Muutke küpsiste eelistusi

Oxford Handbook of Acute Medicine and Oxford Handbook for the Foundation Programme [Multiple-component retail product]

, (Stoke Mandeville Hospital, Aylesburyand Hammersmith Hospital, London), (Royal Free and University College Medical School, University College, London), (Hammersmith Rotation, London), , (Wellcome Trust and Addenbrooke's Hospital, Cambridg),
  • Formaat: Multiple-component retail product, 1600 pages, kõrgus x laius x paksus: 180x103x50 mm, kaal: 808 g
  • Sari: Oxford Medical Handbooks
  • Ilmumisaeg: 14-Jul-2016
  • Kirjastus: Oxford University Press
  • ISBN-10: 0198793936
  • ISBN-13: 9780198793939
Teised raamatud teemal:
  • Multiple-component retail product
  • Hind: 77,49 €*
  • * saadame teile pakkumise kasutatud raamatule, mille hind võib erineda kodulehel olevast hinnast
  • See raamat on trükist otsas, kuid me saadame teile pakkumise kasutatud raamatule.
  • Kogus:
  • Lisa ostukorvi
  • Tasuta tarne
  • Lisa soovinimekirja
Oxford Handbook of Acute Medicine and Oxford Handbook for the Foundation ProgrammeSuurem pilt
  • Formaat: Multiple-component retail product, 1600 pages, kõrgus x laius x paksus: 180x103x50 mm, kaal: 808 g
  • Sari: Oxford Medical Handbooks
  • Ilmumisaeg: 14-Jul-2016
  • Kirjastus: Oxford University Press
  • ISBN-10: 0198793936
  • ISBN-13: 9780198793939
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9780198793939.html
Two titles from the bestselling Oxford Medical Handbooks series are now available together in this great value pack.

The third edition of the best-selling Oxford Handbook of Acute Medicine is an up-to-date, practical and comprehensive guide to the management of the acutely ill patient. This edition has been revised throughout to include the most up-to-date guidelines and treatment management plans. A new junior author ensures that the content remains relevant and accessible to all medics approaching acute medicine for the first time. This edition includes a new chapter which focuses on common presentations, and quick reference boxes throughout highlight top priorities in the management of each condition. The section on practical procedures has also been expanded to include core competencies for the Foundation Programme.

With brand new figures and clinical tips from the experienced authors, the third edition of the Oxford Handbook of Acute Medicine remains the must-have resource for all those dealing with acute illness.

The Oxford Handbook for the Foundation Programme returns for a fourth edition with clear and thorough clinical guidance and honest advice to help you excel in your first two years as a doctor. This edition has been fully updated in line with the latest guidelines from NICE, Resuscitation Council UK, and the British Thoracic Society among others. This book gives you practical, step-by-step guidance on everything from neurological to gastroenterological presentations. Emergency presentations are highlighted in red and indexed on the inside front cover to give you fast access to the information you need. This edition also includes a fully revised chapter on pharmacopeia with references to the British National Formulary, as well as chapters on practical procedures and interpreting results.

The Oxford Handbook for the Foundation Programme is also a unique resource for things they don't teach you at medical school about being a doctor and life on the wards. The authors have drawn on their own experiences and careful research to help you understand issues ranging from your pay and pension, stress and workplace relations, paperwork, and career development.

This is an excellent resource for Foundation Programme trainees and medical students preparing themselves for life as a doctor. With this pocket-sized guide at your side you'll never be alone on the wards again.

Arvustused

Review from previous edition 'The real gems in this book are in the clinical presentations section, where management is arranged according to presenting complaint rather than by condition...a book...pitched at the right level for a junior doctor.' * British Journal of Hospital Medicine, March 2009 * 'I would whole-heartedly recommend this book to any new doctorsdeals with all the situations I have encountered so far as a FY1.realistic and focussedIt's a fantastic resource. Every new junior doctor should have a copy. And, as I have found, for some things their seniors will want to look at it too.' * BMA Book Awards, September 2012 *

