HAEMATOLOGY a) discharge;

1. Abnormal blood film b) inversion;

a) Peripheral blood film (red cell, white cell and platelets) c) Paget's
b) Differential white cell count 5. Request for reduction/augmentation
c) Pancytopenia
d) Bone marrow failure CARDIOVASCULAR
e) ESR 1. Chest Pain
f) Hyperviscosity syndrome a) Acute myocardial infarction, acute coronary syndrome and angina
g) Spleen and splenectomy b) Acute myocardial infarction (MI)
2. Haematological malignancies and myeloproliferative disorders c) Acute coronary syndrome (ACS)
a) Leukaemia d) Angina pectoris
b) Myeloma e) Electrocardiogram (ECG) – normal and abnormal
c) Paraproteinemia f) Investigations (cardiac catheterisation; echocardiography; nuclear
d) Amyloidosis cardiology; ECG: exercise/ ambulatory)
3. Bruising/ bleeding/ purpura g) Complications of MI (arrhythmias; hypertension)
a) Intrinsic and extrinsic pathways (clotting) h) Atherosclerosis
b) Any cause including 2. Heart Murmur: any cause
c) Bleeding disorder 3. Hypertension: all, including risk fator
d) Anticoagulants 4. Palpitations
e) Thrombophilia a) Bradycardia
4. Immunosuppressive drugs b) Narrow complex tachycardia
5. Inherited bleeding disorders Anaemia of any cause c) Atrial fibrillation and flutter
a) Iron deficiency anaemia d) Broad complex tachycardia
b) Refractory anaemia e) Pacemakers
c) Anaemia of chronic disease 5. Peripheral arterial disease
d) Sideroblastic anaemia a) Aneurisms
e) Macrocytic anaemia (all causes) b) Ischaemic limb
f) Pernicious anaemia c) Occlusions
g) Haemolytic anaemia 6. Peripheral oedema and Heart failure including valvular heart disorder and
h) Sickle cell anaemia rheumatic heart disease
i) Thalassaemia anaemia a) Rheumatic fever
j) Transfusion (safety & procedures) b) Mitral valve disease
k) (Myeloproliferative disorders) c) Aortic valve disease
6. Generalised enlarged lymph nodes: any cause d) Right heart valve disease
e) Indications for cardiac surgery
BREAST LUMP AND/OR PAIN f) Infective endocarditis
1. Cancer g) Diseases of heart muscle including myocarditis
2. Infection h) Pericardial disease
a) abscess; i) Dyspnoea in heart failure
b) puerperal mastitis 7. Peripheral Venous problems
3. Benign a) VTE
a) fibro-adenoma; b) DVT
b) fibro-adenosis; c) Risk Factors
c) fat necrosis; cysts) d) Varicose Veins
4. Nipple
DEVELOPMENTAL PROBLEMS e) Inflammatory conditions (including diverticulitis; appendicitis, pancreatitis)
1. Congenital Abnormalities f) Colic: ureteric (see also under Renal), Biliary/ gallbladder (see also under
a) Ventricular septal defect Jaundice)
b) Atrial septal defect 3. Anorexia and weight loss
c) Patent ductus arteriosus a) Cancer
d) Aortic stenosis b) Metabolic causes including diabetes (see under Endocrine/ Abnormal
e) Pulmonary stenosis blood sugar);
f) Coarctation of the aorta c) thyroid (see under Endocrine/ Thyroid abnormalities)
g) Fallot's tetralogy d) Malabsorption
h) Transposition of the great arteries e) Physical causes of anorexia
i) Tricuspid atresia f) Psychological causes of anorexia (see also under Mental health/ Eating
j) Total anomalous pulmonary venous return problems
k) Persistent truncus arteriosus 4. Facial Swelling
l) Hypoplastic left heart a) Cancer
m) Pulmonary atresia b) Sinusitis
n) Ebstein's anomaly c) Salivary glands
o) Polycystic kidneys d) Teeth
p) Congenital adrenal hyperplasia e) Oral cavity
q) Chromosomal abnormalities (including Turner's; Down's; Tay Sachs') f) Lymph nodes (see also under Blood and lymph)
r) Inherited conditions (cystic fibrosis; PKU) 5. Jaundice
s) Acquired conditions (including caused by drugs/alcohol) a) Pre-hepatic (including haemolysis)
