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 Penrose, Roland 334 Penrose, Roland 334 Peptococcus, culture 433 Perception disorders Patient care audit 506 sustainability 515 targets 490 Patient-centered anesthesia 615, 637 358 Perceptive deafness 551 Percutaneous diverticulum 572 examination 536 pouch 572 tumors 571 Phenylalanine 183 Phenylketonuria (PK U) PANDAS 167 Panic attacks 344, 346 Panner \200\231s dis. 702 Pannus 450 Panuveitis 430 Papan icolaou test 273 Papez circuit of emotion epididymal sperm aspiration (PESA) 293 Performance improving 506, 509 management 508 monitoring 327 Patient-centered care 241, 317, 473, 478, 490, 510, 615 Patient-centered ethics 183 Pheromones 783 Philadelphia 347 chromosome 194 Papillary conjunctivitis Perifoveal area 445, 447 Perilymph 554 Perinatal mortality Phimosis 172 Phobias 210, 346, 372 Phonetic alphabet 805t Phonophobia 553 Phospholipids 30, 261 Photo-ageing 593 Photocoagulation 447 Photoprotection 442 Photopsia 462 Photorefractiv e 431 Papillitis 449 Papilloedema 444, 449i Papillomatosis 589 Paracetamol poisoning 641 Patient-controlled analgesia 196 97, 108 Perinatal trials 310 Perineum, repair 92, 290 Periorbital ecchymosis Patients best interests 403 busy 476 consultations 478 in disgrace 334 heartsink 330, 377 input into own care 214 192 Parafoveal area 445, 447 Paraganglionoma, (panda/raccoon eyes) 589 Periodic acid Schiff (PAS) stain 433 Periodic paralysis 652 Period ontitis 580i, 581 Peripheral blocks, examples 633t carotid body 576 Parallax 323 Paralysis keratotomy 464 Photosensitivity 602 Phototherapy 115, 116, 610 PHQ-9, depression participation 496 resistance to Erb \200\231s 764 Klumpke \200\231s 764 Paranasal sinuses 558 \200\223559i treatment 355 safety 327, 615 satisfaction 327, Peripheral nerves compression 714 injuries 77, 760, 764 repair 760 testing 716 malignancy 570 \200\223571 diagnostic tool 337 Paranoid states 354 Paraphilias 367, 373 Paraplegia 766 \200\223774 Phthiriasis 608 Physics 683i Physiotherapy 214, 774 Pica 210, 652 Pierre Robin syn. 650 Pie zogenic papules 643 Pigmented naevi 592 Pill 510 \200\223511 self help 496 violent 359 levels 770t Parapraxis 382 Parasomnia 392 Parent \200\223child interaction Pavlik harness 684 Payment by results 502 PCP pneumonia 145 Peak \202 ow 164 \200\223165 Pediculosis 608 Peer review 508, 509 Pelvic cavity, female 42 Pelvic clearance 286 Pelvic c ongestion 310 Pelvic examination 2, 58, Periungual erythema 589 Peroneal nerve 714, 760 Perseveration 353 Persistent vegetative states 776 therapy 514 Parenteral nutrition 122 Parents/parenting 99 Parietal (praxis) function 353 Pa rinaud syn. 424 Parity 1 Parklands formula 733 Paronychia 746 Parotid gland 578 Paroxysmal non- epilepsy 207 Parrot beak tear 754 Partogram 64 Parvovirus 142 Passive-dependency 496 P assivity 376 Patau \200\231s syn. 650 Patella contraceptive 300 \200\223302 missed 302 morning-after 299 progestogen-only Person-centered care see patient-cenrted care Personal digital assistants 518 Personal equipment, for emergencies 798 Personal health records, electronic 502 95, 302 242 \200\223244 Pelvic \202 oor 94 Pilocarpine drops 457 Pilosebaceous units 600 Pineal tumors 200 Pinealoma 424 Pinguecula 41 6 Pinhole test 412 Pinna 538 Pipell sampling 279 Pituitary dwar \201 sm 180 Pituitary glan d disorders 306 Pelvic fractures 750 \200\223751, 753 Pelvic in \202 ammatory Personal identity 325 Personal Independence dis. 286 Pelvic injury Payment (PIP) 522 Personalities, multiple in pregnancy 751 reassuring X-ray 325, 334 signs 750 Pelvic pain 286 chronic 310 Pelvic trauma 751 Personality disorder 366 in amenorrhoea 251 infarct/necrosis 55 in puberty 184 premorbid 322 Perthes \200\231 dis. 682, 683i apprehension test 688 Pityriasis rosea 586 Pityriasis rubra pilaris Posseting 105 Post-traumatic stress disorder (PTSD) 347 Postcoital bleeding 250 Postcoital and epilepsy 29 