anesthesia 620 \200\223621 Intravenous feeding 122 Intravenous urography 570 Laryngeal cyst 572 Laryngeal mask airway 174, 178 Intraventricular 627 Laryngeal muscles 569i Laryngeal nerve palsy hemorrhage 90, 108 Intravitreal implants 569 Laryngectomy 571 Laryngitis 568 re \202 ux 568 Laryngocele 576 Laryngomalacia 566 Laryngos copy 537 Laryngospasm 628 Laryngotracheo- 435 Intubation 107 nummular 450 endotracheal 627 Keratoacanthoma 590 Keratoconjunctivitis sicca 418 Keratoconus 411, 458 Keratomalacia 411, 450 Keratomileusis 464 Keratopathy 411 Keratosis 591 Keratotomy 464 Kernicterus 115 Kernig \200\231s sign 202 Kertomycosis 433 Ketamine 621 Intuition 505 Intussusception 172 Inverse care law 487 Investigations 533 active management 64 analgesia 66 augmentation 64 booking for 4 cardiac failure 20 delay 64, 74 false 58 in HIV+ ve mothers 23 induction 62 ketosis 58 membrane rupture 62 when not to do 516 bronchitis 158, 566 Involucrum 696 Iodine de \201 ciency, and Larynx salt 169 IQ, and intellect 216 Iridology 515 Iritis, acute 430 Iron examination 537 paralysis 566 tumors 570 X-ray 159 Las gue \200\231s sign 670 Lasek/Lasik 464 children 196 830 Laser discectomy 677 Laser eye surgery 443, 446 \200\223447, 464 Laser treatment, for Letterer \200\223Siwe dis. Nietzche Lust 385 Luteinizing hormone, in puberty 184 Lutembacher \200\231s syn. 136 Lyell \200\231s syn. 456 Lyme dis. 588 Lymph nodes 576 (=disseminated histiocytosis) 644 night visit 516 Proust grief 496 lesbian delusion 651 Quixote on valor 407 Ulysses 655 Wittgenstein 410 Woolf on s ound 549 Leukemia 194 Leukocoria 421 Leukocytes, normal values 220 Leukoplakia 590, 606, skin 610 Lasting power of attorney 477 Lateral condylar anterior neck 566 metastasis 577i 607i vulval 266 fractures, humerus 742 Lymphoblastic Literature, vs leukemia 194 Lateral popliteal nerve Levobupivicaine 632 Lewy body dementia psychotherapy 347 Little \200\231s area 562i Livedo reticularis 588 Liver failure 652 Lymphocytes 220 Lymphocytic in \201 ltrative 760 Lateral popliteal nerve 648 Leydig cell defect 646 Li \200\223Fraumeni syn. 648 Lice 608 \200\223609 Lichen planus 602 Lichen sclerosis 266 Licheni \201 cation 585i Lid lumps 417 Lidocaine 632 doses 731t injury 760 Lateral pressure syn. dis.s 610 fatty degeneration 26 Lymphoid interstitial pneumonitis 145 Liverpool Gold 688 Lateral recess stenosis Lymphoma 172 Lynch brace 84 Lysergic acid (LSD) 362 Lysosomal storage Standard 501 Living dangerously 516 Living wills, legal force 674, 675i Latin words in dermatology 585 Laurence \200\223Moon syn. 477 Lobular haemangioma dis. 183 Hunter \200\231s syn. 644 648 602 Ligaments Law Local anesthesia Lytic lesions 644 M Maastricht criteria, for organ dononors 777 elbow 667i foot and ankle 757i knee 687i 632 \200\223636, 730 Abortion Act 258 consent 402 \200\223403, 614 and medicine 367 Mental Health Act obstetric 66 ophthalmic 456 Lochia 94 Locomotion 680 \200\223681 Locomotor examination Light-near vision McArdle \200\231s dis. 182 MacCullum plaque 167 McCune \200\223Albright syn. 650 dissociation 424 Limb girdle muscular dystrophy 642 Limb salvage