Oxford Handbook of Acute Medicine
Symbols and abbreviations
xxvii
1 Cardiac emergencies
1(164)
Adult basic life support
4(2)
Adult advanced life support
6(2)
Universal treatment algorithm
8(2)
Acute coronary syndrome (ACS)
10(2)
ST elevation myocardial infarction (STEM!)
12(2)
STEMI: diagnosis 1
14(2)
STEMI: diagnosis 2
16(2)
STEMI: general measures
18(2)
STEMI: reperfusion therapy (thrombolysis) 1
20(2)
STEMI: thrombolysis 2
22(2)
STEMI: reperfusion by primary percutaneous coronary intervention (PCI)
24(2)
Surgery for acute STEMI
26(1)
STEMI: additional measures
27(1)
Right ventricular (RV) infarction
28(2)
STEMI: predischarge risk stratification
30(2)
STEMI: complications
32(2)
Ventricular septal defect post myocardial infarction (MI)
34(1)
Acute mitral regurgitation post MI
35(1)
Pseudoaneurysm and free wall rupture
35(1)
Cocaine-induced MI
36(2)
Ventricular tachyarrhythmia post MI
38(1)
Atrial tachyarrhythmia post MI
38(1)
Bradyarrhythmias and indications for pacing
39(1)
Bradyarrhythmias post MI
39(1)
Hypotension and shock post MI
40(2)
Cardiogenic shock
42(2)
Non-ST elevation myocardial infarction (NSTEMI)/unstable angina (UA)
44(2)
NSTEMI/UA: diagnosis
46(2)
NSTEMI/UA: risk stratification
48(2)
NSTEMI/UA: late risk stratification
50(1)
NSTEMI/UA: medical management 1
51(1)
NSTEMI/UA: medical management 2
52(2)
NSTEMI/UA: invasive versus non-invasive strategies
54(1)
NSTEMI/UA: discharge and secondary prevention
54(1)
Arrhythmias: general approach
55(1)
Tachyarrhythmias heart rate (HR) >120bpm
56(2)
Treatment options in tachyarrhythmias
58(2)
Broad complex tachycardia: diagnosis
60(2)
Monomorphic ventricular tachycardia (MVT)
62(2)
Polymorphic ventricular tachycardia (PVT)
64(2)
Ventricular tachycardia: drugs
66(2)
Narrow complex tachyarrhythmias (SVT)
68(3)
Dosages of selected antiarrhythmics for SVT
71(1)
Atrial fibrillation (AF): assessment
72(2)
AF: management
74(3)
AF: rate control
77(1)
Atrial flutter
78(1)
Multifocal atrial tachycardia (MAT)
79(1)
Accessory pathway tachycardia (AV re-entrant tachycardia, AVRT)
80(1)
Atrioventricular-nodal re-entry tachycardia (AVNRT)
81(1)
Bradyarrhythmias: general approach
82(2)
Sinus bradycardia or junctional rhythm
84(1)
Intraventricular conduction disturbances
85(1)
Types of atrioventricular (AV) conduction block
86(1)
Pulmonary oedema: assessment
87(2)
Pulmonary oedema: causes
89(1)
Pulmonary oedema: management 1
90(1)
Pulmonary oedema: management 2
91(2)
Pulmonary oedema: management 3
93(2)
Pulmonary oedema: specific conditions
95(1)
Infective endocarditis (1E)
96(2)
IE: diagnosis
98(1)
IE: investigations
99(1)
IE: antibiotics
100(2)
IE: monitoring treatment
102(2)
Culture-negative endocarditis
104(2)
Right-sided endocarditis
106(1)
Prosthetic valve endocarditis (PVE)
106(2)
Surgery for IE
108(2)
Endocarditis prophylaxis
110(2)
Acute aortic regurgitation (AR)
112(2)
Acute mitral regurgitation (MR)
114(2)
Deep vein thrombosis (DVT): assessment
116(2)
DVT: management
118(2)
Pulmonary embolism (PE): assessment
120(2)
PE: investigations 1
122(2)
PE: investigations 2
124(2)
Pulmonary embolism: management 1
126(2)
Pulmonary embolism: management 2
128(2)
Fat embolism
130(2)
Hypertensive emergencies
132(2)
Hypertensive emergencies: management
134(2)
Hypertensive emergencies: drug treatment
136(2)
Hypertensive emergency with retinopathy (accelerated and malignant hypertension)
138(2)
Hypertensive encephalopathy
140(2)
Aortic dissection: assessment
142(2)
Aortic dissection: investigations
144(2)
Aortic dissection: management 1
146(2)
Aortic dissection: management 2
148(2)
Acute pericarditis: assessment
150(2)
Acute pericarditis: management
152(2)
Bacterial pericarditis
154(2)
Cardiac tamponade: presentation
156(2)
Cardiac tamponade: management
158(2)
Congenital heart disease in adults 1
160(2)
Congenital heart disease in adults 2
162(3)
2 Respiratory emergencies
165(58)
Acute pneumonia: assessment
166(2)
Acute pneumonia: investigations
168(2)
Acute pneumonia: management
170(2)
Acute pneumonia: specific situations
172(1)
Acute pneumonia: complications
173(1)
Mycoplasma pneumonia
174(1)
Legionella pneumonia
174(1)
Viral pneumonia
175(1)
Chlamydia pneumonia
175(1)
Psittacosis
175(1)
Miscellaneous conditions
176(2)
Acute asthma: assessment
178(2)
Acute severe asthma: immediate therapy
180(2)
Acute severe asthma: further management
182(2)
Mild-moderate asthmatic attacks
184(2)
Acute exacerbation of chronic obstructive pulmonary disease (COPD): assessment
186(2)
Acute exacerbation of COPD: management
188(2)
Acute exacerbation of COPD
190(2)
Respiratory failure: assessment
192(2)
Respiratory failure: investigations
194(2)
Respiratory failure: management
196(2)
Adult respiratory distress syndrome 1
198(2)
Adult respiratory distress syndrome 2
200(2)
Adult respiratory distress syndrome 3
