Wexham
Wexham1F: Anatomy: Nerves and vessels
Commonly Examined topics:
OSCE: Anatomy of brachial plexus - diagram/label
OSCE: Anatomy of axilla - diagram/label
OSCE: Neurological examination
OSCE: Anatomy of lower limb - diagram/label
Viva: Pain pathways and physiology
Viva: Fractured neck of femur
Useful resources to use/refer to:
NYSORA website
Regional anaesthesia UK (RAUK) website
Faculty of Pain Medicine
Videos:
eLFH modules:
Brachial plexus: https://portal.e-lfh.org.uk/Component/Details/417662
Lumbosacral plexus: https://portal.e-lfh.org.uk/Component/Details/418498
Surface anatomy of neck and clavicular region: https://portal.e-lfh.org.uk/Component/Details/419058
Anatomy of great vessels: https://portal.e-lfh.org.uk/Component/Details/418868
Anatomy of pain pathways: https://portal.e-lfh.org.uk/Component/Details/452257
Curriculum codes:
AN_BK_13 Anatomical organisation of pain and sensory pathways from the periphery to the central nervous system
PB_BK_75 Pain: afferent nociceptive pathways, dorsal horn, peripheral and central mechanisms, neuromodulatory systems, supraspinal mechanisms, visceral pain, neuropathic pain, influence of therapy on nociceptive mechanisms
AN_BK_18 Brachial plexus; nerves of the upper limb
AN_BK_38 Structures in the axilla: landmarks for identifying the brachial plexus in the neck and axilla
AN_BK_21 Lumbar and sacral plexuses; nerves of the lower limb
AN_BK_17 Spinal nerves; dermatomes; applied knowledge of dermatomes in regional anaesthesia
AN_BK_20 Nerves of the abdominal wall including innervation of the inguinal region
AN_BK_19 Intercostal nerves
AN_BK_39 Large veins of the neck and the anterior triangle of the neck; surface anatomy and ultrasound demonstrated anatomy relevant to insertion of central venous cannulae
AN_BK_09 Great vessels, main peripheral arteries and veins
Wexham2F: Physiology: The gastrointestinal system and metabolics
Commonly examined topics
OSCE: PONV including Apfel score and history taking
Viva: Metabolism and nutrition
Viva: Liver cirrhosis and functions/anatomy
Useful resources
LITFL paracetamol overdose: https://litfl.com/paracetamol-toxicity/
ESPEN guidelines for nutrition in acute pancreatitis: https://www.espen.org/files/ESPEN-Guidelines/ESPEN_guideline_on_Clinical_Nutrition_in_acute_and_chronic_pancreatitis.pdf
Videos:
Curriculum:
PB_BK_77 Nausea and vomiting
PB_BK_78 Functional anatomy and blood supply, immunological functions
PB_BK_79 Metabolic and digestive functions
PB_BK_80 Gastric function; secretions, nausea and vomiting
PB_BK_81 Gut motility, sphincters and reflex control – neurohumoral integration
PB_BK_82 Digestive functions; composition of secretions; digestion of carbohydrates, lipids, proteins, vitamins, minerals
PB_BK_83 Immune functions
PB_BK_84 Energy homeostasis. Energy balance and nutritional status. Body mass/composition: body mass index, body fat estimation. Functional measurements: e.g. handgrip strength, work/exercise capacity. Biochemical measurements. Immune function.
PB_BK_85 Principles of nutrition: carbohydrates, fats, proteins, vitamins and minerals. Energy requirements/expenditure and
measurement.
PB_BK_86 Metabolic pathways, energy production and enzymes; metabolic rate; lactate metabolism
PB_BK_87 Hormonal control of metabolism: regulation of plasma glucose, response to trauma
PB_BK_88 Physiological alterations in starvation, obesity [including normal and abnormal BMI ranges], exercise and the stress response.
Wexham3O: Physics and equipment: Breathing systems and measurements
Commonly examined topics: TBC
Useful resources: TBC
Videos: TBC
Curriculum codes:
PC_BK_67 Breathing systems: Maplesons’ classification, coaxial systems, circle systems, T-piece; resuscitation breathing devices
PC_BK_17 Humidity, absolute and relative; including measurement
PC_BK_68 Ventilators: principles, including pressure and flow generators, cycling, minute volume dividers, jet and oscillator ventilators
PC_BK_69 Disconnection: monitoring of patient ventilatory disconnection
PC_BK_71 Capnography
PC_BK_72 Pulse oximetry
PC_BK_74 Measurement of gas pressures
PC_BK_82 Simple tests of pulmonary function: peak flow rate, spirometry
PC_BK_83 Measurement of perfusion: coronary, cerebral, splanchnic, renal
Wexham4O: Physiology: Respiratory system
Commonly examined topics: TBC
Useful resources: TBC
Videos: TBC
Curriculum codes:
PB_BK_57 Gaseous exchange: O2 and CO2 transport, hypoxia and hyper- and hypocapnia, hyper- and hypobaric pressures
PB_BK_58 Function of haemoglobin in oxygen carriage and acid-base equilibrium
PB_BK_59 Pulmonary ventilation: volumes, capacities, flows, dead space, compliance, work of breathing
PB_BK_60 Effect of IPPV on lungs
PB_BK_61 Mechanics of ventilation: ventilation/perfusion abnormalities, regional V/Q, surfactant
PB_BK_62 Control of breathing, acute and chronic ventilatory failure, effect of oxygen therapy
PB_BK_63 Effects of altitude
PB_BK_64 Non-respiratory functions of the lungs