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INTERNAL MEDICINE (MK, SK, NK, E)
TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES
CARDIOVASCULAR ; ENDOCRINE ;
IHD - atherosclerosis *ECG DM – ADA and insulin /
ACS - N/STEMI,USA,CCF,APO / *Stress Test Cushing’s & adrenal insuff
Valvular HD - AS, AR, MS, MR *echo Dyslipidaemia
Arrythmia - SVT, AF, VT and VF Electrolyte disorders
IE Dukes Hyper/hypothyroidism
RF/RHD Jones Metabolic syndrome
HTN / Obesity /
Cardiomyopathy Phaechromocytoma
Pericardial disease Hyperaldosteronism
Myocarditis Acromegaly /
Peripheral vascular disease Calcium/PTH metabolism
Holter monitoring Diabetes insipidus
New oral anticoagulant Endocrine hypertension
RESPIRATORY ; Pituitary disease
Asthma / / / GINA *PEFR Thyroiditis
COAD / / GOLD Multiple Endocrine Neoplasia
Cor pulmonale RENAL ;
RF - Type l and ll *ABG AKI
Pneumonia / CURB65 Analgesic nephropathy
Pleural effusion / Light’s CKD /
Lung cancer / / Diabetic nephropathy
Pneumothorax ESRF
Bronchiectasis Glomerulonephritis
Pulmonary embolism *Renal profile *UFEME
PTB Nephrotic & nephritic
Lung abscess / empyema Polycystic kidney disease
Chronic cough UTI
Acute breathlessness Renal Replacement therapy
Acute haemoptysis Obstructive nephropathy
*CXR Immunosuppressive therapy
Pulmonary cx of AIDS Renal arterystenosis
ARDS Renal syndrome – RTA, BS
OSA Tubulointerstitial nephritis
Interstitiallung diseases HEPATO/GI ;
Occupationallung disease Viral hepatitis
Sarcoidosis Alcoholic liver disease
Mediastinalmass Autoimmune hepatitis
NEUROLOGY ; Fatty liver
Stroke and TIA / / Acute liverfailure Hep enc
Headache disorders Liver cirrhosis Child’s pugh
CNS infections Portal hypertension
Epilepsy Liver abscess
Peripheral neuropathy Peptic ulcer disease
Muscle disorders Reflux oesophagitis
Cranial neuropathies Acute GIbleed
Bell’s palsy / Acute gastroenteritis
Coma Pancreatitis
Parkinson’s disease & PPS / Hepatocellular carcinoma
Myasthenia gravis / Gastric and colorectal cancer
Guillain –Barre syndrome / Inflammatory bowel disease
Multiple sclerosis Irritable bowel syndrome
Cerebellar syndrome / Jaundice
Headache Diarrhoea
Confusional state *Liver function test
Paraparesis Malabsorption syndromes
*Neuroradiology – CT, MRI Primary biliary cirrhosis
Dementia Wilson’s disease
SOL and brain tumours Hemochromatosis
Neurodegenerative disorders
Hyperkinetic disorders
Neurofibromatosis
TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES
RHEUMATOLOGY ; EMERGENCY ;
Rheumatoid arthritis Shock syndrome
Osteoarthritis Respiratory failure
Septic athritis Acute coronary syndrome
Psoriatic arthropathy Acute liverfailure
Scleroderma Gastrointestinal bleeding
Gout Coma
SLE Acute confusional state
HSP Acute kidney injury
Vasculitides DKA
Mixed CTD Hypoglycaemia
Giant cell arteritis HHS
Polymyalgiarheumatica Addison’s crisis
DERMATOLOGY ; Thyroid storm
Erythroderma Poisoning
Toxic epidermal necrolysis Status epilepticus
Steven Johnson’s syndrome Cardiopulmonary resuscitation
Drug rash eosinophilia APO
Angioedema and anaphylaxis Status asthmaticus
Cutaneous drug reactions Hypertension emergencies
Psoriasis – pustular INFECTIONS ;
Eczema / HIV /
Scabies DF
Tinea / TB
Cellulitis/impetigo/erysipelas / Malaria
Herpes zoster Syphilis
Eczema herpeticum Typhoid
Acne Meningitis
Urticaria Leptospirosis
Basal cell carcinoma PUO
Squamous cell carcinoma Cholera
Malignant melanoma STD
Vitiligo Candida infections
Diabetic skin disorders Cerebral Toxoplasmosis
SLE / Pneumocystis Pneumonia
Bullous pemphigoid Cryptococcal Meningitis
Pemphigus vulgaris Influenza
Leprosy ESBL organisms
STD MDR Acinetobacter
Alopecia PHYSICAL EXAMINATIONS ;
Photodermatitis CVS
HAEMATOLOGY ; Respi
Febrile neutropenia & *FBC Abdominal
Septicemia UL
CRBSI LL
Anaemia Cranial nerves
Thalassaemia Cerebellar signs
Thrombocytopenia
Leukaemia OSCE ;
Lymphoma ECG
Bleeding Disorders CXR
Thromboembolism Skin
BMAT
Multiple Myeloma
Acute tumor lysis syndrome
SE of Cytotoxic chemotherapy
Hyperviscosity syndrome
Myeloproliferative disorders
Aplastic anemia
Myelodysplasia
Management ofpain
Chemotherapyinducedemesis
PAEDIATRICS
TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES
CARDIOVASCULAR ; NEUROLOGY ;
Congenital Heart Disease / / Hydrocephalus
Heart Failure / / Spina bifida / NTD /
Heart Murmur / Neurocutaneous syndromes
Rheumatic Fever Developmental delay /
Rheumatic Heart Disease Cerebral palsy /
Kawasaki’s Disease / Febrile convulsions
Myocarditis Epilepsy /
RESPIRATORY ; Breath-holding attacks
Bronchial Asthma / / / Status epilepticus /
Common Cold (Coryza) / Meningitis & encephalitis /
Sore Throat (Pharyngitis) Muscular dystrophy