surgery 400 \200\223403 Lawrence, D.H. 277, 376 Le Fort facial fractures 657 Locums 472 Log-roll 774 Loner, friendless 323 Long sight 426 Long-chain 759 McMurray \200\231s test 686 Macrocystic lymphatic malformations 576 Le phenomenon 589 Lead 216 Lear and personal 699 Limb surgery, bloodless 747 Macroglossia 638 Macrophage activation Linear gingival identity 325 erythema 581 Linear lesions 586 Linolenic acids 127 Lip, cleft 138 Lipidosis 650 Lipodermat osclerosis polyunsaturated fatty acids (LCPUFA) 126 Learning 654 Macropsia 317 Macrosomia 24 Macula 445, 447 Macular degeneration after nerve injury 761 false see OHCM 535 intellect vs IQ 216 to listen 320 \200\223321 mil estones 150 second language 761 to speak 215 Loose bodies (knee) 690 Lordosis 672 Lotions 585 Love and sex 385 438 Macule 584 Maculopathy 445, 447 Maff uci \200\231s syn. 700 Magical thinking 323 Magnes ium 112 Magnosystem 604, 605i and betrayal 243 Low back pain 676 Low birthweight 52 Low forceps 76 Lower respiratory infe ctions 160 virally induced 161 Lippes loop 298 Liqht treatment 610 Liquid cosh 359 Liquid-based cytology (LBC) 270, 271 Learning disability 216, 314, 364 in childhood 394 Leber \200\231s optic atrophy Liquor, meconium- staining 55 648 hypothesis 396 Maisonneuve fracture Leff ert classi \201 cation, of brachial plexus injuries 764t Left colon syn. 53 Leg Lisfranc dislocation 756 Listening 320 \200\223321, 535, 551 Listeriosis 35, 204 Literature in medicine, Beckett/Godot 498 Bennett: drag ball 642 Byatt \200\231s bloodless doctor 319 LSD 362 756 see also OHCM 550-551 Major incidents 806 \200\223807 Major injury 724 Malabsorption 162, 171 Maladie de Roger 13 6 Malaria, in pregnancy 27 Malassezia furfur 586, 598 Male infertility 295 Maleness 134 Lumbago 674 Lumbar central protrusion 675i, 678 injuries 752 \200\223757 length 681i raise straight 670 shortening 680 ulcers 604 Lumbar disc 674 Lumbar microdiscectomy 677i Legal authority, power of attorney 400 Camus, nothing 640 Dante Lumbar puncture 202 Lumbar spinal stenosis see also masculinity Legal issues see consent; law Leier \200\223Trelat sign 589 Leiomyomata 276 Leiomyosarcoma 699 Lemierre \200\231s syn. 564 Lennox \200\223Gastaut syn. dry scales 589 nihilism/smoke 640 674 Malformation CNS 140 GI 130 head and neck 138 heart 136 prevention 152 \200\223153 spinal 1 40 Lunate bone 702 Lundborg \200\223Ros \200\231en metaphor 761 Dylan examine the Lung nightingale \200\231s code 553 compliance 625 hypoplasia 119 injury 724 freedom chimes 317 Ibsen \200\231s livslogen 316 Keats \200\231 nightingale 553 Kierkeguard \200\202 or 207 Malgaigne \200\231s fracture 750 Malignancies, multiple Lenses see contact Lupus lenses anticoagulant 30 pernio 589i pilum mutat. 