obstruction 319 common peroneal compression 448 communication 20 around death 95 breaking bad news 22 cross-cultural 23 dyi ng patients 92 ethical issues 26 with patients \200\231 relatives 21 written 20 rebanding 36 \200\2237 controlled drugs discharge summaries 78 \200\2239 405, 497 prescribing 173 conversion tables cobalamin see vitamin B12 COC (combined oral height 602 pressure 602 temperature 602 weight 603 convulsions contraceptive pill) 501 cocaine 484 codeine phosphate 91, 195 community acquired pneumonia 277 dose 648 coeliac disease 419 cognition 162 cognitive-behavioral therapy 89, 367 coil, contraceptive 501 cold sore 415 colectomy 119 colitis treatment 649 in children 345 eclampsia 347, 504 see also seizures Coombs test 392 coordination 135 COPD (chronic compartment syndrome 446, 447 competition for jobs 48 \200\2239, 50 competition ratios 48 \200\2239 complaints 31 complex partial seizures 348 obstructive pulmonary disease) 272, 274 \200\2235 ischaemic 301 pseudomembranous CXR 582 treatment 649 compound fractures 435 compulsion 162 computed tomography 307, 308 ulcerative see cord compression 356, 357 core training 43, 46 corneal abrasions 428 coronal plane 77 coron ary artery infl ammatory bowel disease collapse 442 \200\2233 colleagues (CT) 85 computer access 12 concussion 438 conduct, professional 20 \200\2231 confi dentiality 22, 2 4, 27 territories 574 alcohol abuse 33 clinical incompetence 33 communication with 20 mobile phone Coroner 100 images 27 referral to 101 con \201 dentiality interpreters 23 outside agencies 24 relatives 27 Coroner \200\231s Offi ce 100 Corrigan \200\231s sign 129 corticosteroids 89 numbers 12 problems with 33 psychological inhaled 273 potencies 219 prescribing 174, 177, 178 and surgery 108 topical 178, 219 see al so individual drugs confusion problems 33 acute 162, 341 assessment method 341 recreational drug use 33 Colles \200\231 fracture 562 colon conjunctiva 143 conjunctivitis 428 Conn \200\231s syndrome 333 consciousness, loss of 362 c onsent 22, 29 capacity 28 children 28 diffi cult situations 29 obstruction 290, 292, 304, 311, 589 perforation 290, 291, cortisol 571 cough 91, 285 counseling 89 helplines 600 miscarriage 503 588 colonoscopy 306, 309 colorectal polyps 302, 303 _OHFP.indb 621 _OHFP.indb 621 30/05/2014 16:19 30/05/2014 16:19 622 INDEX court appearances 24 Courvoisier \200\231s law 319 COX-2 inhibitors 86 CPAP (continuous pos itive airway pressure) 282 CPR see cardiopulmonary CXR see chest X-ray cyclizine 185 dose 648 debt clearance 40 decompensated chronic liver failure 316 cycloplegia 143 cyclothymia 366 cyproheptadine 186 cystocele 464 cysts deep venous thrombosis (DVT) 446, 450 pre-test probability 450 Wells score 450 resuscitation crabs 416 cramps 103 cranial nerve de \201 brillation 228, 231, Baker \200\231s 451 branchial 459 dermoid 459 epidermoid 420 epididymal 463 ganglion 420 ov arian 500 sebaceous 420 thyroglossal 459 532 \200\2233 dehiscence, wound 118 dehydration examination 126, 133 craniotomy 110 crash calls 16 newborns 504 obstetric 504 see also cardiopulmonary hypovolaemia 379, 380 low urine output 378 urea and electrolytes 568 delayed primary closure 118 deliberate self-harm (DSH) 493 \200\2235 resuscitation creatine kinase (CK) 243, cytomegalovirus (CMV) 567 hepatitis 315 in HIV/AIDS 399 retinitis 489 risk after 484 delirium 162, 341 delivery (birth) see creatinine 568 pregnancy 504 creatinine clearance 591 cremation childbirth delta wave 573 delusion 162 dementia 162, 342 \200\2233, 366 D D-dimer 278 dabigatran 406, 407 dacryocystitis 143 dalteparin 195 DANISH (cerebellar forms 38, 98 \200\2239 problematic implants 98 critical illness cover 41 critical incident form 32 Crohn \200\231s disease 309, 392 cross- cultural causes 343 support organizations 342 see also specifi c types depersonalisation 162 depression 366, 367 communication 23 signs) 362 dapaglifozin 329 day case