Tonsilitis Squint
Acute Otitis Media MUSCULOSKELETAL ;
Sinusitis Osteomyelitis
Croup Septic arthritis
Acute Epiglottitis Still’s disease
Diphtheria Juvenile chronic arthritis
Laryngomalacia DMD
Foreign Body Spinal muscular atrophy
Whooping Cough (Pertussis) RENAL ;
Bronchiolitis / Urinary tract infections
Pneumonia / Vesico-ureteric reflux
Cystic fibrosis Acute glomerulonephritis
Pulmonary TB Nephrotic syndrome
Pneumothorax Renal tubular acidosis
Pleural Effusion Haemolytic uraemic synd
RDS Acute renal failure
Bronchopulmonary Dysplasia Hypospadias
Apnoe of prematurity Undescended testes
Meconium aspiration synd INFECTIONS ;
GASTROENTEROLOGY ; Dengue fever
Abdominal Pain Infectious mononucleosis
Acute Gastroenteritis (AGE) / Acquired HIV
Diarrhea Cong immunodeficiency synd
Dehydration Fluid mx ENDOCRINE ;
Tracheoesophageal Fistula Congenital hypothyroidism
Diaphragmatig Hernia Hyperthyroidism
Pyloric Stenosis AXR Puberty
Hirschprung Disease Obesity
Imperforate Anus Type I Diabetes, DKA
Intussusception CAH
Intestinal Obstruction AXR OTHERS ;
Volvulus & malrotation Child abuse and neglect Child Act
Appendicitis Injury prevention
Lactose Intolerance Poisoning
Meckel’s Diverculum NEONATOLOGY ;
NEC Fontanelles & sutures /
Constipation Prematurity & SGA
HEPATOBILIARY ; Birth injury /asphyxia
Jaundice Developmental assessment /
Biliary Atresia AXR Immunizations
Neonatal hepatitis syndrome FTT
Parasitic infestation Infant feeding
HAEMATOLOGY ; Malnutrition
IDA Down syndrome
Thalassaemia / / Turner syndrome
G6PD def Cleft lip and palate
ITP, TTP OSCE ;
HSP
Leukemia
Haemophilia
Solid tumours
SURGERY (MK, SK, NK)
TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES
TRAUMA ; COLORECTAL ;
ABC Lower GI bleed
Primary survey Intestinal obstruction
Secondary survey *GCS Colon carcinoma
Types of shock Diverticular disease
Head injury / Haemorrhoids
Chest injury Fistulae in ano
Abdominal injury Ischiorectal abscess
Genitourinary trauma Principle of stomas
ENDOCRINE ; Famillial adenomatous polyp
Benign thyroid diseases Sigmoid volvulus
Thyroid ca Inflammatory bowel disease
Thyrotoxicosis Tuberculosis
Hypo/hypercalcaemia Anal fissure
1° & 2° Hyperparathyroidism Anal carcinoma
Cushing’s syndrome Rectal prolapse
Conn’s syndrome Anal sphincter injury
Phaechromocytoma Chronic constipation
Carcinoidtumour Radiationproctitis
Insulinoma Ischaemic colitis
Adrenocortical carcinoma VASCULAR ;
Anteriormediastinal mass Acute&chronic limb ischaemia
Inflammatory thyroid diseases Varicose veins
Breast ca / Chronic venous insufficiency
Breast Fibroadenoma Thrombosis
Breast abscess Abdominal aortic aneurysm
Phyllodes tumour Chemo-port
Duct ectasia Trauma
Mastitis Mycotic aneurysms
Nipple discharge Vasculitides
Ductal carcinoma in situ Upper limb ischaemia
Lobular carcinoma in situ PAEDIATRICS ;
Paget’s disease Bilious vomiting in neonates
Reconstruction Acute abdomen in infants
Non palpablelesions Surgical jaundice in infants
GENERAL ; Solid organ injury in children
Hernia Inguino-scrotal swelling
Lumps and bumps Intestinal obstruction
Appendicitis Common abdominal tumours
Enterocutaneous fistulaes UROLOGY ;
UPPER GI ; Haematuria
PUD BPH
Gastric ca Genitourinary calculi
Oesophageal carcinoma Testicular torsion
GERD Testicular ca
Achalasia Hydrocoele
Upper GI bleed / Forrest UTI
Barrett’s oesophagus Fournier’s gangrene
Oesophageal corrosive injuries Prostate ca
Gastric lymphoma PLASTIC ;
Gastric outlet obstruction Skin lesions
Hiatus hernia Oral lesions
HEPATOBILIARY ; Burns
Surgical jaundice Parotid tumours
Benign biliary duct disease NEUROSURGERY ;
Malignant biliary duct disease Brain abscess
Hepatic tumours Brain tumours
Pancreatitis Spinal cord compression
Pancreatic carcinoma Hydrocephalus
Chronic liver disease
Portal hypertension
Hepatic encephalopathy
Hepatolithiasis
O&G (E, C –caunselling)
TOPIC LC C NOTES TOPIC LC C NOTES
OBSTECTRICS ; GYNAECOLOGY ;
Anat&physio of pregnancy Anat ofgenital tract
Assessmentof fetal Menstrual cycle
Antenatal care Amenorrhea
Prenataldx Primary
LABOUR ; Secondary - PCOS
Normal labour –def, stages *CTG, partogram Menorrhagia
Meconium stained DUB
Genitaltracttrauma Dysmenorrhoea
Inductionof labour / *Bishop score Primary –cervical stenosis
Trial ofscar / Secondary –
Assisted vaginal delivery / Forcep,vaccum Endometriosis
Breech delivery / Adenomyosis
LSCS / Uterine fibroid in pregnancy
Amniotomy Chronic pelvicpain
Episiotomy & suturing Ovarian cyst
Manual removalof placenta PID
OBSTECTRICAL PROBLEMS ; Dyspareunia
APH Bleeding in early pregnancy
Placenta previa / Miscarriage /
Abruptio placentae Ectopic pregnancy
Vasa praevia Molar pregnancy