585 skin 603 vulgaris 598 \200\203 516 648 Lentigo maligna 587 Leprosy 590, 591i Lesch \200\223Nyhan syn. 648 Malleolar fracture 756 Mallet \201 nger 712, 748 Malnutrition 168 Kipling, lust/smell 536 Marques, glory in a shoe 693 Malocclusion 581 Malpresentations 70 \200\22371 Malunion 738 Mammography 482 Management and nobility 407 in off enders 406 intellectual disability Miller, Lee 334 Miller \200\223Dieker syn. 139 Milton, J.: Paradise Lost 293 Medical care 831 practitioner, de \201 nition 469 Medical ethics see 216, 364 your own 332 Mindfulness meditation ethics patient care 506, Mental state Medical hierarchies 367 Medical history 639 Medical incident offi cer 344 Mini-clinics 488 Mini-mental state examination (MMSE) 353 Minipill (POP) 302 Minor illn ess examination 324 \200\223325 508 \200\223509 performance 508 psychiatric services Mental test score 353 Mentoring 333, 390, 502 Mentorship 333 Meralgia paraesthetica 806 MIO 806 Medical students alcohol-related problems 363 329 purchasers/providers 524 Manchester repair 308 Mandible, fracture/ dislocation 758 altered awareness 161 medicalization 517 in pregnancy 17 Minor procedures 784 Minumum wage, and health 217 \200\230miracle \200\231 question 386 Mirror movements 648 Misanthropy 8, 366 Miscarriage 260 \200\223261 Mitochondrial DNA 714 burnout 333 Medicalization Merkel cell carcinoma 592 Mania 354 Manic depression 336 Manipulation, of fractures 736 Manipulative behavior of birth 4, 58, 97 or empowered self- care 473, 517 of minor illness 517 in psychiatry 312 Medically unexplained symptoms 334, 641 Mesencephalic or thalamic lesions 424 Mesenteric adenitis 170 Meta-prevention 482 Metabolic disorders, in children 182 Metabolic memory 446 Metabolic syn. 156, 252 Metabolism, inborn errors 183 Metacarpal space 748 Metam orphopsia 428 Metaphysics 485, 583 Metaphysis 683i Metastasis, spinal 679i Metatarsal space 756 Metatarsalgia 694 Methadone 362 Methanol amblyopia 330 Mannosidoses 183 Mantoux see OHCM 566 Maple syrup dis. 216 Marasmus 168 March fracture 694, 756 Marcus Gunn test 424 Market forces in Medicolegal issues assault 759 psycopathy 367 Meditation 341, 368 Mediterranean diet 165 Medline 504 Medullobl astoma 200 Megacolon 130 Megaureter 174 Meibomian cyst 416 Meige \200\231s syn 424 Meigs \200\231 syn. 281 Melanoma disorder 648 Mitral stenosis 166, 648 Mittelschmerz pain 310 MMR 142, 151 Mobility Allowanc e 522 MODY 156, 186 Moi-peau hypothesis 611 Mole 592 healthcare 507 Marques, G.G. 693 Marriage 522 Martial arts 753 Masculinity, defect 394 Masking 552 Maslow \200\231s hierarchy 315 Mast cell disorders 610 MAST splints 809 Mastalgia 254 Master genes 701 Mastitis 126 Mastocytosis 610 Mastoiditis 544 Masturbation, infantile hydatidiform 264 Molluscum contagiosum 599 Mongolian spot 114 Monilia/thrush 284, 598 Monitoring, fetal 44 \200\22345 Monochromatism 4 55 Monocytes 220 Monozygotic choroid 438 malignant 592 paradox 593 in situ 587 Melasma 586 Melatonergic neurons 438 Michaelangelo Pieta 335 Sonnet XLI 640 Microcephaly 138 Microcytosis 196 Microdiscectom y, (monochorionic) twins 68 404 Melatonin 404 Melville, H.: Moby Dick 393 Membrane rupture lumbar 677i Monosomy 655 Montaigne, M. de 314 Monteggia fracture 650 Montgomery \200\231s tubercles 17 Mood stabilizers 355 Mooren \200\231s ulcer 433 Moral choices 383 Morals see ethics Moraxel la 433 Morning sickness 17, 18 Morning-after pill 95, 299 Moro re \202 ex 114 Morphine 172 , 347 Morquio \200\231s syn. 650 Mortality child 99 maternal 96 neonatal 97, 