Ageing and disease
2 Ageing and disease Over the last 100 years the proportion of people in the UK aged >65 yrs has risen from 5% to 16%, and is projected to increase…
GENERAL & FAMILY MEDICINE
Good medical practice
1 Good medical practice Patients (and doctors) differ in their beliefs, attitudes and expectations. Good medical practice requires the ability to recognise and respect these individual differences. This chapter describes…
Objective structured clinical examination (OSCE)
20 Objective structured clinical examination (OSCE) This mode of assessment is frequently used in exams to test clinical skills, including history-taking, examination, explanation and advice, and prescribing. It usually involves…
11. CENTRAL VENOUS CATHETER INSERTION
CHAPTER 11. CENTRAL VENOUS CATHETER INSERTION Introduction89 NICE guidelines on ultrasound guidance90 Indications91 Contraindications91 Equipment91 Practical procedure91 Placement of femoral lines100 Complications101 Post-procedure investigations and care101 Measuring central venous pressure…
16. ABDOMINAL PARACENTESIS AND ASCITIC DRAIN INSERTION
CHAPTER 16. ABDOMINAL PARACENTESIS AND ASCITIC DRAIN INSERTION Abdominal paracentesis131 Ascitic drain insertion134 Post-procedure care and investigations139 Complications140 Suggested reading140 Hippocrates (460–377 BC) was known to have utilized abdominal paracentesis…
23. SUTURING
CHAPTER 23. SUTURING Introduction185 Indications185 Cautions186 Contraindications186 Equipment187 Practical procedure187 Post-procedure care193 Complications196 Prior to his post as physician to the Emperor Marcus Aurelius, the Greek physician Galen (129–circa 200–216)…
19. LUMBAR PUNCTURE
CHAPTER 19. LUMBAR PUNCTURE Introduction155 Indications155 Contraindications156 Equipment156 Structures through which the spinal needle passes158 Practical procedure158 Post-procedure investigations163 Complications164 Suggested reading164 In 1885 the American neurologist James Leonard Corning…
21. SUBCUTANEOUS AND INTRAMUSCULAR INJECTIONS
CHAPTER 21. SUBCUTANEOUS AND INTRAMUSCULAR INJECTIONS Introduction171 Indications171 Contraindications172 Equipment172 Practical procedure173 Complications177 The Irish physician Francis Rynd (1811–1861) invented the hollow needle in 1844, patented in the Irish patents…
1. AIRWAY CARE WITH SIMPLE DEVICES
CHAPTER 1. AIRWAY CARE WITH SIMPLE DEVICES Introduction1 Airway management2 The first procedure used for airway control was probably tracheostomy. Pedro Virgili (1699–1776) from Cadiz used it for the relief…
