Oxford Handbook Of Clinical Medicine (6th Edition).CHM

↑ Table of Contents
[-] 1 - Thinking about medicine
- Ideals
[+] Ideal and less than ideal methods of care
[+] The bedside manner and communication skills
[+] Asking questions
[+] What is the mechanism? Finding narrative answers
[+] Death: diagnosis and management
[+] Facing death
[+] The art and science of diagnosing
[+] Prescribing drugs
[+] Prevention
[+] Is this new drug any good? (analysis & meta-analysis)
- Surviving house jobs
[+] Quality, QALYs, and the interpretation of dreams
- The inverse care law and distributive justice
[+] Psychiatry on medical and surgical wards
[+] The elderly patient in hospital
- On being busy: Corrigan's secret door
[+] Health and medical ethics
[+] Difficult patients
[+] Medicine, art, and the humanities
[-] 2 - Epidemiology
- An example of epidemiology at work
[+] The essence of epidemiology
[+] Evidence-based medicine (EBM)[diskette]1
[+] Six to five against
[+] Investigations change the odds
- Number needed to treat (NNT)
[+] Screening
[-] 3 - Clinical skills
[+] Section 3 - Introduction
[+] Taking a History
[+] Functional enquiry
[+] Physical examination
[-] Cardiovascular System
[+] The cardiovascular system
[+] The jugular venous pressure
[+] Pulses
[+] The heart sounds
[+] Cardiac murmurs
[-] Respiratory system
[+] The respiratory system
[+] The respiratory system: examining the chest
[-] Abdominal system
- Gastrointestinal history
[+] Examining the gastrointestinal system
[+] Genitourinary history
[-] Neurological system
[+] The neurological system
[+] Cranial nerve examination
[+] Speech and higher mental function
[-] Other systems
[+] Psychiatric assessment
[+] Method and order for routine examination
- Footnote
[-] 4 - Symptoms and signs
[+] Symptoms and signs
[-] 5 - Cardiovascular medicine
[+] Cardiovascular health
[-] At the bedside
[+] Cardiovascular symptoms
[-] Investigations:
[+] ECG—a methodical approach
[+] ECG—abnormalities
[+] ECG—additional points
[+] Exercise ECG testing
[+] Ambulatory ECG monitoring
[+] Cardiac catheterization
[+] Echocardiography
[+] Nuclear cardiology and other cardiac scans
[-] Drugs and the heart
[+] Atherosclerosis and ‘statins’
[+] Other cardiovascular drugs
[-] Diseases and conditions:
[+] Angina pectoris
[+] Acute coronary syndromes (ACS)
[+] Management of acute coronary syndrome
- Complications of MI
[+] Arrhythmias
[+] Diagnosis of bradycardias and AV block
[+] Narrow complex tachycardia
[+] Atrial fibrillation (AF) and flutter
[+] Broad complex tachycardia
[+] Pacemakers
[+] Heart failure—basic concepts
[+] Heart failure—management
[+] Hypertension
[+] Hypertension—management
[+] Rheumatic fever
[+] Mitral valve disease
[+] Aortic valve disease
[+] Right heart valve disease
[+] Cardiac surgery
[+] Infective endocarditis
[+] Prevention of endocarditis
[+] Diseases of heart muscle
[+] The heart in various, mostly rare, systemic diseases
[+] Pericardial diseases
[+] Congenital heart disease
[+] Driving and the heart
- Footnote
[-] 6 - Chest medicine
[-] Investigations
[+] Chest x-ray
[+] Bedside tests in chest medicine
[+] Further investigations in chest medicine
[-] Diseases and conditions
[+] Pneumonia[diskette]3
[+] Empirical treatment of pneumonia[diskette]5
[+] Specific pneumonias
[+] Complications of pneumonia
[+] Bronchiectasis
[+] Cystic fibrosis (CF) See OHCS (Paediatrics, p192)
[+] Fungi and the lung
[+] Lung tumours
[+] Asthma
[+] Management of chronic asthma
[+] Doses of some inhaled drugs used in bronchoconstriction
[+] Chronic obstructive pulmonary disease (COPD)
[+] Acute respiratory distress syndrome (ARDS)
[+] Respiratory failure
[+] Pulmonary embolism (PE)
[+] Pneumothorax
[+] Pleural effusion
[+] Sarcoidosis
[+] Extrinsic allergic alveolitis (EAA)
[+] Cryptogenic
[+] Industrial dust diseases