Local causes Local causes
Uteruslarger than date Menopause
Multiple gestation s/sx
Polyhydromnios HRT /
Macrosomicbaby Postmenopausal bleeding
Uterussmaller than date Infertility /
Oligohydromnios Male
SGA, IUGR Female
IUD Assisted reproductivetech
Preterm labour OHSS
PROM, PPROM Contraception
Chorioamnionitis Hormonal /
Abnormal presentations / Intrauterine /
Foetal distress / Barrier
MEDICAL DISORDERS ; Emergency
Hyperemesis gravidarum Sterilization /
HTN - Pre-eclampsia, crisis Vaginal discharge
Diabetes Urogynaecology ;
Anaemia Anat ofpelvicfloor
Heart disease LUTS
Asthma Pelvic organ prolapse
Thyroid Incontinence
SLE Sexual dysfunction
Venous thrombosis –DIVC,DVT Regional ;
Renal disease Ovary
Liver conditions Uterus
Depression Cervix
Infections Vagina
TORCH Vulva
HIV Procedures;
Vaginal candidiasis Pap smearandHVS sampling
GBS Pipellesampling
Rhesus isoimmunization Colposcopy &biopsy
Procedures; Dilatation &curretage /
Fetal Scalpsampling Suction & curretage
EMERGENCY ; Hysterosalphingography
APH –misc,PP,AP Hysteroscopy
Postpartumhaemorrhage IUCD insertion /
Cord prolapse / Salping-ectomy/ostomy/otomy
Shoulder dystocia / Myomectomy
Uterine inversion Hysterectomy
Eclampsia /
Ectopic pregnancy
Uterine rupture /
Abnormal presentation /
Retained placenta (MRP) /
ORTHOPAEDIC
TOPIC SC CPG NOTES TOPIC LC SC CPG NOTES
TRAUMATOLOGY ; SPINE ;
Fracture healing Herniated disc
Complications of # Degenerative spine
Tibial # Spine infections
Open # Spine #
Hip # Back pain /
Femoral # SPORTS INJURIES ;
PAEDIATRIC ; Meniscal injuries /
Limpingchild ACL & PCL tear /
Supracondylar humeral # Shoulder dislocation
Epiphyseal injury Elbow&ankle ligament injuries
Painful shoulder /
HAND ; EMERGENCY ;
Tendoninjuries Open Fractures or Joints
Nerve injuries Neurovascular Injuries
Hand deformities Pelvic Ring Injury
Carpal tunnel / Acute Compartment Synd
De Quirvain tenosynovitis Dislocations
Ganglion Cauda Equina Syndrome
OA Septic Arthritis
RA Necrotizing Fasciitis
Psoarisis Fat Embolism Syndrome
Gout PHYSICAL EXAMINATIONS ;
Sero-negative arthritis Shoulder
Osteonecrosis Elbow
GENERAL ; Hand
Diabetic foot diseases Hip
Peripheralnerve injuries Knee
Osteoporosis Foot & ankle
Principles of rehabilitation Spine
Musculoskeletal infections OSCE ;
Musculoskeletal tumors Xrays
Osteoarthritis - fractures
Splintingandcasting
Wound dressing
Traction Splints
Bandaging, taping&tourniquet Tractions
Orthosis
Prosthesis
PSYCHIATRY
TOPIC SC CPG NOTES TOPIC SC CPG NOTES
Basic Psychopathology Neurocognitive Disorders /
Coping strategies Psychiatric ds due to organic causes
Defense mechanisms Substance use disorders
Acute stressreaction Alcohol-relateddisorders
Adjustment disorder common substance use disorders
Illnessbehavior Treatments / management
Anxiety Disorders Psychotropic drugs /
Panic disorder / Electroconvulsive Therapy (ECT) /
Agoraphobia / Psycho-education
Generalisedanxietydisorder / Rehabilitation
Social anxietydisorder / Supportive psychotherapy
Post-traumatic stressdisorder / Management inthe community
Obsessive compulsive disorder / Managingaggression
Psychotic Disorders Personalitydisorders
Schizophrenia / / Somatic Symptom & Relatedds
Delusional Disorders Dissociative Disorders
Schizoaffective disorder Sexual dysfunctionDisorders
Depressive Disorders Paraphilias& Gender Identityds
Major depressive disorder / Anorexia nervosa, bulimia nervosa,
binge eating& obesity
Dysthymia Sleep disorders
Bipolar disorders / / Stigma inpsychiatry
Suicide attempt & Deliberate self-
harm
/ Ethics & legal aspects of psychiatry
ANAESTHESIOLOGY
TOPIC SC CPG NOTES TOPIC SC CPG NOTES
Airway Drug
Airwayassessment Pre-medication
Airwaymaintenance Intravenous anaesthetic agents
Intubation/Airwaydevices / Inhalational anaesthetic agents
Anaesthesia Muscle relaxants & reversal agents
Peri-operative management Opioids andnon-opioids
General anaesthesia Local anaesthetic agents
Regional anaesthesia Resuscitationdrugs
- spinal / Post-operative painrelief
- epidural / - oral analgesics
- peripheral nerve block - opioids
Emergencyanaesthesia - patient-controlledanalgesia /
- regional analgesia
Acute painservice
Resuscitation
Basic Life Support
OPTHALMOLOGY
TOPIC SC CPG NOTES TOPIC SC CPG NOTES
ACUTE VISUAL LOSS ; RED EYE (VISION THREATENING) ;
Vitreous haemorrhage Corneal infection
Retinal detachment Scleritis
Retinal vascular diseases Hyphaema
Macula lesions Iritis
Optic nerve lesions Acute glaucoma
Occipitallobe& visual cortex lesions Orbital cellulitis
CHRONIC VISUAL LOSS ; OCULAR TRAUMA/EMERGENCIES ;
Cataract Acute angleclosure glaucoma
Glaucoma / Acid andalkaline eye injuries
