Self-assessment in accident and emergency medicine

233 Pages·1996·8.31 MB·English

by  Greaves

Self-assessment in
Accident and Emergency Medicine
In memory of
‘Tony’ Cross obe md frcs
Self-assessment in
Accident and Emergency
Medicine
Derek Burke frcs <a&e) Ed
Accident and Emergency Department, The Manor
Hospital, Walsall Hospitals NHS Trust, UK
Ian Greaves mb chB mrcpiuk) dtm&h DipiMC
Accident and Emergency Department, St James
University Hospital, Leeds, UK
Philip Hormbrey mb ChB mrcp(uk) da DipiMC frcs (a&e) Ed
Accident and Emergency Department, The Oxford
Radcliffe Hospital, UK
Butterworth-Heinemann
Linacre House, Jordan Hill, Oxford 0X2 8DP
A division of Reed Educational and Professional Publishing Ltd
<a
A member of the Reed Elsevier pic group
OXFORD BOSTON JOHANNESBURG
MELBOURNE NEW DELHI SINGAPORE
First published 1996
© Reed Educational and Professional Publishing Ltd 1996
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British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloguing in Publication Data
A catalogue record for this book is available from the Library of Congress
ISBN 0 7506 2215 6
Composition by Genesis Typesetting, Laser Quay, Rochester, Kent
Contents
Foreword vii
Preface ix
Acknowledgements X
Multiple choice questions 1
Case histories 110
Data interpretation questions 145
Clinical picture questions 180
Recommended reading 204
Index 205

Foreword
It is a great pleasure, indeed an honour, to write the Foreword for this
text.
Accident and Emergency Medicine is a young, but flourishing
specialty. It follows, therefore, that there is a relative paucity of quality
texts to guide the trainee, as well as the Consultant. Training in
Emergency Medicine is now well established at both Registrar and
Senior Registrar level, and Post-Caiman trainees will enjoy a well-
structured five year programme.
The second tier examination of the Royal College of Surgeons of
Edinburgh (FRCS Ed. [A&E]) is now established as an enviable
qualification but soon the exit fellowship of the Faculty of Accident and
Emergency Medicine will be required at the end of training.
This text will be of great value to those preparing for both the FRCS
(Ed. [A&E]) and the FFAEM, as well as those wishing to keep on top
of current thinking. Not only is the reader stretched by the testing
MCQ’s, case histories, data interpretation, and clinical questions, but
learns further by reviewing the well explained answers. This is an
educationally sound learning method which uses scant available study
time to the best advantage.
The authors are to be congratulated. The readers will be grateful, and
as a result patient care ‘in the front line’ of clinical practice will
improve.
David V. Skinner FFAEM, FRCS
Accident and Emergency Consultant

Preface
Accident and emergency (A&E) medicine by its very nature covers a
very extensive field of study. The new senior house officer, perhaps only
qualified for a year, can find the range of conditions presenting to the
department quite daunting. With experience comes recognition of the
common patterns of illness and injury and appreciation of situations
where a more cautious clinical approach may be necessary. In this book
we have aimed to outline the diagnosis and management of the common
clinical situations in emergency medicine. We have used the format of
multiple choice questions, case histories, data interpretations and picture
questions as used in many of the postgraduate exams. Also included are
the conditions that frequently result in medicolegal action, conditions
where management remains contentious and the occasional rarity which
may be seen from time to time in a busy department.
We hope the book will be used both by trainees wishing to pursue a
career in emergency medicine who are studying for exams such as the
FRCS(Ed) in A&E and the FFAEM, and also by recently qualified
SHOs starting their first post in the specialty. We would be interested to
hear of any suggestions or changes that could be made for future
editions.
Derek Burke, Ian Greaves, Philip Hormbrey
Oxford, May 1995