Introduction |
|
xiii | |
How to use this book |
|
xiv | |
Acknowledgements |
|
xv | |
Abbreviations |
|
xvi | |
|
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1 | (7) |
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|
1 | (1) |
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|
1 | (1) |
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2 | (1) |
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Other useful start-up information |
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2 | (4) |
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2 | (1) |
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3 | (1) |
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4 | (1) |
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4 | (1) |
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5 | (1) |
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5 | (1) |
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6 | (1) |
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6 | (1) |
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6 | (2) |
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2 Getting Organized or `The Folder' |
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8 | (4) |
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Personal folder and the lists |
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8 | (2) |
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How to make a personal folder |
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8 | (2) |
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Keeping track of patients (List 1) |
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10 | (1) |
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List of things to do (List 2) |
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10 | (1) |
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10 | (1) |
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Data protection and confidentiality |
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11 | (1) |
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3 Paperwork and electronic medical records |
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12 | (7) |
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12 | (1) |
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13 | (1) |
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Blood forms and requesting bloods tests |
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14 | (1) |
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Discharge summaries (TTO/TTA) |
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15 | (1) |
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16 | (1) |
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17 | (1) |
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17 | (1) |
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17 | (2) |
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19 | (4) |
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19 | (1) |
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Admitting and allocating patients |
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20 | (1) |
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Keeping track of patients |
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21 | (1) |
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21 | (1) |
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Medical and surgical assessment units |
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22 | (1) |
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22 | (1) |
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5 Becoming a better doctor |
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23 | (14) |
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Foundation Programmes (United Kingdom) |
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23 | (3) |
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Academic Foundation Programmes |
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24 | (1) |
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24 | (1) |
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Situational judgement tests |
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25 | (1) |
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Moving on from the Foundation Programme |
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26 | (1) |
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26 | (2) |
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27 | (1) |
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27 | (1) |
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Keeping up with the literature |
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28 | (1) |
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28 | (2) |
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29 | (1) |
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Quality improvement projects |
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30 | (1) |
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30 | (1) |
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30 | (1) |
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31 | (5) |
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31 | (1) |
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Consultants and senior registrars |
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32 | (1) |
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32 | (1) |
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33 | (1) |
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34 | (1) |
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35 | (1) |
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36 | (1) |
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Exceptions to keeping confidentiality |
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36 | (1) |
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36 | (1) |
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37 | (12) |
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37 | (1) |
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|
37 | (3) |
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40 | (1) |
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|
40 | (1) |
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|
41 | (1) |
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|
42 | (1) |
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|
42 | (1) |
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|
42 | (1) |
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|
42 | (1) |
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43 | (1) |
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43 | (2) |
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Collapse or reduced mobility |
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45 | (1) |
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45 | (3) |
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46 | (1) |
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46 | (2) |
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48 | (1) |
