This is a practical revision book for learning techniques to pass clinical examinations in all the major clinical subjects for final examinations. The book covers Medicine, Surgery, Obstetrics and Gynaecology, Paediatrics and Psychiatry. Each section starts with advice on the general aspects of examination of the patients, followed by a series of clinical problems presented in the form of cases. Each case includes a fact file of key points to remember about this condition, and advises on the likely discussion points that can be asked. The book outlines in each clinical problem the likely use of OSCE, short and long case examinations.
Cerebrovascular disorders The dyspnoeic patient Chest pain Finger on the pulse The cardiac murmur Diabetes mellitus Jaundice Hypertension Sore joints Fundoscopy Blackouts The neurological patient (excluding blackout) Cranial nerves The patient with weight loss/debility Skin disease Diarrhoea Dementia Headache The anaemic patient The thyroid Renal failure Data interpretation Chest X-ray
3. SURGERY
HISTORY AND EXAMINATION IN SURGERY
THE CASES
Dysphagia Upper abdominal pain Jaundice Acute pancreatitis Altered bowel habit Rectal bleeding Neck lumps Abdominal examination Neck lumps The thyroid lump The breast lump External herniae Scrotal lumps Varicose veins Occlusive peripheral vascular disese Aneurysmal arterial disease Leg ulcers Cutaneous lesions Toe nails Stomas Surgical aspects of renal failure Central venous lines Chest drains Equipment Temperature charts Peri-operative care Orthopaedic cases
Multiple pregnancy Normal pregnancy Pre-eclampsia Previous caesarean section Small for dates Antepartum haemorrhage Breech presentation Large for dates Medical disorders in pregnancy (excluding diabetes) Preterm premature rupture of the membranes Previous postpartum haemorrhage Diabetes in pregnancy Previous fetal loss/abnormality Rhesus disease
6. PAEDIATRICS
HISTORY AND EXAMINATION IN PAEDIATRICS
THE CASES
Cardiac disease Developmental delay Neurological disorders The scrawny/small child The breathless child Dysmorphism Lumps and bumps Skin problems Painful joint(s)