Contributors, vii

Acknowledgements, viii

Preface, ix

Part 1: Examinations Top Tips, 1

1. Cardiovascular, 2

2. Respiratory, 7

3. Abdominal, 10

4. Peripheral nervous system, 20

5. Central nervous system, 28

6. Ophthalmoscopy, 37

7. Cerebellar, 40

8. Speech, 44

9. Thyroid, 48

10. Breast, 53

11. Rectal, 56

12. Hernia, 60

13. Testicular, 64

14. Vascular (arterial), 68

15. Vascular (venous), 73

16. Ulcer, 76

17. Shoulder, 80

18. Hand, 87

19. Hip, 93

20. Knee, 98

21. Confirming death, 105

Part 2: Histories Top Tips, 107

22. General lethargy and tiredness, 109

23. Weight loss, 112

24. Chest pain, 115

25. Palpitations, 118

26. Cough, 122

27. Shortness of breath, 125

28. Haemoptysis, 128

29. Diarrhoea, 132

30. Abdominal pain, 137

31. Abdominal distension, 143

32. Haematemesis, 148

33. Rectal bleeding, 152

34. Jaundice, 155

35. Dysphagia, 158

36. Headache, 161

37. Loss of consciousness, 165

38. Tremor, 168

39. Dizziness, 172

40. Joint pain, 177

41. Back pain, 183

42. Pyrexia of unknown origin, 191

43. Ankle swelling, 195

44. Needlestick injury, 199

45. Preoperative assessment, 201

Part 3: Communication skills Top Tips, 205

46. Breaking bad news, 208

47. Explaining medication, 211

48. Explaining a procedure, 215

49. Inhaler technique and asthma medication, 220

50. Exploring reasons for non-compliance, 222

51. Counselling for an HIV test, 225

52. Post mortem consent, 228

53. Explaining a DNAR (Do Not Attempt Resuscitation) decision, 230

54. Explaining post-myocardial infarction medication, 233

55. Dealing with an angry patient, 236

56. Carrying out a handover, 239

Part 4: Procedures Top Tips, 243

57. Urinary catheterisation, 245

58. Insertion of nasogastric tube, 248

59. Venepuncture/phlebotomy, 252

60. Intramuscular injection, 254

61. Intravenous cannulation, 257

62. Intravenous drug administration, 260

63. Arterial blood gas analysis, 262

64. Measuring peak expiratory flow rate, 267

65. Performing and interpreting ECGs, 271

66. Scrubbing up in theatre, 276

67. Suturing, 278

68. Basic life support, 282

69. Advanced life support, 286

70. Completing a death certificate, 291

Index, 293

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