[+] Causes of pulmonary fibrosis
[+] Obstructive sleep apnoea syndrome
[+] Cor pulmonale
- Footnote
[-] 7 - Gastroenterology
[+] Section 7 - Introduction
[+] Healthy, enjoyable eating
[+] The mouth
[-] Some presenting symptoms
[+] Dysphagia
[+] Dyspepsia and peptic ulceration
[+] Nausea and vomiting
[+] Gastro-oesophageal reflux disease (GORD)
[+] Hiatus hernia
[+] Diarrhoea
[+] Constipation
[+] Jaundice
[+] Upper gastrointestinal bleeding: 1
[+] Upper GI bleeding: 2 and ??bleeding varices
[-] Procedures:
[+] Endoscopy and biopsy
[+] Radiological GI procedures
[-] Diseases and conditions:
[-] Liver diseases:
[+] Liver failure
[+] Cirrhosis
[+] Hereditary haemochromatosis (HH)
[+] α1-antitrypsin deficiency
[+] Wilson's disease/hepatolenticular degeneration
[+] Primary biliary cirrhosis (PBC)
[+] Primary sclerosing cholangitis (PSC)
[+] Autoimmune hepatitis (AIH)
[+] Liver tumours
[-] Inflammatory bowel disease:
[+] Ulcerative colitis (UC)
[+] Crohn's disease
[+] Irritable bowel syndrome (IBS)
[+] Carcinoma of the pancreas
[+] Nutritional disorders
[+] Carcinoid tumours
[+] Gastrointestinal malabsorption
[+] Alcoholism
- Footnote
[-] 8 - Renal medicine
[+] Introduction to nephrology
[+] Urine
[+] Urinary tract imaging
[+] Urinary tract infection (UTI)
[+] Renal calculi (nephrolithiasis)
[+] Urinary tract obstruction
[+] Peri-aortitis (retroperitoneal fibrosis et al)
[+] Glomerulonephritis (GN)
[+] The nephrotic syndrome
[+] Acute renal failure (ARF): Diagnosis
[+] Acute renal failure (ARF): Management
[+] Chronic renal failure (CRF)
[+] Renal replacement therapy
[+] Interstitial nephritides and nephrotoxins
[+] Renal vascular disease
[+] Renal tubular disease
[+] Inherited kidney diseases
[+] Renal manifestations of systemic disease
[-] 9 - Endocrinology
[+] The essence of endocrinology
[-] Diabetes mellitus (DM):
[+] Type 1 diabetes mellitus (DM)
[+] Type 2 diabetes mellitus (DM)
[+] Helping people with established diabetes
[+] Diabetic neuropathy and diabetic foot care
[+] Hypoglycamia
[-] Thyroid and parathyroid disease:
[+] Thyroid function tests (TFTs)
[+] Hyperthyroidism (thyrotoxicosis)
[+] Hypothyroidism (myxoedema)
[+] Parathyroid hormone and hyperparathyroidism
[+] Hypoparathyroidism
[-] The adrenal gland:
[+] Adrenal cortex and Cushing's syndrome
[+] Addison's disease (adrenal insufficiency)
[+] Hyperaldosteronism
[+] Phaeochromocytoma
[+] Hirsutism, virilism, gynaecomastia, impotence
[-] The pituitary gland:
[+] Hypopituitarism
[+] Pituitary tumours
[+] Hyperprolactinaemia
[+] Acromegaly
[+] Diabetes insipidus (DI)
- Footnote
[-] 10 - Neurology
- Section 10 - Introduction
[-] Neurology at the bedside
[+] The chief questions of bedside neurology
[+] Cerebral artery territories
[+] Drugs and the nervous system
[+] Testing peripheral nerves
[+] Dermatomes
[-] Some common presentations
[+] Headache
[+] Migraine
[+] Blackouts
[+] Dizziness and vertigo
[+] Deafness
[+] Tinnitus
[+] Weak legs and cord compression
[+] Dyskinesia (abnormal involuntary movements)
[-] Diseases and conditions
[-] CNS vascular phenomena
[+] Stroke: clinical features and investigations
[+] Stroke: management and prevention
[+] Rehabilitation after stroke
[+] Transient ischaemic attack (TIA)
[+] Subarachnoid haemorrhage (SAH)
[+] Intracranial venous thrombosis
[+] Subdural haemorrhage
[+] Extradural (epidural) haemorrhage
[+] Meningitis
[+] Meningoencephalitis and encephalitis
[+] Meningitis treatment
[+] Delirium (acute confusional state)
[+] Dementia
[+] Alzheimer's disease (AD)
[+] Epilepsy: diagnosis
[+] Epilepsy: management
[+] Parkinson's disease (PD) and parkinsonism
[+] Multiple sclerosis (MS)
[+] Space-occupying lesions
[+] Bell's palsy
[+] Mononeuropathies
[+] Autonomic neuropathy
[+] Polyneuropathies
[+] Bulbar palsy
[+] Motor neurone disease (MND)
[+] Cervical spondylosis