t) Neural tube defects (including spina bifida) b) Hepatic (including drug-induced)
u) Developmental abnormalities of the musculoskeletal system (including c) Post-hepatic (including biliary obstruction)
talipes) 6. Lower GI Problems
2. Developmental Delay/ Failure to thrive a) Including faecal incontinence
a) Endocrine problems/ Metabolic disorders b) Spurious diarrhoea and encopresis
b) Malabsorption (see also under Digestive) c) Cancer
c) Inadequate diet d) Ulceration
3. Psychological and Social e) Bleeding
a) Non-accidental injury f) Abnormal anatomy (fissures, piles, prolapse)
b) Sexual abuse g) Masses (including polyps)
c) Emotional deprivation h) Altered bowel habit (constipation, diarrhoea)
d) Bullying i) Rectal pain
e) Manifestations of neglect j) Pruritis ani
k) Inflammation (including IBD)
DIGESTIVE 7. Upper GI Problems
1. Abdominal Mass a) Including nausea and vomiting
a) Organomegaly b) Infections (including food poisoning, UTI, gastroenteritis)
b) Hernias c) Pyloric stenosis (see also under Developmental)
c) Ascites d) Drug-induced
2. Abdominal Pain e) Raised intracranial pressure
a) Perforation f) Pregnancy (see also under Reproductive)
b) Obstruction g) Constipation
c) Ischaemia h) Cancer
d) Aneurysm (see also under Cardiovascular/ Peripheral arterial disease) i) Ulceration
 j) GORD 4. Pituitary gland
k) Bleeding a) Hypopituitarism
l) Dysphagia (including tumours; benign; neurological causes; congenital; b) Pituitary tumours
acquired) c) Hyperprolactinaemia; hypoprolactinaemia
8. Nutrition d) Acromegaly
a) Recognises nutritional disorders are common in patients with long-term e) Diabetes insipidus
conditions f) Hypopituitary coma
b) Performs basic nutritional screen and recognises patients with potential for 5. Thyroid Disorders
nutritional deficiencies and considers this in planning care a) Cancer
c) Formulates a plan for investigation and management of weight loss or b) Hyperthyroidism
weight gain c) Thyroid eye disease
d) Demonstrates the knowledge, skills, attitudes and behaviours to assess d) Hypothyroidism
patients’ basic nutritional requirements e) Thyroid disease in pregnancy (see also under Reproductive/ Problems in
e) Recognises major nutritional abnormalities and eating disorders and pregnancy)
establishes a management plan, where relevant with other healthcare f) Goitre; nodules
professional input g) Thyroid emergency
f) Works with other healthcare professionals in addressing nutritional needs
and communicating these during care planning ENT
g) Makes nutritional care part of daily practice 1. Earache any cause
h) Considers the additional effects of long-term ill-health on nutritional status a) Cancer
and the effect of poor nutrition on long-term health. b) Infection
c) Eustachian tube dysfunction
ENDOCRINE 2. Hearing Problems: any cause
1. Diabetes Mellitus a) Foreign body (including wax)
a) Type 1 diabetes b) Conductive and nerve deafness
b) Type 2 diabetes 3. Hoarseness and stridor any cause
c) Complications (including diabetic retinopathy; neuropathy; arterial disease) a) Cancer
d) Diabetic foot care b) Infection (including epiglottitis)
e) Hypoglycaemia/ hyperglycaemia c) Voice misuse (including nodules)
f) Patient with diabetes undergoing surgery d) Nerve injury (including palsies)
g) Diabetes in pregnancy (see also under Reproductive) e) Stridor (see also under Thyroid abnormalities/ Goitre)
2. General 4. Nasal Symptons
a) Hyperparathyroidism a) Cancer
b) Hypoparathyroidism b) Bleeding
c) Multiple endocrine neoplasia (MEN 1 and MEN 2) c) Nasal obstruction (including polyps; allergic rhinitis)
3. Adrenal d) Infections