Age relatedmacular degeneration / Central retinal arteryocclusion
Diabetic retinopathy / Ocular injury(blunt, penetrating)
SYSTEMIC DS ; PAEDIATRIC ;
HTN / Refractive error
Thyroid Amblyopia
Sarcoidosis Strabismus
Myastheniagravis Cloudycornea
Multiple sclerosis Cataract
Rheumatoidarthritis Retinoblastoma
Systemic lupus erythematosus Redness
Leukemia Itchiness
AIDS Tearing
Uveitis Discharge
RED EYE (NON VISION THREATENING) ; Swelling
Subconjunctival haemorrhage EYE EXAMINATION ;
Hordeolum Anterior eye examination
Chalazion Pupillaryexamination
Blepharitis Posterior / fundoscopy Direct opthal
Conjunctivitis
Dry eye
Corneal abrasion
ENT
TOPIC SC CPG NOTES TOPIC SC CPG NOTES
Otology and Audiology ; Rhinology ;
Anat&physioof hearing&balance. *otoscopy Anatomyandphysiologyof smell rhinoscopy
Chronic active/inactive otitis media myringotomy Acute andChronic Rhinosinusitis
Cholesteatoma grommet Allergic andNon-Allergic Rhinitis
Otitis externa Nasal polyp
Otitis mediawith effusion / Nasopharyngeal carcinoma
Vertigo andtinnitus Sinonasal malignancy
Deafness *tuning fork Angiofibroma
Foreign bodies Facial trauma
Hearing assessment&rehabilitation PTA,BSER, tymp Nasal bone fracture
Laryngology ; Foreign bodies
Anatomyandphysiologyof larynx Epistaxis nasalpacking
Voice rehabilitation tracheostomy Head and Neck ;
Physiologyof swallowing Anatomyof neck
Dysphagia Head and Neck Trauma
Laryngeal infection Ca of larynx,hypo,oropharynx&oral
Laryngeal tumor Salivaryglanddiseases and tumors
Laryngeal trauma Neck masses(benignlesions)
Stridor Deep neckspace infection
Obstructive sleepapnoea - parapharyngeal abscess
Foreign bodies - retropharyngeal abscess
Acute andchronic tonsillitis - Ludwig‟s angina
Hoarseness Facial nerve palsy /
Indirect laryngoscopy
Flexible nasopharyngolaryngoscope
FAMILY MEDICINE – common presenting sx in Primary Care (MK, SK, NK)
TOPIC LC CPG NOTES TOPIC LC CPG NOTES
Abdominal pain Allergic reactions
Back pain Anxiety/Stress
Chest pain Altered bowel habit
Cough Adoscent problems
Constipation Breast lump, tender, discharge
Diarrhoea STI/HIV
Dizziness/Vertigo Cancer prevention/screening
Ear pain/Epigastric Dysphagia
Fever Epixtaxis
Headache Falls in elderly
Heartburn/Epigastric pain Fatigue
Immunizations Familyplanning/contraception
Indigestion Genital itch, discharge, ulcer
Joint pain Hearing loss
Laceration, contusions Haemoptysis
Muscle sx – sprain, strain, soft
tissue injuries
Hoarseness
Nasal congestion/discharge Lump – ncek, skin
Nausea/Vomiting Menopausal sx
Neonatal jaundice Menses – irreg, heavy, absent,
missed, PMS
Child health Motor weakness
Pre-employment Numbness/tingling
CVS screening Palpitation
Elderly Pallor
Pregnancy - dx, ant, post Syncope
Red eyes Bereavement & grief
SOB Cognitive impairment
Skin rash/pruritus Complementarymedicine
Sore throat Genetic screening
Urinary sx – dysuria, freq,
hematuria, continence,
polyuria, nocturia
Phobia
Weight gain & loss / obesity Sleep problem/insomnia
Wheeze Testicular/scrotal pain, mass
Addictions (smoking, alcohol,
drugs)
Tinnitus
Common chronic disease (MK, SK, NK)
TOPIC LC CPG NOTES TOPIC LC CPG NOTES
Asthma / Arthritis
Angina / Alcoholism
Anxiety/neurosis DS, CP
Acne / Medication monitor,compliance
COAD / Epilepsy
CHF / Polypharmacy
Depression / Stroke /
DM type ll / Thyroid disease
HPT / Chronic fatigue syndrome
Hyperlipidaemia / Dementia
Obesity / Irritable bowel syndrome
Anemia Parkinson
Osteoarthritis Sleep disorder
Schizophrenia /
Terminal illness (HIV, cancer)
EMED
TOPIC NOTES TOPIC NOTES
Principle in Emergency Medicine Case based learning;
-Pre-hospital care -Chest pain
-Triage -Acute abdominal pain
-Resuscitation& stabilizationof criticallyillpatient -Shortness ofbreath
-Investigations inemergencydepartment -Alteredlevel of consciousness
-Treatment inemergencydepartment Simulation exercise;
-Disposalof patients -Basic airwaymanagement
-Cardiac Life Support -First Aid
-Trauma Resuscitation -2-wayradio-communication
Disaster and major incident riskmanagement -Trauma resuscitation
Medico-legalissues inemergencymedicine -Cardiac Resuscitation
-Disaster exercise
JKM
TOPIC LC CPG NOTES TOPIC LC CPG NOTES
Epidemiology and Statistics;
- non infectious ds
- food&water borne ds
Health & hospital mx
- Health services system
- Referral system
- Health Management
InformationSystem(HMIS)
- QualityAssurance
Programmes (QAP)
Occupational health
- OSH – HIRARC
- SOCSO
- Medical surveillance
Primary health care
Family Health
- Maternal & childhealthcare
- Familyplanning
- LPPKN
Environment Health
Health Promotion & Education
Community Nutrition

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Medical exam checklist