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7 Cardiac arrests and crash calls |
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49 | (5) |
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49 | (3) |
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`Do not resuscitate' orders |
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52 | (2) |
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54 | (53) |
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56 | (1) |
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Considerations for all ward calls |
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56 | (1) |
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57 | (1) |
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57 | (1) |
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58 | (2) |
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60 | (2) |
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62 | (3) |
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64 | (1) |
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64 | (1) |
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65 | (1) |
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66 | (2) |
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|
66 | (2) |
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|
68 | (1) |
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68 | (1) |
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69 | (1) |
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69 | (1) |
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|
70 | (4) |
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Important ECG abnormalities to recognize |
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|
74 | (1) |
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74 | (1) |
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|
74 | (1) |
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Sudden loss of vision in one or both eyes |
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|
75 | (1) |
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|
75 | (1) |
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|
75 | (1) |
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|
75 | (1) |
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|
76 | (2) |
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|
77 | (1) |
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The immunocompromised patient with fever |
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|
78 | (1) |
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|
78 | (1) |
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|
78 | (1) |
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|
79 | (2) |
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Upper gastrointestinal bleeds |
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|
81 | (1) |
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Lower gastrointestinal bleeds |
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|
82 | (1) |
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|
82 | (1) |
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|
83 | (1) |
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|
84 | (1) |
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Differential diagnoses and key symptoms |
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|
84 | (1) |
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|
85 | (1) |
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Peri operative hypertension |
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|
86 | (1) |
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|
86 | (2) |
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|
86 | (2) |
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|
88 | (1) |
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Differential diagnoses and suggested management |
|
|
88 | (1) |
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Management with benzodiazepines |
|
|
88 | (1) |
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|
88 | (1) |
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Differential diagnoses (If no visible skin lesions or rash) |
|
|
88 | (1) |
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|
89 | (1) |
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|
90 | (1) |
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|
91 | (1) |
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|
92 | (1) |
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|
92 | (1) |
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|
93 | (1) |
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Methods of oxygen delivery |
|
|
93 | (1) |
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|
94 | (1) |
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|
94 | (1) |
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|
94 | (1) |
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|
94 | (2) |
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|
94 | (1) |
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|
95 | (1) |
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|
96 | (1) |
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|
96 | (1) |
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|
97 | (1) |
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|
97 | (1) |
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|
98 | (1) |
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|
98 | (1) |
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|
98 | (1) |
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|
99 | (1) |
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|
99 | (2) |
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|
99 | (1) |
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|
100 | (1) |
|
Urine: Low output (oliguria/anuria) |
|
|
101 | (1) |
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|
102 | (1) |
|
Obstetrics and gynaecology calls |
|
|
103 | (4) |
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|
103 | (1) |
|
Gynaecological examination |
|
|
103 | (1) |
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|
104 | (1) |
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|
104 | (1) |
|
Common gynaecological calls |
|
|
105 | (1) |
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|
106 | (1) |
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|
107 | (9) |
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|
107 | (1) |
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|
107 | (3) |
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|
107 | (1) |
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Ongoing communication with dying patients |
|
|
108 | (2) |
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|
110 | (1) |
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|
110 | (1) |
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Prescribing for the dying |
|
|
110 | (1) |
|
Support for the dying and for you |
|
|
111 | (1) |
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|
111 | (1) |