[+] Primary disorders of muscle (myopathies)
[+] Myasthenia gravis (MG)
[+] Myasthenic syndrome
[+] Neurofibromatosis
[+] Syringomyelia
- Tropical spastic paraplegia HTLV-1 Myelopathy
[+] Neuroradiology (CT and MRI)
[+] Models of brain functioning
- Footnote
[-] 11 - Rheumatological & related illnesses
[+] Points to note in the rheumatological history
[+] Back pain
[+] Arthritis—general points
[+] Rheumatoid arthritis (RA)
[+] Osteoarthritis (OA)
[+] Crystal arthropathies
[+] Spondyloarthritides
[+] Autoimmune connective tissue diseases
[+] Polymyositis and dermatomyositis
[+] Systemic lupus erythematosus (SLE)
[+] Vasculitis
- Polymyalgia rheumatica (PMR)
[+] Giant cell (cranial/temporal) arteritis (GCA)
[+] Rheumatological and other systemic conditions causing eye signs
[+] Skin manifestations of systemic diseases
[+] Specific diseases and their skin manifestations
[+] Skin diagnoses not to be missed
- Footnote
[-] 12 - Oncology
[+] Section 12: Introduction
[+] Looking after people with cancer
[+] Oncology and genetics
[+] Oncological emergencies
[+] Symptom control in severe cancer
[+] Cancer therapy
[+] Radiotherapy
- Footnote
[-] 13 - Surgery
[+] The language of surgery
[-] Looking after surgical patients on the ward
[+] Pre-operative care
[+] Pre-operative examination and tests
[+] Prophylactic antibiotics in gut surgery
- Bowel preparation in colorectal surgery
- Sutures
[+] Anaesthesia
[+] Some post-operative complications
[-] Surgery & special conditions
[+] Drains
[+] The control of pain
[+] Deep vein thrombosis (DVT)
[+] Swollen legs
[+] Specific post-operative complications
[+] Stoma care
[+] IV fluids on the surgical ward
[+] Blood transfusion and blood products
[+] Transfusion reactions
[+] Nutritional support in hospital
[+] Parenteral (intravenous) nutrition
[+] Diabetic patients on surgical wards
[+] Jaundiced patients undergoing surgery
[+] Surgery in those on steroids or anticoagulants
[+] Thyroid disease and surgery
[-] Emergency surgery
[+] The acute abdomen
[+] Acute appendicitis
[+] Acute pancreatitis
[+] Aneurisms and dissections of arteries
[+] Diverticular disease
[+] Angiodysplasia
[+] Gallstones
[+] Gangrene and necrotizing fasciitis
[+] Skin ulcers
[+] Ischaemia of the gut
[+] Volvulus (rotation) of the stomach
- Limb embolism and ischaemia
[+] Obstruction of the bowel
[+] Some paediatric surgical emergencies
[-] Urology
[+] Torsion of the testis
[+] Urinary retention & benign prostatic hyperplasia
[+] Urinary tract malignancies
[+] Urinary incontinence
[+] Bladder tumours
[-] Other surgical malignancies
[+] Breast lumps and breast carcinoma
[+] Colorectal adenocarcinoma
[+] Carcinoma of the stomach
[+] Carcinoma of the oesophagus
[+] Lumps
[+] Lumps in the groin and scrotum
[+] Lumps in the neck
[+] Lumps in the thyroid
[-] Other conditions
[+] Abdominal masses
[+] Around the anus
[+] Haemorrhoids (piles)
[+] Hernias
[+] Inguinal hernias
[+] Varicose veins (VVs)
[+] Gastric surgery and its aftermath
- Operations for duodenal ulcer
[+] Fundoplication for gastro-oesophageal reflux
[+] Minimally invasive surgery
[+] Exposing patients to our learning curves? The jury is still out …
- Footnote
[-] 14 - Infectious diseases (ID)
[+] Section 14: Introduction
[-] Pathogens
[+] The classification of pathogens
[-] An approach to infectious diseases
[+] Viruses (classification)
[+] Susceptibility of some bacteria to certain antibiotics
[+] Antibiotics: penicillins
[+] Antibiotics: cephalosporins
[+] Antibiotics: others
[+] Empirical ‘blind’ treatment
[+] Drug abuse and infectious diseases
[+] Pyrexia of unknown origin (PUO)
[+] Diagnosing the tropical traveller
[+] Gastroenteritis
[+] Immunization
[-] Some specific infections
[+] MalariaND: clinical features and diagnosis
[+] Malaria: treatment and prophylaxis[diskette]29
