Legal and ethical practice
Chapter 13. Legal and ethical practice The doctor–patient relationship 397 Appropriate resuscitation and DNAR 399 Death certification 400 Capacity, consent and competence 404 Child protection 407 Mental Health Act 409…
GENERAL & FAMILY MEDICINE
Neurological and psychiatric
Chapter 8. Neurological and psychiatric The unconscious patient 216 Headache 218 Fits and faints 220 Stroke 223 Focal neurology 226 Falls and immobility 231 Delirium and alcohol withdrawal 233 Acute…
On the ward
Chapter 12. On the ward Time and ‘take’ management 383 Verbal communication 385 Written communication 389 Before, during and after theatre 392 TIME AND ‘TAKE’ MANAGEMENT General time management Managing…
Cardiac and chest
Chapter 5. Cardiac and chest Chest pain 125 Arrhythmias 132 Breathlessness 139 CHEST PAIN Initial assessment Delay in the diagnosis of ST-segment elevation myocardial infarction (STEMI) can result in serious…
Proctologic Conditions
Proctologic Conditions Anorectal anatomy • Anorectal region: — Anus: extends from 3 to 4 cm above anal verge and merges with rectum — Rectum: 12 to 18 cm in length — Anal verge:…
Magraine Headache
Magraine Headache DIAGNOSTIC SUMMARY • Recurrent, paroxysmal attacks of headache. • Headache typically is pounding and unilateral but may become generalized. • Attacks often preceded by psychological or visual disturbances (auras) accompanied…
Inflammatory Bowel Disease
Inflammatory Bowel Disease DIAGNOSTIC SUMMARY • Intermittent bouts of diarrhea, low-grade fever, and right lower quadrant pain • Anorexia, weight loss, flatulence, and malaise • Abdominal tenderness, especially right lower quadrant, with…
Vaginitis and Vulvovaginitis
Vaginitis and Vulvovaginitis DIAGNOSTIC SUMMARY • Increased volume of vaginal secretions. • Abnormal color, consistency, or odor of vaginal secretions. • Vulvovaginal itching, burning, or irritation. • Introitus may show patchy erythema, and…
Diabetes Mellitus
Diabetes Mellitus DIAGNOSTIC SUMMARY • Elevated blood glucose determination — Fasting (overnight): venous plasma glucose ≥126 mg/dL on at least two separate occasions — After ingestion of 75 g glucose: venous plasma…
