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Book cover for Oxford Handbook of Clinical Specialties (9 edn) Oxford Handbook of Clinical Specialties (9 edn)
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always … More Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.
graphic

don’t dawdle! Prompt action saves lives

graphic

this phrase is important

graphic(graphic)

more (or less) vital topic; a rough guide for 1st-time readers

graphic

an opportun ity for holistic/non-reductionist thinking

graphic

conflict (controversial topic)

1,2,3

references at oup.co.uk/ohcs9refs

1,2,3

drug dose not in BNF , see oup.co.uk/ohcs9refs

#

fracture

ΔΔ

differential diagnosis

♂:♀

male to female ratio

decreased

normal (eg plasma level)

increased

about

approximately equal

−ve

negative

+ve

positive

on account of/because of

therefore

A&E

emergency department

A2A

angiotensin 2 receptor (blockers)

ABC

air, breathing, circulation

A(P)LS

advanced (paediatric) life support manuals

ABR

audiological brainstem responses

AC

ante cibum (before food)

ACE(I)

angiotensin-converting enzyme (inhibitor)

ACLS

advanced cardiac life support

ACTH

adrenocorticotrophic hormone

ADD

attention deficit disorder

ADH

antidiuretic hormone

AFP

α-fetoprotein (α=alpha)

AIDS

acquired immunodeficiency syn.

ALK

alkaline (phos=phosphatase)

ALL

acute lymphoblastic leukaemia

ALT

alanine aminotransferase

ANA

antinuclear antibody

ANF

antinuclear factor

ANS

autonomic nervous system

AP

anteroposterior

APH

antepartum haemorrhage

APLS

advanced paediatric life support

APM

auto-premotor syndrome

ARF

acute renal failure

ARM

artificial rupture of membranes

ASD

atrioseptal defect

ASO

antistreptolysin O (titre)

ASW

approved social worker

ATLS

Advanced Trauma Life Support manual; see www.trauma.org

ATN

acute tubular necrosis

AV

atrioventricular

AVM

arteriovenous malformation

βHCG

β-human chorionic gonadotrophin

BJGP

British Journal of General Practice

BMJ

British Medical Journal

BNA

borderline nuclear abnormality

BNF

British National Formulary

BNFC

children’s BNF

BP

blood pressure

©

courtesy of the copyright holder

C3

complement

CA

carcinoma

CBRN

chemical, biological, radiological, nuclear

CBT

cognitive-behaviour therapy

CCDC

consultant in communicable disease control

CCF

combined (right & left sided) cardiac failure

CHC

combined hormonal contraception

CHVS

chorionic villus sampling

CI

contraindications

CIN

cervical intra-epithelial neoplasia

CMV

cytomegalovirus; controlled mandatory ventilation

CNS

central nervous system

COC

combined oral contraceptive

COM

chronic otitis media

CPA

care programme approach

CPAP

continuous +ve airways pressure

CPR

cardiopulmonary resuscitation

CRP

c-reactive protein

CRPS

complex regional pain syndrome

CSF

cerebrospinal fluid

CT

computer tomography

CVP

central venous pressure

CVS

cardiovascular system

CXR

chest x-ray

D

dimension (or dioptre)

D&C

dilatation (cervix) & curettage

D&V

diarrhoea and vomiting

DB

decibel

DHS

dynamic hip screw

DIC

disseminated intravascular coagulation

DIP

distal interphalangeal

DKA

diabetic ketoacidosis

DL

decilitre

DM

diabetes mellitus

DMSA

dimercaptosuccinic acid

DNA

deoxyribonucleic acid

DOH

Department of Health (NHS)