a) Adrenal gland e) Trauma (including fractures)
b) Addisonian crisis 5. Vertigo any cause
c) Addison’s disease a) Ménières disease
d) Hyperaldosteronism b) Labyrinthitis
e) Phaeochromocytoma c) Cancer
f) Virilism d) Cerebellar lesions (see also under Neurological)
g) Gynaecomastia (see under Breast) e) Benign positional
h) Impotence (see under Reproductive/ Fertility problems) f) Toxins (including alcohol)
i) Cushing’s syndrome
EYE e) Foreign body
1. Eye Pain f) Child sexual abuse (see also under Developmental problems)
a) Cancer
b) Sinusitis (see also under ENT) HOEMOSTATIC
c) Glaucoma 1. Acid-base imbalance and blood gas abnormalities
d) Migraine (see also under Neurological/ Headache a) Metabolic and respiratory acidosis or alkalosis
e) Foreign body b) Kidney function (tubular dysfunction, low GFR, chronic renal failure)
2. Orbital Swelling 2. Electrolyte abnormalities
a) Cancer a) Sodium,
b) Infection (including cellulitis; blepharitis) b) potassium,
c) Thyroid disease (see under Endocrine) c) glucose,
d) Cysts: congenital and acquired d) calcium
e) Eyelid Disorder e) SIADH
3. Red eye f) Magnesium
a) Infection g) Zinc
b) Conjunctivitis h) Selenium
c) Iritis i) Water
d) Trauma (including foreign body)
e) Scleritis/ episcleritis INFECTIOUS DISEASE
f) Glaucoma 1. Hospital Acquired inefction
g) Subconjunctival haemorrhage a) Infection Control
h) Polycythaemia b) MRSA
4. Visual impairment c) C. diff
a) Tumours (including pituitary) d) Manages sepsis
b) Arterial and venous a. Understands the seriousness of sepsis
c) Lens (including cataract; dislocation) b. Understands and applies the principles of managing a patient with
d) Degenerative sepsis
e) Hereditary c. Involves the infection control team at an appropriate early stage
f) Systemic conditions: including connective tissue; diabetes (see also under d. Takes appropriate microbiological specimens in a timely fashion
Endocrine) e. Follows local guidelines/protocols for antibiotic prescribing.
g) Drug-induced 2. Serious infection
h) Infections a) HIV
i) Detached retina b) AIDS
j) Vitreous haemorrhage (including floaters) c) Hep B
d) And Tb
GENITOURINARY 3. Travel Medicine and Tropical infections: any cause
1. Uretrhal Discharge any cause a) Malaria
a) Infection (including STI) b) Bilharzia
b) Cancer c) Dengue fever
c) Foreign body d) Lyme disease
2. Vaginal Discharge any cause e) Toxoplasma
a) Pruritis vulvae f) Rabies
b) Normal physiological g) Yellow fever
c) Cancer 4. Viral Infections
d) Infection (including STI) a) Exanthemata
 b) Mumps b) Delusional disorders
c) Measles
d) Rubella MUSCULOSKELETAL
e) Herpes simplex 1. Back and Neck
f) Herpes zoster 2. Connective tissue Disorders
g) Viral meningitis 3. Foor and Ankle
h) Influenza 4. Hand and Wrist
5. Hip
MENTAL HEALTH 6. Knee
1. Alcohol and drug misuse and dependence 7. Rheumatological problemas
a) Including co-morbidity and withdrawal a) Rheumatoid
b) Substitution therapy b) Osteoarthrosis
c) Acute intoxication c) Psoriatic
d) Harmful use d) Lupus
2. Anxiety e) Polymyalgia rheumatica
a) Including generalised anxiety disorder, phobias and OCD f) Gout
b) Panic attack 8. Upper limb
c) Obsessive compulsive disorder 9. Skeletal
3. Deliberate self harm a) Disorders of calcium homeostasis (osteoporosis, osteomalacia, Paget's)
a) Overdose, poisoning and other self-harm b) Infections
b) Suicidal risk c) Tumours (benign, malignant, secondaries)
4. Eating Problems d) Fractures of long bones
a) Anorexia 10. Fractures
b) Bulimia nervosa
5. Learning and communication problems Any cause NEUROLOGICAL
a) Intellectual disability 1. Blackouts and Faints
b) Acquired brain injury a) Loss of consciousness of any cause
