| Preface |
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| Glossary |
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| Introduction: preparation for the exam |
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| Chapter 1 Cardiovascular system (station 3) |
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1 | (54) |
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2 | (3) |
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Case 2: Mitral regurgitation |
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5 | (3) |
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Case 3: Ventricular septal defect |
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8 | (2) |
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Case 4: Hypertrophic obstructive cardiomyopathy |
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10 | (2) |
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Case 5: Tricuspid regurgitation |
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12 | (3) |
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Case 6: Pulmonary stenosis |
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15 | (1) |
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16 | (3) |
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Case 8: Aortic regurgitation |
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19 | (2) |
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Case 9: Pulmonary regurgitation |
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21 | (3) |
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Mixed valve disease: distinguishing the dominant murmur |
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Case 10: Mixed aortic valve disease |
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24 | (1) |
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Case 11: Mixed mitral valve disease |
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25 | (1) |
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Scars and clicks - the cardiothoracic patient |
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Case 12: Prosthetic valves and cardiac surgery |
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26 | (4) |
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Oedema, crepitations, and a raised jugular venous pressure: the failing heart |
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30 | (3) |
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Case 14: The infraclavicular mass pacemakers implantable devices |
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33 | (3) |
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Case 15: The irregular pulse: atrial fibrillation |
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36 | (2) |
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Case 16: Coarctation of the aorta |
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38 | (2) |
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Splinter haemorrhages and a murmur: the infected valve |
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Case 17: Infective endocarditis |
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40 | (3) |
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Congenital heart disease and complex cases |
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Case 18: Pulmonary hypertension |
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43 | (2) |
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Case 19: Atrial septal defect |
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45 | (1) |
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Case 20: Patent ductus arteriosus |
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46 | (2) |
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Case 21: Ebstein's anomaly: the cyanosed patient with a murmur |
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48 | (2) |
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Case 22: Tetralogy of Fallot |
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50 | (1) |
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Case 23: Eisenmenger's syndrome |
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51 | (3) |
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54 | (1) |
| Chapter 2 Nervous system (station 3) |
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55 | (60) |
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Examination of cranial nerves: visual field defects |
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Case 25: Monocular blindness |
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56 | (1) |
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Case 26: Homonymous hemianopia |
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57 | (1) |
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Case 27: Bitemporal hemianopia |
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58 | (1) |
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Case 28: Homonymous quadrantanopia |
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59 | (1) |
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Examination of cranial nerves: ophthalmoplegia |
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Case 29: Sixth nerve palsy |
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60 | (2) |
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Case 30: Fourth nerve palsy |
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62 | (1) |
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Case 31: Internuclear ophthalmoplegia - multiple sclerosis |
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63 | (2) |
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Examination of cranial nerves: pupillary problems with ptosis |
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Case 32: Ptosis, large pupil and ophthalmoplegia: third nerve palsy |
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65 | (2) |
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Case 33: Ptosis and small pupil: Horner syndrome |
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67 | (1) |
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Case 34: Bilateral ptosis with fatigability: myasthenia gravis |
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68 | (2) |
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Examination of cranial nerves: pupillary problems without ptosis |
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Case 35: Relative afferent pupillary defect (RAPD) |
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70 | (2) |
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Case 36: Unilateral large pupil in a young female - Holmes-Adie pupil |
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72 | (1) |
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Case 37: Bilateral small pupils: Argyll Robertson pupils |
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73 | (1) |
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Examination of cranial nerves: cranial nerves V, VII and VIII |
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74 | (2) |
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Case 39: Conductive hearing loss |
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76 | (2) |
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Case 40: Sensorineural hearing loss |
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78 | (1) |
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Case 41: V, VII, VIII cranial nerves - cerebellopontine angle |
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79 | (2) |
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Examination of cranial nerves: assessment of speech |
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81 | (1) |
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Case 43: Dysarthria - bulbar palsy |
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82 | (2) |
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Examination of cranial nerves: complex presentations |
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Case 44: Lateral medullary syndrome |
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84 | (1) |
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Case 45: Jugular foramen syndrome |
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85 | (1) |
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Examination of upper limbs: weakness |
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Case 46: Myotonic dystrophy |
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86 | (2) |
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Case 47: Cervical myelopathy |
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88 | (1) |
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Case 48: Unilateral arm weakness - neuralgic amyotrophy |
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89 | (1) |
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Examination of upper limbs: tremor and assessment of coordination |
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Case 49: Resting tremor - Parkinsonism |
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90 | (2) |
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Case 50: Intention tremor and problems with co-ordination - cerebellar syndrome |
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92 | (1) |
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Examination of upper limbs: spinal cord syndromes |
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Case 51: Central cord syndrome - syringomyelia |
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93 | (3) |
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Case 52: Brown-Sequard (hemi-cord) syndrome |
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96 | (2) |
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Case 53: Anterior cord syndrome |
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98 | (2) |
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Examination of lower limbs: weakness |
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Case 54: Spastic paraparesis |
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100 | (1) |