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What to do when a patient dies |
|
|
111 | (1) |
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Telling relatives about the patient's death |
|
|
112 | (1) |
|
Religious practices on death |
|
|
112 | (1) |
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|
112 | (1) |
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|
113 | (1) |
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Writing the death certificate |
|
|
113 | (1) |
|
Referring to the coroner (Scotland: Procurator fiscal) |
|
|
114 | (1) |
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|
114 | (1) |
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|
114 | (1) |
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|
114 | (2) |
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|
116 | (18) |
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|
116 | (1) |
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|
116 | (2) |
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|
116 | (1) |
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|
117 | (1) |
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|
117 | (1) |
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|
118 | (1) |
|
|
118 | (1) |
|
|
119 | (1) |
|
Prescribing drug infusions |
|
|
119 | (3) |
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|
120 | (2) |
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|
122 | (4) |
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|
122 | (1) |
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|
122 | (3) |
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|
125 | (1) |
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|
126 | (1) |
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|
126 | (8) |
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|
134 | (13) |
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|
134 | (2) |
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|
135 | (1) |
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|
136 | (1) |
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|
137 | (1) |
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|
137 | (1) |
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|
138 | (1) |
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|
139 | (1) |
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|
139 | (1) |
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|
139 | (1) |
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|
140 | (1) |
|
|
140 | (1) |
|
|
140 | (1) |
|
Jehovah's Witnesses/Christian Scientists |
|
|
141 | (1) |
|
|
141 | (1) |
|
|
142 | (1) |
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|
142 | (5) |
|
|
142 | (1) |
|
Managing ill patients on steroids |
|
|
143 | (1) |
|
Treating common side effects |
|
|
143 | (1) |
|
Withdrawing steroid therapy |
|
|
143 | (1) |
|
Haematological and oncological emergencies |
|
|
144 | (1) |
|
|
144 | (1) |
|
Superior vena cava obstruction and airway compromise |
|
|
144 | (1) |
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Raised intracranial pressure |
|
|
145 | (1) |
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|
145 | (1) |
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|
145 | (2) |
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12 Approach to the medical patient |
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|
147 | (16) |
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|
147 | (4) |
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Getting to know the disease |
|
|
148 | (3) |
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|
151 | (1) |
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|
151 | (1) |
|
Preparing patients for medical procedures |
|
|
151 | (5) |
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|
152 | (1) |
|
Elective DC cardioversion |
|
|
152 | (1) |
|
Upper gastrointestinal endoscopy |
|
|
153 | (1) |
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|
154 | (1) |
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|
154 | (1) |
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|
155 | (1) |
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|
155 | (1) |
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|
156 | (1) |
|
Specialist referrals and investigating the medical case |
|
|
156 | (7) |
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|
157 | (1) |
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|
158 | (1) |
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|
159 | (1) |
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|
160 | (1) |
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|
161 | (1) |
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|
161 | (1) |
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|
162 | (1) |
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|
163 | (28) |
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|
163 | (4) |
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|
165 | (2) |
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|
167 | (2) |
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|
168 | (1) |
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|
169 | (1) |
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|
169 | (1) |
|
|
169 | (1) |
|
Cannulation (Venflon/line insertion) |
|
|
170 | (3) |
|
Problems with temporary and tunnelled central lines |
|
|
173 | (1) |
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|
173 | (1) |
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|
173 | (2) |
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|
174 | (1) |
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|
175 | (1) |
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|
175 | (1) |
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|
176 | (1) |
|
|
176 | (1) |
|
Relative contraindications (discuss with senior) |
|
|
176 | (1) |
|
|
176 | (1) |
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|
177 | (2) |
|
|
177 | (1) |
|
|
178 | (1) |
|
Joint aspiration/injection |
|
|
179 | (1) |
|
|
179 | (1) |
|
|
180 | (1) |
|
Local anaesthesia (for any procedure) |
|
|
180 | (1) |
|
|
181 | (3) |
|
Contraindications (get help) |
|
|
181 | (3) |
|
|
184 | (1) |
|
|
184 | (1) |
|
Peritoneal tap (paracentesis) |
|
|
185 | (1) |
|
|
185 | (3) |
|
|
185 | (3) |
|
|
188 | (1) |
|
Respiratory function tests |
|
|
188 | (2) |
|
|
188 | (1) |
|
Peak expiratory flow rate |
|
|
189 | (1) |
|
|
190 | (1) |
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|
191 | (7) |
|
Requesting investigations |
|
|
191 | (1) |
|
|
192 | (1) |
|
Common concerns about X-rays |
|
|
192 | (1) |
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|
193 | (1) |
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|
193 | (1) |
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|
193 | (1) |
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|
194 | (1) |
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|
194 | (1) |
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|
195 | (1) |
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|
195 | (1) |
|
CT head -- Some emergency Indications |
|
|
