Endocrine Disorders
Thyroid The term ‘goitre’ simply denotes enlargement of the thyroid gland. It may be diffuse or nodular, simple or toxic, benign or malignant, and physiological or pathological. Minor enlargement of…
Gastroenterology
Gastric and Duodenal Ulceration Aetiology Infection with Helicobacter pylori and the use of anti-inflammatory drugs, both steroidal and non-steroidal (including aspirin), are the most common precipitating factors. Smoking increases the…
Neurological System
History Key features of the history in a patient with neurological disease are shown in Table 6.1. Table 6.1 Features of the History in Neurological Disease Feature Details Rationale Basic…
Metabolic Disorders
Diabetes Mellitus Diabetes mellitus (DM) is the term used to describe a group of metabolic disorders characterised by hyperglycaemia and due to: deficiency in pancreatic beta (β)-cell insulin production; and/or…
General Examination
Introduction General examination can reveal abnormalities in a number of systems which may assist in making an accurate diagnosis. Disorders of gait, speech and mood should be apparent on first…
Dermatology
Psoriasis Psoriasis is a relatively common disorder affecting 1–2% of the population. Classically it presents with red, raised, scaly patches or plaques, which reflect increased keratinocyte proliferation within the epidermis,…
Respiratory System
History Key features of the history in a patient with respiratory disease are shown in Table 4.1. Table 4.1 Key features of the History in Respiratory Disease Feature Details Rationale…
The Medical Interview
Effective Consultation Effective consultations are patient-centred and efficient, taking place within the time and other practical constraints that exist in everyday medical practice. The use of specific communication skills together…
Toxicology
Analgesics Paracetamol (acetaminophen), aspirin and other NSAIDs (e.g. ibuprofen) Antidepressants Tricyclic antidepressants, selective serotonin reuptake inhibitors Carbon monoxide Drugs of misuse Amfetamines, cocaine, opioids Solvents Glue, lighter fuel Deliberate self-administration…
Infectious Diseases
Haemolytic streptococcus Pencillin V or erythromycin q.d.s. if allergic to penicillin. Avoid amoxicillin if glandular fever possible Sinusitis Streptococcus pneumoniae (pneumococcus) Amoxicillin or doxycycline or erythromycin Haemophilus influenzae Otitis media…