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Case 55: Proximal myopathy |
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101 | (1) |
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Examination of lower limbs: sensory disturbance |
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Case 56: Glove and stocking distributions - sensory polyneuropathy |
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102 | (2) |
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Examination of lower limbs: the deformed foot - pes cavus |
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Case 57: Friedreich's ataxia |
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104 | (1) |
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Case 58: Charcot-Marie-Tooth disease hereditary sensorimotor neuropathy- type 1) |
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105 | (1) |
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Examination of lower limbs: assessment of gait |
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Case 59: Shuffling gait - Parkinson's disease |
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106 | (1) |
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107 | (1) |
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Case 61: Unilateral high-stepping gait |
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107 | (1) |
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Case 62: Spastic hemi-paretic gait |
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108 | (2) |
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110 | (1) |
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Examination of lower limbs: cases of note |
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Case 64: Cauda equina syndrome |
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110 | (2) |
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Case 65: Absent ankle jerks with extensor plantar reflexes - sub-acute degeneration of the cord |
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112 | (3) |
| Chapter 3 Respiratory system (station 1) |
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115 | (26) |
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Case 66: Pulmonary fibrosis |
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116 | (2) |
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118 | (2) |
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120 | (2) |
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Case 69: Pleural effusion |
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122 | (2) |
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124 | (1) |
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Case 71: Chronic obstructive pulmonary disease |
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125 | (3) |
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Chest wall scars: the thoracic surgery patient |
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128 | (1) |
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129 | (1) |
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Case 74: Lung transplantation |
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130 | (1) |
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Diagnostic clues in the respiratory patient: facial signs |
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Case 75: Plethoric face and dilated chest veins - superior vena cava obstruction |
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131 | (2) |
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Case 76: Horner's syndrome: Pancoast's tumour |
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133 | (2) |
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Case 77: Cushingoid appearance |
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135 | (1) |
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Diagnostic clues in the respiratory patient: peripheral signs |
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Case 78: Abnormal nails with pleural effusions and lymphadenopathy - yellow nail syndrome |
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136 | (2) |
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Case 79: Signs of right-sided heart failure - cor pulmonale |
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138 | (3) |
| Chapter 4 Abdominal system (station 1) |
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141 | (30) |
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Case 80:The syndrome of chronic liver disease |
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142 | (4) |
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Case 81: Organomegaly - isolated hepatomegaly |
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146 | (1) |
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Case 82: The distended abdomen - ascites |
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147 | (2) |
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Case 83: Portal hypertension |
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149 | (2) |
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Case 84: Abnormal skin pigmentation -jaundice |
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151 | (3) |
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Case 85: Abnormal skin pigmentation - haemachromatosis |
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154 | (2) |
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Case 86: Periorbital xanthelasma - primary biliary cirrhosis |
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156 | (1) |
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Case 87: The patient requiring renal replacement therapy |
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157 | (2) |
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Case 88: Bilateral ballotable kidneys |
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159 | (1) |
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Case 89: Iliac fossa scar with a palpable mass - renal transplant |
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160 | (2) |
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Case 90: Flank scar - nephrectomy |
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162 | (1) |
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Spleen and other abdominal cases |
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163 | (2) |
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Case 92: Felty's syndrome |
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165 | (1) |
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Case 93: Multiple abdominal scars |
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166 | (1) |
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Case 94: Rooftop incision |
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167 | (2) |
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Case 95: Obesity with evidence of laparoscopic procedure |
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169 | (2) |
| Chapter 5 Station 5 |
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171 | (86) |
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Hands: symmetrical deforming polyarthropathy |
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Case 96: Rheumatoid arthritis |
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172 | (3) |
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Case 97: Psoriatic arthritis |
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175 | (2) |
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Case 98: Jaccoud's arthropathy |
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177 | (2) |
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Hands: disease distal interphalangeal joints |
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179 | (2) |
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Hands: abnormal hands with skin changes |
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Case 100: Sclerodactyly/systemic sclerosis |
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181 | (1) |
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Hands: single swollen metocarpophalangeal joint |
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182 | (2) |
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Hands: neurological signs in the hands |
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Case 102: Carpal tunnel syndrome |
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184 | (1) |
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Case 103: Wrist drop - radial nerve lesion |
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185 | (2) |
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Case 104: Ulnar nerve lesion |
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187 | (1) |
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Fundoscopy: diseased lens |
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188 | (2) |
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Fundoscopy: diseased retina |
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Case 106: Diabetic retinopathy |
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190 | (4) |
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Case 107: Hypertensive retinopathy |
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194 | (1) |
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Case 108: Retinitis pigmentosa |
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195 | (2) |
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197 | (1) |
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Fundoscopy: abnormal optic discs |
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198 | (2) |
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200 | (1) |
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Case 112: Foster Kennedy syndrome |
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201 | (1) |
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202 | (3) |
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205 | (1) |
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206 | (2) |