128, 129 and p overty 406 Micronutrient 207 supplements and child health 169 Microphthalmia 34, 138 Micropsia 317 Microsporum 598 Micro wave endometrial MatB1 certi \201 cate 477 Materialism 169, 343 Maternal mortality 1, arti \201 cial 65 premature 50 96, 169 Maxilla fracture 560 Maxillary sinus ca. 570 Maxwell \200\223Lyon sign 460 MCAD de \201 ci ency 183 ME see chronic fatigue Memory dementia 350 \200\223353 emotion and smell 536 and forgetting 639 head injuries 728 mental state exam ablation (MEA) 308 Mid-cavity forceps 76 Mid-gut rotation 131 Mid-tarsal dislocation syn. 528 Meaning 324 \200\223325 756 Middle ear Menarchy 248 Mencap 216 Mendelson \200\231s syn. 80 Meningioma 449 Meningitis 202 \200\2232 04 Meningocele 140 Meningococcus 204 M ni re \200\231s dis. 554 Meniscal cysts 690 Menisc al injury 686, 754 Menopause 256 Menorrhagia 253 Menstruation 248 Mental Health Act 400 \200\223403 Mental illness children 216 consent 402 \200\223403 de \201 nitions 316 in life 333 and suff ering 315 \202 uid in 546 implants 550 infections, guide 544 Measles 142 Meckel \200\231s diverticulum Midwives 4, 474, 524 Migraine 201 Milestones 219 Milia 121 Miliaria 121 Milk 650 Meconium aspiration 120 ileus 162, 163 Meconium-stained Morton \200\231s metatarsalgia liquor, aspiration 73 694 and allergic eczema Med3, Med5, Mosaicism 152, 655 Mother-and-baby units 408 certi \201 cates 477 597 Medial frontal cortex expressing 124 \200\223126 for prems 234 for term babies 122 witch \200\231s 121 Millennium Mothers, impoverished 410 Medial shelf syn. 688 Median nerve 760, 761, 761i 169 Motivations, unconscious 382, 516 Development Goals 129 832 Motor development 150, 218 Necrotizing ulcerative periodontitis 581 Needs assessment 365 Neer \200\231s test 663 Negat ive thoughts 373 Neisseria, culture 433 Neonatal intensive care Nettle rash 584 Neural injury 760 Neural networks 502 Neural prosthetics 444 Neural tube de fects 140 Neurapraxia 760 Neuraxial anesthesia N Nabothian cyst 270 Naegele \200\231s rule 1 Naevus 592 Motor vehicle accidents see vehicle accidents Molding 42, 90 Mount Elbrus 815 Mountain sickness 814 Mouth ulcers 58 0 Mouth-to-mouth strawberry 602 Nails 594, 598 avulsion 749i dystrophy 589 unit (NICU) 108 \200\223110 634 Neuritis Neonates Nappy Apgar 107 asphyxia 107 bleeding 120 bonding 124 \200\223125 brachial plexus 77, 764 breathi ng diffi culty mononeuritis see orange 648 red staining 121 Nappy rash (diaper dermatitis) 104 OHCM 390 resuscitation 794 Moyamoya dis. 650 MRC scale, muscle power 717t McRoberts position 72 MRI ulnar 666 Neuroblastoma 170, 420 Neuro \201 brosarcoma 699 Neurogenic shock 770 Neurokinins 617 Neur ological exam, in children 102 Neuroma, acoustic 553 Neuromodulation 677 Neuromuscular bloc kers 622 Narcissism 366 Narcolepsy 392 Narcotic analgesia 636 Narrative exposure therapy 347 118 osteomyelitis 697i spinal 768i cold injury 108 collapse 112 convulsions 112 death 129 examination 114 exchange 116 feeding 122 grunting 118 haemolytic dis. 116 haemorrhagic dis. 120 hypocalcaemia Mucopolysaccharidoses MPS Ih (Hurler) 646 MPS II (Hunter) 646 MPS IV (Morquio) 650 