  • 1. INTERNAL MEDICINE (MK, SK, NK, E) TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES CARDIOVASCULAR ; ENDOCRINE ; IHD - atherosclerosis *ECG DM – ADA and insulin / ACS - N/STEMI,USA,CCF,APO / *Stress Test Cushing’s & adrenal insuff Valvular HD - AS, AR, MS, MR *echo Dyslipidaemia Arrythmia - SVT, AF, VT and VF Electrolyte disorders IE Dukes Hyper/hypothyroidism RF/RHD Jones Metabolic syndrome HTN / Obesity / Cardiomyopathy Phaechromocytoma Pericardial disease Hyperaldosteronism Myocarditis Acromegaly / Peripheral vascular disease Calcium/PTH metabolism Holter monitoring Diabetes insipidus New oral anticoagulant Endocrine hypertension RESPIRATORY ; Pituitary disease Asthma / / / GINA *PEFR Thyroiditis COAD / / GOLD Multiple Endocrine Neoplasia Cor pulmonale RENAL ; RF - Type l and ll *ABG AKI Pneumonia / CURB65 Analgesic nephropathy Pleural effusion / Light’s CKD / Lung cancer / / Diabetic nephropathy Pneumothorax ESRF Bronchiectasis Glomerulonephritis Pulmonary embolism *Renal profile *UFEME PTB Nephrotic & nephritic Lung abscess / empyema Polycystic kidney disease Chronic cough UTI Acute breathlessness Renal Replacement therapy Acute haemoptysis Obstructive nephropathy *CXR Immunosuppressive therapy Pulmonary cx of AIDS Renal arterystenosis ARDS Renal syndrome – RTA, BS OSA Tubulointerstitial nephritis Interstitiallung diseases HEPATO/GI ; Occupationallung disease Viral hepatitis Sarcoidosis Alcoholic liver disease Mediastinalmass Autoimmune hepatitis NEUROLOGY ; Fatty liver Stroke and TIA / / Acute liverfailure Hep enc Headache disorders Liver cirrhosis Child’s pugh CNS infections Portal hypertension Epilepsy Liver abscess Peripheral neuropathy Peptic ulcer disease Muscle disorders Reflux oesophagitis Cranial neuropathies Acute GIbleed Bell’s palsy / Acute gastroenteritis Coma Pancreatitis Parkinson’s disease & PPS / Hepatocellular carcinoma Myasthenia gravis / Gastric and colorectal cancer Guillain –Barre syndrome / Inflammatory bowel disease Multiple sclerosis Irritable bowel syndrome Cerebellar syndrome / Jaundice Headache Diarrhoea Confusional state *Liver function test Paraparesis Malabsorption syndromes *Neuroradiology – CT, MRI Primary biliary cirrhosis Dementia Wilson’s disease SOL and brain tumours Hemochromatosis Neurodegenerative disorders Hyperkinetic disorders Neurofibromatosis
  • 2. TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES RHEUMATOLOGY ; EMERGENCY ; Rheumatoid arthritis Shock syndrome Osteoarthritis Respiratory failure Septic athritis Acute coronary syndrome Psoriatic arthropathy Acute liverfailure Scleroderma Gastrointestinal bleeding Gout Coma SLE Acute confusional state HSP Acute kidney injury Vasculitides DKA Mixed CTD Hypoglycaemia Giant cell arteritis HHS Polymyalgiarheumatica Addison’s crisis DERMATOLOGY ; Thyroid storm Erythroderma Poisoning Toxic epidermal necrolysis Status epilepticus Steven Johnson’s syndrome Cardiopulmonary resuscitation Drug rash eosinophilia APO Angioedema and anaphylaxis Status asthmaticus Cutaneous drug reactions Hypertension emergencies Psoriasis – pustular INFECTIONS ; Eczema / HIV / Scabies DF Tinea / TB Cellulitis/impetigo/erysipelas / Malaria Herpes zoster Syphilis Eczema herpeticum Typhoid Acne Meningitis Urticaria Leptospirosis Basal cell carcinoma PUO Squamous cell carcinoma Cholera Malignant melanoma STD Vitiligo Candida infections Diabetic skin disorders Cerebral Toxoplasmosis SLE / Pneumocystis Pneumonia Bullous pemphigoid Cryptococcal Meningitis Pemphigus vulgaris Influenza Leprosy ESBL organisms STD MDR Acinetobacter Alopecia PHYSICAL EXAMINATIONS ; Photodermatitis CVS HAEMATOLOGY ; Respi Febrile neutropenia & *FBC Abdominal Septicemia UL CRBSI LL Anaemia Cranial nerves Thalassaemia Cerebellar signs Thrombocytopenia Leukaemia OSCE ; Lymphoma ECG Bleeding Disorders CXR Thromboembolism Skin BMAT Multiple Myeloma Acute tumor lysis syndrome SE of Cytotoxic chemotherapy Hyperviscosity syndrome Myeloproliferative disorders Aplastic anemia Myelodysplasia Management ofpain Chemotherapyinducedemesis
