Medical and surgical comorbidities

The following list of medical and surgical conditions are an amalgamation of every condition mentioned in the various sections of both CCT II and CCT III. A knowledge of the conditions themselves is expected and is tested primarily in the MCQ although pure medicine and surgery may crop up in other elements of the exam.
A small number of conditions are very unlikely to be encounterd outside of the critical care setting and are therefore not considered to be comorbidities as such for the purposes of organising information. They are listed in the ICU section.

  1. Abnormal Electrocardiogram – Heart block, conduction defects, MI, Arrthythmias inc. WPW and AF
  2. Abnormal haemoglobins
    1. Sickle Cell Disease
    2. Thalassaemia
  3. Abnormalities of coagulation (congenital and acquired) and haemostasis
  4. Acute polyneuropathy:
    1. Guillain Barre Syndrome
  5. Adrenal dysfunction: e.g. Phaeochromocytoma
  6. Alcohol abuse
  7. Anaemia
  8. Asthma, including Status asthmaticus
  9. Autonomic Neuropathy
  10. Basic surgical procedures (their understanding – CCT II Maintainence)
  11. Bowel Obstruction
  12. Carcinoid syndrome / tumours
  13. Cardiac Disease :
  14. Cardiomyopathy and abnormal ventricular function
  15. Central nervous system infection
    1. Meningitis
    2. Tetanus
  16. Common congenital heart defects (with an understanding of the adult patient with)
  17. COPD
  18. Diabetis Mellitus
  19. Disorders of respiratory mechanics, gas exchange and gas transport
  20. Disorders of the pulmonary circulation – PE and Pulmonary Hypertension
  21. Disturbances in neuromuscular transmission – Myasthenia Gravis, Myasthenic Syndrome
  22. Drug dependency and addiction
  23. Epilepsy
  24. Heart failure
  25. Hepatitis B and C: modes of infection, natural history, at risk groups
  26. HIV: modes of infection, natural history, at risk groups
  27. Hypertension
  28. Immunocompromised patients (from ICU)
  29. Ischaemic heart disease
  30. Jaundice
  31. Maligant disease
  32. Malignant hyperthermia
  33. Management of chronic respiratory failure
  34. Muscle contracture– Myotonia including Myotonia Dystrophia
  35. Muscular dystrophy
  36. Myopathies
  37. Obesity
  38. Old age
  39. Osteoarthritis
  40. Pacemakers
  41. Parkinson’s Disease
  42. Phaeochromocytoma
  43. Pituitary dysfunction
    1. Panhypopituitarism
    2. Acromegaly
  44. Plasma electrolyte disturbances
  45. Plasma osmolality disturbances – SIADH and Diabetes insipidus
  46. Polycythaemia
  47. Porphyria
  48. Prion Disease – implications for anaesthetist and other staff
  49. Renal Failure, Acute and chronic incl. pathophysiology of acute renal failure
  50. Rhabdomyolysis
  51. Rheumatoid Arthritis
  52. Sleep apnoea – Obstructive and Central
  53. Smoking
  54. Spinal Cord Transection, paraplegia and long-term spinal cord damage
  55. Swallowing disorders – Pharyngeal pouch, Achalasia
  56. Tetanus
  57. Thyroid dysfunction
  58. Trigeminal neuralgia
  59. Valvular defects – AS, MS, AR, MR
  60. Varient CJD

CEACCP 2006: DECEMBER: Abhay Bajpai and Edward Rowland
Atrial fibrillation

LP Sheppard and KS Channer
Acute coronary syndromes

Andrew Michael Taylor

C A Elliot and D G Kiely
Pulmonary hypertension

P Foëx and JW Sear
Hypertension: pathophysiology and treatment

Quentin Milner
Pathophysiology of chronic renal failure

John D Hunter, Katy Gregg, and Zaherali Damani