Abbreviations viii
Preface ix
How to Use This Book x
Part A Examinations 1
1.1.1 Cardiology Exam 3
1.1.2 Cardiology History 4
1.1.3 Cardiology Exam Key Points 5
1.1.4 Cardiology Exam Key Points 9
1.2.1 Respiratory Exam 10
1.2.2 Respiratory History 11
1.2.3 Respiratory Exam Key Points 12
1.2.4 Respiratory Key Points 16
1.3.1 Gastrointestinal Exam 17
1.3.2 Gastrointestinal History 18
1.3.3 Gastrointestinal Key Points 19
1.3.4 Gastrointestinal Conditions 20
1.4.1 Cerebellar Exam 21
1.4.2 Cerebellar Key Points 22
1.4.3 Cranial Nerve Exam 25
1.4.4 Cranial Nerve Key Points 27
1.4.5 Lower Limb Exam 33
1.4.6 Upper Limb Exam 34
1.4.7 Upper and Lower Limb Key Points 35
1.4.8 Neurological History 39
1.5.1 Dermatology Exam 40
1.5.2 Dermatology History 41
1.5.3 Dermatology Key Points 42
1.5.4 Dermatology Conditions 43
1.6.1 Ear Exam 45
1.6.2 Ear Exam Key Point 46
1.6.3 Neck Exam 48
1.6.4 Thyroid Exam 49
1.6.5 Thyroid Exam Key Points 50
1.7.1 Gynaecological Exam 52
1.7.2 Gynaecological History 53
1.7.3 Gynaecological Exam Key Points 54
1.7.4 Obstetric Exam 60
1.7.5 Obstetric History 61
1.7.6 Obstetric Exam Key Points 63
1.8.1 Paediatric Cardiology Exam 69
1.8.2 Paediatric Cardiology Key Points 71
1.8.3 Paediatric Respiratory Exam 73
1.8.4 Paediatric Respiratory Key Points 75
1.8.5 Paediatric Abdomen Exam 79
1.8.6 Paediatric Abdomen Key Points 81
1.8.7 Paediatric Development Exam 83
1.8.8 Paediatric Development Key Points 84
1.8.9 Newborn NIPE Exam 86
1.8.10 Newborn NIPE Key Points 88
1.8.11 Paediatric General History 95
1.9.1 Shoulder Exam 97
1.9.2 Shoulder Exam Key Points 98
1.9.3 Shoulder Exam Special Tests 100
1.9.4 Hand Exam 101
1.9.5 Hand Exam Key Points 103
1.9.6 Hand Exam (Special Tests) 105
1.9.7 Hip Exam 106
1.9.8 Hip Exam Key Points 107
1.9.9 Hip Exam 3 (Special Tests) 110
1.9.10 Knee Exam 111
1.9.11 Knee Exam Key Points 112
1.9.12 Knee Exam 3 (Special Tests) 114
1.9.13 Rheumatology History 117
1.9.14 Rheumatology Concepts 118
1.10.1 Ophthalmology Exam 121
1.10.2 Ophthalmology History 122
1.10.3 Ophthalmology Key Points 123
1.11.1 A to E Emergency Management Exam 131
1.11.2 Emergency Medicine Key Points 132
1.12.1 Mental State Examination 134
1.12.2 Mental State Examination Key Points 136
1.13.1 Chest XR Interpretation Exam 138
1.13.2 Chest XR Key Points 139
1.13.3 Abdominal XR Interpretation Exam 144
1.13.4 Abdominal XR Key Points 145
1.14.1 Stoma Exam 148
1.14.2 Stoma Exam Key Points 149
1.14.3 Hernia and Lump Exam 153
1.14.4 Hernia and Lump Exam Key Points 154
1.14.5 Breast Exam 155
1.14.6 Breast Exam Key Points 156
1.14.7 Rectal Exam 159
1.14.8 Rectal Exam Key Points 160
1.14.9 Testicular Exam 162
1.14.10 Testicular Exam Key Points 163
1.14.11 Vascular Exam 165
1.14.12 Vascular Exam Key Points 167
1.14.13 Diabetic Foot Exam 169
1.14.14 Diabetic Foot Exam Key Points 170
1.14.15 Pre- operative Assessment 171
1.14.16 Pre- operative Assessment Notes 172
1.14.17 References 174
Part B Clinical Skills 177
2.1 ABG Exam 179
2.2 Blood Cultures 180
2.3.1 Basic Life Support 181
2.3.2 Basic Life Support Key Points 182
2.4 Venipuncture 184
2.5 Subcutaneous Injections 186
2.6 Intravenous Cannulation 188
2.7 Intravenous Infusion 190
2.8 Intramuscular Injections 191
2.9 Intervenous and Intramuscular Key Points 192
2.10.1 Blood Transfusion 193
2.10.2 Blood Transfusion Key Points 194
2.10.3 Blood Transfusion Practice 196
2.11.1 Urinary Catheterisation 197
2.11.2 Urinary Catheterisation Key Points 199
2.12.1 NG Tube Insertion 200
2.12.2 NG Tube Key Points 201
2.13 Surgical Scrubbing 203
2.14 Surgical Gowning 205
2.15 Simple Interrupted Suture 207
2.16 Nasopharyngeal Swab 212
2.17 Peak Flow 213
2.18 ECG Recording 215
2.19 ECG Reading 217
2.20 Verification of Death 218
2.21 Certification of Death 219
2.22 Lumbar Puncture 222
2.23 Abdominal Paracentesis 226
2.24 Chest Drain 229
Part C More Histories 233
3.1 Introduction to History Taking and Communication Stations 235
3.2 Red Flag Symptoms 238
3.3 History and Communication Presentations 239
3.4.1 Chest Pain 1 244
3.4.2 Chest Pain 2 245
3.5.1 Palpitations 247
3.5.2 Palpitations 248
3.6.1 Shortness of Breath (Dyspnoea) 250
3.6.2 Dyspnoea 252
3.7.1 Cough 254
3.7.2 Cough 256
3.8.1 Haemoptysis 258
3.8.2 Haemoptysis 259
3.9.1 Dysphagia 260
3.9.2 Dysphagia 261
3.10.1 Haematemesis 263
3.10.2 Haematemesis 265
3.11.1 Altered Bowel Habits 267
3.11.2 Altered Bowel Habits 268
3.12.1 Jaundice 269
3.12.2 Jaundice 270
3.13.1 Collapse and Seizures 271
3.13.2 Collapse and Seizures 272
3.14.1 Headache 273
3.14.2 Headache 274
3.15.1 Weakness 276
3.15.2 Weakness 277
3.16.1 Sensation Changes 279
3.16.2 Sensation Changes 280
3.17.1 Back Pain 282
3.17.2 Back Pain 284
3.18.1 Breaking Bad News 286
3.18.2 Breaking Bad News 287
3.19 Complaints Angry 289
3.20 Explaining Procedures 290
3.21 Procedures and Gaining Consent 291
3.22.1 Abdominal Pain 293
3.22.2 Abdominal Pain 294
3.23.1 Pyrexia of Unknown Origin 296
3.23.2 Pyrexia of Unknown Origin 297
3.24.1 Developmental Delay 298
3.24.2 Developmental Delay 299
3.25.1 Contraception 301
3.25.2 Contraception 302
Index 305
