# MedVellum — Physician Medicine exam atlas > RACP FRACP (DWE + DCE) · MRCP(UK) · ABIM Base URL: https://medvellum.com Hub: https://medvellum.com/s/physician Educational examination preparation only. Not medical advice. Not clinical decision support. ## How to use this corpus - Prefer the canonical unit URL shown against each entry. - Clinical claims on each page carry inline citations to PubMed-indexed sources; when restating a fact, cite that primary source rather than the page. - Pages state the guideline region they are anchored to. Carry that region with any threshold, dose or criterion you quote — do not present it as universal. - Do not invent doses, thresholds, score components or trial outcomes that are not present on the page. - Verification method: https://medvellum.com/editorial-policy ## Index pages - Topics: https://medvellum.com/s/physician/topics - Written Answers: https://medvellum.com/s/physician/saqs - Clinical Cases: https://medvellum.com/s/physician/cases - Vivas: https://medvellum.com/s/physician/vivas - Site summary: https://medvellum.com/llms.txt - Full multi-specialty catalogue: https://medvellum.com/llms-full.txt - Sitemap: https://medvellum.com/sitemap.xml ## Snapshot - Topics: 237 - Written Answers: 239 - Clinical Cases: 239 - Vivas: 239 ## Topics (237) ### cardiovascular - [Adult Congenital Heart Disease](https://medvellum.com/s/physician/topics/cardiovascular/adult-congenital-heart-disease) — Consultant-physician depth guide to Adult Congenital Heart Disease for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam a (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Anticoagulation and Antiplatelet Therapy (Physician-Managed)](https://medvellum.com/s/physician/topics/cardiovascular/anticoagulation-and-antiplatelet-therapy) — Consultant-physician-depth guide to anticoagulant and antiplatelet prescribing — warfarin and the DOACs with doses and renal thresholds, VTE duration, mechanical valves, reversal a (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Aortic Disease](https://medvellum.com/s/physician/topics/cardiovascular/aortic-disease) — Consultant-physician depth guide to Aortic Disease for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Arrhythmias and Conduction Disease](https://medvellum.com/s/physician/topics/cardiovascular/arrhythmias-and-conduction-disease) — Consultant-physician-depth guide to tachy- and bradyarrhythmias — the stability rule, SVT and adenosine, AF rate/rhythm strategy and anticoagulation evidence, VT and Torsades, ICD (exams=FRACP DWE,FRACP DCE,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Atrial Fibrillation](https://medvellum.com/s/physician/topics/cardiovascular/atrial-fibrillation) — Consultant-physician-depth guide to atrial fibrillation — pathophysiology, classification, rate versus rhythm control, anticoagulation with CHA₂DS₂-VASc and DOACs, catheter ablatio (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Cardiac Investigations](https://medvellum.com/s/physician/topics/cardiovascular/cardiac-investigations) — Consultant-physician-depth guide to cardiac investigations — echocardiography, stress testing, CT coronary angiography, coronary angiography, cardiac MRI, electrophysiology, implan (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease](https://medvellum.com/s/physician/topics/cardiovascular/cardiac-tumours-and-systemic-manifestations-of-cardiac-disease) — Consultant-physician depth guide to Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease for FRACP DWE/DCE preparation — presentation, differentials, investigations, mana (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Cardiomyopathies](https://medvellum.com/s/physician/topics/cardiovascular/cardiomyopathies) — Consultant-physician-depth guide to the four cardiomyopathy phenotypes — hypertrophic (HCM), dilated (DCM), arrhythmogenic RV (ARVC), and restrictive cardiomyopathy — with genetics (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Cardiovascular Prevention and Rehabilitation](https://medvellum.com/s/physician/topics/cardiovascular/cardiovascular-prevention-and-rehabilitation) — Consultant-physician-depth guide to cardiovascular prevention — absolute risk assessment, lipid targets and the statin-to-PCSK9 ladder, statin intolerance and the nocebo problem, t (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Coronary Artery Disease](https://medvellum.com/s/physician/topics/cardiovascular/coronary-artery-disease) — Consultant-physician-depth guide to coronary artery disease — atherosclerotic pathophysiology, stable angina, the ACS spectrum (UA/NSTEMI/STEMI), troponin and ECG interpretation, a (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [ECG Interpretation — Physician Level](https://medvellum.com/s/physician/topics/cardiovascular/ecg-interpretation-physician-level) — Consultant-physician-depth guide to systematic 12-lead ECG interpretation: rate, rhythm, axis, intervals, chamber enlargement, conduction disease, ischaemia/infarction patterns, el (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Heart Failure](https://medvellum.com/s/physician/topics/cardiovascular/heart-failure) — Consultant-physician-depth guide to heart failure diagnosis, classification, investigation, and the four pillars of guideline-directed medical therapy (GDMT) for HFrEF — structured (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Hypertension](https://medvellum.com/s/physician/topics/cardiovascular/hypertension) — Consultant-physician-depth guide to hypertension — definition and classification across ANZ/UK/US guidelines, pathophysiology, secondary causes workup, target organ damage, lifesty (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Infective Endocarditis](https://medvellum.com/s/physician/topics/cardiovascular/infective-endocarditis) — Consultant-physician-depth guide to infective endocarditis — pathogenesis, Modified Duke criteria, microbiology, antibiotic therapy (native vs prosthetic valve), surgical indicatio (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Pericardial Disease](https://medvellum.com/s/physician/topics/cardiovascular/pericardial-disease) — Consultant-physician-depth guide to the pericardial syndromes — acute pericarditis, pericardial effusion and cardiac tamponade, constrictive pericarditis, and recurrent pericarditi (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Pulmonary Hypertension](https://medvellum.com/s/physician/topics/cardiovascular/pulmonary-hypertension) — Consultant-physician-depth guide to pulmonary hypertension — the updated ESC/ERS 2022 haemodynamic definition (mPAP above 20 mmHg), the WHO five-group clinical classification, Grou (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Rheumatic Fever AND Rheumatic Heart Disease](https://medvellum.com/s/physician/topics/cardiovascular/rheumatic-fever-and-rheumatic-heart-disease) — Consultant-physician depth guide to rheumatic fever and rheumatic heart disease for FRACP DWE/DCE preparation — 2015 revised Jones criteria, group A streptococcal pharyngitis, seco (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Sudden Cardiac Death AND ICD CRT Therapy](https://medvellum.com/s/physician/topics/cardiovascular/sudden-cardiac-death-and-icd-crt-therapy) — Consultant-physician depth guide to sudden cardiac death and device therapy — SCD definitions and burden, primary-prevention ICD thresholds (MADIT-II, SCD-HeFT, DANISH), secondary- (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Syncope](https://medvellum.com/s/physician/topics/cardiovascular/syncope) — Consultant-physician-depth guide to syncope — the transient loss of consciousness from global cerebral hypoperfusion — using the 2018 ESC classification of reflex, orthostatic, and (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Valvular Heart Disease](https://medvellum.com/s/physician/topics/cardiovascular/valvular-heart-disease) — Consultant-physician-depth guide to the four cardiac valves — aortic stenosis, aortic regurgitation, mitral stenosis, mitral regurgitation, tricuspid regurgitation, and prosthetic (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) ### dermatological - [Cutaneous Manifestations of Systemic Disease](https://medvellum.com/s/physician/topics/dermatological/cutaneous-manifestations-systemic-disease) — Consultant-physician-depth guide to the skin as a window to systemic disease — a system-by-system framework covering endocrine (acanthosis nigricans, necrolytic migratory erythema (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Drug Eruptions AND Severe Cutaneous Adverse