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CLINICAL FINALS AND HOW TO PASS THEM
Clinical Finals and How to Pass Them
OSCE's, Short Cases and Long Cases
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Second Edition

By
Kevin Hanretty, MD, FRCOG, Consultant Obstetrician and Gynaecologist, The Queen Mother's Hospital, Glasgow; Honorary Senior Clinical University Teacher, University of Glasgow, Glasgow, UK
Tom Turner, Consultant Paediatrician, Queen Mothers Hospital, Glasgow, UK
John McGregor, Consultant Surgeon, Crosshouse Hospital, Kilmarnock, UK
Stuart Hood, Colsultant Cardiology, Royal Alexandra Hospital, Renfrewshire, UK
Robert Hunter, Consultant Pyschiatrist, Gartnavel Royal Hospital, Glasgow, UK

Description
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.

Audience
Medical students preparing for final exams

Contents


1. INTRODUCTION




2. MEDICINE




HISTORY AND EXAMINATION IN MEDICINE




THE CASES


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




4. GYNAECOLOGY




HISTORY AND EXAMINATION IN GYNAECOLOGY




THE CASES


Postmenopausal bleeding
Contraception/sterilization
Menorrhagia
Chronic pelvic pain
Hormone replacement treatment
Infertility
Prolapse
Urinary incontinence
Intermenstrual bleeding/abnormal smear
Vaginal discharge
Vulval mass/pruritus vulvae
Pelvic mass
Recurrent miscarriage




5. OBSTETRICS




HISTORY AND EXAMINATION IN OBSTETRICS




THE 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)




7. PSYCHIATRY




HISTORY AND EXAMINATION IN PSYCHIATRY




THE CASES


Affective disorders
Bipolar affective disorder (or manic depression)
Depressive episode/disorder
Deliberate self-harm and suicide
Anxiety based disorders
Post traumatic stress disorder
Panic disorders
Phobic anxiety disorders
Obsessive-compulsive disorder
Organic disorders
Acute confusion/delirium
Dementias
Alzheimer's disease
Lewy body dementias
Multi infarct demential
Eating disorders
Anorexia nervosa
Bulimia nervosa
Personality and/or behavioural disorders
Antisocial (psychopathic) personality disorder
Anxious (avoidant personality disorder)
Borderline (emotionally unstable) personality disorder
Dependent personality disorder
Histrionic personality disorder
Narcissistic personality disorder
Paranoid personality disorder
Schizoid personality disorder
Schizophrenic and related psychoses
Schizophrenia
Schizo affective disorder
Delusional disorders
Substance misuse and addiction
Commonly misused substances
Alcohol
Cannabis
Opioids
Stimulants
Hallucinogens


Bibliographic details
Paperback, 356 pages, publication date: APR-2004
ISBN-13: 978-0-443-07359-5
ISBN-10: 0-443-07359-7
Imprint: CHURCHILL LIVINGSTONE


049/435
Last update: 10 Sep 2009
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