Examination Medicine: A Guide to Physician Training (106 page)

insulin therapy,
243–5

insulin-like growth factor I (IGF-I),
234–5

Internal Medicine Journal
,
10

Internal Medicine Review Core Curriculum (15th edn) from Medstudy
,
10

International Prognostic Index (IPI),
180
,
182
,
183

International Working Formulation classification,
180–1

internuclear ophthalmoplegia,
261
,
423

interstitial lung disease (ILD),
99–102
,
216

classification of,
102

thoracic CT scan,
101

IPI
See
International Prognostic Index

ischaemic heart disease,
32–6
,
300
,
301

examination,
35

history,
33–5

investigations,
36

long-term treatment,
36

management,
35–6

revascularisation,
37–9

risk factors,
34

risk stratification,
33

secondary prevention,
36

ITP
See
idiopathic thrombocytopenic purpura

J

Janeway lesions,
309
,
310

jaundice,
309

jugular venous pressure (JVP),
313
,
314
,
317

K

Kaposi’s sarcoma,
279
,
286

keratoderma blenorrhagicum,
391

knees

arthritis,
399–401

examination,
399–400

replacement,
201
,
296–8

L

LAHB
See
left anterior hemi-block

Lancet
,
10
,
20

lateral cutaneous nerve of the thigh,
447

LBBB
See
left bundle branch block

lead poisoning,
367

left anterior hemi-block (LAHB),
70

left bundle branch block (LBBB),
49

left internal mammary artery (LIMA),
37–8

left internal mammary artery grafts,
37

left ventricular failure,
52

leukaemia,
172
,
174
,
190

LH
See
luteinising hormone

Lhermitte’s sign,
261

Lichen planus,
152

light reflex,
416

LIMA
See
left internal mammary artery

liver function tests,
89
,
161

liver nails,
364

liver palpation, differential diagnosis in,
360

liver transplantation,
155–7

localised myeloma,
187

long case exam,
4
,
12–13

common cases,
29–30

history-taking and physical examination,
23–6

note-taking in,
22–3

practice for,
16

presentation,
26–8

rationale,
28–9

types,
31

lower limb neurological examination,
437–9

lower motor neurone lesions,
440

lung carcinoma,
85–90
,
352

cell types,
85

chest X-rays,
88

FBC and liver function tests,
89

metastatic and non-metastatic manifestations,
86

TNM staging system,
89

lung disease

fibrotic,
99
,
351

granulomatous,
99
,
102

interstitial,
99–102
,
216

lung transplantation,
121–3

lupus pernio,
111

luteinising hormone (LH),
235

Lyme disease,
262

lymphadenopathy

bilateral hilar,
178

causes of generalised,
368

hilar,
357

inguinal,
362

supraclavicular,
367

lymphoma,
158
,
172
,
292–3

Ann Arbor classification,
176

histopathological classification,
176

International Prognostic Index,
180
,
182

International Working Formulation classification,
180–1

staging,
176
,
178

survival rates,
181
,
183

WHO classification,
175
,
181–2

 
See
non-Hodgkin’s lymphoma

Lynch syndrome,
140
,
141

M

MAC
See
Mycobacterium avium complex

main d’accoucheur,
372

malabsorption,
127–32
,
220
,
221
,
301

causes and treatment,
131

typical investigation results,
130

malar rash,
203

MALT
See
mucosa-associated lymphoid tissue

MAP
See
MuTYH-associated polyposis

Marcus Gunn phenomenon,
409

Marfan’s syndrome,
339–40

Mayo Clinic Board Review,
11

McDonald criteria,
260
,
263

MCTD
See
mixed connective tissues disease

median nerve,
445

Medical (basic) Sciences paper,
8

Medical Education Officers (MEOs),
6

Medical Knowledge Self-Assessment Program (MKSAP)
,
10

membranoproliferative glomerulonephritis,
259

meningovascular syphilis,
262

MEOs
See
Medical Education Officers

MGUS
See
monoclonal gammopathies of uncertain significance

microscopic polyarteritis,
208–10
,
212
,
213

mini-CEX,
2
,
3
,
16

mitral facies,
309–10

mitral regurgitation,
321–2

mitral stenosis,
315
,
318–20

mitral valve prolapse,
322–4

mixed connective tissues disease (MCTD),
206

mixed essential cryoglobulinaemia,
209
,
210

MKSAP
See
Medical Knowledge Self-Assessment Program

monoclonal gammopathies of uncertain significance (MGUS),
182
,
186

mononeuritis multiplex,
442

morphea,
216

motor system examination,
433–4

MS
See
multiple sclerosis

mucosa-associated lymphoid tissue (MALT),
176

multiple cranial nerve palsies,
428–9

multiple endocrine neoplasia syndromes,
227

multiple myeloma,
182–7

multiple sclerosis (MS),
260–4

brain MRI,
262