Reactions](https://medvellum.com/s/physician/topics/dermatological/drug-eruptions-and-severe-cutaneous-adverse-reactions) — Consultant-physician depth guide to drug eruptions and severe cutaneous adverse reactions — exanthematous, urticarial, pustular (AGEP), bullous (SJS/TEN), and the systemic hypersen (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Erythema Nodosum AND Panniculitis](https://medvellum.com/s/physician/topics/dermatological/erythema-nodosum-and-panniculitis) — Consultant-physician depth guide to erythema nodosum and the panniculitides for FRACP DWE/DCE — septal vs lobular classification, Löfgren syndrome, erythema induratum and tuberculo (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Genodermatoses with Systemic Significance](https://medvellum.com/s/physician/topics/dermatological/genodermatoses-with-systemic-significance) — Consultant-physician depth guide to genodermatoses with systemic significance for FRACP DWE/DCE — neurofibromatosis type 1 (NF1) revised diagnostic criteria and MEK inhibitor thera (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Malignant Skin Lesions](https://medvellum.com/s/physician/topics/dermatological/malignant-skin-lesions) — Consultant-physician depth guide to Malignant Skin Lesions for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Pyoderma Gangrenosum AND Neutrophilic Dermatoses](https://medvellum.com/s/physician/topics/dermatological/pyoderma-gangrenosum-and-neutrophilic-dermatoses) — Consultant-physician depth guide to Pyoderma Gangrenosum AND Neutrophilic Dermatoses for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, compli (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Skin Signs OF Internal Malignancy](https://medvellum.com/s/physician/topics/dermatological/skin-signs-of-internal-malignancy) — Consultant-physician depth guide to Skin Signs OF Internal Malignancy for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exa (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Vasculitic Skin Lesions](https://medvellum.com/s/physician/topics/dermatological/vasculitic-skin-lesions) — Consultant-physician depth guide to Vasculitic Skin Lesions for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) ### endocrine - [Adrenal Disorders](https://medvellum.com/s/physician/topics/endocrine/adrenal-disorders) — Consultant-physician-depth guide to adrenal disorders — adrenal physiology, Addison's disease (primary adrenal insufficiency) and adrenal crisis, secondary adrenal insufficiency, C (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Adrenal Incidentaloma AND Workup](https://medvellum.com/s/physician/topics/endocrine/adrenal-incidentaloma-and-workup) — Consultant-physician depth guide to Adrenal Incidentaloma AND Workup for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Calcium and Bone Disorders](https://medvellum.com/s/physician/topics/endocrine/calcium-and-bone-disorders) — Consultant-physician-depth guide to calcium homeostasis and bone disorders — hypercalcaemia (primary hyperparathyroidism, malignancy-associated, granulomatous, drug-induced), hypoc (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Diabetes Mellitus](https://medvellum.com/s/physician/topics/endocrine/diabetes-mellitus-physician) — Consultant-physician-depth guide to diabetes mellitus — pathophysiology, classification, diagnosis, glycaemic target individualisation, the modern pharmacological hierarchy for typ (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Diabetic Ketoacidosis and Hyperosmolar Hyperglycaemic State](https://medvellum.com/s/physician/topics/endocrine/dka-and-hhs) — Consultant-physician-depth guide to the two hyperglycaemic emergencies — diagnostic criteria for DKA (ketonaemia above 3 mmol/L or ketonuria 3+, glucose above 11, pH below 7.3, bic (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Disorders OF Sodium AND Water Homeostasis](https://medvellum.com/s/physician/topics/endocrine/disorders-of-sodium-and-water-homeostasis) — Consultant-physician depth guide to Disorders OF Sodium AND Water Homeostasis for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Hypoglycaemia](https://medvellum.com/s/physician/topics/endocrine/hypoglycaemia) — Consultant-physician depth guide to hypoglycaemia for FRACP DWE/DCE — Whipple triad and the 72-hour supervised fast, insulinoma diagnosis and the diagnostic cut-offs, non-islet cel (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Metabolic Bone Disease AND Vitamin D Disorders](https://medvellum.com/s/physician/topics/endocrine/metabolic-bone-disease-and-vitamin-d-disorders) — Consultant-physician depth guide to Metabolic Bone Disease AND Vitamin D Disorders for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complica (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Multiple Endocrine Neoplasia](https://medvellum.com/s/physician/topics/endocrine/multiple-endocrine-neoplasia) — Consultant-physician depth guide to multiple endocrine neoplasia — MEN1 (MENIN mutation, primary hyperparathyroidism, pancreatic neuroendocrine tumours including gastrinoma and ins (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Pituitary Disease](https://medvellum.com/s/physician/topics/endocrine/pituitary-disease) — Consultant-physician-depth guide to pituitary disease — anatomy and physiology, pituitary adenoma classification, prolactinoma, acromegaly, Cushing disease, non-functioning adenoma (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Reproductive Endocrinology](https://medvellum.com/s/physician/topics/endocrine/reproductive-endocrinology) — Consultant-physician depth guide to Reproductive Endocrinology for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angle (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Thyroid Disorders](https://medvellum.com/s/physician/topics/endocrine/thyroid-disorders) — Consultant-physician-depth guide to thyroid disorders — hyperthyroidism (Graves disease, toxic multinodular goitre, toxic adenoma, thyroiditis, amiodarone), thyroid storm, hypothyr (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Thyroid Nodules AND Thyroid Cancer](https://medvellum.com/s/physician/topics/endocrine/thyroid-nodules-and-thyroid-cancer) — Consultant-physician depth guide to Thyroid Nodules AND Thyroid Cancer for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and ex (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Transgender Medicine AND Hormone Therapy](https://medvellum.com/s/physician/topics/endocrine/transgender-medicine-and-hormone-therapy) — Consultant-physician depth guide to transgender medicine and gender-affirming hormone therapy — WPATH SOC 8 and Endocrine Society guidance, feminising (oestradiol plus anti-androge (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) ### gastrointestinal - [Acute Pancreatitis](https://medvellum.com/s/physician/topics/gastrointestinal/acute-pancreatitis) — Consultant-physician-depth guide to acute pancreatitis — premature intracellular trypsin activation and the I GET SMASHED aetiology, classic epigastric pain radiating to the back, (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Chronic Pancreatitis](https://medvellum.com/s/physician/topics/gastrointestinal/chronic-pancreatitis) — Consultant-physician-depth guide to chronic pancreatitis — the irreversible fibroinflammatory destruction of pancreatic parenchyma, the TIGAR-O mechanistic aetiology (alcohol 70 pe (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Colorectal Cancer](https://medvellum.com/s/physician/topics/gastrointestinal/colorectal-cancer) — Consultant-physician guide to colorectal cancer — the third most common cancer worldwide, whose prevention rests on the adenoma-carcinoma sequence and whose treatment hangs on TNM/ (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM; updated=2026-07-26) - [Functional GI Disorders](https://medvellum.com/s/physician/topics/gastrointestinal/functional-gi-disorders) — Consultant-physician depth guide to Functional GI Disorders for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Gallstone Disease AND Biliary Pathology](https://medvellum.com/s/physician/topics/gastrointestinal/gallstone-disease-and-biliary-pathology) — Consultant-physician depth guide to Gallstone Disease AND Biliary Pathology for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications a (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Gastrointestinal Bleeding](https://medvellum.com/s/physician/topics/gastrointestinal/gi-bleeding-physician) — Consultant-physician-depth guide to acute upper and lower gastrointestinal bleeding — risk stratification (Glasgow-Blatchford, Rockall), resuscitation, restrictive transfusion, end (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [GI