  • 3. PAEDIATRICS TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES CARDIOVASCULAR ; NEUROLOGY ; Congenital Heart Disease / / Hydrocephalus Heart Failure / / Spina bifida / NTD / Heart Murmur / Neurocutaneous syndromes Rheumatic Fever Developmental delay / Rheumatic Heart Disease Cerebral palsy / Kawasaki’s Disease / Febrile convulsions Myocarditis Epilepsy / RESPIRATORY ; Breath-holding attacks Bronchial Asthma / / / Status epilepticus / Common Cold (Coryza) / Meningitis & encephalitis / Sore Throat (Pharyngitis) Muscular dystrophy Tonsilitis Squint Acute Otitis Media MUSCULOSKELETAL ; Sinusitis Osteomyelitis Croup Septic arthritis Acute Epiglottitis Still’s disease Diphtheria Juvenile chronic arthritis Laryngomalacia DMD Foreign Body Spinal muscular atrophy Whooping Cough (Pertussis) RENAL ; Bronchiolitis / Urinary tract infections Pneumonia / Vesico-ureteric reflux Cystic fibrosis Acute glomerulonephritis Pulmonary TB Nephrotic syndrome Pneumothorax Renal tubular acidosis Pleural Effusion Haemolytic uraemic synd RDS Acute renal failure Bronchopulmonary Dysplasia Hypospadias Apnoe of prematurity Undescended testes Meconium aspiration synd INFECTIONS ; GASTROENTEROLOGY ; Dengue fever Abdominal Pain Infectious mononucleosis Acute Gastroenteritis (AGE) / Acquired HIV Diarrhea Cong immunodeficiency synd Dehydration Fluid mx ENDOCRINE ; Tracheoesophageal Fistula Congenital hypothyroidism Diaphragmatig Hernia Hyperthyroidism Pyloric Stenosis AXR Puberty Hirschprung Disease Obesity Imperforate Anus Type I Diabetes, DKA Intussusception CAH Intestinal Obstruction AXR OTHERS ; Volvulus & malrotation Child abuse and neglect Child Act Appendicitis Injury prevention Lactose Intolerance Poisoning Meckel’s Diverculum NEONATOLOGY ; NEC Fontanelles & sutures / Constipation Prematurity & SGA HEPATOBILIARY ; Birth injury /asphyxia Jaundice Developmental assessment / Biliary Atresia AXR Immunizations Neonatal hepatitis syndrome FTT Parasitic infestation Infant feeding HAEMATOLOGY ; Malnutrition IDA Down syndrome Thalassaemia / / Turner syndrome G6PD def Cleft lip and palate ITP, TTP OSCE ; HSP Leukemia Haemophilia Solid tumours
  • 4. SURGERY (MK, SK, NK) TOPIC LC SC CPG NOTES TOPIC LC SC CPG NOTES TRAUMA ; COLORECTAL ; ABC Lower GI bleed Primary survey Intestinal obstruction Secondary survey *GCS Colon carcinoma Types of shock Diverticular disease Head injury / Haemorrhoids Chest injury Fistulae in ano Abdominal injury Ischiorectal abscess Genitourinary trauma Principle of stomas ENDOCRINE ; Famillial adenomatous polyp Benign thyroid diseases Sigmoid volvulus Thyroid ca Inflammatory bowel disease Thyrotoxicosis Tuberculosis Hypo/hypercalcaemia Anal fissure 1° & 2° Hyperparathyroidism Anal carcinoma Cushing’s syndrome Rectal prolapse Conn’s syndrome Anal sphincter injury Phaechromocytoma Chronic constipation Carcinoidtumour Radiationproctitis Insulinoma Ischaemic colitis Adrenocortical carcinoma VASCULAR ; Anteriormediastinal mass Acute&chronic limb ischaemia Inflammatory thyroid diseases Varicose veins Breast ca / Chronic venous insufficiency Breast Fibroadenoma Thrombosis Breast abscess Abdominal aortic aneurysm Phyllodes tumour Chemo-port Duct ectasia Trauma Mastitis Mycotic aneurysms Nipple discharge Vasculitides Ductal carcinoma in situ Upper limb ischaemia Lobular carcinoma in situ PAEDIATRICS ; Paget’s disease Bilious vomiting in neonates Reconstruction Acute abdomen in infants Non palpablelesions Surgical jaundice in infants GENERAL ; Solid organ injury in children Hernia Inguino-scrotal swelling Lumps and bumps Intestinal obstruction Appendicitis Common abdominal tumours Enterocutaneous fistulaes UROLOGY ; UPPER GI ; Haematuria PUD BPH Gastric ca Genitourinary calculi Oesophageal carcinoma Testicular torsion GERD Testicular ca Achalasia Hydrocoele Upper GI bleed / Forrest UTI Barrett’s oesophagus Fournier’s gangrene Oesophageal corrosive injuries Prostate ca Gastric lymphoma PLASTIC ; Gastric outlet obstruction Skin lesions Hiatus hernia Oral lesions HEPATOBILIARY ; Burns Surgical jaundice Parotid tumours Benign biliary duct disease NEUROSURGERY ; Malignant biliary duct disease Brain abscess Hepatic tumours Brain tumours Pancreatitis Spinal cord compression Pancreatic carcinoma Hydrocephalus Chronic liver disease Portal hypertension Hepatic encephalopathy Hepatolithiasis
  • 5. O&G (E, C –caunselling) TOPIC LC C NOTES TOPIC LC C NOTES OBSTECTRICS ; GYNAECOLOGY ; Anat&physio of pregnancy Anat ofgenital tract Assessmentof fetal Menstrual cycle Antenatal care Amenorrhea Prenataldx Primary LABOUR ; Secondary - PCOS Normal labour –def, stages *CTG, partogram Menorrhagia Meconium stained DUB Genitaltracttrauma Dysmenorrhoea Inductionof labour / *Bishop score Primary –cervical stenosis Trial ofscar / Secondary – Assisted vaginal delivery / Forcep,vaccum Endometriosis Breech delivery / Adenomyosis LSCS / Uterine fibroid in pregnancy Amniotomy Chronic pelvicpain Episiotomy & suturing Ovarian cyst Manual removalof placenta PID OBSTECTRICAL PROBLEMS ; Dyspareunia APH Bleeding in early pregnancy Placenta previa / Miscarriage / Abruptio placentae Ectopic pregnancy Vasa praevia