heart dis. 20 heartburn 17 HIV 23 hypertension 48, 49 hypoplasia 119 iron r equirement 22 itch 17 jaundice 26 kidney dis. 28 malaria 27 maternal dis. 22 \200\22333 min or disorders 17 multiple 68 normal 6, 17 normal biochemistry Presentations 40 breech 70 extended breech 70 Pressure sores 604 \200\223605 Preterm infant s 128 835 606 Pityriasis versicolor 598 Pivot-shift test 686 Placebo eff ects 491 Placenta growth problems 52 contraception 302 Posterior cruciate tears 754 Preterm rupture of abnormalities 14 abruptio 56 accreta 14, 86 ageing 14 calci \201 cation 14 function tests 14 insuffi ciency 52 ischaemia 47 membranica 14 praevia 14, 56 retained 86 separation 58 su ccenturia 14 umbilical cord membranes (PROM) 50 Posterior interosseus nerve 714 Pretibial lacerations 755i Prevention Postmaturity 54 Postmenopausal of accidents 791 adult dis. 156 AIDS 494 alcohol excess 513 antenatal clinic 2 barriers to 484 blindness 440 blood pressure 482 breast cancer 482 caries 581 cervical cancer 272 child hood obesity 156 coronary thrombosis bleeding (PMB) 242, 250, 278, 279 Postmenopausal ovarian tumors 282 values 15 oedema 17 ovarian tumors 282 pelvic fracture 751 physiological changes 6 plasma l evels 15t preterm 50 prolonged 54 psychopathology Postnatal contraception 95 Postnatal depression 94, 408 \200\223409 Postnatal examination attachment 14 Plantar fasciitis 694 Plaque psoriasis 611i Plaster of Paris 734, 785i Platel ets 120 Play therapy 377 Pleasure, anatomy 94 Postoperative nausea and vomiting (PONV) 617 482 in diabetes Postpartum 21, 408 446 \200\223447, 448 hemorrhage (PPH) 84 Rh immunized 116 signs of 17 smoking 2 spinal injury 772 stage/gestation 2, 46 stenosis 136 termination 258 \200\223259 tests 6 tubal 262 \200\223263 unwanted 1, 258 urinary infectio n 28 varicose veins 17 veins, anomalous 136 venous thrombosis 32 vomiting 17 weight gain 52 and diet 482 deafness 548 of 582 Plenum vaporizer 619i Pleomorphic adenoma Postpartum shock 55 Postpsychiatry 356 Postviral fatigue syn. noise induced 553 diphtheria 151 drowning 787 DVT 706 eczema 597 endocarditis 166 578 Plummer \200\223Vinson syn. 571 528 Pot, fear of 210 Potassium 220 Pott \200\231s dis. 696 Pott \200\231s fracture 756 Pott \200\231s puff y tumor 558 Poverty 1, 105, 169, 217, Pneumatic antishock garment 751 in pregnancy 20 gastroenteritis see Pneumatosis intestinalis OHCM 556 120 Pneumonia 160 Pneumothorax 722 POEMS syn. 641 Poetry, therapeutic in general practice 406, 523 482 Power of attorney 477 Practice genetic dis. 152 glaucoma 440 hemophilia 154 haemorrhagic dis. of 341, 377 Poisoning 190 \200\223192 Polio, prevention 151 Politics, and health 327 Pollen 55 7i Polyclinics 472, 507 Polycystic kidney dis. 132 records 502 reports 506 see also general practice; GPS Practice manager 474 Practice nurse 474, 495 Prader \200\223Willi syn. 652 Praxis, functional testing 353 Pre-hospital analgesia newborn 120 802 Pre-implantation heart dis. 482 hepatitis b 151 hip dislocation 684 hip fracture 751 Huntington \200\231s ch orea genetic diagnosis (PGD) 13 Premature ejaculation 384 Prematurity of fetus 50 vs growth restriction Polycystic ovaries 252 Polydactyly 648 Polydipsia 132 Polymenorrhoea 250 Polymorphic light eruption 603 Polyphenolic \202 avonoids 646 Prayer 520 Pre-conception hypothyroidism, neonatal 182 counseling 2, 29 injury 705 language delay 548 and lead 210 lung cancer 512 malformation 152 \200\223153 mea sles 151 melanoma 592 meningitis 204, 548 muscular dystrophy 52 Pre-eclampsia 48 Pregnancy Premedication 616 Premenstrual syn. (PMS) adolescent 1, 99 age and risk 4 alcohol 138 anemia 22 antenatal care 2 asthma 52 backache 1 7 biochemistry 15 blood pressure 48 clinical features 17 clotting 88 coitus 2 complications 22 \200\22333 constipation 17 diabetes 24 diagnosis 17 diet 2 ectopic 262 \200\223263 254 \200\223255 Premonitions 505 Prenatal diagnosis 10 \200\22311 Pre-operative 