202(2)
Pneumothorax: assessment
204(2)
Pneumothorax: management
206(2)
Acute pneumothorax: management
208(2)
Tension pneumothorax
210(2)
Haemoptysis: assessment
212(2)
Haemoptysis: management
214(2)
Pleural effusions
216(2)
Chronic massive effusion
218(1)
Empyema
219(1)
Acute upper airway obstruction
220(3)
3 Gastroenterological emergencies
223(58)
Acute upper gastrointestinal (GI) bleeding 1
224(2)
Acute upper GI bleeding 2
226(2)
Acute upper GI bleeding 3
228(2)
Peptic ulcer disease
230(1)
Erosive gastritis/oesophagitis
230(2)
Variceal haemorrhage: medical management
232(2)
Variceal haemorrhage: further management
234(1)
Mallory-Weiss tear
234(2)
Acute gastroenteritis: assessment
236(2)
Bacterial gastroenteritis
238(1)
Viral gastroenteritis
239(1)
Clostridum difficile 240N
Giardiasis
240(2)
Travellers' diarrhoea
242(2)
Bloody diarrhoea
244(2)
Bacterial dysentery
246(1)
Amoebic dysentery
247(1)
Inflammatory bowel disease (IBD) 1
248(2)
Inflammatory bowel disease 2
250(2)
Inflammatory bowel disease 3
252(2)
Jaundice: assessment
254(2)
Viral hepatitis
256(2)
Alcoholic hepatitis
258(2)
Drug-induced hepatitis
260(1)
Autoimmune hepatitis
260(1)
Acholuric jaundice
260(1)
Sepsis
261(1)
Ischaemic hepatitis
261(1)
Obstructive jaundice
261(1)
Gallstone disease
262(1)
Acute cholecystitis
263(1)
Biliary obstruction
264(2)
Ascites
266(2)
Acute liver failure: assessment and investigations
268(2)
Acute liver failure: management
270(2)
'Acute-on-chronic' liver failure
272(1)
Hepatic encephalopathy
273(1)
Liver abscesses
274(2)
Acute pancreatitis: assessment
276(2)
Acute pancreatitis: management
278(3)
4 Renal emergencies
281(28)
Acute kidney injury (AKI) 1
282(2)
AKI 2
284(2)
AKI: investigations
286(2)
AKI: management
288(2)
AKI: further management
290(2)
Anuria
292(1)
Interstitial nephritis
293(1)
Rhabdomyolysis
294(2)
Hepatorenal syndrome
296(2)
Acute upper urinary tract infections
298(2)
Renal colic and renal stones
300(2)
Haematuria
302(2)
Renovascular disease
304(2)
Cholesterol embolism
306(1)
Contrast nephropathy
306(3)
5 Shock
309(22)
Shock
310(2)
Shock: assessment
312(2)
Shock: management
314(2)
Sepsis syndrome and septic shock
316(2)
Septic shock: management
318(2)
Sepsis syndrome/septic shock: antibiotics
320(1)
Toxic shock syndrome
321(1)
Anaphylaxis
322(2)
Lactic acidosis
324(2)
Appendix 1: haemodynamic calculations
326(1)
Appendix 2: understanding circulatory failure
327(1)
Appendix 3: inotrope support
328(2)
Appendix 4: sodium bicarbonate
330(1)
6 Neurological emergencies
331(114)
Coma: assessment
332(2)
Coma: immediate management
334(2)
Coma: clues from examination
336(2)
Coma: management
338(2)
Limb weakness: assessment
340(2)
Limb weakness: localizing the lesion
342(2)
Acute dizziness: assessment
344(2)
Acute dizziness: management
346(2)
Acute loss of vision
348(2)
Approach to acute/sub-acute visual loss
350(2)
Painful red eye: assessment
352(2)
Painful red eye: management
354(1)
Acute bacterial meningitis: assessment
355(1)
Acute bacterial meningitis: immediate management
356(2)
Acute bacterial meningitis: continuing therapy
358(1)
Acute bacterial meningitis: complications and their treatment
359(1)
Meningitis with lymphocytic CSF
360(2)
Acute viral encephalitis
362(2)
Head injury: presentation
364(2)
Head injury: assessment
366(2)
Head injury: immediate management
368(2)
Head injury: further management
370(2)
Raised intracranial pressure (ICP)
372(2)
Raised ICP: further management
374(2)
Intracranial space-occupying lesion
376(2)
Extradural haemorrhage
378(2)
Intracerebral haemorrhage
380(2)
Subdural haematoma
382(2)
Subarachnoid haemorrhage: assessment
384(2)
Subarachnoid haemorrhage: immediate management
386(2)
Subarachnoid haemorrhage: further management
388(2)
Status epilepticus (tonic-clonic)
390(2)
Status epilepticus (tonic-clonic) 2
392(2)
Stroke: overview
394(2)
Stroke: haemorrhage or infarct?
396(1)
Stroke: thrombolysis
396(2)
Stroke: other investigations
398(1)
Stroke: management
399(1)
Stroke: complications
400(1)
Stroke: acute blood pressure control
401(1)
Stroke: secondary prevention
402(1)
Cerebral infarction syndromes
403(1)
Brainstem stroke
404(2)
Cerebellar stroke
406(2)
Transient ischaemic attacks (TIAs)
408(2)
Confusional states and delirium: assessment
410(2)
Confusional states and delirium: management
412(2)
Acute alcohol withdrawal
414(2)
Neuromuscular respiratory failure: assessment
416(2)
Neuromuscular respiratory failure: investigations and management
418(2)
Myasthenic crises
420(2)
Spinal cord compression: assessment
422(2)
Spinal cord compression: management
424(2)
Guillain-Barre Syndrome (GBS)
426(2)
Botulism
428(2)
Tetanus
430(2)
Glasgow Coma Scale (GCS)
432(2)
Examination of brainstem function 1
434(2)
Examination of brainstem function 2
436(2)
Examination of brainstem function 3
438(2)