Molar pregnancy Local causes Local causes Uteruslarger than date Menopause Multiple gestation s/sx Polyhydromnios HRT / Macrosomicbaby Postmenopausal bleeding Uterussmaller than date Infertility / Oligohydromnios Male SGA, IUGR Female IUD Assisted reproductivetech Preterm labour OHSS PROM, PPROM Contraception Chorioamnionitis Hormonal / Abnormal presentations / Intrauterine / Foetal distress / Barrier MEDICAL DISORDERS ; Emergency Hyperemesis gravidarum Sterilization / HTN - Pre-eclampsia, crisis Vaginal discharge Diabetes Urogynaecology ; Anaemia Anat ofpelvicfloor Heart disease LUTS Asthma Pelvic organ prolapse Thyroid Incontinence SLE Sexual dysfunction Venous thrombosis –DIVC,DVT Regional ; Renal disease Ovary Liver conditions Uterus Depression Cervix Infections Vagina TORCH Vulva HIV Procedures; Vaginal candidiasis Pap smearandHVS sampling GBS Pipellesampling Rhesus isoimmunization Colposcopy &biopsy Procedures; Dilatation &curretage / Fetal Scalpsampling Suction & curretage EMERGENCY ; Hysterosalphingography APH –misc,PP,AP Hysteroscopy Postpartumhaemorrhage IUCD insertion / Cord prolapse / Salping-ectomy/ostomy/otomy Shoulder dystocia / Myomectomy Uterine inversion Hysterectomy Eclampsia / Ectopic pregnancy Uterine rupture / Abnormal presentation / Retained placenta (MRP) /
  • 6. ORTHOPAEDIC TOPIC SC CPG NOTES TOPIC LC SC CPG NOTES TRAUMATOLOGY ; SPINE ; Fracture healing Herniated disc Complications of # Degenerative spine Tibial # Spine infections Open # Spine # Hip # Back pain / Femoral # SPORTS INJURIES ; PAEDIATRIC ; Meniscal injuries / Limpingchild ACL & PCL tear / Supracondylar humeral # Shoulder dislocation Epiphyseal injury Elbow&ankle ligament injuries Painful shoulder / HAND ; EMERGENCY ; Tendoninjuries Open Fractures or Joints Nerve injuries Neurovascular Injuries Hand deformities Pelvic Ring Injury Carpal tunnel / Acute Compartment Synd De Quirvain tenosynovitis Dislocations Ganglion Cauda Equina Syndrome OA Septic Arthritis RA Necrotizing Fasciitis Psoarisis Fat Embolism Syndrome Gout PHYSICAL EXAMINATIONS ; Sero-negative arthritis Shoulder Osteonecrosis Elbow GENERAL ; Hand Diabetic foot diseases Hip Peripheralnerve injuries Knee Osteoporosis Foot & ankle Principles of rehabilitation Spine Musculoskeletal infections OSCE ; Musculoskeletal tumors Xrays Osteoarthritis - fractures Splintingandcasting Wound dressing Traction Splints Bandaging, taping&tourniquet Tractions Orthosis Prosthesis
  • 7. PSYCHIATRY TOPIC SC CPG NOTES TOPIC SC CPG NOTES Basic Psychopathology Neurocognitive Disorders / Coping strategies Psychiatric ds due to organic causes Defense mechanisms Substance use disorders Acute stressreaction Alcohol-relateddisorders Adjustment disorder common substance use disorders Illnessbehavior Treatments / management Anxiety Disorders Psychotropic drugs / Panic disorder / Electroconvulsive Therapy (ECT) / Agoraphobia / Psycho-education Generalisedanxietydisorder / Rehabilitation Social anxietydisorder / Supportive psychotherapy Post-traumatic stressdisorder / Management inthe community Obsessive compulsive disorder / Managingaggression Psychotic Disorders Personalitydisorders Schizophrenia / / Somatic Symptom & Relatedds Delusional Disorders Dissociative Disorders Schizoaffective disorder Sexual dysfunctionDisorders Depressive Disorders Paraphilias& Gender Identityds Major depressive disorder / Anorexia nervosa, bulimia nervosa, binge eating& obesity Dysthymia Sleep disorders Bipolar disorders / / Stigma inpsychiatry Suicide attempt & Deliberate self- harm / Ethics & legal aspects of psychiatry ANAESTHESIOLOGY TOPIC SC CPG NOTES TOPIC SC CPG NOTES Airway Drug Airwayassessment Pre-medication Airwaymaintenance Intravenous anaesthetic agents Intubation/Airwaydevices / Inhalational anaesthetic agents Anaesthesia Muscle relaxants & reversal agents Peri-operative management Opioids andnon-opioids General anaesthesia Local anaesthetic agents Regional anaesthesia Resuscitationdrugs - spinal / Post-operative painrelief - epidural / - oral analgesics - peripheral nerve block - opioids Emergencyanaesthesia - patient-controlledanalgesia / - regional analgesia Acute painservice Resuscitation Basic Life Support
