The FCEM Notebook: Revision Notes and Clinical Resource for Emergency Physicians is the essential guide to passing the Fellowship of the College of Emergency Medicine (FCEM) examination.

The book contains short questions related to the FCEM curriculum along with succinct answers to allow candidates to test their knowledge. Also included are current relevant national guidelines, references, and suggested resources for further personal reading. A reader-friendly format allows for rapid revision and instant access to key information.

The book is a useful resource to emergency physicians, emergency nurse practitioners, trainee nurse consultants, MCEM candidates, foundation years doctors, and medical students working in emergency medicine. This portable, practical book is an essential revision guide for all those studying for the MCEM and FCEM examinations.

Features

• Includes challenging clinical cases for practise
• Provides reasoned answers and explanations
• Consolidate knowledge ready to apply in the examination
• Contains hints and tips to excel in the examination

About the Author

Joanna Rowlinson, MB BS, MRCP, FCEM, consultant in emergency medicine, Queen Alexandra Hospital, Portsmouth, UK

Contents

Cardiology
Give the ECG features of VT
What are the Associated Stigmata of Infective Endocarditis?
How is the QT Interval Calculated?
List the Causes of a Long QT
List the Causes of ST Elevation
List the Causes of a Low-Voltage ECG
List Eight Causes of Sinus Bradycardia
A Well Patient with No Arrhythmias is Experiencing Multiple ICD Shocks. What is Your Management?
What Does a ‘Bleeping’ ICD Indicate?
An ICD Patient Has Received No Device Shocks but Is in VT with Hypotension. What is Your Management?
What are the ECG Findings in Hypokalaemia?
Give Six Causes of Hypokalaemia
What Are the Diagnostic Features of Kawasaki Disease?

Dermatology
What Are the Presenting Features of HSP?
Which Children Require Admission?
Describe the Presenting Features and the Skin Rash Associated with Lyme Disease
How Should a Tick be Removed?
What Descriptors are Used in Dermatology?
Give Five Differential Diagnoses of a Bullous Rash
Give the Associated Causes of Stevens Johnson
Give the Causes of Erythema Nodosum

Endocrinology
What are Biochemical Findings in, and Precipitants of, an Acute Addisonian Crisis?
Give the Causes of Hypernatraemia, Hyponatraemia, Hyperchloraemia and Hypochloraemia
Give Six Possible Differential Diagnoses of Hypoglycaemia in an Adult
What are the Features of Cerebral Oedema with DKA in Children?

Environmental Medicine
Differentiate Between the Features of Acute Mountain Sickness, High Altitude Cerebral Oedema and Pulmonary Oedema
What Information is Initially Reported from a Major Incident Scene?
What are the Clinical Features of Heat Stroke?
What is the Differential Diagnosis of Hyperpyrexia?
Define the ATMIST Handover Tool

Gastroenterology
Give Six Medical Causes of Abdominal Pain
What is the Alvarado Score?
What Are the Biochemical Findings Associated with Pyloric Stenosis?
List the Causes of a Metabolic Alkalosis and the Causes of a Respiratory Alkalosis
What Is the Differential of Jaundice in Pregnancy?
Define the Grades of Encephalopathy
What are the Causes of Priapism and the Treatment Approach?
Give Six Causes of Bowel Obstruction in Neonates

Haematology
What Are the Precipitants of an Acute Painful Sickle Crisis?
List the Types of Sickle Cell Crisis
Give the Acute Complications of a Blood Transfusion
Give the Differential Diagnoses of Fever with Petechiae in a Four-Year-Old

Infectious Diseases
When Is Antibiotic Prophylaxis Indicated Following Meningococcal Meningitis Contact?
Describe Your Approach to the Management Following a Needlestick Injury from a Discarded Needle in a Public Toilet
Differentiate Between SIRS and Septic Shock
Give the EGDT Principles
State the Discharge Advice for a Well Two-Year-Old Presenting with a Fever and Presumptive Diagnosis of a Viral URTI

Medicolegal
When Should the Coroner Be Informed Following the Death of a Patient?
What are Never Events?
What Is Your Understanding of Controlled Drugs?

