British Medical Association Book Awards 2009 - Highly Commended, Medicine Clinical examinations in the OSCE style of marked stations are daunting for all students, whether undergraduates or MRCP candidates. The recent introduction of the 5-station PACES (Progressive Assessment of Clinical Examination Skills) exam inspired a great deal of apprehension, so the appearance of the first edition of Hall's PACES for MRCP was greatly welcomed by candidates and became an immediate success. This new edition builds on the book's reputation. It provides, in one colourful and attractive volume, complete coverage of all the most common medical cases that will be covered in PACES and similar exams. Although designed specifically for the PACES part of the MRCP exam, its in-depth coverage means that it can be used by any student preparing for clinical examinations in medicine. INDICE: INTRODUCTION STATION 1 RESPIRATORY AND ABDOMINAL SYSTEMRESPIRATORY SYSTEMExamination of the respiratory systemCases1.1 Chronic obstructive pulmonary disease1.2 Consolidation 1.3 Dullness at the lung base 1.4 Pneumonia 1.5 Lung cancer 1.6 Pancoast's syndrome 1.7 Superior vena cava obstruction 1.8 Collapse/pneumonectomy/lobectomy 1.9 Bronchiectasis 1.10 Cystic fibrosis 1.11 Kartagener's syndrome 1.12 Tuberculosis 1.13 Idiopathic pulmonary fibrosis and diffuse parenchymal lung disease 1.14 Rheumatoid lung 1.15 Extrinsic allergic alveolitis 1.16 Asbestos-related lung disease and pneumoconiosis 1.17 Pulmonary sarcoidosis 1.18 Pulmonary hypertension 1.19 Cor pulmonale 1.20 Pulmonary embolism 1.21 Pleural effusion 1.22 Pleural rub 1.23 Pneumothorax 1.24 Obstructive sleep apnoea-hypopnoea syndrome 1.25 Lung transplantABDOMINAL SYSTEMExamination of the abdominal systemCases1.26 Chronic liver disease 1.27 Jaundice 1.28 Ascites 1.29 Alcoholic liver disease1.30 Viral hepatitis 1.31 Autoimmune hepatitis 1.32 Primary biliary cirrhosis 1.33 Hereditary haemochromatosis 1.34 Wilson's disease 1.35 Hepatomegaly 1.36 Splenomegaly 1.37 Hepatosplenomegaly 1.38 Felty's syndrome 1.39 Abdominal mass 1.40 Crohn's disease 1.41 Ulcerative colitis 1.42 Carcinoid syndrome 1.43 Enteric and urinary stomas 1.44 Chronic myeloid leukaemia 1.45 Polycythaemia vera, myeloproliferative disorders and myelodysplasia 1.46 Chronic lymphocytic leukaemia 1.47 Lymphadenopathy and lymphoma 1.48 Polycystic kidney disease 1.49 Nephrotic syndrome 1.50 Renal transplantSTATION 2: HISTORY-TAKING SKILLSIntroduction to history-taking skillsClinical reasoningThe traditional medical history modelIncorporating the patient's perspective - ideas, concerns and expectationsHistory-taking skills - the communication skills that make history-taking effectiveThe traditional model and communication skills - putting these two togetherCasesRespiratory problems2.1 Breathlessness 2.2 AsthmaAbdominal problems2.3 Dyspepsia 2.4 Dysphagia2.5 Abdominal pain2.6 Altered bowel habitCardiovascular problems2.7 Prevention of cardiovascular disease and weight gain2.8 Chest pain and angina2.9 Acute coronary syndrome2.10 Heart failure 2.11 Palpitations 2.12 Atrial fibrillation 2.13 Dyslipidaemia2.14Hypertension Neurological problems2.15 Headache 2.16 Transient ischaemic attack2.17 Weakness and wasting2.18 TMultiple sclerosis2.19 TremorLocomotor problems2.20 Back pain 2.21 Joint painEye problems2.22 Visual loss Endocrine problems 2.23 Type 1 diabetes mellitus 2.24 Type 2 diabetes mellitusRenal and metabolic problems2.25 Acute renal failure2.26 