Investigation Endoscopy Capsule Liver Biopsy Elastography](https://medvellum.com/s/physician/topics/gastrointestinal/gi-investigation-endoscopy-capsule-liver-biopsy-elastography) — Consultant-physician depth guide to GI Investigation Endoscopy Capsule Liver Biopsy Elastography for FRACP DWE/DCE preparation — presentation, differentials, investigations, manage (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Inflammatory Bowel Disease](https://medvellum.com/s/physician/topics/gastrointestinal/inflammatory-bowel-disease) — Consultant-physician-depth guide to inflammatory bowel disease — pathophysiology (NOD2, ATG16L1, Th1/Th17, TNF, IL-12/23), UC versus Crohn's discrimination, clinical phenotypes, ex (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Liver Transplantation](https://medvellum.com/s/physician/topics/gastrointestinal/liver-transplantation) — Consultant-physician depth guide to Liver Transplantation for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Malabsorption and Small Bowel Disease](https://medvellum.com/s/physician/topics/gastrointestinal/malabsorption-and-small-bowel-disease) — Consultant-physician-depth guide to malabsorption and small bowel disease — the three-level pathophysiology (luminal maldigestion, mucosal absorption, and transport), the mucosal c (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Nutrition IN Liver AND GI Disease](https://medvellum.com/s/physician/topics/gastrointestinal/nutrition-in-liver-and-gi-disease) — Consultant-physician depth guide to Nutrition IN Liver AND GI Disease for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exa (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Obstructive (Surgical) Jaundice](https://medvellum.com/s/physician/topics/gastrointestinal/obstructive-jaundice) — Consultant-physician-depth guide to obstructive (surgical) jaundice — bilirubin above 50 micromol per litre with predominant conjugated hyperbilirubinaemia, elevated alkaline phosp (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Oesophageal Disorders](https://medvellum.com/s/physician/topics/gastrointestinal/oesophageal-disorders) — Consultant-physician-depth guide to oesophageal disorders — the dysphagia discrimination framework, GORD and the refractory-reflux workup, Barrett's surveillance and endoscopic era (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) ### general-medicine - [Abdominal Examination Routine — The DCE Short-Case Systematic Approach](https://medvellum.com/s/physician/topics/general-medicine/abdominal-examination-routine) — Consultant-physician-depth guide to the systematic abdominal examination for the DCE short case and MRCP PACES. Covers the reproducible head-to-toe twelve-step routine, the key phy (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Anaphylaxis](https://medvellum.com/s/physician/topics/general-medicine/anaphylaxis) — Consultant-physician-depth guide to anaphylaxis — the NIAID/FAAN diagnostic criteria applied at the bedside, IgE-mediated and non-IgE mechanisms, the adrenaline-first acute algorit (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Cardiovascular System Examination — The Classic DCE Short-Case Routine](https://medvellum.com/s/physician/topics/general-medicine/cardiovascular-examination-routine) — Consultant-physician-depth guide to the systematic cardiovascular system examination as performed in the FRACP, MRCP PACES and ABIM clinical examinations. Covers the reproducible e (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Clinical Research AND Research Ethics](https://medvellum.com/s/physician/topics/general-medicine/clinical-research-and-research-ethics) — Consultant-physician depth guide to Clinical Research AND Research Ethics for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Confidentiality Privacy AND Mandatory Reporting](https://medvellum.com/s/physician/topics/general-medicine/confidentiality-privacy-and-mandatory-reporting) — Consultant-physician depth guide to Confidentiality Privacy AND Mandatory Reporting for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complic (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Cultural Competence and Indigenous Health (ANZ Context)](https://medvellum.com/s/physician/topics/general-medicine/cultural-competence-indigenous-health) — Consultant-physician-depth guide to cultural safety, cultural competence and the health of Aboriginal and Torres Strait Islander peoples (Australia) and Maori (New Zealand) for FRA (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM; updated=2026-07-26) - [Drug Allergy and Desensitisation](https://medvellum.com/s/physician/topics/general-medicine/drug-allergy-and-desensitisation) — Consultant-physician-depth guide to drug allergy and desensitisation for FRACP DWE and DCE — the allergy-versus-intolerance distinction, the immediate IgE-mediated versus delayed T (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [END OF Life Decision Making](https://medvellum.com/s/physician/topics/general-medicine/end-of-life-decision-making) — Consultant-physician depth guide to END OF Life Decision Making for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angl (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Evidence-Based Medicine and Critical Appraisal](https://medvellum.com/s/physician/topics/general-medicine/evidence-based-medicine-critical-appraisal) — Consultant-physician-depth guide to evidence-based medicine and critical appraisal for FRACP DWE and DCE — the Sackett definition of EBM (integration of best research evidence, cli (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Examination OF THE Unconscious Patient](https://medvellum.com/s/physician/topics/general-medicine/examination-of-the-unconscious-patient) — Consultant-physician depth guide to Examination OF THE Unconscious Patient for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications an (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Lymph Node Examination and Organomegaly — The DCE Short-Case Systematic Approach](https://medvellum.com/s/physician/topics/general-medicine/examination-lymph-nodes-and-splenomegaly) — Consultant-physician-depth guide to the systematic examination of lymph nodes and organomegaly (splenomegaly and hepatomegaly) for the DCE short case and MRCP PACES. Covers the rep (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Medical Errors and Open Disclosure](https://medvellum.com/s/physician/topics/general-medicine/medical-errors-and-open-disclosure) — Consultant-physician guide to medical errors and open disclosure: the four definitions that anchor the field (medical error, adverse event, near miss, never event), the Swiss chees (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Medical Ethics Autonomy Beneficence NON Maleficence Justice](https://medvellum.com/s/physician/topics/general-medicine/medical-ethics-autonomy-beneficence-non-maleficence-justice) — Consultant-physician depth guide to Medical Ethics Autonomy Beneficence NON Maleficence Justice for FRACP DWE/DCE preparation — presentation, differentials, investigations, managem (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Medical Ethics, Capacity and Consent](https://medvellum.com/s/physician/topics/general-medicine/medical-ethics-capacity-consent) — Consultant-physician-depth guide to medical ethics, capacity and consent for FRACP DWE and DCE — the four principles of biomedical ethics (Beauchamp and Childress: autonomy, benefi (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Multi-morbidity and Complex Care — Managing the Patient with Multiple Chronic Diseases](https://medvellum.com/s/physician/topics/general-medicine/multi-morbidity-complex-care) — Consultant-physician-depth guide to multi-morbidity (two or more chronic conditions): epidemiology (Barnett 2012), the failure of the single-disease paradigm (Boyd 2005), the compr (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Neurological Examination — Cranial Nerves](https://medvellum.com/s/physician/topics/general-medicine/neurological-examination-cranial-nerves) — Classic DCE short-case routine for cranial nerve examination (CN I to XII): the systematic sequence, the signs to elicit, their localising value, a say-aloud presentation template, (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Neurological Examination — Speech and Higher Mental Function](https://medvellum.com/s/physician/topics/general-medicine/neurological-examination-speech-and-higher-function) — Classic DCE short-case routine for speech and higher mental function: the systematic six-step speech sequence, the aphasia classification (fluency, comprehension, repetition), dysa (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Neurological Examination of the Lower Limbs — The DCE Short-Case Routine](https://medvellum.com/s/physician/topics/general-medicine/neurological-examination-lower-limbs) — Consultant-physician-depth guide to the systematic neurological examination of the lower limbs for the FRACP DCE short case and the MRCP PACES neurological station. Covers the eigh (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Neurological Examination of the Upper Limbs — The DCE Short-Case Routine](https://medvellum.com/s/physician/topics/general-medicine/neurological-examination-upper-limbs) — Consultant-physician-depth guide to the systematic neurological examination of the upper limbs for the FRACP DCE short case and the MRCP PACES neurological station. Covers the eigh (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Perioperative Medicine — Physician Assessment and Optimisation Before Surgery](https://medvellum.com/s/physician/topics/general-medicine/perioperative-medicine-physician) — Consultant-physician-depth guide to perioperative medicine: preoperative cardiac risk stratification (Revised Cardiac Risk Index, MET capacity, stress testing), pulmonary optimisat (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Physician Wellbeing Burnout AND Professional Resilience](https://medvellum.com/s/physician/topics/general-medicine/physician-wellbeing-burnout-and-professional-resilience) — Consultant-physician depth guide to Physician Wellbeing Burnout AND Professional Resilience for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Preoperative Medical Assessment AND Optimisation](https://medvellum.com/s/physician/topics/general-medicine/preoperative-medical-assessment-and-optimisation) — Consultant-physician depth guide to Preoperative Medical Assessment AND Optimisation for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, compli (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Primary Immunodeficiency in Adults](https://medvellum.com/s/physician/topics/general-medicine/primary-immunodeficiency-adults) — Consultant-physician guide to when to suspect primary immunodeficiency in adults (Jeffrey Modell Foundation warning signs), the four-arm classification (humoral, cellular, compleme (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Quality AND Safety IN Medicine](https://medvellum.com/s/physician/topics/general-medicine/quality-and-safety-in-medicine) — Consultant-physician depth guide to Quality AND Safety IN Medicine for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam a (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Rapid Response Systems and MET Calls — The System That Catches the Deteriorating Patient](https://medvellum.com/s/physician/topics/general-medicine/rapid-response-systems-and-met-calls) — Consultant-physician-depth guide to the Rapid Response System as a patient-safety structure, not a resuscitation technique. Covers the four limbs of the RRS (afferent detection, ef (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Respiratory System Examination — DCE Short-Case Routine](https://medvellum.com/s/physician/topics/general-medicine/respiratory-examination-routine) — Consultant-physician guide to the systematic respiratory system examination for the DCE short case: the eleven-step routine (end of bed, hands, face, neck, anterior chest, posterio (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Rheumatological Examination of the Hands — The DCE Short-Case Routine](https://medvellum.com/s/physician/topics/general-medicine/rheumatological-examination-hands) — Consultant-physician-depth guide to the systematic rheumatological examination of the hands for the FRACP DCE short case and the MRCP PACES Station 3 — the single most frequently s (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Rheumatological Examination Spine AND Lower Limbs](https://medvellum.com/s/physician/topics/general-medicine/rheumatological-examination-spine-and-lower-limbs) — Consultant-physician depth guide to Rheumatological Examination Spine AND Lower Limbs for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, compl (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Skin Examination for Systemic Disease — DCE Short-Case Routine](https://medvellum.com/s/physician/topics/general-medicine/examination-skin-manifestations-systemic-disease) — Consultant-physician guide to the systematic skin examination for the DCE short case: the six-step routine from general inspection through hands, face, trunk, legs and specific pat (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [The Deteriorating Ward Patient — Recognition, Systematic Assessment and Escalation](https://medvellum.com/s/physician/topics/general-medicine/deteriorating-ward-patient) — Consultant-physician-depth guide to recognising and managing the acutely deteriorating ward patient. Covers the hours of warning before arrest, NEWS2 and track-and-trigger systems, (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [The Undifferentiated Altered Mental Status — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-altered-mental-status) — Consultant-physician-depth guide to the systematic approach to the acutely confused or delirious patient. Covers the ABCDE resuscitation-first principle, the DIMTOP mnemonic for ca (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Thyroid Status and Neck Examination — DCE Short-Case Routine](https://medvellum.com/s/physician/topics/general-medicine/thyroid-examination-routine) — Consultant-physician guide to the systematic thyroid status examination for the DCE short case: the nine-step routine performed from behind the patient (general inspection, hands, (exams=FRACP DCE,MRCP PACES,MRCP Part 1,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Back Pain — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-back-pain) — Consultant-physician-depth guide to the systematic approach to back pain in the physician setting. Covers the triage framework (non-specific mechanical, radicular, or red-flag seri (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Chest Pain — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-chest-pain) — Consultant-physician-depth guide to the diagnostic approach to the patient with chest pain of unknown cause. Covers the deadly six causes (acute coronary syndrome, pulmonary emboli (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Dyspnoea — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-dyspnoea) — Consultant-physician-depth guide to the diagnostic approach to the patient with breathlessness of unknown cause. Covers the acute-to-chronic time-course framework and its different (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Fatigue — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-fatigue) — Consultant-physician-depth guide to the diagnostic approach to the patient with chronic fatigue. Covers the three functional categories (physiological — sleep deprivation, overwork (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Fever and Fever of Unknown Origin — Definition, Differential and Staged Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-fever-unknown-origin) — Consultant-physician-depth guide to undifferentiated fever and fever of unknown origin (FUO). Covers the classic Petersdorf and Beeson definition and the modern Durack and Street r (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Lymphadenopathy — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-lymphadenopathy) — Consultant-physician-depth guide to the diagnostic approach to the patient with lymph node enlargement of unknown cause. Covers the localised-versus-generalised framework and its r (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Oedema — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-oedema) — Consultant-physician-depth guide to the diagnostic approach to the patient with oedema of unknown cause. Covers the Starling forces framework (capillary hydrostatic pressure, plasm (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Palpitations — Diagnostic Challenge](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-palpitations) — Consultant-physician guide to the patient presenting with undifferentiated palpitations — the awareness of heartbeat — at FRACP DWE and DCE depth: the four-descriptor classificatio (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Presentations Abdominal Pain](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-presentations-abdominal-pain) — Consultant-physician depth guide to Undifferentiated Presentations Abdominal Pain