surgery 116 DC cardioversion 532 \200\2233 de Musset \200\231s sign 129 deafness 460 death certifi cate 96 \200\2237, crossmatching 400 crusting 139 cryoprecipitate 399 Cryptococcus neoformans 489 crystalline antidepressants 367 colleagues 33 postnatal 507 derealisation 162 dermatitis (eczema) 417 d ermatology see skin dermatomes 135 dermatophytes 416 dermoid cyst 459 desloratadine 186 det emir 203 development, arthropathy 452, 455 crystalloids 381 CSF see cerebrospinal fl uid CT (computed 100 \200\2231 reforms 100 death and dying tomography) 85 arrangements for 90 care of patient after CT-pulmonary angiography 278 CTG (cardiotocography) death 95 certifi cation of cause of death 96 \200\2237, 100 \200\2231 506 cultures pediatric 165 dexamethasone 185, 195 diabetes insipidus 331 diabetes mellitus 328 \200\223 communication 95 cremation forms 38, blood 515 CSF 592 stool 309 urine 591 CURB-65 276 curriculum 8 \200\22310 curriculum vitae (CV) 52 \200\2233 98 \200\2239 30 declaration of death 94 \200\2235 do not resuscitate driving regulations 605 gestational 328, 505 HbA1c 328 hyperglycaemia 324 \200\2236 managem ent 329, 330 sick day rules 329 skin manifestations 419 type 1 325, 328 type 2 325, 329 dia betic foot 330 diabetic ketoacidosis (DKA) 324, 326 diabetic nephropathy 330 diabetic neuro pathy 330 diabetic retinopathy 330 (DNAR) orders 90 dying patients 92 \200\2233 fear of 90 post-mortem 97 referral to Coroner 101 registration of death 100 requests for post-foundation programs 54 \200\2235 Cuscoe \200\231s speculum 157 Cushing \200\231s refl ex 358 Cushing \200\231s syndrome 263, 332 euthanasia 90 thinking about 90 see also breaking bad CV see curriculum vitae CVA (cerebrovascular accident) see stroke news CVP (central venous Deaver retractors 113 debt 40 \200\2231 pressure) lines 380 OHFP.indb 622 OHFP.indb 622 30/05/2014 16:19 30/05/2014 16:19 623 INDEX dry gangrene 447 dry mouth 91 dsDNA antibodies 593 DSH see deliberate self- disulfi ram 174 diverticular disease 290, dialysis 373 diamorphine 91, 195 295, 302, 307 dizziness 362 \200\2233 DKA (diabetic dose 650 diaphragm, CXR 583 diarrhea 306 \200\2239 harm DTaP/IPV/Hib vaccine 164 ketoacidosis) 324, 326 causes 307 drugs causing 306 management 306 notifi cation 487 overfl ow 307 Duke criteria for infective endocarditis 485 DM see diabetes mellitus duloxetine 89 dumping syndrome 323 duodenal biopsy 308 DVLA (Driver and Vehicle Licensing A gency) 605 do not resuscitate (DNAR) orders 90 doctors \200\231 mess 12 Doctors \200\231 Support Network (mental illness) 600 diazepam 89, 176, 195, 345 children 235 dose 650 DVT see deep venous documentation 11 DIC (disseminated intravascular coagulation) 405 thrombosis discharge dying patients 92 \200\2233 summaries 78 \200\2239 fi tness to work notes 80 history taking 127 investigation requests 84 medical notes 74 \200\2237 referral letters 82 \200\2233 docusate sodium 205 domperidone 185 DOPS (Direct Observation of Procedural Skills) 9 agitation 93 analgesia 93 communication 92 food and fl uids 93 identifi cation of 92 invest igations 93 Liverpool Care Pathway 92 diclofenac 86, 196 diet, and constipation 311 diffi cult patients aggression and violence 105 alcoholism 33, 104 elderly 104 dignity, patient \200\231s 19, 26 digoxin 196 nausea and vomiting 93 resuscitation 93 secretions 93 stopping medication 92 dorsalis pedis pulse 128 double gloving 547 double vision 431 doxazosin 197 doxycycline 197 , 649 Doyen retractor 113 DPP-4 inhibitors 329 drains, chest 540 \200\2231, 583 dress see c lothing dressings, burns 468 \200\2239 Dressler \200\231s syndrome 244 driving regulations 605 droperidol 185 drug-related bradycardia 260 dose 650 overdose 494 toxicity 259 dysfunctional uterine bleeding 497, 498 dysmenorrhoea 157 dyspareunia 157 dyspepsia 294 dys pnoea see dihydrocodeine 87, 91, 197 diltiazem 190 diphtheria 487 vaccination 164 breathlessness diplopia 431 dipstick