6. Medically-unexplained physical symptons b) Vasovagal syncope
a) Including psychosomatic disorders, c) Cough syncope
b) somatisation disorders d) Effort syncope
7. Mood/ affective problems e) Micturition syncope
a) Depressive disorders f) Carotid sinus syncope
b) Bipolar disorders g) Epilepsy
c) Suicidal risk h) Stokes Adams attacks
8. Organic Brain Sybdrome i) Hypoglycaemia
a) Delirium j) Orthostatic hypotension
b) Dementia k) Drop attacks
c) Encephalopathy 2. Cranial Nerve Problems
9. Personallity and behavioural disorders a) Any cause including visual field defects
a) Emotionally unstable personality disorder b) Multiple sclerosis (MS)
b) Antisocial personality disorder c) Space occupying lesions
c) Pathological gambling d) Bell’s palsy
d) Pyromania 3. Falls
10. Psychosis a) Complications including subdural, extradural
a) Schizoaffective disorder b) Any cause including environmental
 c) Dizziness g) Meningitis
d) Vertigo (benign positional vertigo) h) Guillain-barre
e) Ménières disease i) Cord infarction
f) Ototoxicity j) Spinal artery thrombosis
g) Vestibular nerve problems (Acoustic neuroma, vestibular neuronitis, k) Trauma
herpes zoster, brain stem) l) Dissecting aortic aneurism
4. Headache m) Cauda equina lesions
a) Any cause including environmental n) Management of paralysed patient
b) Dizziness o) Leg weakness (spastic paraparesis, flaccid paraparesis, unilateral foot
c) Vertigo (benign positional vertigo) drop, weak legs with no sensory loss, absent knee jerks and extensor
d) Ménières disease plantars)
e) Ototoxicity p) Recognition of different gait disorders
f) Vestibular nerve problems (Acoustic neuroma, vestibular neuronitis, q) Stroke (mimics, risk factors, site of lesion, investigation management and
herpes zoster, brain stem) treatment, rehabilitation, TIA, SAH)
5. Movment Disorder including tremor and gait r) Myopathy
a) Abnormalities of the motor nervous system s) Myaesthenia gravis
b) Chorea
c) Athetosis RENAL
d) Hemiballismus 1. Urine Abnormalitis
e) Tics, myoclonus, dystonia and tardive dyskinesia a) Blood, protein, pH, volumes
f) Parkinson’s disease b) Renal calculi
g) Parkinsonism c) Renal tract obstruction
6. Peripheral nerve problem d) Retroperitoneal fibrosis
a) Testing peripheral nerves e) Glomerulonephritis
b) Dermatomes f) Nephrotic syndrome
c) Including neuropathies of any cause g) Renal vein thrombosis
d) Autonomic neuropathy 2. Renal Problems
e) Mononeuropathy’s a) Urinary tract imaging
f) Polyneuropathy’s b) Renal biopsy
g) Bulbar palsy c) Acute renal failure
h) MND d) Chronic renal failure, renal replacement therapy, renal transplantation
i) Cervical spondylosis e) Interstitial nephritis
j) Neurofibromatosis f) Nephrotoxins
k) Syringomyelia g) Renal vascular disease
7. Seizure h) Renal tubular disease
a) Epilepsy i) Inherited kidney diseases
b) Convulsion j) Renal manifestations of systemic disease
8. Speech and Language 3. Urinary excretion
9. Weakness and Fatigue a) Oliguria and polyuria including renal failure;
a) Cerebral artery territories b) urate
b) Upper motor neurone vs lower motor neurone 4. Urinary Symptons
c) Muscle weakness grading a) Pyelonephritis
d) Cord compression b) Acute and chronic urinary tract infection (UTI)
e) Transverse myelitis c) Frequency
f) Carcinomatosis d) Incontinence
 e) Enuresis a) Endometriosis
b) PID
REPRODUCTIVE c) Dyspareunia
1. Contraception 8. Vulval and vaginal lump/lesions
a) Oral contraceptive pill
b) Intrauterine contraceptive devices (IUCDs) RESPIRATORY
c) Implants 1. Breathlessness
2. Fertility Problems a) Pulmonary fibrosis