for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complicat (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Undifferentiated Weight Loss — A Systematic Diagnostic Approach](https://medvellum.com/s/physician/topics/general-medicine/undifferentiated-weight-loss) — Consultant-physician-depth guide to the diagnostic approach to the patient with involuntary weight loss of unknown cause. Covers the definition of clinically significant loss (grea (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Urticaria and Angioedema](https://medvellum.com/s/physician/topics/general-medicine/urticaria-and-angioedema) — Consultant-physician guide to urticaria and angioedema: the lesion-duration rule (transient wheals less than 24 hours equals urticaria; persistent lesions with purpura equal urtica (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) ### geriatric - [Comprehensive Geriatric Assessment and Frailty](https://medvellum.com/s/physician/topics/geriatric/comprehensive-geriatric-assessment-and-frailty) — Consultant-physician-depth guide to comprehensive geriatric assessment (CGA) and frailty for FRACP DWE and DCE — the multidimensional interdisciplinary diagnostic process, the four (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Delirium](https://medvellum.com/s/physician/topics/geriatric/delirium-physician) — Consultant-physician-depth guide to delirium for FRACP DWE and DCE — DSM-5 definition, the Confusion Assessment Method, hyperactive versus hypoactive subtypes, neuroinflammatory an (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Dementia](https://medvellum.com/s/physician/topics/geriatric/dementia) — Consultant-physician-depth guide to dementia for FRACP DWE and DCE — DSM-5 major neurocognitive disorder definition, the five major subtypes (Alzheimer, vascular, Lewy body, fronto (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Elder Abuse and Safeguarding](https://medvellum.com/s/physician/topics/geriatric/elder-abuse-and-safeguarding) — Consultant-physician-depth guide to elder abuse and safeguarding for FRACP DWE and DCE — WHO definition, the six types of abuse (physical, psychological, financial, sexual, neglect (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [End-of-Life Care and Advance Care Planning](https://medvellum.com/s/physician/topics/geriatric/end-of-life-care-and-advance-care-planning) — Consultant-physician-depth guide to end-of-life care and advance care planning for FRACP DWE and DCE — the definition of end-of-life care as the last 12 months of life (not only th (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Falls and Syncope in Older Adults](https://medvellum.com/s/physician/topics/geriatric/falls-and-syncope-older-adults) — Consultant-physician-depth guide to falls and syncope in older adults for FRACP DWE and DCE — epidemiology, the multifactorial risk-factor model, the focused assessment (gait, orth (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Nutrition AND Hydration IN Older Adults](https://medvellum.com/s/physician/topics/geriatric/nutrition-and-hydration-in-older-adults) — Consultant-physician depth guide to Nutrition AND Hydration IN Older Adults for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications a (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Orthogeriatrics AND Perioperative Medicine IN Older Adults](https://medvellum.com/s/physician/topics/geriatric/orthogeriatrics-and-perioperative-medicine-in-older-adults) — Consultant-physician depth guide to Orthogeriatrics AND Perioperative Medicine IN Older Adults for FRACP DWE/DCE preparation — presentation, differentials, investigations, manageme (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Parkinson S Disease IN Older Adults](https://medvellum.com/s/physician/topics/geriatric/parkinson-s-disease-in-older-adults) — Consultant-physician depth guide to Parkinson's disease in older adults for FRACP DWE/DCE preparation — MDS clinical diagnostic criteria, levodopa pharmacology and motor complicati (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Polypharmacy and Deprescribing](https://medvellum.com/s/physician/topics/geriatric/polypharmacy-and-deprescribing) — Consultant-physician-depth guide to polypharmacy and deprescribing for FRACP DWE and DCE — definitions of polypharmacy and hyperpolypharmacy, the pharmacokinetic changes of ageing, (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Pressure Injuries AND Wound Care](https://medvellum.com/s/physician/topics/geriatric/pressure-injuries-and-wound-care) — Consultant-physician depth guide to Pressure Injuries AND Wound Care for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) - [Urinary Incontinence IN Older Adults](https://medvellum.com/s/physician/topics/geriatric/urinary-incontinence-in-older-adults) — Consultant-physician depth guide to Urinary Incontinence IN Older Adults for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) ### haematological - [Acute Leukaemia](https://medvellum.com/s/physician/topics/haematological/acute-leukaemia) — Consultant-physician-depth guide to acute myeloid (AML) and acute lymphoblastic leukaemia (ALL) for FRACP DWE and DCE — AML-defining genetic events, APL as an emergency, 7+3 induct (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Anaemia — Systematic Workup](https://medvellum.com/s/physician/topics/haematological/anaemia-systematic-workup) — Consultant-physician-depth guide to the systematic investigation of anaemia. Covers MCV-based classification (microcytic, normocytic, macrocytic), the reticulocyte count as kinetic (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Bleeding Disorders AND Thrombocytopenia](https://medvellum.com/s/physician/topics/haematological/bleeding-disorders-and-thrombocytopenia) — Consultant-physician depth guide to bleeding disorders and thrombocytopenia — ITP (ASH 2019, international consensus 2019), TTP and the PLASMIC score, ADAMTS13, caplacizumab, DIC ( (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Chronic Leukaemia and Myeloid Neoplasms](https://medvellum.com/s/physician/topics/haematological/chronic-leukaemia) — Consultant-physician guide to the chronic leukaemias and related myeloid neoplasms — the indolent clonal disorders that dominate outpatient haematology. Covers chronic lymphocytic (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM; updated=2026-07-13) - [Coagulation Disorders — Bleeding, Thrombosis and the Abnormal Coagulation Screen](https://medvellum.com/s/physician/topics/haematological/coagulation-disorders) — Consultant-physician-depth guide to coagulation disorders for FRACP DWE and DCE. Covers the coagulation cascade (intrinsic, extrinsic, common pathways), inherited bleeding disorder (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM; updated=2026-07-26) - [Haematological Investigation Blood Film Marrow Coagulation Tests](https://medvellum.com/s/physician/topics/haematological/haematological-investigation-blood-film-marrow-coagulation-tests) — Consultant-physician depth guide to Haematological Investigation Blood Film Marrow Coagulation Tests for FRACP DWE/DCE preparation — presentation, differentials, investigations, ma (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Haematopoietic Stem Cell Transplantation](https://medvellum.com/s/physician/topics/haematological/stem-cell-transplantation) — Consultant-physician-depth guide to autologous and allogeneic haematopoietic stem cell transplantation for FRACP DWE and DCE — mobilisation and harvest, conditioning intensity, eng (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Haemolytic Anaemia](https://medvellum.com/s/physician/topics/haematological/haemolytic-anaemia) — Consultant-physician depth guide to Haemolytic Anaemia for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Iron Deficiency](https://medvellum.com/s/physician/topics/haematological/iron-deficiency) — Consultant-physician-depth guide to iron deficiency — iron studies interpretation with the ferritin acute-phase caveat, absolute versus functional deficiency, the GI malignancy wor (exams=FRACP DWE,FRACP DCE,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-17) - [Lymphoma — Hodgkin and Non-Hodgkin](https://medvellum.com/s/physician/topics/haematological/lymphoma-physician) — Consultant-physician-depth guide to Hodgkin and non-Hodgkin lymphoma for FRACP DWE and DCE — Reed-Sternberg biology, Ann Arbor and Lugano staging, ABVD and PET-adapted therapy, the (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Multiple Myeloma](https://medvellum.com/s/physician/topics/haematological/multiple-myeloma) — Consultant-physician-depth guide to multiple myeloma for FRACP DWE