Oculocephalic and oculovestibular responses
440(2)
Brain death
442(3)
7 Infectious diseases
445(34)
Fever in a traveller 1
446(2)
Fever in a traveller 2
448(2)
Malaria: assessment
450(2)
Malaria: investigations
452(1)
Malaria: management
453(1)
Malaria: anti-malarial therapy
454(2)
Infections presenting with fever and rash
456(2)
Primary varicella infection (chickenpox)
458(2)
Herpes zoster (shingles)
460(1)
Varicella infection control
461(1)
Meningococcal infection: assessment
462(2)
Meningococcal infection: management
464(2)
Enteric fever (typhoid)
466(2)
Viral haemorrhagic fevers
468(2)
Rickettsial infections
470(1)
Q fever
471(1)
Human bites
471(1)
Non-human mammalian bites
472(1)
Infections in intravenous drug users
472(1)
Necrotizing fasciitis
473(1)
Severe acute respiratory syndrome (SARS)
473(1)
Bioterrorism
474(5)
8 Emergencies in HIV-positive patients
479(36)
Emergency presentations of HIV infection
480(2)
Factors influencing presentation in HIV disease
482(2)
HIV testing
484(2)
Clinical indicator diseases for adult HIV infection
486(1)
Primary HIV infection (PHI)
487(1)
Acute neurological conditions in HIV-positive patients: assessment
488(2)
Acute neurological conditions in HIV-positive patients: investigations
490(2)
Acute neurological conditions in HIV-infected patients: treatment
492(2)
Respiratory emergencies in HIV-positive patients: assessment
494(2)
Respiratory emergencies in HIV-positive patients: investigations
496(2)
Respiratory emergencies in HIV-positive patients: management
498(2)
Gastrointestinal (GI) presentations in HIV-positive patients: assessment
500(2)
GI presentations in HIV-positive patients: investigations
502(1)
GI presentations in HIV-positive patients: management
503(3)
Pyrexia of unknown origin
506(1)
Immune reconstitution inflammatory syndrome (IRIS)
507(1)
Dermatological presentations
508(1)
Haematological presentations
509(1)
Antiretroviral toxicity
510(2)
Drug interactions with antiretroviral therapy
512(1)
Post-exposure prophylaxis (PEP)
513(2)
9 Endocrine emergencies
515(58)
Diabetic ketoacidosis (DKA): assessment
516(2)
DKA: management 1
518(2)
DKA: management 2
520(2)
DKA: complications
522(2)
Hyperosmolar non-ketotic coma (HONK) 1
524(2)
HONK 2
526(2)
Hypoglycaemic coma: assessment
528(2)
Hypoglycaemic coma: management
530(2)
Urgent surgery in patients with diabetes
532(2)
Hyponatraemia: assessment
534(2)
Hyponatraemia: causes
536(2)
Hyponatraemia: management
538(2)
Hypernatraemia
540(2)
Acute hypocalcaemia
542(2)
Hypercalcaemia
544(2)
Hypophosphataemia
546(2)
Addisonian crisis: assessment
548(2)
Addisonian crisis: management
550(2)
Myxoedema coma
552(2)
Thyrotoxic crisis: assessment
554(2)
Thyrotoxic crisis: management
556(2)
Pituitary apoplexy
558(2)
Hypopituitary coma
560(2)
Phaeochromocytomas: assessment
562(2)
Phaeochromocytomas: management
564(2)
Polyuria
566(2)
Malignant hyperthermia
568(2)
Neurolepetic malignant syndrome
570(3)
10 Haematological emergencies
573(48)
Blood transfusion reactions
574(2)
Sickle cell crisis: presentation
576(2)
Sickle cell crisis: management
578(2)
Bleeding disorders: general approach
580(2)
Abnormal coagulation 1
582(2)
Abnormal coagulation 2
584(1)
Circulating inhibitors of coagulation
584(2)
Abnormal platelets
586(2)
Anticoagulant therapy
588(1)
Bleeding with fibrinolytic therapy
589(1)
Bleeding in liver disease
590(1)
Bleeding in uraemia
590(1)
Massive transfusion/cardiopulmonary bypass
591(1)
Haemophilia and related disorders 1
592(2)
Haemophilia and related disorders 2
594(2)
Combined thrombotic and haemorrhagic disorders
596(1)
Disseminated intravascular coagulation (DIC)
596(2)
Thrombotic thrombocytopenic purpura (TTP) and haemolytic-uraemic syndrome (HUS)
598(2)
Microangiopathic haemolytic anaemia
600(1)
Heparin-associated thrombocytopenia
601(1)
Acute leukaemias: presentation
602(2)
Acute leukaemias: management
604(1)
Acute leukaemias: treatment
605(1)
Early complications of bone marrow transplantation (BMT)
606(2)
Complications of BMT
608(2)
The febrile neutropenic patient 1
610(2)
The febrile neutropenic patient 2
612(2)
Infections in the transplant patient
614(1)
Cytomegalovirus (CMV) infections in transplant patients
615(1)
Hyperviscosity syndrome
616(1)
Tumour lysis syndrome
617(1)
Hypercalcaemia of malignancy
618(1)
Superior versa cava obstruction
619(1)
Massive mediastinal mass
620(1)
11 Rheumatological emergencies
621(32)
Acute monoarthritis: presentation
622(2)
Acute monoarthritis: investigations
624(1)
Septic arthritis
625(1)
Crystal arthropathy
626(2)
Polyarthritis
628(2)
Rheumatoid arthritis
630(1)
Seronegative arthritides (spondyloarthropathies)
631(1)
Reactive arthritis
632(1)
Ankylosing spondylitis
632(1)
Enteropathic arthritis
633(1)
Infections
633(1)
Vasculitis
634(2)
Systemic lupus erythematosus (SLE)
636(2)