[+] Mycobacterium tuberculosis: clinical features
[+] TuberculosisND: diagnosis and treatment
[+] Herpes infections
[+] Infectious mononucleosis (glandular fever)
[+] Influenza
[+] The common cold (coryza)
[+] Toxoplasmosis
[+] Cytomegalovirus (CMV)
[+] Viral hepatitis
[+] Human immunodeficiency virus (HIV)
[+] Complications of HIV infection
[+] What every doctor should know about HIV
[+] Antiretroviral agents
[-] Venereal diseases: (except HIV and syphilis)
[+] Sexually transmitted disease (STD)
[+] Vaginal discharge and urethritis
[-] Miscellaneous Gram positive bacterial infections
[+] Miscellaneous Gram positive bacteria
[-] Miscellaneous Gram negative bacetrial infections
[+] Miscellaneous Gram negative bacteria
[-] Rarities for reference
[+] TetanusND
[+] Enteric feverND
[+] Bacillary dysenteryND
[+] CholeraND
[+] LeprosyND
[+] Spirochaetes
[+] PoliomyelitisND
[+] RabiesND
[+] Viral haemorrhagic feversND
[+] Rickettsia and arthropod-borne bacteria
[+] Giardiasis
[+] Amoebiasis
[+] Trypanosomiasis
[+] Leishmaniasis
[+] Fungi
[+] Nematodes (roundworms)
[+] Cestodes (tapeworms)
[+] Trematodes (flukes)
[+] Exotic infections
- Footnote
[-] 15 - Haematology
[+] On the taking of blood and of holidays
[-] Anaemia
[+] Anaemia
[+] Iron-deficiency anaemia
- The anaemia of chronic disease
[+] Sideroblastic anaemia
[+] The peripheral blood film
[+] The differential white cell count
[+] Macrocytic anaemia
[+] Pernicious anaemia
[+] An approach to haemolytic anaemia
[+] Causes of haemolytic anaemia
[+] Sickle-cell anaemia
[+] Thalassaemia
[+] Bleeding disorders
[+] An approach to bleeding
[+] Anticoagulants
[+] Leukaemia and the house officer
[+] Acute lymphoblastic leukaemia (ALL)
[+] Acute myeloid leukaemia (AML)
[+] Chronic myeloid leukaemia (CML)
[+] Chronic lymphocytic leukaemia (CLL)
- Symptoms
- Signs
- Film
- Complications
- Natural history
[+] Treatment
[+] Prognosis
[+] Hodgkin's lymphoma
[+] Non-Hodgkin's lymphoma
[+] Pancytopenia, and bone marow failure
[+] The myeloproliferative disorders
[+] Myeloma
[+] Paraproteinaemia
[+] Amyloidosis
- Erythrocyte sedimentation rate (ESR)
[+] Hyperviscosity syndrome
[+] The spleen and splenectomy
[+] Thrombophilia[diskette]39 [diskette]40
[+] Immunosuppressive drugs
- Footnote
[-] 16 - Clinical chemistry
[+] On being normal in the society of numbers
[+] The laboratory and ward tests
[+] Intravenous fluid therapy
[+] Acid–base balance
[+] Kidney function[diskette]1
[+] Urate and the kidney
[+] Electrolyte physiology
[+] Sodium: hyponatraemia
[+] Hypernatraemia
[+] Potassium
[+] Hyperkalaemia
[+] Hypokalaemia
[+] Calcium: physiology
[+] Hypocalcaemia
[+] Hypercalcaemia
[+] Magnesium
[+] Zinc
[+] Selenium
[-] Metabolic bone diseases
[+] 1. Osteoporosis
[+] 2. Paget's disease of bone
[+] 3. Osteomalacia
[+] Plasma proteins
- Albumin
- α1 zone:
- α2 zone:
- β zone:
- γ zone:
- Paraproteinaemia
- Acute phase response
- CRP
- Urinary proteins
- Albuminuria
[+] Bence Jones protein
[+] Figures
[+] Plasma enzymes
[+] Tumour markers[diskette]7
[+] Hyperlipidaemia
[+] The porphyrias
- Footnote
[-] 17 - Reference intervals, etc.
[+] Nomogram for estimating doses of gentamicin
[+] Some important drug interactions
[+] Haematology—reference intervals
[+] Reference intervals—biochemistry
[+] Useful addresses (for those in the UK)
[-] 18 - Eponymous syndromes
[+] Eponymous syndromes
[-] 19 - Practical procedures
[+] Placing nasogastric tubes
[+] Placing IV cannulae (‘drips’)
[+] Catheterizing bladders
- Ascitic tap
- Diagnositic aspiration of a pleural effusion
- Pleural biopsy
- Inserting a chest drain[diskette]3
[+] Relieving a tension pneumothorax
[+] Lumbar puncture (LP)
- Cardioversion/defibrillation
[+] Cricothyroidotomy
- Aspiration of a pneumothorax
[+] Subclavian venous cannulation
[+] Inserting a temporary cardiac pacemaker
- Footnote
[-] 20 - Emerge