tests 484, 590 dipyridamole 197 direct antiglobulin E ear (Coombs) test 392 Direct Observation of Procedural Skills (DOPS) 9 disability 226, 231 chil dren 234 obstetric arrest 238 conditions 419 examination 144 glue ear 460 otitis externa 460 otitis media 460 tympanic membrane 145 wax 460 earache 460 Early Goal Directed bradyarrhythmias 260 constipation 310 diarrhea 306 headache 359 liver failure 313 pyrexia 4 83 sinus bradycardia 260 disc prolapse 357 discharge controlled drugs 78 \200\2239 coordinators 68 self-discharge 20 summaries 78 \200\2239 drugs Therapy (EGDT), septic shock 481 early warning adverse reactions 168, 171 breastfeeding 173 cards 169, 170 children 173 controlled 78 \200\2239, 173 doses 648, 650 h istory 124 interactions 171, 407 prescribing see prescribing recreational 33 Yellow Card Sc heme 171 see also prescribing scores 224 \200\2235 disciplinary procedures 30 Disclosure and Barring Service (DBS) certifi cate 11 discriminat ion 34 disease surveillance 487 dislocations 435 EBV (Epstein-Barr virus) 315 ecchymosis 139 ECG (electrocardiogram) 107, 231, 528 \200\2239 acute anterior myocardial infarction 579 reduction 562 \200\2233 dissecting forceps 113 disseminated intravascular coagulation (DIC) 405 acute coronary syndromes 243 acute inferolateral ischaemia 577 _OHFP.indb 623 _OHFP.indb 623 30/05/2014 16:19 30/05/2014 16:19 624 INDEX acute inferolateral myocardial infarction 578 elderly patients 104 diabetes mellitus see diabetes mellitus falls 437, 443 elective surgery 119 \200\22320 electrical burns 469 electrocardiogram see examination 137 hyperglycaemia 324 \200\2236 hypoglycaemia 322 \200\2233 pituitary axis 331 thyroid disease 334 \200\2235 acute posterior myocardial infarction 580 ECG (electrocardi- ography) axis 572 bradyarrhythmias 259 coronary artery electroconvulsive therapy endocrine tests 571 endometrial cancer 497, (ECT) 367 territories 574 electrolyte 499 delta wave 573 heart rate 572 interpretation 572 \200\22381 J wave 573 left bundle branch b lock 574, 575 imbalances 385 \200\2239 endometrial polyps 497, calcium 388 \200\2239 potassium 384, 385 sodium 386 \200\2237 498 endometriosis 500 endometritis 507 endotracheal electrolyte requirements 382 intubation 542 \200\2233 complications 543 Elidel 417 emergency left ventricular hypertrophy 573 enoxaparin 197 enteral feeding 102 enterocele 464 enteropathic P wave 573 pericarditis 247 position of chest leads 529 PR interval 573 pulmonary embolism 278 QRS complex 573 QT interval 254, 573 rhythm 572 right bundle branch block 574, 576 department 433 \200\223507 anaphylaxis 470 \200\2231 burns 466 \200\2239 contraception 501 ENT 460 \200\2231 falls 442 \200\2233 groin lumps 462 \200\2236 gynecological pain 500 head injury 438 \200\2239 hypot ension 472 \200\2234 joint pain 452 \200\2237 limb pain 444 \200\2238 limb swelling 449 \200\22351 neck injury 440 \200\2231 neck lumps 458 \200\22360 overdose 492 \200\2235 pregn ancy 502 \200\2237 pyrexia 482 \200\22391 shock 476 \200\22381 trauma 434 \200\2237 vaginal bleeding 496 \200\2239 see also medical emergencies arthropathies 456 Entonox 554 entrapment syndromes 448 entropion 143 enzyme inducers 174 enzyme inhibitors 174 eosinophils 566 epidermoid cyst 420 epididymal cyst 463 epididymitis 464 epidurals 88 epilepsy 347, 348 ST segment 573 T wave 573 tachyarrhythmias 251 U wave 573 ventricular tachycardia 581 Wolff -Parkinson-White syndrome 253 driving regulations 605 see also seizures Epilim see valproate epinephrine see adrenaline episcleritis 427 epistaxis 460 Epley maneuver 363 ePortfolio 8, 10 Epstein-Barr virus (EBV ) 315 echinocytes 393 eclampsia 347, 504 ecstasy 484 ECT (electroconvulsive EMLA 521 emotion 162 empathy 19, 22 ENA antibodies 593 enalapril 182 encephalitis 360, 48 7 therapy) 367 ectopic pregnancy 497, 498 ectopic testis 464 ectropion (cervical) 497, erosion cervical 497 gastric 300 oesophageal 300 skin 139 