History Taking a history The Medical HistoryExploring symptomsSystems reviewPaediatric historyAlcohol HistoryAttempted suicide historyGynaecological historySexual health historySubfertility historyCollateral history for Delirium / DementiaPsychiatric historyObstetric history Common presenting complaints Common generalised historiesCommon cerebral historiesCommon chest historiesCommon abdominal historiesCommon urinary historiesCommon gynaecological historiesCommon obstetric historiesCommon orthopaedic and rheumatological historiesCommon psychological historiesCommon paediatric histories History taking skills History communication skillsPresenting histories Examination Cardiorespirtory Cardiac examinationCardiac condition signsCardiac murmurs – systolicCardiac murmurs – diasystolicRespiratory examinationRespiratory condition signsPeripheral arterial examinationDVT Examination Abdominal Abdominal ExaminationAbdominal conditions signsDigital rectal examinationInguinal hernia examinationTesticular examinationVaricose veins focussed examinationRenal examination Endocrine Thyroid examinationDiabetic foot examinationCushing’s syndrome focussed examinationAcromegaly focussed examination Neurology Lower limb neurological examinationUpper limb neurological examinationCranial nerves examinationNeurological differential diagnosisNeurological hand examinationExamination of speechParkinson’s disease focussed examinationCerebellar disease focussed examination Orthopaedic Shoulder examinationElbow examinationHand and wrist examinationSpine examinationHip examinationKnee examinationFoot and ankle examination Obstetrics and gynaecology Pelvic examinationPregnant abdomen examination Paediatrics Newborn check examinationKey tips for communicating with and examining childrenGeneral child assessmentPaediatric respiratory examinationPaediatric cardiac examinationPaediatric abdominal examinationChild developmental assessment Other Dermatological skin examinationVisual system examinationLymph node examinationNeck examinationBreast examinationHydration status examinationNutritional status examinationEar examinationPresenting in OSCE examinations Vivas Cardiovascular Valve replacementsPacemakersVaricose veinsPeripheral arterial diseaseHeart failure Respiratory Pulmonary fibrosisChronic obstructive pulmonary disease (COPD)BronchiectasisPneumonectomy / Lobectomy Surgical Thoracic scarsAbdominal scars Abdominal Renal replacement therapyArteriovenous fistulaTenckhoff catheterRenal transplantStomasCauses of hepatosplenomegalyInguinal herniasChronic liver disease Endrocrine GoitresCushing’s syndromeAcromegaly Orthopaedic and rheumatology Dupuytren’s contractureCarpal tunnel syndromeOsteoarthritisGoutRheumatoid arthritisAnkylosing spondylitisSystemic sclerosis (Scleroderma)Paget’s diseaseMarfan syndrome Neurology Parkinson’s diseaseMultiple sclerosisStroke Dermatology NeurofibromatosisEczemaPsoriasisDermatology photosBasal cell carcinomaSeborrhoeic keratosis (seborrhoea wart)VitiligoFoot ulcers Other Abnormal fundoycopic appearancesDigital clubbingMechanisms of labourVisual field defects ABCDE Life support Adult basic life supportAdult advanced life support ABCDE ABCDE management of a critically ill patientAcute presentation assessmentSuggested approach to common acute presentations Common acute presentations Differential diagnosis: Shortness of breathDifferential diagnosis: Acute chest painDifferential diagnosis: Acute abdominal painDifferential diagnosis: Acute headacheDifferential diagnosis: Collapse / fall Managing cardiorespiratory emergencies Acute asthma & COPD exacerbation managementPulmonary embolism managementAcute coronary syndrome managementArrhythmia managementAcute pulmonary oedema managementAnaphylaxis management Managing abdominal emergencies Managing abdominal emergenciesUpper GI bleed management Managing endocrine emergencies Management of diabetic emergencies Managing neurological emergencies Stroke and TIA managementSeizure management Managing trauma Wound managementLigament injuryFracture management Managing other emergencies Sepsis managementPost-operative complicationsAnaphylaxis managementRapid tranquilisation of agitated patient at risk to self/others Procedures Neddle-to-skin Peripheral venepunctureAttaining a venous blood sample for blood culturePeripheral venous cannulationArterial blood gas samplingSuturing technique Drug administration Intravenous infusionIntravenous injectionIntramuscular injectionSubcutaneous injectionIntradermal injectionBlood transfusionAdministering nebulised medication Swabs and smears Cervical smearGynaecological swabsENT and skin/wound swabs Tubes Urethral catheterisationNasogastric tube insertionAirway devices Bedside tests Performing an ECGUrine testsBlood pressure measurementPeak flow measurementCapillary glucose measurement Surgical Surgical scrub Advanced Procedures Chest Drain Insertion (Seldinger Technique) Interpretations Paper traces ECG interpretationSpirometryPartogram interpretation Imaging Chest radiograph interpretationAbdominal radiograph interpretationMusculoskeletal radiograph interpretation Blood ABG interpretationInterpretation of the full blood countInterpretation of urea and electrolytesInterpretation of liver function testsInterpretation of coagulation screen Urine Urinalysis Prescribing Oxygen Oxygen therapy Intravenous fluids Adult intravenous fluids Nutrition Adult nutrition Management Commonly prescribed drugs in hospitalCommonly prescribed drugs in communityCommon infective organismsAnticoagulantsInsulin prescribingAntibioticsContinuous drug infusions – advanced Calculation Drug units and calculations Prescriptions Hospital inpatient prescriptionsOutpatient prescriptions Drug monitoring Monitoring narrow therapeutic range drugs Adverse drug reactions Common side effectsDrugs and renal impairmentDrug interactions Communication Explaining How to counsel/explain to patientsDiscussion about surgeryInhaler techniqueCommon medications requiring counsellingChildhood vaccinationsExplaining scope procedures Counselling Contraception counsellingEmergency contraceptionBasic genetic counsellingBirthing optionsHormone replacement therapyCommon medications requiring counselling Ethics and law stations ConfidentialityAssessing capacityConsenting a patient for a procedureAdvance decision to refuse treatment (‘living will’)Lasting power of attorneyDVLA reportingSafeguardingDomestic violence Difficult encounters Breaking bad newsDealing with strong emotionsPsychosocial concernsEnd of life and TREATMENT escalation discussions Communication with medical professionals Presenting historiesReceiving a handoverMaking a referral Documentaiton Venous thromboembolism assessmentDischarge summaryDeath certificationSOAP noteWard round documentation Reviewing patients The consultation SOAP noteWard round documentation Clerking patients Admission clerkingPre-operative assessment Reviewing inpatients Post-operative general surgical patient reviewMedical patient reviewFalls risk assessmentDiabetic care reviewCommon on-call scenarios