DPL

diagnostic peritoneal lavage

DRG

dorsal root ganglion

DSM-IV

Diagnostic & Statistical Manual, 4e

DUB

dysfunctional uterine bleeding

DVT

deep venous thrombosis

E-BM

evidence-based medicine

EBV

Epstein-Barr virus

ECG

electrocardiogram

ECT

electroconvulsive therapy

EEG

electroencephalogram

EIA

enzyme immunoassay

ENT

ear, nose and throat

ERPC

evacuation of retained products of conception

ESR

erythrocyte sedimentation rate

ET

endotracheal

FB

foreign body

FBC

full blood count

FCR

flexor carpi radialis

FDP

flexor digitorum profundus

FDS

flexor digitorum sublimis

FH

family history

FNA

fine needle aspiration

FNT

fetal nuchal translucency

FSH

follicle-stimulating hormone

G

gauge

G

gram

G(γ)GT

gamma(γ)glutamyl trans-peptidase

G6PD

glucose-6-phosphate dehydrogenase

GA

general anaesthesia

GCS

Glasgow coma scale

GFR

glomerular filtration rate

GH

growth hormone

GI

gastrointestinal

GP

general practitioner

h

hour

Hb

haemoglobin

HBsAG

hepatitis B surface antigen

HBV

hepatitis B virus

HCG

human chorionic gonadotrophin

HDL

high-density lipoprotein

HFOV

high-frequency oscillatory ventilation

HIV

human immunodeficiency virus

HLA

human leucocyte alleles

HPA

Health Protection Agency

HPO

hypothalamic-pituitary-ovarian

HPV

human papilloma virus

HRT

hormone replacement therapy

HVS

high vaginal swab

ibid

ibidem (Latin, in the same place)

IBW

ideal body weight

ICP

intracranial pressure

IE

infective endocarditis

Ig

immunoglobulin

IHD

ischaemic heart disease

IM

intramuscular

INR

international normalized ratio of prothrombin time

IOP

intraocular pressure

IP

interphalangeal

IPPV

intermittent positive pressure ventilation

IPT

interpersonal therapy

IQ

intelligence quotient

ISQ

in status quo (Latin, no change)

ISS

injury severity score

ITP

idiopathic thrombocytopenic purpura

ITU

intensive therapy unit

IU/iu

international unit

IUCD

intrauterine contraceptive device

IUI

intrauterine insemination

IV

intravenous

IVF

in vitro fertilization

IVI

intravenous infusion

IVU

intravenous urography

JVP

jugular venous pressure

K+

potassium

kg

kilogram

kpa

kilopascal

L

litre

LA

local anaesthesia

LBC

liquid-based cytology

LCR

ligase chain reaction

LDH

lactate dehydrogenase

LFT

liver function test

LH

luteinizing hormone

LHRH

luteinizing hormone-releasing hormone

LMP

day 1 of last menstrual period

LMWH

low molecular weight heparin

LP

lumbar puncture

LVH

left ventricular hypertrophy

μ(g)

micro(gram)

MAOI

monoamine oxidase inhibitor

MCP

metacarpophalangeal

MCV

mean cell volume

MEA

microwave endometrial ablation

MET

meta-analysis

mg

milligrams (ug=microgram=mcg)

MHA

Mental Health Act

MI

myocardial infarction

ML

millilitre

mmHg

millimetres of mercury

MRI

magnetic resonance imaging

MSU

midstream urine culture

MTP

metatarsophalangeal

mU

milliunit(s)

MVA

motor vehicle accident

N=20*

reference to a randomized trial of 20 patients (* or what ever number follows N)

n=63*

reference to a non-randomized trial of 63 patients (* or what ever number follows n)

N2O

nitrous oxide

NACL

sodium chloride

NAI

non-accidental injury

NBM

nil by mouth (no solids or fluids)

NEJM

New England Journal of Medicine

NEPE

non-epileptic paroxysmal events

NGT

nasogastric tube

NHS

National Health Service

NICE

National Institute for Health and Clinical Excellence

NICU

neonatal intensive care unit

NMJ

neuromuscular junction

NOF

neck of femur

NSAID

non-steroidal anti-inflammatory drug(s)

OAE

otoacoustic emissions

OED

Oxford English Dictionary, OUP

OHCM

Oxford Handbook of Clinical Medicine 8e, OUP

OM

otitis media

OME

otitis media with effusion

OMV

open mouth view

ON

omni nocte (take at night)

ORh−ve

blood group O, Rh negative

ORIF

open reduction and internal fixation

OT

occupational therapist

PA

posteroanterior

PAco2

partial pressure of CO2 in arterial blood

PAN

polyarteritis nodosa

PANCA

perinuclear antineutrophil cytoplasmic antibody

PaO2

partial pressure of oxygen in arterial blood

PC

post cibum (after food)