Narrative therapy 377, 386 Nasal allergy 556 Nasal conchae 559i Nasal discharge 556 Nasal f racture 560 Nasal intermittent Mucothermal Neuromuscular junction (NMJ) 612i, 623i contraception 296 Multidisciplinary care 515 Multidisciplinary learning 497 Multidisciplinary teams toxins 623 Neuronitis, vestibular positive pressure ventilation (NIPPV) 110 554 Neurosis 344 Neurotization 764 Neurotmesis 760 Neurotransmitters, 629t Neurotrauma 728 Neutropenic r gime 195 Neville Barnes forceps 112, 114 hypoglycaemia 112 hypomagnesaemia Nasal meati 559i Nasal obstruction 556 Nasal packing 560 Nasal polyps 557, 561, 217, 705 Multifocal 112 ill 112 infection 112 intensive care 108 \200\223110 intersex 134 IV feeding 122 IV \202 uids 122, 235 jaundice 115 life support 107 malformations electroretinogram 456 Mumps 142 Munchausen \200\231s by proxy 561i Nasal septum, deviated 76 556 146, 611 Newborn see neonate NFPA classi \201 cation 801i NHS see National Health Service (NHS) Nia cin de \201 ciency 644 NICE Nasendoscopy 536 Murder 395, 405, 722 \202 exible 537 correct frame of mind Nasolacrimal punctal for 103 Murmurs 22, 136, 137, 166 plugs 448 Nasopharyngeal 130 \200\223135 meningitis 112 mortality 97, 128, 129 re \202 exes 124 respiration 118 res uscitation 107 seizures 112 septicaemia 112 sex ambiguity 134 shock 112 survival 128 transf usion 116 ventilation 110 malignancy 570 National Health Service Muscle power, testing and logical failures 167 pre-op tests 614 Nicotine gum 512 Niemann \200\223Pick syn. 650 Ni etzche, F.W. 516 Night blindness 444, 450 Night terrors 392 Nightmares 392 Nipples 17, 124 \200\223126 Nitrazine sticks 50 Nitric oxide 109 \200\230no wrong door \200\231 policy 717t (NHS) IT spine 502 provision in the Muscular dystrophy 642, 643, 648 Music, therapeutric in epilepsy 207 Muslim names and market place 507 purchasers and providers 524 customs 492 Mutations, germ line quality 327 National Service Frameworks (NSFS) 523 Nature vs nurture 701 Nausea and vomitin g 648 Mutually assured destruction 485 Myalgic Neoplasia see carcinoma 147 encephalomyelitis 528 Nocebo eff ects 492 Nodules, subcutaneous in palliative care 500 post-op 617 Navicular bone 703 Neck Nephrectomy 133 Nephritis 178 Nephroblastoma 133 Nephrogenic diabetes Mycobacteria see 586 tuberculosis Noise, dangers 553 Noise induced deafness Mycoses 598 Mycosis fungoides 590 Mydriatics 456 Myeloma 678 Myelomeningocele 140 Mygind \200\231s position 557 Myocardial infarct, risk 482 Myomectomy 276 Myopathy 643 Myopia 426, 464 Myringitis, bullous 542 Myringotomy 546 Myxoid histiocytoma examination 658 injury 758 lumps 576 \200\223577 malformation 138 sprains 758 stiff ness 20 2 torticollis 660 Necrobiosis 588 Necrobiosis lipoidica 550, 553 Nomogram, body area 233 132 Nephrosis 178 Nephrotic syn. 178 \200\223179 Nerve block Non-accidental injury (NAI) 146 intercostal 500 obstetric 66 peripheral 633t Nerve \201 bres, opaque Non-arteritic AION 434 Non-depolarizing agents 622 Non-epileptic 449 588 paroxysmal events 207 Nerve injury 764 Nerve repair 574, 746, 760 Nerve root pain 670 Nerve testing 716 Nervous s