498 ectropion (eyelid) 143 eczema (dermatitis) 417 EDD (estimated due antibiotics 179 encephalopathy, hypertensive 265 ERPC (evacuation of date) 158 end of placement review 10 retained products of conception) 503 errors, medical 30, 31, EDTA blood tubes 517 education, continuing 58 educational end of year review 10 endobronchial 168 requirements 58 educational supervisors 3 effi ciency 18 EGDT (Early Goal Directed intubation 543 endocarditis 485 antibiotics 179 blood cultures 515 Duke criteria 485 prophy laxis 175 erysipelas 412 erythema multiforme 418 erythema nodosum 418 erythrocyte sedimentation Therapy), septic shock 481 rate (ESR) 504 erythrocytes see red cells erythromycin 174, 197 Escherichia coli 306 esomeprazole 198 elbow endocrine system 321 \200\223 anatomy 151 examination 151 35 adrenal disease 332 \200\2233 OHFP.indb 624 OHFP.indb 624 30/05/2014 16:19 30/05/2014 16:19 625 INDEX movements 142 red eye 426 \200\2237 subconjunctival fi nasteride 199 fi ngertip unit (topical ESR (erythrocyte sedimentation rate) 504 essential items 14 estimated due date (EDD) 158 et hanol see alcohol ethical confl ict 26 ethics 26 euphoria 162 European Working Time Directi ve (EWTD) 36 drugs) 178 hemorrhage 428 sudden visual loss 429 fi ssures anal 302, 303, 311 skin 139 fi tness to work notes 80 fi ts see seizures fi xed-term specialty F F1-level doctors 15, 67 advanced trauma life support 232 training appointments (FTSTA) 67 Flagyl see metronidazole Flamazine 469 fl apping tremor 313 fl ashing lights 431 fl eca inide 199, 253 fl exible training 42 fl exural psoriasis 417 fl ight of ideas 162 Flixotide 275 fl oaters 431 fl ow volume loops 587 fl ucloxacillin 179, 199, 412, F2-level doctors 67 facial nerve (VII) 133 fecal occult blood (FOB) 302 euthanasia requests 90 evacuation of retained products of conception (ERPC) 503 fecal softeners 205 faecolith 110 fainting (vasovagal EWTD (European Working Time Directive) 36 exam planning 58 examination 126 attack) 260, 347, 442 falls 442 \200\2233 causes 443 elderly patients 437, 443 breast 141 cardiovascular system 126, 128 \200\2239 endocrine system 137 eyes 142 \200\2233 female reproductive syste m 156 \200\2237 family 437, 649 fl uconazole 199 fl udrocortisone 199 \202 uids aggressive 105 communication with 21 confi dentiality 27 history 124 as interpreters 23 gastrointestinal system 131 balance 380 burns 467 challenge 381 dying patients 93 overload 379 pre/post-op 111 prescrib ing 380, 382 requirements 382 sequestration 380 volume status 380 fats 103 FB (foreign body), eye 428 FBC (full blood head and neck 144 \200\2235 musculoskeletal 146 \200\22352 neonatal 163 neurological 132 \200\2236 obstetric 158 \200\2239 oncological/ count) 107, 566 fear of death 90 felodipine 190 femoral hematological 140 blood gas 523 hernia 462 pulse 128 stab 231, 516 pediatric 164 \200\2235 psychiatric 160 \200\2232 respiratory system 130 skin 138 \200\2239 urological 154 \200\2235 fl umazenil 199 fl uoride oxalate blood tubes 517 fl uoroscopy 85 fl uticasone 85 inhaler 275 fentanyl 91 ferrous fumarate 198 ferrous gluconate 198 ferrous sulfate 198 festinating gait 136 fetal see fetal FEV1 (forced expiratory examination, membership 57 excoriation 139 exenatide 329 exercise tolerance test 530 exertional headache 359 expectati ons 15 of patients 19 of treatment 19 exposure 226, 231 expressed consent 29 external jugul ar vein 535 external rotation technique 563 fl utter, atrial 253, 572 fl uvastatin 215 FOB (fecal occult blood) 302 volume) 586 fever see pyrexia fexofenadine 186 FFP (fresh frozen plasma) 399 fi brinogen 50 4 fi brinolytics 198 fi broadenoma of breast 423 fi broadenosis 423 fi broids 497, 499 fi b roma 420 fi eld block 558 fi fth disease (slapped cheek focal neurology 353 \200\2235 focal segmental glomerulosclerosis 376 fetal lie 159 monitoring 506 skull 555 foetor hepaticus 313 folate see vitamin B9 folders 17 folic acid 