  • 8. OPTHALMOLOGY TOPIC SC CPG NOTES TOPIC SC CPG NOTES ACUTE VISUAL LOSS ; RED EYE (VISION THREATENING) ; Vitreous haemorrhage Corneal infection Retinal detachment Scleritis Retinal vascular diseases Hyphaema Macula lesions Iritis Optic nerve lesions Acute glaucoma Occipitallobe& visual cortex lesions Orbital cellulitis CHRONIC VISUAL LOSS ; OCULAR TRAUMA/EMERGENCIES ; Cataract Acute angleclosure glaucoma Glaucoma / Acid andalkaline eye injuries Age relatedmacular degeneration / Central retinal arteryocclusion Diabetic retinopathy / Ocular injury(blunt, penetrating) SYSTEMIC DS ; PAEDIATRIC ; HTN / Refractive error Thyroid Amblyopia Sarcoidosis Strabismus Myastheniagravis Cloudycornea Multiple sclerosis Cataract Rheumatoidarthritis Retinoblastoma Systemic lupus erythematosus Redness Leukemia Itchiness AIDS Tearing Uveitis Discharge RED EYE (NON VISION THREATENING) ; Swelling Subconjunctival haemorrhage EYE EXAMINATION ; Hordeolum Anterior eye examination Chalazion Pupillaryexamination Blepharitis Posterior / fundoscopy Direct opthal Conjunctivitis Dry eye Corneal abrasion ENT TOPIC SC CPG NOTES TOPIC SC CPG NOTES Otology and Audiology ; Rhinology ; Anat&physioof hearing&balance. *otoscopy Anatomyandphysiologyof smell rhinoscopy Chronic active/inactive otitis media myringotomy Acute andChronic Rhinosinusitis Cholesteatoma grommet Allergic andNon-Allergic Rhinitis Otitis externa Nasal polyp Otitis mediawith effusion / Nasopharyngeal carcinoma Vertigo andtinnitus Sinonasal malignancy Deafness *tuning fork Angiofibroma Foreign bodies Facial trauma Hearing assessment&rehabilitation PTA,BSER, tymp Nasal bone fracture Laryngology ; Foreign bodies Anatomyandphysiologyof larynx Epistaxis nasalpacking Voice rehabilitation tracheostomy Head and Neck ; Physiologyof swallowing Anatomyof neck Dysphagia Head and Neck Trauma Laryngeal infection Ca of larynx,hypo,oropharynx&oral Laryngeal tumor Salivaryglanddiseases and tumors Laryngeal trauma Neck masses(benignlesions) Stridor Deep neckspace infection Obstructive sleepapnoea - parapharyngeal abscess Foreign bodies - retropharyngeal abscess Acute andchronic tonsillitis - Ludwig‟s angina Hoarseness Facial nerve palsy / Indirect laryngoscopy Flexible nasopharyngolaryngoscope
  • 9. FAMILY MEDICINE – common presenting sx in Primary Care (MK, SK, NK) TOPIC LC CPG NOTES TOPIC LC CPG NOTES Abdominal pain Allergic reactions Back pain Anxiety/Stress Chest pain Altered bowel habit Cough Adoscent problems Constipation Breast lump, tender, discharge Diarrhoea STI/HIV Dizziness/Vertigo Cancer prevention/screening Ear pain/Epigastric Dysphagia Fever Epixtaxis Headache Falls in elderly Heartburn/Epigastric pain Fatigue Immunizations Familyplanning/contraception Indigestion Genital itch, discharge, ulcer Joint pain Hearing loss Laceration, contusions Haemoptysis Muscle sx – sprain, strain, soft tissue injuries Hoarseness Nasal congestion/discharge Lump – ncek, skin Nausea/Vomiting Menopausal sx Neonatal jaundice Menses – irreg, heavy, absent, missed, PMS Child health Motor weakness Pre-employment Numbness/tingling CVS screening Palpitation Elderly Pallor Pregnancy - dx, ant, post Syncope Red eyes Bereavement & grief SOB Cognitive impairment Skin rash/pruritus Complementarymedicine Sore throat Genetic screening Urinary sx – dysuria, freq, hematuria, continence, polyuria, nocturia Phobia Weight gain & loss / obesity Sleep problem/insomnia Wheeze Testicular/scrotal pain, mass Addictions (smoking, alcohol, drugs) Tinnitus Common chronic disease (MK, SK, NK) TOPIC LC CPG NOTES TOPIC LC CPG NOTES Asthma / Arthritis Angina / Alcoholism Anxiety/neurosis DS, CP Acne / Medication monitor,compliance COAD / Epilepsy CHF / Polypharmacy Depression / Stroke / DM type ll / Thyroid disease HPT / Chronic fatigue syndrome Hyperlipidaemia / Dementia Obesity / Irritable bowel syndrome Anemia Parkinson Osteoarthritis Sleep disorder Schizophrenia / Terminal illness (HIV, cancer)
  • 10. EMED TOPIC NOTES TOPIC NOTES Principle in Emergency Medicine Case based learning; -Pre-hospital care -Chest pain -Triage -Acute abdominal pain -Resuscitation& stabilizationof criticallyillpatient -Shortness ofbreath -Investigations inemergencydepartment -Alteredlevel of consciousness -Treatment inemergencydepartment Simulation exercise; -Disposalof patients -Basic airwaymanagement -Cardiac Life Support -First Aid -Trauma Resuscitation -2-wayradio-communication Disaster and major incident riskmanagement -Trauma resuscitation Medico-legalissues inemergencymedicine -Cardiac Resuscitation -Disaster exercise JKM TOPIC LC CPG NOTES TOPIC LC CPG NOTES Epidemiology and Statistics; - non infectious ds - food&water borne ds Health & hospital mx - Health services system - Referral system - Health Management InformationSystem(HMIS) - QualityAssurance Programmes (QAP) Occupational health - OSH – HIRARC - SOCSO - Medical surveillance Primary health care Family Health - Maternal & childhealthcare - Familyplanning - LPPKN Environment Health Health Promotion & Education Community Nutrition