195 | (1) |
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|
196 | (2) |
|
15 Approach to the surgical patient |
|
|
198 | (14) |
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|
198 | (1) |
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|
198 | (1) |
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|
198 | (1) |
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|
199 | (1) |
|
Requesting blood preoperatively |
|
|
200 | (1) |
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|
200 | (1) |
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|
201 | (2) |
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|
203 | (1) |
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|
203 | (2) |
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|
205 | (1) |
|
Perioperative prescribing |
|
|
205 | (1) |
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|
205 | (1) |
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|
205 | (1) |
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|
205 | (1) |
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|
205 | (2) |
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|
207 | (1) |
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|
207 | (1) |
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|
207 | (1) |
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|
208 | (1) |
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|
209 | (1) |
|
Enhanced recovery after surgery |
|
|
209 | (1) |
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|
210 | (1) |
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|
210 | (2) |
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|
212 | (6) |
|
What you can and cannot do |
|
|
212 | (1) |
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|
212 | (1) |
|
|
212 | (1) |
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Referral letters and note keeping |
|
|
212 | (1) |
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|
212 | (1) |
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Public health and health promotion |
|
|
213 | (2) |
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|
213 | (1) |
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|
213 | (1) |
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|
214 | (1) |
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|
214 | (1) |
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|
214 | (1) |
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|
214 | (1) |
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|
214 | (1) |
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|
215 | (1) |
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|
215 | (1) |
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|
215 | (1) |
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|
215 | (1) |
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|
215 | (1) |
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|
215 | (1) |
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|
216 | (1) |
|
The hidden agenda and health beliefs |
|
|
216 | (1) |
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|
216 | (1) |
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|
217 | (1) |
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|
218 | (17) |
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|
218 | (1) |
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|
218 | (1) |
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|
219 | (1) |
|
British Medical Association |
|
|
219 | (1) |
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|
219 | (1) |
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|
220 | (1) |
|
Contacting medical colleagues |
|
|
220 | (1) |
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Contract and conditions of service |
|
|
220 | (5) |
|
What you need to know about your contract |
|
|
220 | (5) |
|
|
225 | (1) |
|
Making money for the mess |
|
|
225 | (1) |
|
Insurance (room contents) |
|
|
225 | (1) |
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|
225 | (1) |
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|
225 | (1) |
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|
226 | (1) |
|
Consultant career prospects |
|
|
226 | (1) |
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|
226 | (1) |
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|
227 | (1) |
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|
227 | (1) |
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|
228 | (2) |
|
Income protection if long-term sick or disabled |
|
|
228 | (1) |
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|
228 | (1) |
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|
228 | (1) |
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|
228 | (1) |
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|
229 | (1) |
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|
229 | (1) |
|
Telephone and online banking |
|
|
230 | (1) |
|
|
230 | (1) |
|
If the patient is known to be HIV positive |
|
|
231 | (1) |
|
If the patient is known to be hepatitis positive |
|
|
231 | (1) |
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|
231 | (1) |
|
Part-time work (flexible training) |
|
|
232 | (1) |
|
Representation of junior doctors |
|
|
232 | (1) |
|
|
232 | (1) |
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|
233 | (2) |
|
Bullying and psychological stress |
|
|
233 | (1) |
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|
233 | (2) |
|
Appendix I Scoring systems |
|
|
235 | (8) |
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|
235 | (7) |
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|
235 | (1) |
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|
235 | (1) |
|
|
235 | (1) |
|
|
236 | (1) |
|
NYHA scoring system (New York Heart Failure Association Scoring System) |
|
|
236 | (1) |
|
|
236 | (1) |
|
|
236 | (1) |
|
AMTS (abbreviated mental test score) |
|
|
237 | (1) |
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|
237 | (1) |
|
|
237 | (1) |
|
|
237 | (1) |
|
Mallampatti classification for intubation |
|
|
237 | (1) |
|
|
238 | (1) |
|
|
238 | (1) |
|
Calculating serum osmolality |
|
|
238 | (1) |
|
|
238 | (1) |
|
|
239 | (1) |
|
Child Pugh classification |
|
|
240 | (1) |
|
|
241 | (1) |
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|
241 | (1) |
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|
242 | (1) |
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|
242 | (1) |
|
|
242 | (1) |
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|
242 | (1) |
|
|
242 | (1) |
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|
242 | (1) |
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|
242 | (1) |
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|
242 | (1) |
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|
242 | (1) |
|
|
242 | (1) |
|
|
242 | (1) |
|
Appendix II Useful tests, numbers and other information |
|
|
243 | (5) |
|
|
243 | (1) |
|
|
243 | (1) |
|
|
244 | (1) |
|
|
244 | (1) |
|
|
244 | (1) |
|
|
245 | (1) |
|
Useful biochemical formulae |
|
|
245 | (3) |
|
|
246 | (2) |
Further resources |
|
248 | (1) |
Index |
|
249 | |