Musculoskeletal and Injury
What Are the Clinical Findings in Necrotizing Fasciitis?
Describe the Features of Kanavel Sign and the Significance of this Sign
Give the Causes of a Radial Nerve Palsy
What Are the Features of a Tetanus-Prone Wound?
What Is the UK Tetanus Immunization Schedule?
Describe the Clinical Findings in Tetanus
Which Are Causes of Compartment Syndrome?
Define the Following Eponyms
What Are the Findings in the Following Eponymous Fractures?
What Is the Parkland Formula?
When Are Ankle/Foot/Knee X-Rays Indicated Following Trauma?
Describe the Key Features to Identify on a Child’s Elbow Radiograph
Give the Complications and Contraindications of Intra-Osseous Needle Insertion
What Are the Presenting Features of Toxic Shock Syndrome in Children Following a Burn, and What Is the Initial Management Approach?

Neurology
What Are the Presenting Features of Botulism?
List 10 Stroke Mimics
What Are the Clinical Findings in Cerebellar Lesions?
Give Five Causes of Cerebellar Syndrome
Give the Presenting Features of Guillain–Barré Syndrome
What Can Precipitate Acute Worsening of Symptoms in Myasthenia Gravis?
What Is the Treatment Approach for a Fitting Child?
Give the Features in History and Examination which Would Be Important to Elicit in a Six-Year-Old Presenting Following a First Fit

Obstetrics and Gynaecology
What Is Your Initial Approach on Identification of Umbilical Cord Prolapse?
Describe the APGAR Score
Describe the Clinical Features of Pre-Eclampsia and the Management of an Eclamptic Seizure
What Is Your Approach on Identifying Shoulder Dystocia?
List the Causes of Post-Partum Haemorrhage

Ophthalmology
What Are the Findings in Retrobulbar Haemorrhage?
List the Differential Diagnosis of Papilloedema
List the Causes of, and Clinical Findings in, Central Retinal Artery Occlusion
What Are the Fundoscopy Findings in Central Retinal Vein Occlusion?
Which Conditions Are Associated With Central Retinal Vein Occlusion?
What Is Seidel’s Test?
A Patient Presents with Painful Eyes Following a Day Walking in Snow. What Is the Likely Diagnosis?

Psychiatry
Give Organic Causes of Psychosis
How Should Capacity Be Assessed?
Give the Differences Between Sections 2, 3, 5(2) and 136 of the Mental Health Act

Respiratory
Describe the Clinical Features Seen With SVCO (Superior Vena Cava Obstruction)
Give Six Causes of Pneumomediastinum
How Can a Difficult Airway Be Predicted?
Give the Causes of the Following Capnography Traces in an Intubated Patient: Sudden Loss of Trace, Gradually Increasing Trace, Slanted Expiratory Trace, Gradually Falling Size
What Are the Echocardiography Findings in a Significant PE?
Give the Causes of Cavitating Lung Lesions
How Can the Severity of Pneumonia Be Assessed in Adults?
What Is the Differential Diagnosis of New Onset Stridor in a Three-Year-Old?
Suggest Features to Differentiate Between Causes of Stridor
Describe the UK Childhood Immunization Schedule
How Should a Child With Croup Be Initially Assessed in the ED?

Safeguarding
Which Features of a Bruise in a Child Would Be Concerning?
Describe Concerning Burns
Who Has Parental Responsibility?
What Are the Caldicott Principles?

Spinal
What Are the Symptoms, Precipitants and Treatment Approach in Autonomic Dysreflexia?
What Are the Concerning Features in a Patient With Back Pain?
What Are the Clinical Findings in Anterior Cord, Brown-Sequard, Central Cord and Cauda Equine Syndromes?

Toxicology
What Are the Contraindications for the Use of Activated Charcoal?
What Are the Indications for Multidose Activated Charcoal?
Give the Presenting Features of Anaphylaxis
Give the Approach to Managing an Accidental Injection of Epipen® Into a Thumb
What Are the Features of Wernicke Encephalopathy?
Give the Clinical Findings and Causes of Methaemoglobinaemia
What Are Clinical Features in Organophosphate Poisoning?
How Can the Anion Gap Be Applied?
How Is the Osmolar Gap Calculated?
What Are the Features Associated With a Smoke Inhalation Injury?
What Are the Indications For Starting Renal Replacement Therapy?
How Much 1% Lignocaine Can Be Used For a Seven-Year-Old?
What Are the Features of Local Anaesthetic Toxicity?