441 Polyps cervical 270 endometrial 274 nasal 162, 557 assessment 613 \200\223614 Pre-operative fasting Polysomnography 393 Polysomy 646 Pomeroy op. 305 Pompe \200\231s dis. 652 Pompholyx 604 Pop corn calci \201 cation 615 642 Pre-pregnancy neonatal mortality counseling 2 Presbyacusis 550 Presbyopia 426 Prescribing 129 neural tube defect 140 noise damage 553 of non-accidental compliance or injury 146 698 concordance 519 Port wine stain 602 Positive end-expiratory pressure (PEEP) 110 Positive reinforcement osteoporosis 256, 676 pediatric 150 \200\223154 pertussis 151 phenylketonuria 183 polio 151 deferred 517 nurse prescribing 474 in primary care 519 rate in \202 uences 517 372 pregnancy 1, 300 primary 482 pulmonary embolism Prolapsed cord 72 Prolapsed disc 660, 661i, Psychosis Pyridoxine, cerebral 836 in children 391 insight 313 quality of care 327 social treatments 391 symptoms 354 \200\223 355 urban in \202 uences 391 Psychosomatic medicine 334, 583, 640, 641 de \201 ciency 646 674, 675i Proliferative Q Quadraplegia, levels 706 retinopathy 446 \200\223447 Prophylaxis see prevention Propionobacteria, culture 433 quaternary 482, 484 rhesus haemolysis 9 rubella 151 scoliosis 672 and seat belts 791 second ary 482 and smoking 512 spina bi \201 da 140 sports injury 705, 715 sudden infant death 770t Quadriceps rupture 712 Quadruple test 12 Quality in anesthesia 637 of care 327, 476, Psychosurgery 402 Psychotherapy 370 \200\223388 behavioral 372 \200\223373 brief 382 childr en 390 cognitive 374 \200\223375 evaluation of 388 family therapy 386 group therapy 376 lon g-term 382 meaning-centered 333 sex therapy 384 \200\223385 supportive 380 Propofol 620 Proptosis 420 Prostaglandins 62 Prostheses 702 infection 707 497, 509 of self-care 473 Quality of life, in children 214 148 Quality management analysis system (QMAS) 469 Quality and outcomes framework (QOF) 469, 502 suicide 338 tertiary 482 tetanus 730 thalassaemia 152 tuberculosis 151 urinary infections 1 74 vaccination 151 whooping cough 160 Prosthetics, neural 444 Protective custody 367 Protein C 33 Protein S 33 Protein calorie enteropathy 171 Quaternary prevention Protein calorie 482, 484 malnutrition 168 Psychotropics, Quinsy 564 R Raccoon eyes 589, 728 Radial nerve 714 \200\223716, 760 Radial tunnel syn. 714 Radio-allergosorbent Priapism 767 Prilocaine 632 Primary antibody de \201 ciency 198 withdrawal 368 see also feeding; Pterygium 417i 416 Ptosis 416 Ptyalism 18 Puberty 184 Pudendal block 66 Pudendal nerve 66, 76 Puerperal bleeding 84 Puerperal psychosis nutrition Proteinuria 179 Protocols 490 Proust, M. 498, 650 Prurigo of pregnancy 17 Pruritu s (itch) 586 Primary care commercial companies 475 cultural aspects (RAST) tests 556 Radioulnar dislocation vulva 266 472, 492 Pseudodementia 644 Pseudohallucinations 742 market models 507 team 474 \200\223475 Primary Care Trust (PCT) 524 advisers 490 Primary ci liary 94, 408 Radius fracture 742 Ramsay Hunt syn. 652 Ramstedt surgery 172 Rapid eye movement Puerperal pyrexia 94 Puerperium 94 \200\22395 Pulley action, \202 exor tendons 669i Pulmo nary embolism and maternal mortality 96 in orthopedics 738 316 Pseudohermaphrodite 134 Pseudomonas (REM) sleep 393 in cystic \201 brosis 162 infection of pinna 536 Rapid sequence dyskinesia 516 induction 626 Primary Pseudomyxoma peritonei 280 Pseudopapilloedema Rapists, CBT 373 Rapport, with patients immunode \201 ciency 198 Pulmonary 532 Rashes 584 \200\223603 Primary survey 725 Primigravida 1 Primipara 1 Principals 472 Probiotics 597 Probity 481, 50 8, 509 Problem records 502 Problem-solvinq therapy 338 Procidentia 290 Professional hypertension 109, 136 449 Pseudoparalysis 106 Pseudosquint 422 Psoralens 610 Psoriasis 594 \200\223595 plaque 611i Ps ychiatric dis., childhood 142 \200\223143 Pulmonary hypoplasia Rationing 472 Raynaud \200\231s phenomenon 119 Pulmonary oedema, 589 high-altitude (HAPE) 814 RCGP \200\231Roadmap \200\231 507 Reading clubs, in treatment of depression 341 Reading te st types 414 Reality 314 Reason, trumped by emotion 494 Receptionist, role 474 Recidivism, relapse and classi \201 cation 313 Pulmonary stenosis 136 Pulmonary veins, Psychiatric history 318 \200\223325 anomalous 136 Psychiatric patients, accommodation 405 Punking 395 Pupils 424 Purchasers/providers development 508 Professional regulation Psychiatric services 329 Psychic vital signs 325 Psychoanalysis 382 \200\223383, 507, 524 509 Professional Pure tone audiograms revalidation 508 Professionalism 481 Pro \201 t, and care 541i Purpura 589 Pustulosis 594 Pyelonephritis 174 in pregnancy 28 Pyloric stenosis 172 Pyo derma 588, 604 Pyogenic granuloma 602 Pyometra 274 Pyorrhoea 581 Pyosalpinx 286 Pyrexia CBT 373 583 Record keeping 803 Records 502 Recovery anesthesia Psychocutaneous medicine 583 Psychodrama 376 Psychodynamic therapy provision 507 Progesterone depot 304 diff erent types, in the 630 Recovery position 799i Rectal injury, at birth 91 Rectal rupture 750 Rectocele 290 Rectus s heath 382 Pill 302 Psychological defense mechanisms 382 Psychological factors, implants 95, 304 menstrual cycle 248 premenstrual syn. 254 chronic fatigue/ ME 528 haematoma 38 Recurrent abortion 261 Recurrent patella Progesterone-only pill (POP) 95, 302 management 143 puerperal 94 of unknown origin 174 Psychopharmacology Projective identi \201 cation 340, 360 subluxation 688 Red degeneration 276 Red eye 430 \200\223432 in pregnancy 21 379 Prolactin 292 Prolapse, genital 290 Psychosensory feelings in HIV 145 in UTI 174 346 Redcurrant jelly 172 Reductionism, critique Repetitive strain injury Rhesus dis. 9, 116 Rheumatic fever 166 Rheumatoid arthritis, in pregnancy 30 Rheumatology s ee OHCM Safety, of patients 327, 615 Sail sign 742 St Vitus \200\231 dance 654 Salaam attack 206 Sa licylate poisoning 192 Salience 357 Saline douch 560 Salivary glands 578 Salivary lumps, 837 715 Replacement joints of 471 elbow 742 hip 706 knee 691, 706 shoulder 706i Reed, H. Naming of Parts 745 Rees rules, consent 486 Reference, ideas of 316 Reference intervals 220 Ch. 11 \200\22313 Rhinitis 556 Rhinomanometry 560 Rhinophyma 600 Rhinorrhoea, CSF 560 Rhinosinusitis 556, 558 Rib, cervical 660, 661 Rib recession 118 RICE, for soft tissue Reproductive health 1 Reproductive tract, abnormalities 132 \200\223134, 246 obstetric 15 Referral, statistics 525 Re \202 ex anoxic \201 ts 207 Re \202 ex sympathetic dystrophy 739 assessment 579 Salpingectomy 262 \200\223263 Salpingitis 286 Salpingotomy 262 \200\223263 S alt, iodized 169 Salter and Harris Resistin 531 Respiratory arrest 238 \200\223239 Re \202 exes cord compression 770 cord injury 772 infantile 124 Moro 114 injuries 705t, 756 Respiratory distress, from viruses 161 Respiratory distress syn. (RDS) 118 Respiro-laryngea l Rights of the child 150, 214 see also human rights classi \201 cation 737 Salutogenesis 385 Same sex partnerships Re \202 ux Ring block 747i Ring lesions 586 Ring removal 784 Ringertz papilloma 571 Ringworm 598 Rinne \200\231s test 540 Risk assessment 329, 361 Risk factors dysfunction 215 Response prevention GI 170 GU 174 514 Sarcoid skin signs 589 Sarcoma 698 \200\223699 Saturation vapor Refractive errors 426 procedures 464 372 Responsibility, for your own illness 473, 517, 654 Refugees 150 Refusal syn. 553 Regional anesthesia pressure 619 Savior siblings 293, 641 Scabies 587i, 608 Norwegian 608 Responsible Medical Offi cer (RMO) 402 ischaemic heart 632 Regrading 168 Rehabilitation dis. 482 pregnancy 4 sexual problems 243 vehicle accidents 791 Restraint, legal Scala tympani 535i, 554 Scalded skin sign 602 \200\223603 considerations 403 Restriction Orders 403 Resurfacing, hip 706, back pain 676 cardiac 527 cord injury 770 deafness 550 laryngectomy 571 mental health teams Scalenus syn. (cervical 707i Resuscitation Risk management 329, 782 Risk-taking 