Wegener's granulomatosis and microscopic polyarteritis nodosa (PAN) 1
638(2)
Wegener's granulomatosis and microscopic PAN 2
640(2)
Cryoglobulinaemia
642(2)
Giant cell arteritis (temporal arteritis)
644(2)
Polymyalgia rheumatica (PMR)
646(2)
Back pain
648(2)
Prolapsed intervertebral disc
650(2)
C1-esterase inhibitor deficiency (angioneurotic oedema)
652(1)
12 Dermatological emergencies
653(16)
Cutaneous drug reactions
654(2)
Erythroderma
656(2)
Urticaria
658(2)
Autoimmune bullous disease
660(2)
Eczema herpeticum
662(1)
Herpes zoster
662(2)
Generalized pustular psoriasis
664(2)
Toxic epidermal necrolysis (TEN) 1
666(2)
TEN 2
668(1)
13 Psychiatric emergencies
669(22)
Acute confusion: assessment
670(2)
Acute confusion: management
672(2)
Acute alcohol withdrawal
674(2)
Dealing with violent patients
676(2)
Deliberate self-harm
678(2)
The Mental Health Act and common law
680(2)
Treating patients against their will
682(1)
The law on consent and capacity
683(1)
Patients who do not wish to stay in hospital
684(2)
Detaining a patient in an emergency
686(2)
Mentally ill patients in hospital
688(3)
14 Drug overdoses
691(44)
Overdoses: general approach
692(2)
Drug overdoses and antidotes
694(2)
Amphetamines
696(1)
Antipsychotic drugs
697(1)
Benzodiazepines
698(1)
beta-blockers
699(1)
Calcium channel blockers
700(2)
Carbon monoxide
702(2)
Cocaine
704(2)
Cyanide
706(2)
Digoxin
708(2)
Ecstasy
710(1)
Ethanol: acute intoxication
711(1)
Ethylene glycol
712(2)
Flunitrazepam
714(1)
Gamma hydroxybutyric acid (GHB) or liquid ecstasy
714(1)
Iron
715(1)
Lithium
716(1)
Lysergic acid diethylamide (LSD)
717(1)
Methanol
718(2)
lsopropanol
720(1)
Olanzapine
720(1)
Opiates
720(2)
Paracetamol: assessment
722(2)
Paracetamol: management
724(2)
Paraquat
726(1)
Risperidone
727(1)
Salicylates
728(2)
Selective serotonin reuptake inhibitors (SSRIs)
730(1)
Theophylline
731(1)
Tricyclic antidepressants
732(1)
Valproate
733(2)
15 Practical procedures
735(78)
Arterial blood sampling
736(2)
Arterial line insertion 1
738(2)
Arterial line insertion 2
740(2)
Central line insertion
742(2)
Internal jugular vein cannulation
744(2)
Subclavian vein cannulation
746(2)
Ultrasound (US)-guided central venous catheterization 1
748(2)
US-guided central venous catheterization 2
750(2)
Pulmonary artery catheterization 1
752(2)
Pulmonary artery catheterization 2
754(2)
Pulmonary artery catheterization 3
756(2)
Indications for temporary pacing
758(2)
Temporary cardiac pacing: ventricular pacing
760(2)
Temporary cardiac pacing: atrial pacing
762(2)
Temporary cardiac pacing: complications
764(2)
Pericardial aspiration 1
766(2)
Pericardial aspiration 2
768(2)
DC cardioversion 1
770(2)
DC cardioversion 2
772(2)
Intra-aortic balloon counterpulsation 1
774(1)
Intra-aortic balloon counterpulsation 2
775(1)
Principles of respiratory support
776(2)
Mechanical ventilation
778(1)
Nasal ventilation
779(1)
Positive pressure ventilation
780(2)
Percutaneous cricothyrotomy
782(2)
Endotracheal intubation
784(2)
Aspiration of a pneumothorax
786(1)
Aspiration of a pleural effusion
787(1)
Insertion of a chest drain 1
788(2)
Insertion of a chest drain 2
790(2)
Ascitic tap (paracentesis)
792(1)
Total paracentesis
793(1)
Insertion of Sengstaken-Blakemore tube
794(1)
Percutaneous liver biopsy
795(1)
Transjugular liver biopsy
795(1)
Transjugular intrahepatic portosystemic shunt (TIPS)
796(1)
Peritoneal dialysis (PD)
797(1)
Intermittent haemodialysis
798(1)
Haemofiltration
798(1)
Plasmapheresis
799(1)
Renal biopsy
800(1)
pHi determination (gastric tonometer)
801(1)
Joint aspiration
802(2)
Intracranial pressure monitoring
804(2)
Lumbar puncture 1
806(2)
Lumbar puncture 2
808(2)
Needlestick injuries
810(3)
16 Differential diagnosis of common presentations
813(26)
Introduction
814(1)
Systemic enquiry
815(1)
Abdominal pain 1
816(2)
Abdominal pain 2
818(1)
Abdominal pain (referred)
819(1)
Abdominal distension
819(1)
Back pain
820(1)
Blackouts
820(1)
Breathlessness/dyspnoea
821(1)
Chest pain
822(1)
Chest pain (pleuritic)
822(1)
Collapse
822(1)
Confusion
823(1)
Constipation
823(1)
Cough
823(1)
Cutaneous manifestations of internal malignancy
824(1)
Diarrhoea
825(1)
Diarrhoea (bloody)
825(1)
Dysphagia
826(1)
Falls
826(1)
Fever
826(1)
Fever in a traveller
827(1)
Fits
827(1)
Haematemesis and melaena
827(1)
Haematuria
828(1)
Haemoptysis
829(1)
Headache
830(1)
Hemiparesis
830(1)
Hoarseness
831(1)
Itching/pruritus
831(1)
Joint pain/swelling
832(1)
Leg swelling
833(1)
Melaena
833(1)
Muscle weakness
834(1)
Nausea
834(1)
Palpitations
835(1)
Seizures
835(1)
Tremor
836(1)
Unconsciousness/reduced consciousness
837(1)
Vomiting
837(1)
Weak legs
838(1)
Wheeze
838(1)
Appendix
839(12)
Index
851
Oxford Handbook For The Foundation Programme
Preface
xvii
Acknowledgements
xviii
Symbols and abbreviations
xix
Introduction
xxxiv
10 tips on being a safe junior doctor
