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Table of Contents - 13-12-2006, 11:52 AM

CONTENTS


Medicine 1-138
History taking 1
History taking in Medicine 5
Clinical Examination 13
General Examination
General Characterisitcs 13
Vitals 13
Presentation of a normal case 14
Blood Pressure 15
Respiration 16
Temperature 17
Systemic Examination 18
Respiratory System 19
Cardiovascular System 23
Alimentary System 27
CNS examination 32
How to read a Chest X-Ray 38
Presentation of a normal X-Ray 40
Pulse 42
Jugular Venous Pressure 50
Anemia (Pallor) 53
Jaundice (Icterus) 59
Lymphadenopathy 65
Cyanosis 69
Clubbing 73
Koilonychia 77
Oedema 78
Dehydration 83
Ascites 87
Tuberculosis 100
Asthma protocol in Nepalese context 102
Sample History-Liver Cirrhosis 103
Sample History-Chronic Obstructive Pulmonary Disease 107
Sample History-Hyperthyroidism 111
Sample History-Enteric Fever 115
Sample History- Congestive Cardiac Failure 119
Viva Questions 137
Psychiatry 139-144
History Taking & Clinical Examination 139
Surgery 145–223
History Taking & Clinical Examination 145
Sample History– Pre Operative Case of Appendicitis 151
Sample History– Post Operative Case of Cholecystectomy 155
Sample History– Benign Prostatic Hyperplasia 160
Sample History– Hernia 164
Sample History– Ureteric Colic 168
Fluid & Electrolyte Balance 172
Frequently Asked Questions 175
Gastrointestinal System 180
Renal System 191
Differential Diagnosis 194
Imaging 197
Abdominal X-Ray (Supine) 197
Erect AP film 199
Instruments and Procedures 203
Suture & Suture Material 215
Orthopedics 221–223
History taking and examination 221
Gynaecology & Obstetrics 224–264
Gynaecological History Taking 224
Obstetric History Taking 230
Sample History– Antenatal Care 237
Sample History– Puerperium 241
Sample History– Caesarean Section 245
Sample History– Fibroid 250
Sample History– Genital Prolapse 255
Important Instruments 260
Viva Questions 263
Pediatrics 265–305
History Taking & Clinical Examination 265
Examination of newborn 271
Examination at birth 272
Few important guidelines 274
Common developmental milestones 277
Some definitions 280
Sample History 281
Sample History Bronchiolitis 281
Sample History Pneumonia 286
Sample History Enteric Fever 291
Sample History Nephrotic Syndrome 296
Sample History Febrile Seizure 301
Viva question 305
Community Medicine 307-344
National health policies and plans 307
National Health Policy, 1991 307
Second Long Term Health Plan, 1997-2017 307
Tenth Five Year Plan (2059/60-2063/64) 308
Millennium Development Goals 308
Institutional framework of the Department of Health Services 310
Organizational chart of DoHs 311
National Programmes 312
Child Health 312
Reproductive health 312
Disease control 313
Supporting programmes 313
EPI 313
Nutrition programme 314
CB-IMCI 317
Control of ARI programme 318
Family plamiy programme 319
Safe motherhood 321
Malaria control 321
Kala-azar control 323
National Tuberculosis Control Programme 324
HIV/AIDS & STI control Programme 325
Leprosy Control Programme 329
Multilateral Partners of health services of Nepal 329
Bilateral Partners of health services of Nepal 329
International Non-Governmental Organisations 330
National Non-Governmental Organisations 330
Useful acronyms 331
Probable spotters 333
Viva questions 335

Forensic Medicine 336-346
Introduction 336
Nepal Medical Council 337
Duties and rights of physicians 339
Medical negligence 340
Crime investigation system in Nepal 342
Courts in Nepal 343
Medico legal acts in Nepal 343
Geneva declaration 344
Viva Questions 345

Ophthalmology 347-368
History Taking & Clinical Examination 347
Ocular Examination 350
Sample History Immature Senile Cataract 360
Common conditions in ophthalmology 365
Viva Questions 368

ENT 370-393
History Taking & Clinical Examination 370
Ear Examination 374
Nose Examination 377
Oral Cavity Examination 379
Neck Examination 381
Sample History Chronic Suppurative Otitis Media 383
Instruments 388
Viva Questions 392
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