516, 791 River blindness 450 Ro/La +ve 589 Road traffi c accidents see vehicle accidents rib) 660 Scaphoid fracture 744 Scapula after major injury 724 child 238, 239 neonatal 107 fracture 740 winging 648 Scarf test 663 Scarlet fever 564 Scarring 329 orthopedic 450 sexual 773 soft tissue 705 sports injury 705 stroke see OHCM 358 and trainin g 755 vertigo 554 Rehydration 234 Reilly bodies 646 Reinke \200\231s oedema 568, 572 Reinne rvation Retained placenta 86 Retina artery occlusion Rocker-bottom feet 643 Rodent ulcer 590 Rods, function 450 Rolandic epilepsy 207 Root compr ession 674 Root pain 670 Ropivicaine 632 Rosacea 600 Rosenmuller \200\231s duct 419, 537 renal 174 and wound healing 435 \200\223436 degeneration 438 detachment 444, 462 drug damage 456 \200\223457 injury 452 normal 410 vein occlusion 435 \200\223436 731 see also keloid scar Scheuermann \200\231s dis. 702 Schirmer \200\231s test 418 Schizoaff e ctive disorder 391, 394 Retinal areas 445, 447 Retinitis pigmentosa Schizoid personality 366, 376 techniques 569 Reiter \200\231s syn. eye in 448 see also OHCM 418 Relapse prevention, 444, 648 Retinoblastoma 421 Retinopathy Roseola infantum 143 Rotational deformity, hand fractures 749 Schizophrenia 1st rank signs 358 childhood 391 concepts 356 diagnosis 358 or drug abuse 317, 356 drugs fo r 360 \200\223361 and insight 313 social interventions Rotational forceps 76 Rotational stability, diabetic 446 \200\223447 hypertensive 448 of prematurity CBT 373 Relapsing pelvic fractures 751 108, 109 screening 109 proliferative 446 \200\223447 Retrobulbar neuritis 434 Retrolental \201 broplasia Rotator cuff 664 Rotavirus 168 Rotor syn. see OHCM 702 Round lesions 586 Rubella polychondritis 560 Relaxation 344, 372 REM sleep 393 Renal dis., pregnancy 28 Renal failure, acute/ chronic 17 6 391 urbanization 391 Schizotypal, de \201 nition 108, 454 in children 142 in utero 34 prevention 94, 142 Russell \200\223Silver dwarf 652 Russian rou lette 485 S Saccus Renal malformation 132 Renal obstruction 132 Renal osteodystrophy Retromolar trigone 537 Retropharyngeal abscess 564 Retroplacental 323 Schmorl \200\231s nodes 702 School refusal 212 Schwannoma 570 Schwartz sign 550 Sciatic ner ve 760 Sciatica 674 SCIWORA 658 Scleritis 432 Scleroderma 589 Sclerotomes 673 Scoline apnoe a 628 Scoliosis 672 177 hemorrhage 56 Renal rickets 177 Renal scans 174 Renal tubular acidosis Rett disorder 652 Revalidation 508 Reverse cookie-bite 541 Review of treatment 403 Reye \200\231s syn. 652 Rhabdomyosarcoma endolymphaticus 554 132 Renal tumors 133 Renal ultrasound 174, 176 Renography 174 Re-off ending 329 Sacral agenesis 24 Sacral epidural anesthesia 635 699 Rhegma 444 Sadism 323 838 \200\230scoop and run \200\231 799 Serotonin and osteoarthritis 665i painful 664 presentation 71 reduction 740 replacement 644, 706i Smoke injury 733 Smoking noradrenaline reuptake inhibitor (SNRI) 340 Scoring systems, logical problems 167 Scorpion sting 782 Scotoma 428, 440 Screening 486 \200\223487 antenatal 8 in childhood 150, 153 chlamydia 287 genetic 153 infection 112 newbo rn hearing 548 opportunistic 464 scoliosis 672 see also prevention cessation 512 in healing 737 past abuse causing problem now 512 Serotonin/ norepinephrine uptake inhibitor 306 Show 58 Shyness 344 Sialoliths 579 Sicca syn. 418 Sick pay 477 Sick role or health? 