Examination Medicine: A Guide to Physician Training (108 page)

presyncope,
269

Primary biliary cirrhosis,
206

primary progressive multiple sclerosis,
263

proctor attendant,
12–14
,
26

progressive relapsing multiple sclerosis,
263

progressive supranuclear palsy,
424

pseudobulbar palsy,
428

pseudogout,
395

pseudorelapses,
260

psoriatic arthritis,
279
,
282
,
393

feet,
403

hands,
391
,
394
,
398

ptosis,
420
,
421

pulmonary arterial hypertension (PAH),
103
,
219

pulmonary embolism,
290

pulmonary fibrosis,
99–102

pulmonary haemorrhage,
354

pulmonary hypertension,
102–9

chest X-ray,
105

Dana Point classification,
103

echocardiography report,
107

idiopathic (primary),
108–9

pulmonary infiltrate and eosinophilia (PIE),
101

pulmonary stenosis,
329–30

PUO
See
pyrexia of unknown origin

pulmonary veno-occlusive disease,
103

pupil abnormalities,
416

pyoderma gangrenosum,
134
,
301

pyrexia of unknown origin (PUO),
274–7

R

RACP
See
Royal Australasian College of Physicians

radial nerve,
444

RBBB
See
right bundle branch block

reflux nephropathy,
249

Reiter syndrome,
391
,
407

relapsing remitting multiple sclerosis (RRMS),
260
,
263

renal artery denervation,
64

renal failure

chronic,
248–56
,
295–7

cirrhosis and,
150

renal masses, causes of,
360

renal transplantation,
256–9
,
290

respiratory examination,
341–6

restenosis,
39

retrosternal mass goitre,
354

retrosternal mass thoracic aortic aneurysm,
355

revascularisation,
37–9

rheumatoid arthritis,
192–201

biological agents for,
200

cervical spine X-ray,
197

chest X-ray,
199

diagnostic criteria,
196

examination for,
195

feet,
401–2

hands,
389–93
,
396
,
397
,
399

knees,
401

non-TNF inhibitors drugs,
201

pelvic X-ray,
198

risk factors for destructive,
200

TNF inhibitors for,
200–1

rheumatological system,
388–408

right bundle branch block (RBBB),
70

right internal mammary artery (RIMA),
37

right middle lobe bronchiectasis,
351

right upper lobe consolidation,
350

right upper lobe fibrosis,
351

right upper lobe tumour,
353

right ventricular failure,
52

RIMA
See
right internal mammary artery

Rinne’s test,
426

Roth spots,
41

Royal Australasian College of Physicians (RACP),
1–4

Department of Education,
10

RRMS
See
relapsing remitting multiple sclerosis

Rugger jersey spine,
256

S

saphenous vein grafts (SVGs),
37

sarcoidosis,
109–13
,
262
,
357

chest X-ray,
110
,
112

clinical presentation,
110

Schamroth’s sign,
309
,
310

sciatic nerve,
447

sclerodactyly,
217

scleroderma,
206
,
215–19
,
249

second (optic) nerve,
409
,
416–20

secondary progressive multiple sclerosis (SPMS),
260
,
263

Senior Examination Panel (SEP),
13

sensory system examination,
435–6

SEP
See
Senior Examination Panel

seroconversion illness,
278

seventh (facial) nerve,
411
,
426

short case exam,
3
,
14
,
303–7

cardiovascular examinations in,
304
,
305

differential diagnosis in,
306

golden rules for,
307

neurological examinations in,
306

practice for,
17

redirects in,
306

spot diagnosis in,
303
,
304

stems in,
303

taking blood pressure in,
304
,
305

time allowed,
304

wrong diagnosis in,
306–7

shoulder girdle examination,
436–7

sick sinus syndrome,
69

sinus rhythm

atrial fibrillation management and,
78

first-degree heart block,
70

heart failure management and,
53
,
54

LAHB,
70

LBBB,
49

in left ventricular hypertrophy,
61

old anterior infarct,
49

prolonged QT interval,
71

RBBB,
70

WPW conduction,
72
,
73

sinus venosus defects,
332

sixth (abducens) nerve,
409–10
,
422–4

sixth nerve palsy,
422

Sjögren’s syndrome,
206
,
261

SLE
See
systemic lupus erythematosus

sleep apnoea,
96–8

small vessel ischaemia,
261

speech,
432–3

spherocytosis,
158

spinal cord lesions,
448–54

splenectomy,
164

splenomegaly,
160
,
177
,
361

splinter haemorrhages,
40

SPMS
See
secondary progressive multiple sclerosis

spondyloarthropathies, seronegative,
405

spot diagnosis,
303
,
304

ST elevation myocardial infarction (STEMI),
32
,
39

Steele-Richardson-Olszewski syndrome,
424

STEMI
See
ST elevation myocardial infarction

stems,
303

steroid-induced osteoporosis,
225–6

streptococci,
42

subacute combined degeneration of spinal cord,
450

sub-specialty areas,
1
,
2