85 fondaparinux 200, 406, extradural haematoma 438 extrinsic pathway 567 eye conjunctivitis 428 corneal abrasions 428 examination 142 \200\2233 foreign body 428 gradual visual loss 430 407 food dispensers 12 food poisoning fever) 415 fi nancial advice 40 fi nancial planning 40 (gastroenteritis) 487 _OHFP.indb 625 _OHFP.indb 625 30/05/2014 16:19 30/05/2014 16:19 626 INDEX foot frontotemporal liver failure 312 \200\22317 nausea and vomiting see nausea and vomiting anatomy 148 examination 148 dementia 343 frusemide see furosemide FTSTA (fi xed-term specialty training appointments) 67 forced expiratory volume procedures 548 \200\22351 (FEV1) 586 forced vital capacity gastrointestinal tuberculosis 491 (FVC) 586 full blood count gastrostomy 102 Gaviscon 648 Gay and Lesbian forceps 113 foreign body, eye 428 formal admission 162, 364 formal complaints 31 formoterol inhaler 275 forms (FBC) 107, 566 full thickness wounds 436 fundal height 159 fundus 143 fungal skin infections 416 furosemid e 200 dose 648, 650 Association of Doctors and Dentists (GLADD) 600 GCS (Glasgow Coma Scale) 339, 340 application see application Gelofusine 403 General Medical Council (GMC) 2, 3, 11, 600 registration certifi cate 11 forms furuncles 421 fusidic acid 200, 412 FVC (forced vital capacity) 586 Fybogel 205, 648 cremation 38, 98 \200\2239 critical incident 32 death certifi cate 96 \200\2237, 100 \200\2231 general practice interesting cases 606 \200\2237 P45 11 P60 11 referrals 82 \200\2233 telephone numbers 608, membership exams 57 specialty training 46 G gabapentin 200 gait 136 gallstones 319, 588 g-glutamyl transferase generalized anxiety disorder 369 generalized seizures 348 genetics 511 genital herpes 415, 465 genitourinary 610, 612 timetables 609, 611, 613 foscarnet 489 fosinopril 182 Foundation Doctor 3 Foundation (GGT) 569 ganciclovir 489 ganglion cyst 420 gangrene dry 447 gas (wet) 447 gas transfer 587 gas (wet) gangrene 447 gastric lavage 492 gastric parietal cell antibodies 593 tuberculosis 491 gentamicin 179, 200, 413, 649 German measles (rubella) 415 Program 2 \200\2233 applying to 4 \200\2237 concept 2 curriculum and gestational diabetes 328, 505 assessment 8 \200\22310 GGT (g-glutamyl F1 15, 67 F2 67 structure 2, 3 transferase) 569 GI see gastrointestinal giant-cell arteritis see gastritis 300 gastro-oesophageal refl ux disease (GORD) 290, 294 Foundation Program temporal (giant-cell) arteritis Offi ce 2, 3 Foundation training gifts 38 Gilbert \200\231s syndrome 319 Gillain-Barr program director (FTPD) 3 gastro-oesophageal varices 300 Gastrocote 184 gastroenteritis 290, 304, foundation years 64 fovea 143 fractures 435 children 597 comminuted 435 hairline 435 open/c ompound 435 reduction 562 \200\2233 Salter-Harris syndrome 355 Gillick competence 28 glandular fever 315 glargine 203 Glasgow Coma Scale (GCS ) 339, 340 307 gastrointestinal bleeding 298 \200\223303 chronic 302 emergency care 298 lower GI bleeds 301 \200\2233 upper GI bleeds 299 \200\223 see also coma Glasgow score for acute pancreatitis 296 classifi cation 597 glaucoma 300, 304 simple 435 vertebral collapse 356, acute angle closure 427 chronic (open angle) 430 headache 359, 360 urea and electrolytes 568 gastrointestinal 357 cancer 294, 302 gastrointestinal X-rays 596 \200\2237 Fraser guidelines 28 fresh frozen plasma glibenclamide 216 gliclazide 216, 329 glipizide 216 Global Registry of Acute Coronary Event s (GRACE) 245 system 287 \200\223319 abdominal pain 288 \200\22396 constipation 91, 310 \200\22311 diarrh ea 306 \200\2239 examination 131 jaundice 318 \200\22319 (FFP) 399 Friedreich \200\231s ataxia 349 frontal plane 77 OHFP.indb 626 OHFP.indb 626 30/05/2014 16:19 30/05/2014 16:19 627 INDEX hydrocele 463 inguinal hernia 462 saphena varix 462 sexually transmitted infections 465 spe rmatocele 463 strangulated hernia 290, hemophilia 453 hemophilia A 405 hemophilia B (Christmas glomerular basement membrane