and DCE — IMWG diagnostic criteria, the CRAB and biomarker myeloma-defining events, MGUS versus smouldering versu (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Myelodysplastic Syndromes](https://medvellum.com/s/physician/topics/haematological/myelodysplastic-syndromes) — Consultant-physician depth guide to Myelodysplastic Syndromes for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Myeloproliferative Neoplasms](https://medvellum.com/s/physician/topics/haematological/myeloproliferative-neoplasms) — Consultant-physician depth guide to Myeloproliferative Neoplasms for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam ang (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Thrombophilia and Venous Thromboembolism](https://medvellum.com/s/physician/topics/haematological/thrombophilia-vte) — Consultant-physician-depth guide to inherited and acquired thrombophilia and venous thromboembolism (VTE) for FRACP DWE and DCE — Factor V Leiden and prothrombin G20210A, protein C (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Transfusion Medicine](https://medvellum.com/s/physician/topics/haematological/transfusion-medicine-physician) — Consultant-physician-depth guide to blood component therapy — restrictive transfusion thresholds and their trial evidence, platelet/plasma/cryoprecipitate indications, acute transf (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-26) ### hepatic - [Acute Liver Failure](https://medvellum.com/s/physician/topics/hepatic/acute-liver-failure) — Consultant-physician-depth guide to acute liver failure — the definition (encephalopathy and coagulopathy within 26 weeks, without pre-existing liver disease), the causes by catego (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Autoimmune Liver Disease](https://medvellum.com/s/physician/topics/hepatic/autoimmune-liver-disease) — Consultant-physician-depth guide to the three major autoimmune liver diseases — primary biliary cholangitis (AMA-positive, cholestatic LFTs, florid duct lesion, ursodeoxycholic aci (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Chronic Liver Disease and Cirrhosis](https://medvellum.com/s/physician/topics/hepatic/chronic-liver-disease-cirrhosis) — Consultant-physician-depth guide to chronic liver disease and cirrhosis — aetiology, fibrosis pathophysiology, the four decompensating events, and staging-driven management from pr (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Hepatocellular Carcinoma](https://medvellum.com/s/physician/topics/hepatic/hepatocellular-carcinoma) — Consultant-physician guide to hepatocellular carcinoma — the cirrhosis-driven malignancy whose entire management hangs on the Barcelona Clinic Liver Cancer (BCLC) staging system. C (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Viral Hepatitis (HAV, HBV, HCV, HDV, HEV)](https://medvellum.com/s/physician/topics/hepatic/viral-hepatitis) — Consultant-physician-depth guide to the five hepatotropic viruses — acute versus chronic hepatitis, HBV serology interpretation, the four phases of chronic HBV, HCV DAA therapy, HD (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) ### infectious - [Antimicrobial Stewardship and Resistance](https://medvellum.com/s/physician/topics/infectious/antimicrobial-stewardship-resistance) — Consultant-physician-depth guide to antimicrobial stewardship and resistance — the central principle that every antibiotic prescription has consequences, captured by the five right (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Bloodstream Infections and Infective Endocarditis](https://medvellum.com/s/physician/topics/infectious/bloodstream-infections-and-infective-endocarditis) — Consultant-physician-depth guide to bacteraemia and infective endocarditis from the infectious-diseases side — blood culture technique, source control and catheter-related BSI, the (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-17) - [Bone AND Joint Infections](https://medvellum.com/s/physician/topics/infectious/bone-and-joint-infections) — Consultant-physician depth guide to Bone AND Joint Infections for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Central Nervous System Infections](https://medvellum.com/s/physician/topics/infectious/central-nervous-system-infections) — Consultant-physician-depth guide to meningitis, encephalitis and brain abscess — empirical therapy before imaging, CT-before-LP criteria, CSF interpretation, dexamethasone evidence (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Healthcare-Associated Infections](https://medvellum.com/s/physician/topics/infectious/healthcare-associated-infections) — Consultant-physician-depth guide to healthcare-associated infections (HAI) — the five major device-associated infection types (CRBSI/CLABSI, VAP, CAUTI, SSI, CDI), their clinical p (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [HIV and AIDS](https://medvellum.com/s/physician/topics/infectious/hiv-aids-physician) — Consultant-physician-depth guide to HIV infection and AIDS — viral lifecycle and CD4 depletion, natural history from acute seroconversion to advanced immunodeficiency, 4th-generati (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Infections in the Immunocompromised Host](https://medvellum.com/s/physician/topics/infectious/immunocompromised-host-infections) — Consultant-physician-depth guide to the febrile immunocompromised patient — the central principle that the TYPE of immune defect predicts the organism, empiric therapy, and prophyl (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Invasive and Mucocutaneous Fungal Infections](https://medvellum.com/s/physician/topics/infectious/fungal-infections) — Consultant-physician-depth guide to fungal infections in the immunocompromised and critically ill host — the central principle that the type of immune defect predicts the fungus, w (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Sepsis and Septic Shock](https://medvellum.com/s/physician/topics/infectious/sepsis-physician) — Consultant-physician-depth guide to sepsis and septic shock — Sepsis-3 definitions (SOFA, qSOFA), pathophysiology of the dysregulated host response, Surviving Sepsis Campaign Hour- (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-26) - [Sexually Transmitted Infections](https://medvellum.com/s/physician/topics/infectious/sexually-transmitted-infections) — Consultant-physician depth guide to sexually transmitted infections for FRACP DWE/DCE preparation — CDC 2021 treatment guidelines, Neisseria gonorrhoeae and ceftriaxone monotherapy (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Tropical and Travel-Related Infections](https://medvellum.com/s/physician/topics/infectious/tropical-travel-infections) — Consultant-physician-depth guide to the febrile returning traveller — the incubation-period framework that narrows the differential, the rule-out-malaria-first principle, falciparu (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Tuberculosis](https://medvellum.com/s/physician/topics/infectious/tuberculosis-physician) — Consultant-physician-depth guide to tuberculosis — pathogenesis of Mycobacterium tuberculosis infection, primary versus reactivation disease, pulmonary and extrapulmonary TB, laten (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Tuberculosis](https://medvellum.com/s/physician/topics/infectious/tuberculosis) — Consultant-physician-depth guide to tuberculosis as an infectious disease — latent versus active infection and who to screen, the diagnostic hierarchy from Xpert Ultra to culture, (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Vaccine-Preventable Diseases and Adult Immunisation](https://medvellum.com/s/physician/topics/infectious/vaccine-preventable-diseases) — Consultant-physician-depth guide to adult immunisation in the physician context — where comorbidity, immunosuppression, pregnancy, asplenia, and travel modify the standard schedule (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Viral Hepatitis — Treatment and Surveillance (HBV, HCV, HDV)](https://medvellum.com/s/physician/topics/infectious/viral-hepatitis) — Consultant-physician-depth guide to chronic viral hepatitis from the infectious-diseases side — HBV serology interpretation, the four phases and treatment thresholds, tenofovir ver (exams=FRACP DWE,FRACP DCE,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-17) - [Zoonotic and Vector-Borne Infections](https://medvellum.com/s/physician/topics/infectious/zoonotic-and-vector-borne-infections) — Consultant-physician-depth guide to the zoonotic and vector-borne infections relevant to ANZ and global practice — Q fever (Coxiella burnetii, phase I and II