473, in pregnancy 2 wound healing Sessional GP 472 Set shifting test 353 Severe combined 713, 737 Snake bite 782 Sneddon \200\231s dis. 588 Sneezing, in neonates immunode \201 ciency disorder (SCID) 198 517, 654 Sickle-cell dis., in 121 Sever \200\231s dis. 704 Sevo \202 urane 618 Sex pregnancy 19, 22 Siegle speculum 536 Silver area 807 Simmonds \200\231 dis. 55 Simmond \200 \231s test 712 Sims \200\231 speculum 242 Sinding \200\223Larsen \200\231s dis. 704 Singer \200\231s nodes 568 Single-parent families Snellen chart 414 \200\223415 SNRI 340 Social anxiety disorder Scrofuloderma 598 Seasonal aff ective ambiguous 134 and love 385 talking about 328, 385 344 disorder (SAD) 404 Seborrhoeic dermatitis Social class, and illness 105, 522, 523 Social interventions, in schizophrenia 391 Social S ecurity 477, 522 Social services Sex education 1 Sex therapy 384, 773 Sex-cord tumors 281 Sexual abuse 146, 323 Sexual con \202 icts 611 Sexual orientation 134, 328 Sexual problems acting out 383 behavioral therapy 596 Seborrhoeic warts 586 Secondary survey 725 Sectioning, under the MHA 400 \200\223403 child abuse 147 council tax rebate 351 help for carers 351 learning disability 365 Social s kills, training 372 Social workers 474 Socioendocrinology 248 Socks and gloves syn. 142 217 Sedation 630 in A&E 718 Sink estates 391 Sinus thrombosis, CNS 200 Sinusitis 558 \200\223559 Selective estrogen receptor modulator (SERM) 256 Selective serotonin and dextrocardia 646 372, 373 Situs inversus 646 Sj gren \200\231s syn. 418 Skin reuptake inhibitors (SSRIS) 340 \200\223341 tapering dose 369 and psychopathy 367 risk factors 243 and spinal injury 773 universals 385 Sodium biopsy 590 diff erential diagnoses in IV feeds 122 in pregnancy 15 in sweat 162 Selenium 123 Self-actualization 315, 377 Sexually transmitted dis., prepubertal 146 594 \202 aps 755 grafts 605 infections 598 \200\223599 in old age 605 paraneoplastic Self-care, empowered Sodium thiopental 620 Soft tissue injuries 705 Soft tissue sarcoma 699 Solar keratosis 590 \200\223591 Soldiers, stress 347 Somatization 334, 583, 473, 511 Shakespeare, W. 325, 347 his sister 101 Self-certi \201 cation 477 Self-esteem 315 Self-harm Shakhonovich \200\231s syn. 652 Shared care 4, 480 Shay, Jonathan: Achilles in Vietnam 347 phenomena 589 peeling, neonatal 121 in systemic dis. cutting 374 poisoning 338 skin phenomena 611 and suicide 338, 339 611, 640 Sorrow, expressing 467 Soul 588 \200\223589 Sheaths 296 Sheehan \200\231s syn. 55 Shin splints 705 Shingles tuberculosis 598 vocabulary 584 \200\223585 Self-healing 377 Self-help organizations infarction 333 selling 468 smothered 318 Skull abnormalities 138 anatomy 759i fetal diameters 42 fractures 728 \200\223729 at birth 90 tra ction 766 496 Self-knowledge 325 Self-regulation 485, 509 Self-respect 315 Self-sacri \201 ce 516 Self-t ranscendence 333 Semen analysis 292 Semilunar cartilages Sound geniculate 574 ophthalmic 144, 420 treatment 144 Shirodka suture 260 Shock and noise 553 perception 534 Spalling 812 Spasmus nutans 660 Spasticity 214 Spectacles 426 Spectral domain Skunk 317 Slapped cheeks 142 Sleep, pattern 393 Sleep disorders 392, 652 and dementia 649 anaphylactic 237 \202 uid regimens 235 haemorrhagic 724 neonatal 112 neurogenic 770 obste tric 55 pelvic fracture 751 spinal 770 Short sight 426 Short stature 180 Short-leg gait 680 Shoulder 754 Semon \200\231s law 569 Senile keratosis 590 Sensation and sensory relearning 761 Sensorine ural deafness optical coherence tomography 456 Slip \200\223slop \200\223slap 592 Slipped upper femoral Speculum aural 536 Siegle 536 vaginal 242 epiphysis (SUFE) 682, 683i Slipped disc 660, 674 Slips of the tongue 382 Slit lamp 430 Smal l for gestational age (SGA) 47 \200\22352, 128 \200\223129 550, 551 Septal defects, CVS 136 Septal deviation 556, Speech, amplifying 551 Speech delay 215 Speech therapy 541 Speed-awareness courses 791 Spel ls/funny turns 207 Spender, S.: To My Daughter 746 Spermatic cord cyst 130 Sperm count 292, 293, 295 Spermicide 296 560 dislocation 662, Septal haematoma 562 Septicaemia, neonatal 740, 741i dystocia 72 examination 662 fracture, Neer 112 Septoplasty 561 Septorhinoplasty 561 Septum, nasal 560 Sequestrum 696 Serotonin (5HT) 340 Small gut, biopsy 180 Smartcards 502 Smears 270 Smells, and hidden memory 537 Smith \200 \231s fracture 744 classi \201 cation 740 frozen 664 impacted 72 injection 710 Sphenopalatine artery Staff 472 Stalin, Josef 323 Stalking 640 