xxxvi
10 tips on being a happy doctor
xxxvii
1 Being a doctor
1(64)
The Foundation Programme
1(10)
The Foundation Programme
2(2)
Applying to the Foundation Programme
4(4)
The FP curriculum and assessment
8(3)
Starting as an F1
11(8)
Before you start
11(1)
Your first day
12(1)
Occupational health
13(1)
What to carry
14(1)
How to be an F1
15(2)
Getting organised
17(1)
Being efficient
18(1)
Communication
19(6)
Patient-centred care
19(1)
Communication and conduct
20(2)
Breaking bad news
22(1)
Cross-cultural communication
23(1)
Outside agencies
24(1)
Quality and ethics
25(5)
Clinical governance/quality
25(1)
Medical ethics
26(1)
Patient confidentiality
27(1)
Capacity
28(1)
Consent
29(1)
When things go wrong
30(6)
Medical errors
30(1)
Complaints
31(1)
Incident reporting
32(1)
Colleagues and problems
33(1)
Hating your job
34(1)
Relaxation
35(1)
Causes of stress
35(1)
Boring but important stuff
36(7)
Pay and contracts
36(2)
Making more money
38(2)
Money and debt
40(2)
NHS entitlements
42(1)
Your career
43(22)
Specialty training
43(1)
Specialty training applications
44(1)
Career structure
45(1)
Specialty training options
46(2)
Specialty training competition
48(2)
Choosing a job
50(1)
Specialties in medicine
51(1)
Your curriculum vitae
52(2)
Post-Foundation Programme CV
54(2)
Interviews
56(1)
Membership exams
57(1)
Continuing your education
58(1)
Audit
59(1)
Presentations and teaching
60(3)
Teaching medical students
63(1)
Research and academia
64(1)
2 Life on the wards
65(58)
The medical team
66(2)
The multidisciplinary team
68(1)
Daily ward duties
69(1)
Ward rounds
70(2)
Being on-call
72(1)
Night shifts
73(1)
Writing in the notes
74(2)
Common symbols in the notes
76(1)
Anatomical terms and planes
77(1)
Forms
78(8)
Discharge summaries (TTOs/TTAs)
78(2)
Fitness to work notes
80(1)
Referrals
81(1)
Referral letters
82(2)
Investigation requests
84(1)
Radiology
85(1)
Common ward dilemmas
86(21)
Pain
86(4)
Thinking about death
90(1)
Palliative care
91(1)
The dying patient
92(2)
Death
94(8)
Nutrition
102(1)
Nutritional requirements
103(1)
Difficult patients
104(1)
Aggression and violence
105(1)
Needle-stick injuries
106(1)
Surgery
107(16)
Pre-op assessment
107(2)
Bowel preparation
109(1)
Surgical terminology
110(1)
Preparing in-patients for surgery
111(1)
Booking theatre lists
112(1)
Surgical instruments
113(1)
The operating theatre
114(2)
Post-op care
116(1)
Post-op problems
117(1)
Wound management
118(1)
Common elective operations
119(2)
Stomas
121(2)
3 History and examination
123(44)
Basic history
124(2)
Basic examination
126(1)
Recording your clerking
127(1)
Medicine
128(13)
Cardiovascular
128(2)
Respiratory
130(1)
Gastrointestinal
131(1)
Neurological
132(5)
Endocrine
137(1)
Skin
138(2)
Oncological/haematological
140(1)
Surgery
141(15)
Breast
141(1)
Eyes
142(2)
Head and neck
144(2)
Musculoskeletal
146(8)
Urological
154(2)
Other specialties
156(11)
Female reproductive system
156(2)
Obstetric
158(2)
Psychiatric
160(3)
Neonatal examination
163(1)
Paediatric
164(3)
4 Prescribing
167(14)
Prescribing - general considerations
168(1)
How to prescribe - best practice
169(2)
Drug interactions
171(1)
Reporting adverse drug reactions
171(1)
Special considerations
172(1)
Controlled drugs
173(1)
Enzyme inducers and inhibitors
174(1)
Endocarditis prophylaxis
175(1)
Night sedation
176(1)
Steroid therapy
177(1)
Topical corticosteroids
178(1)
Empirical antibiotic treatment
179(1)
Clostridium difficile (C. diff)
180(1)
5 Pharmacopoeia
181(42)
Pharmacopoeia
182(41)
6 Resuscitation
223(16)
Early warning scores
224(2)
Peri-arrest
226(1)
In-hospital resuscitation
227(1)
Advanced Life Support (ALS)
228(2)
Arrest equipment and tests
230(2)
Advanced Trauma Life Support (ATLS)
232(2)
Paediatric Basic Life Support
234(2)
Newborn Life Support (NLS)
236(2)
Obstetric arrest
238(1)
7 Cardiovascular
239(30)
Chest pain emergency
240(1)
Chest pain
241(7)
Tachyarrhythmia emergency
248(2)
Tachyarrhythmias
250(6)
Bradyarrhythmia emergency
256(2)
Bradyarrhythmias
258(4)
Hypertension emergency
262(1)
Hypertension
263(4)
Heart failure
267(2)
8 Respiratory
269(18)
Breathlessness and low sats emergency
270(1)
Breathlessness and low sats
271(13)
Stridor in a conscious adult patient
284(1)
Cough
285(2)
9 Gastroenterology
287(34)
Abdominal pain emergency
288(1)
Abdominal pain
289(9)
GI bleeding emergency
298(1)
Acute upper GI bleeds
299(2)
Acute lower GI bleeds
301(3)
Nausea and vomiting
304(2)
Diarrhoea
306(4)
Constipation
310(2)
Liver failure emergency
312(1)
Liver failure
313(5)
Jaundice
318(3)
10 Endocrinology
321(16)
Hypoglycaemia emergency
322(1)
Hypoglycaemia
323(1)
Hyperglycaemia emergency
324(1)
Hyperglycaemia
325(2)
Sliding scales
327(1)
Diabetes mellitus
328(3)
Pituitary axis
331(1)
Adrenal disease
332(2)
Thyroid disease
334(3)
11 Neurology and psychiatry