Chronic kidney disease and renal replacement therapy 2.27 Glomerulonephritis2.28 Systemic vasculitis2.29 Hypercalcaemia 2.30 Hyponatraemia2.31 Poisoning and metabolic disturbance Haematological problems2.32 Anaemia2.33 Sickle cell disease and thalassaemia2.34 Purpura 2.35 Haemophilia 2.36 Deep vein thrombosis 2.37 Thrombophilic tendency2.38 MyelomaInfectious disease 2.39 Human immunodeficiency virus infection Other general internal medicine and elderly care problems 2.40 Falls and rehabilitation 2.41 Syncope 2.42 Seizures 2.43 Acute confusion2.44 Mild cognitive impairment and dementia 2.45 Incontinence2.46 Raised inflammatory markers2.47 Polymyalgia and giant cell arteritis2.48 Pyrexia and sepsis2.49 Weight loss2.50 TirednessSTATION 3: CARDIOVASCULAR SYSTEM AND NERVOUS SYSTEMCARDIOVASCULAR SYSTEMExamination of the cardiovascular system Cases3.1 Mitral stenosis 3.2 Mitral regurgitation 3.3 Aortic stenosis 3.4 Aortic regurgitation 3.5 Tricuspid regurgitation and Ebstein's anomaly 3.6 Other right-sided heart murmurs 3.7 Mixed valve disease 3.8 Mitral valve prolapse 3.9 Prosthetic valves 3.10 Permanent pacemaker 3.11 Infective endocarditis 3.12 Congenital heart disease 3.13 Cyanotic heart disease 3.14 Hypertrophic (obstructive) cardiomyopathy 3.15 Pericardial rub and pericardial diseaseNERVOUS SYSTEMExamination of the nervous system- Overview of the organisation of the nervous system and how to examine it- Cranial nerves - Higher cortical function and specific lobes- Speech and language- Power and sensation- Upper limbs - Lower limbs - GaitCases3.16 Visual field defects 3.17 Ocular nerve lesions3.18 Internuclear ophthalmoplegia 3.19 Nystagmus 3.20 Ptosis 3.21 Large pupil 3.22 Small pupil 3.23 Horner's syndrome 3.24 Cerebellopontine angle syndrome 3.25 Facial nerve palsy 3.26 Bulbar palsy 3.27 Anterior circulation stroke syndromes 3.28 Dysphasia and dysarthria 3.29 Pseudobulbar palsy 3.30 Agnosias and apraxias 3.31 Posterior circulation stroke syndromes 3.32 Parkinson's disease 3.33 Cerebellar disease 3.34 Spastic paraparesis and Brown Sequard syndrome 3.35 Syringomyelia 3.36 Absent ankle jerks and extensor plantars3.37 Motor neurone disease3.38 Cervical myeloradiculopathy3.39 Cauda equina syndrome 3.40 Carpal tunnel syndrome (median nerve lesion) 3.41 Ulnar nerve lesion 3.42 Radial nerve lesion 3.43 Wasting of the small (intrinsic) muscles of the hand3.44 Common peroneal nerve lesion3.45 Peripheral neuropathy3.46 Charcot-Marie-Tooth disease and hereditary neuropathies3.47 Guillain-Barre syndrome3.48 Myasthenia gravis3.49 Myotonic dystrophySTATION 4: COMMUNICATION SKILLS AND ETHICSCOMMUNICATION SKILLS AND ETHICSIntroduction to communication skills and ethicsCasesDiscussing clinical management4.1 Explaining a diagnosis4.2 Explaining an investigation4.3 Discussing a treatment4.4 Discussing management, prognosis and possible complications in a patient with multiple problems4.5 Discussing diagnostic uncertainty 4.6 Discussing risk and treatment effect4.7 Negotiating a management plan for a chronic disease/long-term condition4.8 Encouraging concordance with treatment and preventionCommunication in special circumstances4.9 Cross-cultural communication4.10 Communicating with angry patients or relatives4.11 Communicating with upset and distressed relatives4.12 Discharge against medical advice 4.13 Delayed discharge Breaking bad news4.14 Cancer - potentially curable4.15 Cancer - likely incurable4.16 Cancer - patient not fit for active