Stammering 541 Stance phases 681 Standard mortalit y ratio (SMR) 523 Standards, professional de \201 nition 566 pediatric 103, 158 Stromal tumors 699 Stupor 336 Sturge \200\223Weber s yn. see Survey, primary/ 839 secondary 725 561 Spherocytosis 196 Spina bi \201 da 140 Spinal anesthesia 634 Spinal cord Sustainability of healthcare 515 Sutures OHCM 734 alternatives 730 fetal skull 43, 90 wound 730 compression 770 cross-section 768i Spinal curvatures 673 Spinal deformities 672 Spinal epid ural 67 Spinal fusion 676 Spinal infection 678 Spinal injury Styes 416 Subacromial bursa 664 Subaponeurotic Suxamethonium 622 Sweat test 162 Swimming 506 haematoma 90 Stargardt macular Subarachnoid degeneration 438 Stations of head 42, 58 Statistics hemorrhage, neonatal 90, 108 Subarachnoid space and epilepsy 527 therapeutic 676 Sydenham \200\231s chorea 654 Syme \200\231s amputation 654 Sympathetic re accidents and injuries 792, 810 bladder drainage 772 bowel care 772 dysre \202 exia 770 dyssynergia 770 fertility 773 GU a spects 772 imaging 766 immediate care 766 level 770 mechanism 767 occupational therapy 634i re referral 525 Subconjunctival Stature ophthalmia 452 Symphysis \200\223fundal height 40 hemorrhage 432 too short/tall 180 see also growth Subconscious 382 Subdural hemorrhage Status asthmaticus 164 Status epilepticus 208 Status migrainosus 301 \200\230stay and play \200\231 799 Steatorrhoea 162 Steatosis 26 Steeple sign 566 Stein \200\223Leventhal syn. 2 52 Stem cells Symptoms, unexplained 200 neonatal 108 334, 661 Synaesthesia 537 Syndrome X 156 Synechiae 430, 450 Synergists 423 Synovial \202 uid 708 \200\223709 Synovitis, transient, of Submandibular abscess 577i Submucous resection 556 \200\223557 Subnormality 216, 314 Substance abuse see drug abuse 774 physiotherapy 774 pregnancy 773 restoring function 771 sex 773 sport 774 subsequent functio n hip 682 Subtalar joint 694 Subungual haematoma Syphilis ethics 641 research 771 transplantation 640 treatment 438 Sterilization 95, 305 Steroid cre ams 596 Steroid eye drops 456 Steroid injections 708 \200\223711 congenital 646 in pregnancy 35 784 trephining 747i Succenturiate lobe 14 Sudden infant death syn. (SIDS) 148 Sudden visual los s 434 Sudeck \200\231s atrophy 738 Suff ering, and meaning Systematic 771t desensitization 372 treatment 766 urination 772 UTI 772 walking 774 Systemic lupus erythematosus (SLE) 589 In pregnancy 30 Systolic murmurs 136 T Tachypnoea 118 Tactile gnosi s 761 Tai chi 341, 753 Talbot \200\231s test 430 Talipes equinovarus 684 Talking Spinal metastases 679i Spinal MRI 768i Spinal shock 770 Spinal stenosis 674, 675i Spinal tu berculosis 678 Spinal tumors 678 Spiral bacteria 204 Spiral CT 658, 751 Spiral fractures 73 4, Steroids, and operations 616 Stertor 566 Stevens \200\223Johnson syn. 601 Sticky eye 121 Stillbirth 82 \200\22383 St ill \200\231s dis. 654 Still \200\231s murmur 137 Stings 782 Stitches 730 Stork mark 121 St ott & Davies, 315 Suicide assessment 338 attempted 338 and bullying 395 in depression 336, 338 \200\223339 gesture or \200\230for real \200\231 about sex 328 delay 215 or listening 320 \200\223321 Tall stature, causes 180 Talus 695i 749, 755 \201 bula 757i 339 Summary care record Spiritual journeys, yours 816 502 Sun protection factor Spiritual readings 520 Spiritual sensitivity 505 Spitz naevus 592 Spleen rupture 726 Spleno megaly 170 Spondylolisthesis 660, 674 Spondylosis 660 Spontaneous abortion, (SPF) 593 consultation model 478 Strabismus 422 Straight leg raise 670 Straight lift 774 Strains 756 Strawberry naevus 121i, fracture 756 Tamponade 722 Tanning 593 Targets 471 Tarsorrhaphy 416 Taser injuries 789 Tay \200\223Sachs dis. 654 TB see tuberculosis Tea, \202 avonoids 441 Teams Sunburn/sunscreen 593 Sunglasses 442 Super-ego 383 Super-surgeries 474 Superglue sutures 73 0 Superior oblique muscle 602, 611 422 Strawberry tongue 564, 647 Streps 166, 204, 564 Stress