337(34)
Coma and reduced GCS emergency
338(2)
Coma and reduced GCS
340(1)
Acute confusion
341(1)
Dementia
342(2)
Adult seizures emergency
344(1)
Paediatric seizures emergency
345(1)
Seizures
346(3)
Neurodegenerative disorders
349(1)
Stroke/CVA/TIA emergency
350(1)
Stroke
351(2)
Focal neurology
353(3)
Back pain
356(2)
Headache
358(4)
Dizziness
362(2)
Aggressive behaviour emergency
364(1)
Mood disturbance/psychosis
365(6)
12 Fluids and renal
371(20)
Acute kidney injury
372(1)
Chronic renal failure
373(1)
Haematuria
374(1)
Proteinuria
375(1)
Glomerular disease
376(1)
Urological disorders
377(1)
Low urine output
378(2)
IV fluids
380(4)
Potassium emergencies
384(1)
Electrolyte imbalance
385(6)
13 Haematology
391(18)
Anaemia
392(6)
Transfusion of blood products
398(6)
Clotting emergencies
404(1)
Bleeding
405(1)
Anticoagulation
406(3)
14 Skin and eyes
409(24)
Rash emergency
410(1)
Rash
411(1)
Bacterial infections causing a rash
412(2)
Viral infections causing a rash
414(2)
Fungal infections causing a rash
416(1)
Infestations causing a rash
416(1)
Chronic inflammatory rashes
417(1)
Other causes of rash
418(2)
Skin lumps
420(2)
Skin cancers
422(1)
Breast lumps
423(1)
Leg ulcers
424(2)
Acute red eye emergency
426(3)
Sudden visual loss
429(1)
Gradual visual loss
430(1)
Other visual disturbances
431(2)
15 Emergency department
433(76)
Trauma
434(4)
Head injury
438(2)
Neck injury
440(2)
Falls and collapse
442(2)
Acutely painful limb emergency
444(1)
Acute limb pain
445(3)
Chronic limb pain
448(1)
Limb swelling
449(3)
Joint pain
452(6)
Neck lumps
458(2)
ENT
460(2)
Groin lumps
462(4)
Burns emergency
466(2)
Burns
468(2)
Anaphylaxis in adults
470(2)
Hypotension emergency
472(1)
Hypotension
473(3)
Shock
476(6)
Pyrexia
482(10)
Overdose emergency
492(1)
Overdose and deliberate self-harm
493(3)
Vaginal bleeding
496(4)
Gynaecological causes of pain
500(1)
Contraception
501(1)
Early pregnancy (1st trimester)
502(2)
Later pregnancy (2nd/3rd trimester)
504(2)
Delivery
506(1)
After delivery (post-partum)
507(2)
16 Procedures
509(56)
Practical procedures
510(1)
Laboratories
511(1)
Achievement of Core Foundation Skills
512(2)
Blood and injections
514(14)
Taking blood (venepuncture)
514(2)
Femoral stab
516(1)
Blood tubes
517(1)
IV cannulation
518(2)
Taking blood in children
520(2)
Arterial blood gas (ABG)
522(2)
SC/IM injections
524(2)
IV injections
526(2)
Cardiology
528(10)
ECGs and cardiac monitors
528(2)
Exercise tolerance test
530(1)
Chemical cardioversion (adenosine)
531(1)
Cardioversion and defibrillation
532(2)
Central lines
534(2)
Thrombolysis
536(2)
Respiratory
538(8)
Pleural tap
538(2)
Chest drain (Seldinger method)
540(2)
Endotracheal intubation (adult)
542(2)
Laryngeal mask airway (LMA)
544(2)
Urology
546(2)
Urethral catheterisation
546(2)
Replacing a suprapubic catheter
548(1)
Gastroenterology
548(4)
Replacing a PEG feeding tube
548(1)
Nasogastric (NG) tubes
549(1)
Ascitic tap (abdominal paracentesis)
550(2)
Neurology
552(2)
Lumbar puncture (LP)
552(2)
Others
554(11)
Normal vaginal delivery
554(2)
Joint aspiration and injection
556(2)
Local anaesthetic (LA)
558(2)
Suturing
560(2)
Reduction of fractures and dislocations
562(3)
17 Interpreting results
565(34)
Blood tests
566(6)
Full blood count (FBC)
566(1)
Clotting
567(1)
Cardiac markers
567(1)
Inflammatory response
567(1)
Urea and electrolytes (U+E)
568(1)
Liver function tests (LFT) and amylase
569(1)
Calcium and phosphate
570(1)
Endocrine tests
571(1)
Cardiology
572(10)
Electrocardiogram (ECG)
572(10)
Respiratory
582(6)
Chest X-ray (CXR)
582(2)
Arterial blood gases (ABGs)
584(2)
Respiratory function tests
586(2)
Gastrointestinal
588(4)
Abdomen X-ray (AXR)
588(2)
Urine tests
590(2)
Neurological
592(1)
CSF
592(1)
Musculoskeletal
593(6)
Autoantibodies and associated diseases
593(1)
Cervical spine radiographs
594(2)
Skeletal radiographs
596(3)
Appendices
599(16)
Useful numbers and websites
600(2)
Height conversion
602(1)
Weight conversion
603(1)
Body mass index (BMI)
604(1)
Driving regulations
605(1)
Interesting cases
606(2)
Telephone numbers 1
608(1)
Your firm's timetable 1
609(1)
Telephone numbers 2
610(1)
Your firm's timetable 2
611(1)
Telephone numbers 3
612(1)
Your firm's timetable 3
613(2)
Index
615
Punit Ramrakha is a consultant cardiologist at Stoke Madeville Hospital and Hammersmith Hospital. He graduated from Cambridge and Oxford before training in General Medicine at Hammermith Hospital, Royal Brompton Hospital, St Thomas' Hospital and National Hospital for Queen Squarr. He undertook his cardiology training as a Registrar at the Hammersmith Hospital, Charing Cross Hospital and St Mary's Hospital, London. He also founded the Chiltern Hills Heart Clinic. His clinical research interests include cardiac rehabilitation and biomarkers to identify individuals at high risk of cardiac disease.

