Philip Jevon is Honorary Clinical Lecturer at Birmingham Medical School and Academy Manager/Tutor, Walsall Teaching Academy, Manor Hospital, Walsall, UK. Steve Odogwu is Consultant, General Surgery and Senior Academy Tutor, Walsall Teaching Academy, Manor Hospital, Walsall, UK.

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• Acknowledgements ixAbout the companion website xiiiPart 1 History Taking 11 Abdominal distention 32 Abdominal pain in pregnancy 73 Abdominal pain 114 Alcohol intake 135 Amenorrhoea 156 Anxiety 197 Ataxia 238 Back pain 259 Chest pain 2710 Collapse and loss of conciousness 2911 Confusion 3112 Constipation 3313 Cough 3514 Deliberate self‐harm 3715 Diarrhoea 4116 Dizziness and vertigo 4317 Dyspepsia 4718 Dysphagia 4919 Dysphasia 5120 Dysuria 5321 Otalgia – ear ache 5522 Falls 5723 Fever 6124 Haematemesis 6525 Haematuria 6726 Haemoptysis 6927 Headache 7128 Hoarseness 7329 Jaundice 7530 Joint pain 7931 Acute leg pain (ischaemic leg) 8132 Leg ulcer 8533 Loin pain 8934 Loss of memory 9135 Low mood 9536 Lumps and bumps 9737 Melaena 9938 Menorrhagia 10339 Nausea 10740 Numbness and weakness 10941 Paediatrics: Diarrhoea 11342 Paediatrics: Convulsions/seizures 11743 Paediatrics: Difficulty in breathing 12144 Paediatrics: Non‐specific unwell neonate 12545 Paediatrics: Vomiting 12946 Paediatrics: Wheeze 13347 Pain 13748 Palpitations 13949 Paresthesia 14350 Per rectum bleeding 14751 Preoperative assessment 15152 Per vaginum bleeding in pregnancy 15353 Pruritus 15554 Pervaginal bleed 15755 Pervaginal discharge 15956 Rash 16357 Red eye – painless 16558 Red eye – painful 16959 Seizure 17360 Sexual history from a female patient 17761 Sexual history from a male patient 17962 Shortness of breath 18163 Stridor 18364 Substance misuse 18565 Swollen legs and ankles 18766 Syncope 19167 Tiredness/lethargy 19568 Tremor 19969 Unilateral leg swelling 20170 Varicose veins 20571 Vomiting 20772 Weight gain 20973 Weight loss 21374 Wheeze 217Part 2 Communication Skills 22175 Alcohol advice 22376 The angry patient 22777 Breaking bad news or results 22978 The deaf patient 23179 Diabetes counselling 23580 Explaining a clinical procedure 23981 Insulin counselling 24182 Life style advice post myocardial infarction 24383 Cessation of smoking 24584 Oral steroids counselling 249Index 253

Philip Jevon is Honorary Clinical Lecturer at Birmingham Medical School and Academy Manager/Tutor, Walsall Teaching Academy, Manor Hospital, Walsall, UK. Steve Odogwu is Consultant, General Surgery and Senior Academy Tutor, Walsall Teaching Academy, Manor Hospital, Walsall, UK.