antibodies 593 glomerulonephritis 376 glossopharyngeal nerve disease) 405 haemoptysis 285 hemorrhage 405 antepartum 505 blood transfusion 398 \200\223 (IX) 133 GLP-1 activators 329 glucagon 200 glucocorticoids see corticosteroids 462 testicular cancer 464 testicular torsion 290, 403 clotting emergencies 404 estimated blood loss 477 gastrointestinal 298 \200\223303 haematur ia 374 hypovolaemic shock 476, GlucoGel 322 glucose 571 463 urogenital prolapse 464 varicocele 463 5% solution 382 children 235 CSF 592 fasting 328 fi nger-prick 323, 324, group A streptococcal disease 487 477, 478 post-partum 507 shock 477 subarachnoid 360 subconjunctival 428 uterine 497, 498 va ginal 497 vitreous 429 group and save (G+S) 398 GTN see glyceryl trinitrate Guedel airway 542, 543 Guillain-Barr 325 impaired fasting 328 impaired tolerance 328 infusion 650 newborns 236 oral tolerance test 5 71 requirements 382 sliding scales 327 urine (glucosuria) 590 syndrome 593 guttate psoriasis 417 gynecology causes of pain 500 cervical cancer 499 examination 156 intermenstrual hemorrhoids 302, 303 haemostatic forceps 113 hair 14 hairline fractures 435 hallucination 1 62 haloes 431 haloperidol 201 hand bleeding 496 menopause 157, 501 glucose saline 382 glucose separating gel blood tubes 517 ovarian cancer 499 uterine prolapse 464 glue ear 460 glue (wound closure) 436 glulisine 203 glycaemic control 330 glycerol supposit ories 205, anatomy 152 examination 126, 152 nerve supply 135 H HAART (highly active anti- retroviral therapy) 490 handover 20 happiness xxxvii harassment, sexual 34 Hartmann \200\231s solution 382 Hashimot o \200\231s 648 glyceryl trinitrate haematemesis 300 haematocrit, (GTN) 201, 266 dose 650 pregnancy 504 thyroiditis 334 glycolipid antibodies 593 glycopyrronium 93 glycosylated hemoglobin hematological cancer 396, haustrae 589 Hb see hemoglobin HbA1c (glycosylated hemoglobin) 328 HBV see hepatitis B viru s \210\222 see bicarbonate HCO3 HCV see hepatitis C virus head 453 hematology 391 \200\223407, (HbA1c) 328 511 GMC see General Medical anemia 392 \200\2237 anticoagulation 406 \200\2237 bleeding 405 blood transfusion 398 \200 \223 Council goiter 334, 459 gonorrhea 465 synovial fl uid 557 403 Goodpasture \200\231s examination 144 \200\2235 lice 416 tilt 230 clotting emergencies 404 examination 140 procedures 514 \200\22327 syndrome 593 GORD (gastro- oesophageal refl ux disease) 290, 294 head injury 438 \200\2239 haematoma 558 haematuria 374 haemochromatosis 317 hemoglobin (Hb) 566 driving regulations 605 guidance 439 headache 358 \200\22361 gout 452, 453, 455 synovial fl uid 557 GP see general practice granisetron 185 granuloma an nulare 418 Graves \200\231 disease 334 groin abscess 463 groin lumps 462 \200\2236 ectopic testis 464 epididymitis/orchitis 464 femoral hernia 462 migraine 304, 361 post-dural puncture 361 Health Protection Agency pregnancy 504 haemoglobinopathies 393 haemoglobinuria 374 haemolytic anemia 393, (HPA) 487 healthcare assistants 68 hearing tests 144 heart attack see myocardial infarction 394 haemolytic transfusion reactions 401, 402 haemolytic uraemic syndrome 487 _OHFP.indb 627 _OHFP.indb 627 30/05/2014 16:19 30/05/2014 16:19 628 INDEX heart block 258, 259 Hill-Sachs deformities 563 hip hyoscine 89, 185, 202 complete (3rd dose 648 degree) 259, 261 anatomy 146 examination 147 neonatal 163 hyperaldosteronism 333 hyperalgesia 89 hypercalcaemia 389 hyperemesis M bitz I 259, 261 M bitz II 259, 261 heart disease histology 84 histopathology 511 history taking 124 \200\2235 documentation 127 fl uid requirements 383 NYHA functional status 128 heart failure 267 gravidarum 304 hyperglycaemia 324 \200\2236 emergency care 324 sliding scales 327 HIV/AIDS 487, 490 with preserved ejection conditions defi ning 490 needle-stick injuries 106 opportunistic hyperkalaemia 384, 385 hypernatraemia 387 hyperosmolar non-ketotic state (HONK) 324, 326 fraction 267 heart rate