Suppressor genes 421 Supracondylar fracture spontaneous 260 Sport 742 Gartland in A&E 780 in psychiatric services \201 tness advice 527 injuries 705, 715 in spinal injury 774 Spots, exanthemata at work 333 and chronic dis. 347 hormones 347 relieving 347 classi \201 cation 743t Supraglottitis 158, 566 Suprasellar glioma 200 Supraspinatus 664 r upture 665i 329 Tears 418, 419 Teeth 142 \200\223144 Sprains 756 Spring sunshine 338 Squamous cell ca. 417, dental problems Stress incontinence 580 \200\223581 eruption 221 grinding 392 knocked out 784 Surface area of body 233 Surgery, canceling 616 Surgical emphysema 306 \200\223307 Stress (march) fractures 756 Stria terminalis, bed nucleus 134 590i Squamous chronic otitis 544 724 Surveillance, Teething 581 Telemedicine 137, 477, 583 Squint 422 SSRIS 340 \200\223341 Stridor developmental 218 congenital 138 840 Telephone consultation/ Thrombophilia 33 Thrombophlebitis 94 Thromboprophylaxis in hip/knee surgery Tracheo-oesophageal paradoxical 780, 789 telephone (GP) 476 \200\223477 Trial of labor 79 Trial of scar 79, 80 Trichiasis 451 Trichomonas 284 Trichotillomania 611 Tricyclics 340 triage 476 \200\223477 Telogen effl uvium 602 Temporal arteritis 434 Temporal lobe epilepsy \201 stula 130 Tracheobronchitis 566 Tracheostomy 566 Trachoma 450 Traction 742 706 in pregnancy 16, 32 206 Temporomandibular Thrombosis see methods 736 in spinal injuries 766 dislocation 758 coronary thrombosis; deep vein thrombosis (DVT); venous sinus thrombosis Temporomandibular dysfunction 542 Tragic literature, for psychological healing 347 withdrawal 368 Trigeminal nerve 420 Trigeminal zoster 420 Trigger \201 nger 668 Tripe pal ms 589 Triplets 68 Trismus 580 Trisomy 152, 642, 650 Triviology 517 Trochanter, fractures Tendinopathy ankle 713i biceps 664, 710 calcifying 664, 665i patella 688 supraspinatus 664 Tranquillization 359, 363 Transcendence 333, 357 Transcervical Thrush 284 Thumb injection 710 injuries 748 Thyroid dis. 25, 182 in pregnancy 25 Tibia, fracture 754 Tibial nerve 717 Tibial plateau 687i Tibial tuberosity 704i Tibiotalar joint 692 Time banks 391 Ti me management 466 Tinea 598 Tinnitus 552 Tip-toe walking 654 Tiredness 528 Tissue complianc e 625 Tobacco see smoking Tocolysis 50 Toddlers \200\231 diarrhea 168 Toe resection of the endometrium (TCRE) 308 Transcription factors Tendon injuries 712 hand 746 Tendons, wrist 669i Tennis elbow 666 injection 710 Tenosynovitis 712 Tenovaginitis 668 Tens ion see anxiety Tension pneumothorax 649 Transcutaneous 752 Trochlear nerve 422 Trophic feeding 122 Trophoblastic dis. 264 Truancy 212 Truncal obesity 531 Truncus arteriosus 640 see also Buchanan \200\231s electrical nerve stimulation (TENS) 691 Transdermal nicotine patches 512 Transference 326, 382 Transforming growth factor 589 722 Tepid sponging 143 Teratoma 281 Terminal care 500 \200\223501 Termination of syn. Truth, and authenticity Transfusion exchange 115 intrauterine 116 neonatal 120 refusal, in pregnancy 481 Trypsin, pregnancy (TOP) 258 \200\223259 Test feeds 180 Testicular feminization immunoreactive 162 Tryptophanuria 216 Tubal patency 294 Tubal pregnancy 262 \200\223263 Tubal surgery 294 Tube rculids 598 Tuberculosis 85 twin \200\223twin 68 deformities 692 fracture 756 Toe walking 654 Toenails, ingrowing 694 Toilet training 210 To ken economy 373 Tolosa \200\223Hunt syn. 654 Tom, Dick & Harry 134 Testis Transient synovitis of the hip (TSOH) 682 Translocation carriers retractile/ undescended 132 too big 184, 649 too small 131, 638, 646 Tests, pre-operative 614 Tetanus 730 Tetany, heat 788 Tetracaine 632 Tetralogy of Fallot 136 Thalamic lesions 424 Thalassaemia 22 13, 152 Transposition of great vessels 136 Transsexualism 134 Transtrochanteric arthritis and bone 696 genital 274 gumma 598 hip 682 lung 160 meningeal 204 spine 678 uteri ne 274 (mnemonic) 713 fracture 753 Transverse arrest 71 Transverse lie 71 Trauma Tongue