a) Both male and female; b) Any infection, inflammation, including COPD, asthma, occupational lung
b) including normal development in puberty disease, sleep apnoea and cyanosis
3. Normal Pregnancy and care c) Respiratory system examination, age related changes, chest x-ray
a) Including prenatal diagnosis d) Pneumonia including CURB 65
b) Role of folic acid e) Chronic obstructive pulmonary disease (COPD), acute respiratory distress
c) Risks to fetus including smoking, alcohol, food issues syndrome
4. Problems in Pregnancy f) Respiratory failure
a) Including antepartum haemorrhage, postpartum haemorrhage and g) Pulmonary embolus
miscarriage h) Pneumothorax
b) Ectopic pregnancy i) Pleural effusion
c) Pre-eclampsia, eclampsia and hyperemesis j) Extrinsic allergic alveolitis
d) Thyroid disease in pregnancy k) Cryptogenic fibrosing alveolitis
e) Epilepsy l) Industrial dust diseases
f) Anticoagulation m) Obstructive sleep apnoea
g) Prematurity n) Cor pulmonale
h) Low birth weight 2. Chest Pain
5. Irregular vaginal bleeding a) Including any pleuritic cause
a) Including antepartum haemorrhage, postpartum haemorrhage and b) Mesothelioma
miscarriage c) Pneumothorax
b) Ectopic pregnancy 3. Cough and Haemoptiasis
c) Pre-eclampsia, eclampsia and hyperemesis a) Cough and haemoptysis
d) Thyroid disease in pregnancy b) Bronchiectasis
e) Epilepsy c) Cystic fibrosis
f) Anticoagulation d) Fungi
g) Prematurity e) Lung cancer
h) Low birth weight f) Sarcoidosis
6. Pelvic mass 4. Wheeze/ Stridor
a) Including antepartum haemorrhage, postpartum haemorrhage and a) Asthma – acute and chronic
miscarriage b) Bronchodilators and steroids
b) Ectopic pregnancy
c) Pre-eclampsia, eclampsia and hyperemesis SERIOUSLY ILL PATIENT
d) Thyroid disease in pregnancy 1. Collapse
e) Epilepsy a) Subdural, extradural, intracerebral haemorrhage including subarachnoid
f) AnticoagulationBreath haemorrhage (SAH)
g) Prematurity b) Hypertensive encephalopathy
h) Low birth weight c) Epilepsy
7. Pelvic Pain d) Addisonian crisis
 e) Drug poisoning c) hyperthermia
f) Hypoglycaemia d) hypothermia
g) Hyperglycaemia 5. Itchy ando r scaly rashes
h) Hypoxia a) Excess hair
i) Hypothermia b) Hair loss
j) Encephalopathy c) Nail changes in systemic diseases
2. Fever/Infection d) Psoriasis
a) Including pyrexia of unknown origin, septicaemia, meningitis and e) Fungal infections of nails
neutropaenic sepsis 6. Hair and nail
b) Bacterial viral meningitis a) Including eczema,
c) Pneumonia b) dermatoses (psoriasis etc.)
d) Acute severe asthma c) reactions (drugs/food)
e) PE 7. Infections
3. Multiple Trauma a) Including viral,
a) Including head injury and intra-abdominal injury b) bacterial and
4. Schock c) fungal infections
a) Paracetamol overdose 8. Lumps
b) Salicylate overdose a) Nodular lesions
c) Any cause including blood loss b) Skin tumour
d) Acute myocardial infarction (MI) c) BCC
e) Intra abdominal blood loss d) Ganglion
f) Massive pulmonary embolus 9. Moles and Pingmented lesios
g) Burns a) Benign
b) Vitiligo
SKIN c) Malignant including melanoma
1. Bites and Stings 10. Ulcers
a) Including infestations a) Arterial
b) Insect b) Venous
c) Fish c) Neuropathic
d) Scorpion d) Malignant
e) Snake
f) Dog/cat bites UROLOGICAL
g) Human bite 1. Groin scrotal pain and or swelling
h) Scabies a) Torsion of testis
i) Lice b) Hernias
2. Bullous c) Hydrocele
a) Pemphigus d) Tumour
b) Pemphigoid e) Orchitis
3. Dermatological manifestations of systemic disease f) Infection
a) Endocrine 2. Urinary tract obstruction
b) Cancer a) Calculus
c) Connective tissue b) Tumours (benign and malignant)
4. Extreme of Temperature c) Strictures
a) Burns, d) Bladder neck obstruction
b) frostbite, e) Enuresis