children 235 from ECG 572 heart sounds 129 heel prick 520 height conversion table 602 infections 488, 489 skin manifestations 419 hives see urticaria Hodgkin \200\231s lymphoma 396 homonymous sliding scales 327 hyperparathyroidism 389 calcium and hemianopia 133 phosphate 570 Helicobacter pylori 294 HELLP syndrome 505 honesty 26 HONK see hyperosmolar eff ect on blood tests 570 hyperpathia 89 hypertension 262 \200\2236 antihypertensives 266 causes 262, 263 emergency c are 262 end-organ damage 265 malignant 262 pregnancy 504 treatment 264, 266 hypertensive cr isis 265 liver function tests 569 non-ketotic state horizontal plane 77 hormone replacement therapy (HRT) 501 hemianopia 133 hemiparesis 354 hemiparetic gait 136 Henoch-Sch nlein purpura hospital acquired (HSP) 418 pneumonia 276 treatment 649 hospital at night (H@N) 73 heparin blood tubes 517 low molecular weight 406 housing 42 Howell-Jolly bodies 393 HPA see Health Protection headache 361 thrombocytopenia 406 unfractionated 201, 406 hypertensive encephalopathy 265 hepatic jaundice 318 Agency HRT (hormone replacement therapy) 501 hyperthyroidism 334 liver function tests 569 skin manifestations 419 thyroid hormones 571 hepatitis 315 autoimmune 316 notifi cation 487 see also specifi c types hepatitis B virus (HBV) hyphaema 143 hypocalcaemia 388 hypochromia 393 hypoglossal nerve (XII) 133 HSP (Henoch-Sch nlein purpura) 418 HSV see herpes simplex immunization 11, 13, 491 needle-stick injuries 106 serology 315 hepatitis C virus virus Hudson mask 230 Humalin see insulin Humalog 203 human bites 437, 649 b-human chorionic gonadotrophin (b-hCG) 107 dipstick test 580 hypoglycaemia 322 \200\2233 emergency care 322 hypoglycaemic agents 329 hypokalaemia 103, 3 84, 385 hyponatraemia 103, 386 \200\2237 hypoparathyroidism 388 (HCV), needle-stick injuries 106 hepatobiliary disease 290 hepatomegaly 131 hepatosplenomegaly 131 hernia calcium and phosphate 570 human immunodefi ciency virus see HIV/AIDS Huntington \200\231s disease 349 hyaline casts 5 90 hydralazine 202, 266 hydrocele 463 hydrocephalus, normal eff ect on blood tests 570 femoral 462 inguinal 462 strangulated 290, 462 hypopituitarism 331 hypopyon 143 Hypostop 322 hypotension 472 \200\2234 abdominal aortic aneurysm 474 herpes simplex virus (HSV) 415, 489 genital see genital herpes herpes zoster pressure 343 hydrocortisone 177, causes 472 emergency care 472 post-operative 117 postural ophthalmicus 414 shingles 414 202, 309 dose 650 hiccups 91 Hickman line 102 highly active anti-retroviral therapy (HAART) 490 hydrogen breath test 308 hydroxocobalamin 202 hydroxyzine 186 (orthostatic) 474 hypothyroidism 334 skin manifestations 419 OHFP.indb 628 OHFP.indb 628 30/05/2014 16:19 30/05/2014 16:19 629 INDEX induction 10 induction pack 11 infarction interpreters 23 interpreting thyroid hormones 571 vaginal bleeding 497 hypovolaemia 379, 380 see also intravenous fl uid s results 565 \200\22397 bowel 290, 293, 302 heart see myocardial interstitial pneumonitis 593 hypovolaemic intertrigo 416 interviews 56 intestinal fl uid losses 383 intestinal obstruction 290, 292, 304, 311, 589 shock 476, 477, 478 infarction clinical markers 476 infection control 13 full blood count 566 gynecological 497 opportunistic 488, 489 recurrent/unusual 488 skin see skin infections see also specifi c conditions I IBD (infl ammatory bowel intoxication 339 intracranial pressure (ICP) 304, 360 intramuscular (IM) disease) 290, 302, 307, 309, 453 IBS (irritable bowel infectious arthritis 452 infectious injections 524 \200\2235 syndrome) 307, 308 intrauterine contraceptive device (IUCD) 501 ibuprofen 86, 202 mononucleosis 315 infective endocarditis 485 inferolateral dose 648 intravenous ICP (intracranial cannulation 518 \200\22319 pressure) 304, 360 ischaemia 577 cannulae 519 ID badge 12, 14 IDDM see diabetes mellitus, type 1 infestations 416 infl ammatory bowel intravenous fl uids 380 \200\2233 