ystem, Necrosis, avascular 704 Necrotizing Non-reductionist thinking 471 enterocolitis (NEC) 120 Non-union 738 699 autonomic 629i Non-verbal Obstetric shock 55 Obstetric ultrasound 46 Obstruction 96 Occiput presentation 71 Occupatio n, and health Optic ischaemic Ototoxic drugs 550 Ottawa ankle rules 778 Ovary 833 messages 611 neuropathy 434 Optic nerve 424, 428, Therapy methods 377 Noonan syn. 650 Noradrenaline reuptake inhibitor 340 anatomy 244 carcinoma 283 cysts 281 dysgenesis 246 failure 251 \201 broma 281 hyperstimul ation 311 infection 286 polycystic 251 streak 655 torted 264 transplantation 293 tumors 280 \200\223283 439, 449 Optic neuritis 434 Optical coherence 523 tomography (OCT) 446 Optimism 326 Optometrists 440 Optotype 415 Oral contraceptives Normal values obstetric 15 pediatric 220 Occupational illness 715 Occupational therapist 774 Noise induced deafness Ochner \200\231s test 760 Ocular trauma score 453 Oculomotor nerve 422 Odd ideas 316 \200 \223317 Odynophagia 568 Oedema 17, 48, 200 high altitude 814 pregnancy 17 Oedipal mothers 3 83 Oesophagitis 170 Esophagus atresia 130 carcinoma 572 \201 stula 118 spasticity 572 str icture 572 Oestriol tests 12 Estrogen pills 300 \200\223302 Off enders, in the 553 Nose examination 536 injury 560 300 \200\223302 Oral dis.s 580 \200\223581 Orbit 420 Nose drop posture 557f Nose-to-mouth trauma 759 Orbito-prefrontal regions 367 Orchidopexy 132 Orchitis 142 Organ of Corti 534i O rgan donation 777 Organic brain syn. 350 Organic reactions, acute and chronic 350 Overdose 338 resuscitation 794 Nosebleed (epistaxis) children 190 \200\223192 558, 562 Noti \201 able dis.s see OHCM 537 Overeating 348 in childhood 210 Overuse illness 715 Overuse injury, in sport Nuchal translucency 11 Nucleoside analogs 705 Ovulation 194 Number pronunciation failure 294 tests 292 805t Oro-motor dyspraxia Oxidative stress 441, 442 Oxygen Nummular (discoid) 541 eczema 586, 587i, 602, 611i Orthogeriatrician 752 Orthopedic community 367 hyperbaric 435 PaO2 110 therapy 118 Ogilvie syn. 196 Ohtahara syn. 207 Ointments 585 Old man \200\231s drip 556 Olecranon examination 657t Nummular keratitis 450 Nurse, see also practice Orthopedic terminology 657t Oxygenation index 109 Oxytocic drugs 58 P p53 gene 648 Pediatric community training 217 nurse Orthophoria 422 Ortolani test 684, 685i Os calcis 756 Osgood \200\223Schlatter dis. Nurse practitioners 474 Nurse prescribers 474 Nurse specialists bursitis 666 fracture 742, 742i CPN 329 dermatology 585 \200\223587 Nurse-led clinics 210, 472 Nurture vs nature 701 Nutcra cker esophagus 689, 704 Olfaction 537 Olfactory cortex 537 Oligomenorrhoea 250 Oligospermia 292 \200\223295 Oliguri a 49, 176 Omega-3 oils 336, 352, 355 Osis 440 Osteoarthritis Pediatric examination 102 \200\223103 acromioclavicular 664 elbow 666, 667i hip 706 knee 691i shoulder 664, 665i Osteochondritis 702 dissecans 690, 704 Osteochondroma 699 Osteochondroses 702 \200\223704 Osteoclastoma 698 Osteodystrophy 177 Osteogenesis Pediatric intensive 572 Nutrition care unit (PICU) 203 Pediatric normal values 222 and obesity 226 oral and IV 122 see also diet;feeding; Omphalitis 