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• Acknowledgements ixAbout the companion website xiiiPart 1 History Taking 11 Abdominal distention 32 Abdominal pain in pregnancy 73 Abdominal pain 114 Alcohol intake 135 Amenorrhoea 156 Anxiety 197 Ataxia 238 Back pain 259 Chest pain 2710 Collapse and loss of conciousness 2911 Confusion 3112 Constipation 3313 Cough 3514 Deliberate self‐harm 3715 Diarrhoea 4116 Dizziness and vertigo 4317 Dyspepsia 4718 Dysphagia 4919 Dysphasia 5120 Dysuria 5321 Otalgia – ear ache 5522 Falls 5723 Fever 6124 Haematemesis 6525 Haematuria 6726 Haemoptysis 6927 Headache 7128 Hoarseness 7329 Jaundice 7530 Joint pain 7931 Acute leg pain (ischaemic leg) 8132 Leg ulcer 8533 Loin pain 8934 Loss of memory 9135 Low mood 9536 Lumps and bumps 9737 Melaena 9938 Menorrhagia 10339 Nausea 10740 Numbness and weakness 10941 Paediatrics: Diarrhoea 11342 Paediatrics: Convulsions/seizures 11743 Paediatrics: Difficulty in breathing 12144 Paediatrics: Non‐specific unwell neonate 12545 Paediatrics: Vomiting 12946 Paediatrics: Wheeze 13347 Pain 13748 Palpitations 13949 Paresthesia 14350 Per rectum bleeding 14751 Preoperative assessment 15152 Per vaginum bleeding in pregnancy 15353 Pruritus 15554 Pervaginal bleed 15755 Pervaginal discharge 15956 Rash 16357 Red eye – painless 16558 Red eye – painful 16959 Seizure 17360 Sexual history from a female patient 17761 Sexual history from a male patient 17962 Shortness of breath 18163 Stridor 18364 Substance misuse 18565 Swollen legs and ankles 18766 Syncope 19167 Tiredness/lethargy 19568 Tremor 19969 Unilateral leg swelling 20170 Varicose veins 20571 Vomiting 20772 Weight gain 20973 Weight loss 21374 Wheeze 217Part 2 Communication Skills 22175 Alcohol advice 22376 The angry patient 22777 Breaking bad news or results 22978 The deaf patient 23179 Diabetes counselling 23580 Explaining a clinical procedure 23981 Insulin counselling 24182 Life style advice post myocardial infarction 24383 Cessation of smoking 24584 Oral steroids counselling 249Index 253

Philip Jevon is Honorary Clinical Lecturer at Birmingham Medical School and Academy Manager/Tutor, Walsall Teaching Academy, Manor Hospital, Walsall, UK. Steve Odogwu is Consultant, General Surgery and Senior Academy Tutor, Walsall Teaching Academy, Manor Hospital, Walsall, UK.

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• Acknowledgements ixAbout the companion website xiiiPart 1 History Taking 11 Abdominal distention 32 Abdominal pain in pregnancy 73 Abdominal pain 114 Alcohol intake 135 Amenorrhoea 156 Anxiety 197 Ataxia 238 Back pain 259 Chest pain 2710 Collapse and loss of conciousness 2911 Confusion 3112 Constipation 3313 Cough 3514 Deliberate self‐harm 3715 Diarrhoea 4116 Dizziness and vertigo 4317 Dyspepsia 4718 Dysphagia 4919 Dysphasia 5120 Dysuria 5321 Otalgia – ear ache 5522 Falls 5723 Fever 6124 Haematemesis 6525 Haematuria 6726 Haemoptysis 6927 Headache 7128 Hoarseness 7329 Jaundice 7530 Joint pain 7931 Acute leg pain (ischaemic leg) 8132 Leg ulcer 8533 Loin pain 8934 Loss of memory 9135 Low mood 9536 Lumps and bumps 9737 Melaena 9938 Menorrhagia 10339 Nausea 10740 Numbness and weakness 10941 Paediatrics: Diarrhoea 11342 Paediatrics: Convulsions/seizures 11743 Paediatrics: Difficulty in breathing 12144 Paediatrics: Non‐specific unwell neonate 12545 Paediatrics: Vomiting 12946 Paediatrics: Wheeze 13347 Pain 13748 Palpitations 13949 Paresthesia 14350 Per rectum bleeding 14751 Preoperative assessment 15152 Per vaginum bleeding in pregnancy 15353 Pruritus 15554 Pervaginal bleed 15755 Pervaginal discharge 15956 Rash 16357 Red eye – painless 16558 Red eye – painful 16959 Seizure 17360 Sexual history from a female patient 17761 Sexual history from a male patient 17962 Shortness of breath 18163 Stridor 18364 Substance misuse 18565 Swollen legs and ankles 18766 Syncope 19167 Tiredness/lethargy 19568 Tremor 19969 Unilateral leg swelling 20170 Varicose veins 20571 Vomiting 20772 Weight gain 20973 Weight loss 21374 Wheeze 217Part 2 Communication Skills 22175 Alcohol advice 22376 The angry patient 22777 Breaking bad news or results 22978 The deaf patient 23179 Diabetes counselling 23580 Explaining a clinical procedure 23981 Insulin counselling 24182 Life style advice post myocardial infarction 24383 Cessation of smoking 24584 Oral steroids counselling 249Index 253