Kevin Moore is Professor of Hepatology at the Royal Free and University College Medical School, University College, Leeds. He leads the alcohol liaison service for the Royal Free NHS Foundation Trust, and has an interest in portal hypertension and ascites.

Amir Sam is a Specialist Registrar and Academic Fellow in Endocrinology and Diabetes in Hammersmith, London. He completed his post-graduate medical training in Oxford and London, and completed his PhD in Neuroendocrinology as a Wellcome Trust Clinical Research Fellow at Imperial College London.

Tim Raine is a Clinical Fellow and Honorary Registrar in Gastroenterology and General Medicine for the Wellcome Trust and Addenbrooke's Hospital, Cambridge. He serves on the British Society of Gastroenterology IBD Clinical Research Group.

James Dawson is a Consultant Anaesthetist at Nottingham University Hospitals NHS Foundation Trust.

Stephan Sanders is an Assistant Specialist at the University of California. He has previously worked as a pediatric physician in Nottingham and London, before taking a postdoctoral research position at Yale. His research focuses on using genomics and bioinformatics to understand the etiology of human disease, especially autistic spectrum disorder.

Simon Eccles is a Consultant in Emergency Medicine at the Homerton Hospital, and the medical director of NHS Connecting for Health. He once headed the BMA's junior doctors committee, and has previously acted as clinical advisor to the Health Insight Unit of the Department of Health.