electrolyte disease 290, 302, 307, 309, 453 composition 382 maintenance fl uids 381 \200\2233 resuscitation fl uids 381 special cases 3 83 volume status 380 IgA-endomysial antibodies 593 infl ammatory rashes 417 infl ammatory ileostomy 121 ileus 304 illusion 162 IM (intramuscular) response 567 informed consent 29 infusion intravenous infusion 526 intravenous (IV) injections 524 \200\2235 glucose 650 intravenous 526 phenytoin 650 saline 236 injection 526 \200\2237 intrinsic pathway 567 introitus 157 intubation, images, patient confi dentiality 27 imbalance 362, 363 immunization inguinal hernia 462 inhalation injury 469 inhalers 275 injections endotracheal 542 \200\2233 BCG (tuberculosis) 164, investigations 491 dying patients 93 pre-operative 107 requests for 84 DTaP/IPV/Hib vaccine 164 intramuscular 524 \200\2235 intravenous 526 \200\2237 joint 557 subcutaneous 524 \200\2235 hepatitis B 11, 13, 491 MMR (measles, mumps, iodine 103 ipratropium 203 rubella) 164 dose 650 inhaler 275 irbesartan 187 iritis 427 iron 103 iron defi ciency schedules 164 tetanus 164, 436 \200\2237 inner ear infl ammation 460 immunocompromise 488 INR (International opportunistic Normalized Ratio) 404 insensible fl uid losses 380 insight (psychiatry) 162 insomnia 176 in struments, surgical 113 Insulatard 203 insulin 182, 203, 329 infections 488, 489 immunology 511 impaired fasting glucose anemia 393, 395 irritable bowel syndrome (IFG) 328 (IBS) 307, 308 impaired glucose tolerance ischaemia (IGT) 328 impetigo 412 impingement test 150 implied consent 29 in-hospital bowel 290, 293, 302 brain 352, 605 heart 577 limb 446 liver 314 prescribing 327 sliding scales 327 insurance indemnity 11 life 41 resuscitation 227 incident reporting 32 incisional wounds 139, 436 income protection 11 inc ontinence, urinary 377 indemnity insurance 11 Independent Mental ischaemic colitis 301 Isoket 266 isophane 203 isosorbide dinitrate 204 intercostal chest drains 540 \200\2231 intermenstrual bleeding 157 dose 650 isosorbide internal jugular vein 535 International Normalized Ratio (INR) 404 mononitrate 204 Capacity Advocate (IMCA) 28 itching 91 _OHFP.indb 629 _OHFP.indb 629 30/05/2014 16:19 30/05/2014 16:19 630 INDEX IUCD (intrauterine contraceptive device) 501 IV (intravenous) dialysis 373 fl uid overload 379 haematuria 374 hypovolaemia 379, 380 low urine output 378 \200\2239 proteinuria 375, 504, LCX (left circumfl ex artery) 574 learned bodies 601 learning 16 leave, annual 42 leave ent itlement 42 left anterior descending artery (LAD) 574 left axis deviation 574 left bundle b ranch block (LBBB) 574, 575 left circumfl ex artery cannulation 518 \200\22319 fl uids 380 \200\2233 infusion 526 injection 526 \200\2237 590, 591 renal artery stenosis 263 renal colic 290, 295 rhabdomyolysis 374 stones 588 urinary tract infection J J wave 573 Janeway lesions 411 jaundice 318 \200\22319 (UTI) 484, 590, 649 (LCX) 574 knee left shift 393 left ventricular hypertrophy anatomy 147 examination 147 investigations 318 liver function tests 569 see also specifi c causes (LVH) 573 Kocher artery forceps 113 Koplik spots 415 Korsakoff \200\231s syndrome 343 kwashiorkor 10 3 kyphosis 356 leg ischaemia 446 pain 444 \200\2238 pulse 128 swelling 449 \200\22351 ulcers 424 jaw thrust 230 Jehovah \200\231s Witnesses 403 Jelonet 469 Jervell syndrome 254 jobs legionnaires \200\231 disease 487 leprosy 487 leptospirosis 317 less than full-time trainin g 42 accepting 50 applications 4 \200\2237, 44 choosing 50 competition for 48 \200\2239, 50 CV 5 2 \200\2234 discrimination 34 interviews 56 lists 17 off ers 50 L LA see local anesthetics labetalol 188, 266 laboratories 511 letters discharge 78 \200\2239 referral 82 \200\2233 chasing results 84 labor see childbirth labyrinthitis 304, 363 lacerations 139, 436 LACS (l acunar stroke) 351 lactic acidosis 477 lactulose 205 dose 648 intolerance 311 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