Examination Medicine: A Guide to Physician Training (107 page)

course of,
263

lesion sites,
262

McDonald criteria,
260
,
263

multiple-choice questions,
9

muscle power grading,
440

muscular dystrophies,
452–4

MuTYH-associated polyposis (MAP),
139

myasthenia,
410

myasthenia gravis,
264–7

Mycobacterium avium
complex (MAC),
286

myelofibrosis, idiopathic,
172–3

myeloma,
182–7

differential diagnosis,
186–7

localised,
187

skull and pelvis X-rays,
185

staging,
184
,
186

myeloproliferative disorders,
168

myocardial infarction,
32
,
300

myopathy,
451–4

N

National Examination Panel (NEP),
13
,
14
,
15

neck examination,
370

necrobiosis diabeticorum,
301

necrobiosis lipoidica,
384
,
385

NEP
See
National Examination Panel

nephrotic syndrome,
249

nervous system,
408–13

neurological examinations,
306

cranial nerves,
408–12
,
415–29

eyes,
413–15

higher centres,
429–32

lower limb,
437–9

notes on examination of limbs,
440–7

notes on spinal cord lesions,
448–54

speech,
432–3

upper limb,
433–6

New England Journal of Medicine
,
10

New York Heart Association (NYHA),
47

ninth (glossopharyngeal) nerve,
411
,
427

non-alcoholic fatty liver disease,
154

non-alcoholic steatohepatitis,
154–5

non-cyanotic congenital heart disease,
332–4

non-Hodgkin’s lymphoma,
175–6
,
180–2

bone marrow transplant survival rates,
190

International Prognostic Index,
180
,
182

International Working Formula classification,
180–1

survival rates,
181
,
183

treatment,
180–2

WHO classification,
181–2

non-pitting lower limb oedema,
341

non-ST elevation acute coronary syndrome (NSTEACS),
32

non-ST elevation myocardial infarction (non-STEMI),
32

NYHA
See
New York Heart Association

nystagmus,
423–4

O

obstructive sleep apnoea (OSA),
290–2
,
300
,
301

oculomotor nerve,
409–10
,
421–2

oedema,
340–1

oesophageal spasm,
33

olfactory nerve,
409
,
415–16

one-and-a-half syndrome,
414–15

optic atrophy,
419
,
420

optic nerve,
409
,
416–20

optic neuritis,
263

optic neuropathy,
420

oral hypoglycaemic agents,
241–2
,
243

OSA
See
obstructive sleep apnoea

Osler’s nodes,
309

osteitis deformans,
228–33

osteoarthritis,
395

hands,
396
,
399

osteomalacia,
220–6

causes,
222

tests in,
223

osteomyelitis,
293

osteopenia,
222

osteoporosis,
220–6

secondary causes,
221

steroid-induced,
225–6

tests in,
223

osteosarcoma,
232

ostium primum ASD,
332

ostium secundum ASD,
332

Oxford Textbook of Medicine
,
10

P

pacemakers,
74–6
,
312
,
313
,
315

Paget’s disease,
223
,
228–33

examination for,
229
,
231

skull X-ray,
232

PAH
See
pulmonary arterial hypertension

Pancoast tumour,
353

pancreatitis,
296

panhypopituitarism,
374–5

panic attacks,
270

papillitis,
418

papilloedema,
418
,
419–20

paraesthesiae,
373

paraparesis,
459

paraplegic patient assessment,
448–9

Parinaud’s syndrome,
424

Parkinson’s disease,
459–60

patent ductus arteriosus (PDA),
333–4

patent foramen ovale,
292

patient history,
23–6

social,
25

PDA
See
patent ductus arteriosus

Pemberton’s sign,
371

peptic ulceration,
124–7

peripheral nerves,
444–7

peripheral neuropathy,
255
,
440–3

causes of,
440

motor,
441

painful,
442

sensory,
442

peripheral oedema,
290
,
291

peritonitis,
296

peroneal nerve,
447

pes cavus,
459

petechiae,
365

Peutz-Jeghers syndrome,
141

Phalen’s wrist flexion test,
373
,
380

Physician Readiness for Expert Practice (PREP),
1–3

PIE
See
pulmonary infiltrate and eosinophilia

pitting lower limb oedema,
340–1

pituitary function assessment,
235

pituitary tumour,
235

plethora,
366

pleural effusion,
345
,
356

Pneumocystis jirovecii
,
156
,
190
,
286

Pneumocystis jirovecii
pneumonia,
279
,
283

POEMS syndrome,
187

polyarteritis nodosa,
208–10
,
212
,
213

polyarthritis,
397

polycystic kidneys,
249
,
361

polycythaemia,
168–72
,
338

causes,
169

diagnostic approach,
171

polymorphic VT,
71

polymyositis,
206

porphyria cutanea tarda,
388

portal hypertension,
143
,
149–50

post-valve surgery endocarditis,
44

PREP
See
Physician Readiness for Expert Practice