PCA

patient-controlled anaesthesia

PCOS

polycystic ovarian syndrome

PCR

polymerase chain reaction

PCV

packed cell volume

PDA

patent ductus arteriosus

PE

pulmonary embolus

PET

pre-eclamptic toxaemia

PG

pemphigoid gestations

PGD

preimplantation genetic diagnosis

PICU

paediatric intensive care unit

PID

pelvic inflammatory disease

PIP

proximal interphalangeal

PKU

phenylketonuria

PMB

postmenopausal bleeding

PMS

premenstrual syndrome

PO

per os (Latin for by mouth)

POP

progesterone-only pill

POP

plaster of Paris

PPH

postpartum haemorrhage

PR

per rectum

PTR

prothrombin ratio

PUO

pyrexia of unknown origin

PUVA

psoralen-ultraviolet A

PV

per vaginam (via the vagina)

QOF

quality & outcomes framework

FT

treatment (prescribing drugs)

RA

rheumatoid arthritis; regional anaesthesia

RBC

red blood cell

RCGP

Royal College of General Practitioners

RCOG

Royal College of Obstetricians and Gynaecologists

RCT

randomized controlled trial

REM

rapid eye movement

RMO

registered medical of cer

RSD

reflex sympathetic dystrophy

RSI

repetitive strain injury; rapid sequence induction

RTA

road traffic accident(s)

RTS

revised trauma score

RUQ

right upper quadrant

RVH

right ventricular hypertrophy

S1S2

1st and 2nd heart sounds

SAD

seasonal affective disorder

SALT

speech and language therapist

SAO2

arterial blood O2 saturation, ≈ SpO2 (allows for carboxyhaemoglobin)

SBE

subacute bacterial endocarditis

SC

subcutaneous

SCBU

special care baby unit

SE

side-ef ects

sec

second(s)

SFH

symphysis fundal height

SERM

selective oestrogen receptor modulator

SGA

small-for-gestational age

SLE

systemic lupus erythematosus

SNHL

sensorineural hearing loss

SPO2

pulse oximetry estimated SaO2; no allowance for carboxyhaemoglobin

SSRI

selective serotonin reuptake inhibitor(s)

STAT

statim (Latin for once); single dose

STD

sexually transmitted disease

STI

Sexually transmitted infection

SUFE

slipped upper femoral epiphysis

SVC

superior vena cava

SVP

saturation vapour pressure

SYN

syndrome

temperature, degrees Centigrade

t½

half life

T3

triiodothyronine

T4

thyroxine

TB

tuberculosis

TBW

tension band wiring

TCRE

transcervical resection of endometrium

TED

transverse elastic graduated

TENS

transcutaneous electrical nerve stimulation

TFT

thyroid function tests

TIA

transient ischaemic attack

ToP

termination of pregnancy

TPH

transplacental haemorrhage

TPR

temperature, pulse, and respirations

TRTS

triage revised trauma score

TSH

thyroid-stimulating hormone

TSOH

transient synovitis of the hip

U

unit(s)

U&E

urea and electrolytes

UK

United Kingdom

URTI

upper respiratory tract infection

US(S)

ultrasound (scan)

UTI

urinary tract infection

UV

ultraviolet

VLBW

very low birthweight infant

VSD

ventriculoseptal defect

VTE

venous thromboembolism

VUR

vesico-ureteric reflux

WCC

white blood cell count

WT

weight

WR

Wasserman reaction

yrs, y

years

ZN

Ziehl-Neelsen (stain for TB)

 This plan is rendered almost unintelligible by over-use of abbreviations. It might mean: I If in status quo (isq=no change in state) in 2 days’ time (/7 in this context means days; /52 I would mean weeks), refer to the Sexually Transmitted Infections clinic for treatment (℞)— I if it turns out he does not arrive (DNA), follow-up at the out-patient department.2
Fig 1.

This plan is rendered almost unintelligible by over-use of abbreviations. It might mean: I If in status quo (isq=no change in state) in 2 days’ time (/7 in this context means days; /52 I would mean weeks), refer to the Sexually Transmitted Infections clinic for treatment (℞)— I if it turns out he does not arrive (DNA), follow-up at the out-patient department.2

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