treatment4.17 Chronic disease 4.18 Discussing an acutely terminal situation with relativesConfidentiality, consent and capacity4.19 Legal points in confidentiality4.20 Breaching confidentiality when a third party may be at risk4.21 Breaching confidentiality in the public interest4.22 Confidentiality when talking with relatives and other third parties4.23 Consent for investigation or treatment4.24 Consent and capacity4.25 Refusal to consent4.26 Deliberate self-harmEnd of life issues4.27 Resuscitation-status decision-making discussion with patient4.28 Resuscitation status decision-making discussion with relative4.29 Appropriateness of intensive therapy unit transfer4.30 Withholding and withdrawing life-prolonging treatments - Artificial hydration and nutrition4.31 Withholding and withdrawing life-prolonging treatments - antibiotics and drugs4.32 Percutaneous endoscopic gastrostromy feeding 4.33 Palliative care4.34 Advance directives/decisions 4.35 Persistent vegetative state4.36 Brainstem death4.37 Discussing live organ donation4.38 Requesting an autopsy (post-mortem)Clinical Governance4.39 Critical incident4.40 Managing a complaint and the question of negligence4.41 Fitness to practice - poor peformance in a colleague4.42 Fitness to practice - misconduct in a colleague4.43 Fitness to practice - health problems in a colleague4.44 Recruitment to a randomised controlled trialOther communication, ethical and legal scenarios4.45 Genetic testing4.46 HIV testing4.47 Needlestick injury 4.48 Medical opinion on fitness for anaesthesia4.49 Fitness to drive4.50 Industrial injury benefitsSTATION 5: SKIN, LOCOMOTOR SYSTEM, EYES, ENDOCRINE SYSTEMSKINExamination of the skinCases5.1 Psoriasis 5.2 Dermatitis5.3 Lichen planus5.4 Blistering skin condititions 5.5 Facial rash 5.6 Scleroderma, vitiligo and autoimmune skin disease 5.7 Oral lesions 5.8 Nail lesions 5.9 Shin lesions 5.10 Neurofibromatosis5.11 Tuberose sclerosis5.12 Neoplastic skin lesions5.13 Skin vasculitis 5.14 Xanthomata and xanthelasmata5.15 Skin and soft tissue infectionLOCOMOTOR SYSTEMExamination of the jointsExamination of the hands and armsExamination of the legsExamination of the spineCases5.16 Rheumatoid hands and rheumatoid arthritis5.17 Ankylosing spondylitis and spondyloarthropathies 5.18 Systemic lupus erythematosus5.19 Scleroderma5.20 Crystal arthropathy5.21 Osteoarthritis5.22 Paget's disease5.23 Marfan's syndrome5.24 Ehlers-Danlos syndrome5.25 Osteogenesis imperfectaEYESExamination of the eyesCases5.26 Diabetic retinopathy5.27 Hypertensive retinopathy5.28 Swollen optic disc and papilloedema5.29 Optic atrophy5.30 Chorioretinitis5.31 Retinitis pigmentosa5.32 Central retinal vein occlusion5.33 Central retinal artery occlusion5.34 Retinal detachment and vitreous haemorrhage 5.35 Drusen and age-related macula degeneration (asteroids)5.36 Angioid streaks 5.37 Myelinated nerve fibres5.38 Glaucoma5.39 Cataracts5.40 Uveitis and red eye ENDOCRINE SYSTEMExamination of the thyroidCases5.41 Hyperthyroidism and Grave's disease5.42 Hypothyroidism5.43 Goitre and neck lumps5.44 Acromegaly5.45 Hypopituitarism5.46 Cushing's syndrome 5.47 Hypoadrenalism and Addison's disease 5.48 Hirsutism and polycystic ovarian syndrome5.49 Hypogonadism and gynaecomastia5.50 PseudohypoparathyroidismAPPENDIX 100 tips for passing PACESINDEX
- ISBN: 978-0-7020-5141-8
- Editorial: Churchill Livingstone
- Encuadernacion: Rústica
- Páginas: 960
- Fecha Publicación: 19/06/2013
- Nº Volúmenes: 1
- Idioma: Inglés