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Presentations (Chest (Dyspnoea ((Context (Chronic, Demographics, Acute),…
Presentations
Chest
Dyspnoea
Anatomy
Aetiology
Pathophysiology
Clinical Features
Diagnostic Process
Clinical Assessment
Risk Stratification
Investigations
Management
Specific
General
Context
Chronic
Demographics
Acute
Cough
Anatomy
Aetiology
Pathophysiology
Clinical Features
Diagnostic Process
Clinical Assessment
Risk Stratification
Investigations
Management
Specific
General
Context
Chronic
Demographics
Acute
Wheeze
Anatomy
Aetiology
Pathophysiology
Clinical Features
Diagnostic Process
Clinical Assessment
Risk Stratification
Investigations
Management
Specific
General
Context
Chronic
Demographics
Acute
Collapse
Abdomen
Diarrhoea
Diarrhoea
Anatomy
Aetiology
Pathophysiology
Clinical Features
Diagnostic Process
Clinical Assessment
Risk Stratification
Investigations
Management
Specific
General
Context
Chronic
Demographics
Acute
Abnormal LFT's
Abnormal LFT's
Anatomy
Aetiology
Pathophysiology
Clinical Features
Diagnostic Process
Clinical Assessment
Risk Stratification
Investigations
Context Specific
Cholestatic Picture
Hepatic Imaging
Ultrasound
Jaundice
Hepatic Jaundice
Non-palpable Gallbladder
Deep yellow urine
Spleen S&S may be present
Pale Faeces
tender liver may be present
Transient Pruritis
Obstructive/Posthepatic
Liver non-tender
No spleen S&S
Marked pruritus
Gallbladder may be palpable
Deep yellow
Clay coloured stool
Prehepatic/Haemolytic Jaundice
Clinical Characteristics
No Liver Tenderness
Gallbladder non-palpable
Dark brown stool (normal)
Urine colour normal
Spleen S&S i.e. Spleenomegaly
No Pruritus
Yellowing of the skin, sclera and mucosae due to elevated plasma bilirubin
Investigations
Plasma bilirubin (total then fractionated)
Primarily Conjugated
Primarily Unconjugated
Hepatoxic Picture
Transferrin saturation
Ferritin
Management
Specific
General
Context
Chronic
Demographics
Acute
Generic
Fatigue
Fatigue
Anatomy
Aetiology
Pathophysiology
Clinical Features
Diagnostic Process
Clinical Assessment
History
Weight fluctuations
Energy / Performance /Ability to cope
Sleep patterns
Sexual activity / sexual problems
Suicidal ideation
Self-medication
Fears (incl. phobic sx, hydrochondriasis
Precipitating factors
postoperative
Associated with chronic physical illness
Post-partum
Bereavement
Pain—> chronic pain conditions
Retirement
Medication
Post-Trauma
Post-viral
hepatitis
mononucleosis
influenza
Work history
Dietary history
Psychological History
Menstrual Hx
Is there anything you think you should tell me?
Do you have an explanation for your tiredness
Risk Stratification
Investigations
Management
Specific
General
Context
Chronic
Demographics
Acute
Neuropsychiatry
Headache
Headache
Anatomy
pain receptors located in the base of the brain in arteries & veins, throughout the meninges, extra cranial vessels, scalp, neck, facial muscles, paranasal sinuses, eyes & teeth. Injury/damage to any of these can be experienced as a headache.
Eyes ( acutely raised intraoccular pressure, scleritis)
Paranasal sinus (infection)
Scalp, facial and eye muscle pathology
The ear, middle ear, external auditory meatus,
Skin and associated structures (occipital neuralgia, shingles)
Teeth (toothache) and TMJ
Cervical vertebrae & associated structures (arthrides, fractures, nerve impingement)
Meninges; infection, tumours, subarachnoid haemorrhage (raised ICP)
Periosteum; tumour
Blood vessel; temporal arteritis
Aetiology
Secondary Headaches
Underlying pathology
Primary Headaches Disorders
Not associated with underlying pathology
Tension Type
Associated Features
4 more items...
Precipitating Factors
1 more item...
Site of Pain
1 more item...
Acute Intervention
3 more items...
Nature of Pain
1 more item...
Prophylaxis
1 more item...
Cluster
Migraine
Precipitating Factors
5 more items...
Acute Interventions
3 more items...
Associated features
7 more items...
Unilateral, (often in the temple or retro orbital)
Throbbing / pulsating pain
Prophylaxis
2 more items...
Pathophysiology
Clinical Features
Diagnostic Process
Clinical Assessment
Risk Stratification
Acute
Chronic (>15 days per month for > 3months)
Red Flag Sx
Associated with eye movement and blurred vision
Sudden, severe onset (thunderclap), worse than previous headache
provoked by postural change (stooping/bending)
with new onset neurological signs (sensory changes, weakness, diplopia, Horner's syndrome, visual field defects)
Headache exacerbated by coughing sneezing or straining
associated with stiff neck, generalised aches or pains, rash, malaise, altered consciousness or confusion
that change dramatically in quality nature or site
failing to respond to appropriate therapy
Investigations
Management
Specific
General
Context
Chronic
Demographics
Acute
Developmental
Head & Neck
MSK
Urogenital
Skin
Paediatrics