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Case 116: Weight gain and easy bruising - Cushingoid appearance |
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208 | (1) |
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209 | (2) |
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Case 118: Pseudohypoparathyroidism - Albright's hereditary osteodystrophy |
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211 | (1) |
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Dermatology: chronic skin conditions |
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Case 119: Chronic plaque psoriasis |
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212 | (4) |
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Case 120: Atopic dermatitis or atopic eczema |
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216 | (2) |
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Dermatology: manifestations of systemic disease |
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Case 121: Pyoderma gangrenosum |
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218 | (3) |
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Case 122: Vasculitis (Henoch-Schonlein purpura) |
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221 | (2) |
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Case 123: Chronic venous insufficiency |
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223 | (3) |
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Case 124: Cutaneous lupus erythematosus |
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226 | (4) |
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Case 125: Discoid lupus erythematosus |
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230 | (1) |
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Case 126: Dermatomyositis |
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231 | (2) |
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Case 127: Alopecia areata |
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233 | (4) |
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237 | (2) |
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Case 129: Tuberous sclerosis |
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239 | (2) |
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Case 130: Neurofibromatosis |
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241 | (4) |
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Dermatology spot diagnoses |
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Case 131 & 132: Dermatology spot diagnoses |
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245 | (2) |
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Commonly encountered spot diagnoses |
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Case 133: Ankylosing spondylitis |
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247 | (2) |
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Case 134: Marfan syndrome |
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249 | (3) |
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Case 135: Turner syndrome |
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252 | (2) |
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Symptoms as a presenting complaint |
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254 | (1) |
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255 | (2) |
| Chapter 6 History taking (station 2) |
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257 | (70) |
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258 | (3) |
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Case 139: Irregular pulse |
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261 | (4) |
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265 | (3) |
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268 | (3) |
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271 | (2) |
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273 | (4) |
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Case 144: Breathlessness and wheeze - new diagnosis of asthma |
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277 | (3) |
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Case 145: Shortness of breath and wheeze - established diagnosis of asthma |
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280 | (2) |
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Case 146: Wheeze - established chronic obstructive pulmonary disease |
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282 | (3) |
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Case 147: Haemoptysis in the returning traveller |
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285 | (2) |
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Case 148: Persistent/change in cough - investigation of cancer |
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287 | (3) |
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Case 149: Change in bowel habit - malignancy |
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290 | (3) |
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Case 150: Change in bowel habit - established inflammatory bowel disease |
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293 | (2) |
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Case 151: Difficulty in swallowing |
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295 | (2) |
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Case 152: Cirrhotic liver disease |
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297 | (2) |
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Case 153: Previous renal transplant |
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299 | (4) |
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303 | (3) |
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Case 155: Visual disturbance |
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306 | (2) |
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308 | (2) |
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Case 157: Established multiple sclerosis |
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310 | (3) |
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Case 158: Fever in the returning traveller |
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313 | (2) |
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Case 159: Sore, stiff hands |
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315 | (1) |
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316 | (2) |
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Case 161: Established diabetes |
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318 | (1) |
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Case 162: Heat intolerance and weight loss |
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319 | (2) |
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Case 163: Diabetes insipidus |
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321 | (2) |
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323 | (4) |
| Chapter 7 Communication skills and ethical scenarios (station 4) |
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327 | |
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Case 165: Informed consent for an invasive investigation or procedure - chest drain insertion |
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328 | (1) |
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Case 166: The patient refusing to consent |
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329 | (1) |
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Case 167: Consenting for a clinical trial |
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330 | (2) |
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Case 168: Assessing capacity |
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332 | (1) |
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Case 169: The patient who lacks capacity |
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333 | (2) |
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Breaking bad news and counseling patients |
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Case 170: Breaking bad news to a relative |
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335 | (1) |
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Case 171: The decision to resuscitate |
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336 | (1) |
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Case 172: Withdrawing (life-dependent) care |
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337 | (1) |
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Case 173: Brainstem death testing |
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338 | (2) |
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Case 174: Organ donation and harvesting |
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340 | (1) |
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Case 175: Requesting a hospital postmortem |
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341 | (1) |
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Case 176: Driving with disease |
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342 | (3) |
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Case 177: Genetic counselling |
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345 | (2) |
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Case 178: Percutaneous endoscopic gastrostomy feeding |
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347 | (1) |
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Case 179: HIV testing - recent unprotected sex |
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348 | (3) |
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Case 180: HIV testing - needlestick injury |
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351 | (2) |
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Case 181: Dealing with complaints - medical errors |
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353 | (2) |
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Case 182: The trainee in difficulty |
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355 | |