113 On call 518 Onchocerciasis 450 Oncogenes 421, 648 One-stop health care see p olyclinics Online personal health Pediatric surveillance 150 Pedophilia 373 Paget \200\231s dis., breast 590 Pain food Nyctalopia 450 Nystagmus 449, 554 O Obesity abdominal 170 assessment tools 110 in children 172, 719 chronic 266, 636 control 636 gyneco logical 242 in labor 66 \200\22367 neonatal 129 obstetric 66 pelvic 310 referred (ear) 542 data 502 Online searches 504 Oophorectomy 280, in adults 530 childhood 156, 210 genes 531 and insulin resistance imperfecta 700 Osteoid osteoma 699 Osteoma 699 Osteomyelitis 696, 697i Osteonecrosis 704 Os teopathy 515 Osteopetrosis 700 Osteoporosis, and HRT 256 283, 288 Open book fracture 751 Open fractures 735, 751 Open reduction/internal \201 xation (ORIF) , indications 736 Open surgeries 518 Ophthalmia 531 in pregnancy 7 prevention 226 in primary care 530 risk factors 226 Object loss 383 O \200\231Brien test 663 Obsessions 316, 346, Pain relief in A&E 718 \200\223719 in children 719, 732 importance 636 in labor 66 \200\22367 narcotic 176, 719 in palliative/terminal care 498, 500 \200\223501 patient-controlled analgesia 196 post-operative, in children 172 pre-emptive 616 pre-hospital 802 Otalgia, referred 543 Othello syn. 650 Otitis externa 542 necrotizing 543 Otitis media 542, 544 neonatorum 36 Ophthalmoplegia 448 Ophthalmoscopy 413 Opiate abuse 362 Opiate reversal 802 Oppositional de \201 ant disorder 212, 367, 373 Optic atrophy 438 Optic chiasma 428 Optic disc 410, 438, 372, 373 Obsessive compulsive disorder (OCD) 346, 348 chronic suppurative Obsessive personality 544 serous 546 Otoconia 555 Otoliths 555 Otorrhoea 544 Otosclerosis 550 Otoscopy 536 366 Obstetric analgesia 66 Obstetric brachial plexus injury (OBPI) 77 440 \200\223441, 444 Optic drusen 449 Obstetric \202 ying squad 4 regional analgesia bipartite 688, 689i chondromalacia 688 dislocation 754, 755 fractures 754 subluxation 688 t endinopathy 688 Patellofemoral syn. 688 Patent ductus Pelvimetry 78 Pelvis Pertrochanteric fracture 753 834 632 \200\223634 Painful arc syn. 664 Painful bladder syn. 307 Palate, cleft 138 Palliative care at home 498 nausea/vomiting 500 respiratory distress Pertussis 160 assessment in pregnancy 2, 74 immunization 151 contracted 74 dimensions 42 infection 286 inlet 42 tumors 280 \200\223283 Pervasive refusal syn. 553 Pes cavus/planus 692 Petit mal 206 Peto Institute 214 Pfannenstiel 40 Phacoemulsi \201 cat ion arteriosus (PDA) 136, 137 Patent urachus 132 Paternalism 491 Paternity leave 100 Pathologic al fractures syn. 118 Pemphigoid 602 Pemphigus 602 useful agents 500 \200\223501 when to start see and malignancy 589 442 \200\223443 Phakic implants 464 Phalange fracture 748 Phalen \200\231s sign 714 Pharmac eutical advisers 490 Pharmacogenomic analysis 194 Pharyngitis 564 Pharynx OHCM 429 Penis see also OHCM 176 ambiguous 134 zipped 784, 785i, 787i Palmar 734 Patient Advice and Liaison Service (PALS) 497 Patient associations/ groups 496 erythema 589 Palmer \200\231s point 40 Pawlik \200\231s grip 40 Pustulosis 586 Palpation, o bstetric 40 Panayiotopoulos syn. 207