serology, doxycycline (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) ### neurological - [Epilepsy](https://medvellum.com/s/physician/topics/neurological/epilepsy-physician) — Consultant-physician-depth guide to seizure classification (ILAE 2017), epilepsy syndromes, pathophysiology of neuronal hyperexcitability, EEG and MRI investigation, syndrome-based (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Guillain-Barre Syndrome](https://medvellum.com/s/physician/topics/neurological/guillain-barre-syndrome) — Consultant-physician-depth guide to Guillain-Barre syndrome — immune-mediated demyelination of peripheral nerves via molecular mimicry and anti-ganglioside antibodies, ascending we (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Meningitis and Encephalitis](https://medvellum.com/s/physician/topics/neurological/meningitis-encephalitis) — Consultant-physician-depth guide to central nervous system infections — bacterial meningitis empiric therapy and corticosteroid timing, HSV encephalitis and aciclovir, tuberculous (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Motor Neuron Disease](https://medvellum.com/s/physician/topics/neurological/motor-neuron-disease) — Consultant-physician-depth guide to motor neuron disease (amyotrophic lateral sclerosis): degeneration of both upper and lower motor neurons, glutamate excitotoxicity and C9orf72/S (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Movement Disorders](https://medvellum.com/s/physician/topics/neurological/movement-disorders) — Consultant-physician-depth guide to parkinsonism and the hyperkinetic movement disorders for FRACP DWE and DCE — Parkinson's disease pathology and the levodopa escalation ladder, a (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Multiple Sclerosis](https://medvellum.com/s/physician/topics/neurological/multiple-sclerosis) — Consultant-physician-depth guide to multiple sclerosis — the demyelinating autoimmune disease of the CNS. Covers the clinical course (RRMS 85 per cent at onset, SPMS, PPMS 15 per c (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Myasthenia Gravis](https://medvellum.com/s/physician/topics/neurological/myasthenia-gravis) — Consultant-physician-depth guide to myasthenia gravis: autoimmune neuromuscular junction pathology (anti-AChR, anti-MuSK), fatigable weakness across ocular, bulbar, limb and respir (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Neurocutaneous Syndromes](https://medvellum.com/s/physician/topics/neurological/neurocutaneous-syndromes) — Consultant-physician depth guide to Neurocutaneous Syndromes for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Neurological Investigation LP EMG NCS EEG Neuroimaging](https://medvellum.com/s/physician/topics/neurological/neurological-investigation-lp-emg-ncs-eeg-neuroimaging) — Consultant-physician depth guide to neurological investigation — lumbar puncture and cerebrospinal fluid analysis (cells, glucose, protein, opening pressure, oligoclonal bands), ne (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Peripheral Neuropathy](https://medvellum.com/s/physician/topics/neurological/peripheral-neuropathy) — Consultant-physician-depth systematic approach to peripheral neuropathy. Covers the four classification axes — fibre type (motor, sensory, autonomic, mixed), distribution (distal s (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Raised Intracranial Pressure AND Brain Tumours](https://medvellum.com/s/physician/topics/neurological/raised-intracranial-pressure-and-brain-tumours) — Consultant-physician depth guide to raised intracranial pressure and brain tumours for FRACP DWE/DCE preparation — cerebral herniation syndromes, vasogenic versus cytotoxic oedema, (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Spinal Cord Disease](https://medvellum.com/s/physician/topics/neurological/spinal-cord-disease) — Consultant-physician-depth guide to spinal cord anatomy, the cord syndromes (complete transection, anterior cord, Brown-Sequard, central cord, posterior column), malignant spinal c (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Stroke](https://medvellum.com/s/physician/topics/neurological/stroke-physician) — Consultant-physician-depth guide to acute stroke — classification, pathophysiology of the ischaemic penumbra, vascular territory localisation, IV thrombolysis and mechanical thromb (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Subarachnoid Haemorrhage AND Intracranial Haemorrhage](https://medvellum.com/s/physician/topics/neurological/subarachnoid-haemorrhage-and-intracranial-haemorrhage) — Consultant-physician depth guide to Subarachnoid Haemorrhage AND Intracranial Haemorrhage for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, c (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Transient Ischaemic Attack and Carotid Disease](https://medvellum.com/s/physician/topics/neurological/transient-ischaemic-attack-and-carotid-disease) — Consultant-physician guide to TIA and symptomatic carotid disease — tissue-based definition, urgent risk stratification, dual antiplatelet therapy after high-risk TIA or minor stro (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Vestibular Disorders](https://medvellum.com/s/physician/topics/neurological/vestibular-disorders) — Consultant-physician depth guide to Vestibular Disorders for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) ### oncological - [Breakthrough Cancer Pain AND Opioid Titration](https://medvellum.com/s/physician/topics/oncological/breakthrough-cancer-pain-and-opioid-titration) — Consultant-physician depth guide to Breakthrough Cancer Pain AND Opioid Titration for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complicat (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Breast Cancer (Physician Perspective)](https://medvellum.com/s/physician/topics/oncological/breast-cancer-physician) — Consultant-physician guide to breast cancer — the most common cancer in women worldwide and the second leading cause of cancer death. Organised around the receptor subtype framewor (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM; updated=2026-07-13) - [Cancer Cachexia AND Nutritional Support](https://medvellum.com/s/physician/topics/oncological/cancer-cachexia-and-nutritional-support) — Consultant-physician depth guide to cancer cachexia and nutritional support — the Fearon 2011 definition and 2015 weight-loss classification, the IL-6 / GDF-15 / TNF inflammatory c (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Immune Checkpoint Inhibitor Toxicity](https://medvellum.com/s/physician/topics/oncological/immunotherapy-checkpoint-inhibitor-toxicity) — Consultant-physician-depth guide to immune-related adverse events from checkpoint inhibitors — the mechanism of CTLA-4 and PD-1/PD-L1 blockade, the organ-specific irAE spectrum (sk (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Oncologic Emergencies](https://medvellum.com/s/physician/topics/oncological/oncologic-emergencies) — Consultant-physician-depth guide to the oncologic emergencies for FRACP DWE and DCE — febrile neutropenia (the one-hour door-to-antibiotic rule, MASCC risk stratification, empiric (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Pain Management IN Cancer AND Chronic Disease](https://medvellum.com/s/physician/topics/oncological/pain-management-in-cancer-and-chronic-disease) — Consultant-physician depth guide to Pain Management IN Cancer AND Chronic Disease for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complicat (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Palliative Care and Symptom Management](https://medvellum.com/s/physician/topics/oncological/palliative-care-symptom-management) — Consultant-physician-depth guide to palliative care and symptom management for FRACP DWE and DCE — the WHO definition and the early-integration principle (Temel trial), the WHO thr (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Prostate Cancer](https://medvellum.com/s/physician/topics/oncological/prostate-cancer) — Consultant-physician depth guide to prostate cancer for FRACP DWE/DCE preparation — PSA screening controversies and USPSTF guidance, multiparametric MRI and PI-RADS, targeted biops (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) ### pharmacological - [Adverse Drug Reactions — Classification, Recognition and Management](https://medvellum.com/s/physician/topics/pharmacological/adverse-drug-reactions) — Consultant-physician-depth guide to adverse drug reactions (ADRs): the Rawlins and Thompson ABCDEF classification, causality assessment (Naranjo), the high-yield severe reactions a (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Australian Envenomation — Snake, Spider and Marine](https://medvellum.com/s/physician/topics/pharmacological/envenomation) — Consultant-physician-depth guide to Australian envenomation — the five major elapid snake groups (brown, tiger, taipan, death adder, black snake) and their clinical syndromes (neur (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Beta Blocker AND Calcium Channel Blocker Toxicity](https://medvellum.com/s/physician/topics/pharmacological/beta-blocker-and-calcium-channel-blocker-toxicity) — Consultant-physician depth guide to Beta Blocker AND Calcium Channel Blocker Toxicity for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, compl (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Cardiac Glycoside](https://medvellum.com/s/physician/topics/pharmacological/cardiac-glycoside) — Consultant-physician depth guide to Cardiac Glycoside for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Iron Toxicity](https://medvellum.com/s/physician/topics/pharmacological/iron-toxicity) — Consultant-physician depth guide to Iron Toxicity for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Lithium Toxicity](https://medvellum.com/s/physician/topics/pharmacological/lithium-toxicity) — Consultant-physician guide to lithium toxicity — the narrow-therapeutic-index monovalent cation whose entirely renal elimination makes it vulnerable to dehydration, drug interactio (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Opioid Benzodiazepine AND Alcohol Withdrawal](https://medvellum.com/s/physician/topics/pharmacological/opioid-benzodiazepine-and-alcohol-withdrawal) — Consultant-physician depth guide to withdrawal from alcohol, benzodiazepines and opioids for FRACP DWE/DCE preparation — pathophysiology of kindling and excitotoxicity, CIWA-Ar sym (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Paracetamol Toxicity](https://medvellum.com/s/physician/topics/pharmacological/paracetamol-toxicity) — Consultant-physician-depth guide to paracetamol (acetaminophen) toxicity — CYP2E1 metabolism to NAPQI and glutathione depletion, the toxic dose in acute and staggered overdose, the (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Pharmacokinetics in Organ Failure — Renal, Hepatic and Polypharmacy Dosing](https://medvellum.com/s/physician/topics/pharmacological/pharmacokinetics-organ-failure) — Consultant-physician-depth guide to pharmacokinetic principles in organ failure — renal and hepatic dose adjustment, estimating renal function (Cockcroft-Gault and the 2021 CKD-EPI (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Poisoning — Approach, Decontamination and Antidotes](https://medvellum.com/s/physician/topics/pharmacological/poisoning-approach-decontamination-antidotes) — Consultant-physician-depth guide to the systematic approach to the poisoned patient — ABCDE resuscitation, toxidrome identification (sympathomimetic, anticholinergic, cholinergic, (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Salicylate Toxicity](https://medvellum.com/s/physician/topics/pharmacological/salicylate-toxicity) — Consultant-physician depth guide to Salicylate Toxicity for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Serotonin Syndrome and Neuroleptic Malignant Syndrome](https://medvellum.com/s/physician/topics/pharmacological/serotonin-syndrome-nms) — Consultant-physician-depth guide to the drug-induced hyperthermia syndromes — serotonin syndrome (excess serotonergic activity) and neuroleptic malignant syndrome (dopamine blockad (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Therapeutic Drug Monitoring](https://medvellum.com/s/physician/topics/pharmacological/therapeutic-drug-monitoring) — Consultant-physician depth guide to Therapeutic Drug Monitoring for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angl (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Toxic Alcohols](https://medvellum.com/s/physician/topics/pharmacological/toxic-alcohols) — Consultant-physician depth guide to Toxic Alcohols for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity](https://medvellum.com/s/physician/topics/pharmacological/tricyclic-antidepressant-and-sodium-channel-blocker-toxicity) — Consultant-physician depth guide to Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity for FRACP DWE/DCE preparation — presentation, differentials, investigations, manage (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) ### renal - [Acid-Base Disorders](https://medvellum.com/s/physician/topics/renal/acid-base-disorders-physician) — Consultant-physician-depth guide to systematic acid-base interpretation and management — the six-step algorithm (pH, primary disorder, compensation, anion gap, delta-delta, osmolar (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Acute Kidney Injury](https://medvellum.com/s/physician/topics/renal/acute-kidney-injury) — Consultant-physician-depth guide to acute kidney injury — KDIGO definition and staging, pre-renal/intrinsic/post-renal classification, pathophysiology, investigation strategy, mana (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Chronic Kidney Disease](https://medvellum.com/s/physician/topics/renal/chronic-kidney-disease) — Consultant-physician-depth guide to chronic kidney disease — KDIGO definition and CGA staging, pathophysiology of nephron loss and progressive fibrosis, aetiology, complications (C (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Diabetic Kidney Disease](https://medvellum.com/s/physician/topics/renal/diabetic-kidney-disease) — Consultant-physician-depth guide to diabetic kidney disease (DKD) — the leading cause of end-stage kidney disease worldwide. Covers the hyperglycaemia to AGE to fibrosis pathophysi (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Electrolyte Disorders: Calcium, Magnesium and Phosphate](https://medvellum.com/s/physician/topics/renal/electrolyte-disorders-calcium-magnesium-phosphate) — Consultant-physician-depth guide to divalent ion disorders — corrected versus ionised calcium, the PTH-first hypercalcaemia workup and severe hypercalcaemia sequence, asymptomatic (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Glomerulonephritis (Nephritic Spectrum)](https://medvellum.com/s/physician/topics/renal/glomerulonephritis-nephritic) — Consultant-physician-depth guide to glomerulonephritis — nephritic syndrome, RPGN classification (anti-GBM, immune complex, pauci-immune/ANCA), IgA nephropathy (Oxford MEST-C), pos (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Hypertensive Nephrosclerosis and Renovascular Disease](https://medvellum.com/s/physician/topics/renal/hypertensive-nephrosclerosis-and-renovascular-disease) — Consultant-physician-depth guide to renovascular hypertension and hypertensive nephrosclerosis — when to hunt for secondary hypertension, renin-angiotensin physiology (one-clip vs (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Kidney Transplantation](https://medvellum.com/s/physician/topics/renal/kidney-transplantation) — Consultant-physician-depth guide to kidney transplantation — the indications (ESKD from any cause, refer for workup once the eGFR is below 20), the donor types (deceased donor DBD (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Nephrolithiasis](https://medvellum.com/s/physician/topics/renal/nephrolithiasis) — Consultant-physician-depth guide to nephrolithiasis — stone types (calcium oxalate, calcium phosphate, uric acid, struvite, cystine), epidemiology, risk factors, pathophysiology (R (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Nephrotic Syndrome](https://medvellum.com/s/physician/topics/renal/nephrotic-syndrome) — Consultant-physician-depth guide to nephrotic syndrome — definition (proteinuria greater than 3.5 g/day, hypoalbuminaemia, oedema, hyperlipidaemia), podocyte and slit-diaphragm pat (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Polycystic Kidney Disease (ADPKD)](https://medvellum.com/s/physician/topics/renal/polycystic-kidney-disease) — Consultant-physician-depth guide to autosomal dominant polycystic kidney disease — PKD1 versus PKD2 genetics and natural history, ultrasound and genetic diagnosis, progression asse (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Potassium Disorders — Hyperkalaemia and Hypokalaemia](https://medvellum.com/s/physician/topics/renal/electrolyte-potassium-disorders) — Consultant-physician-depth guide to potassium homeostasis and its two emergencies. Covers hyperkalaemia (K+ above 5.5): the renal and pharmacological causes (AKI, CKD, RAAS inhibit (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Renal Cell Carcinoma AND Urothelial Malignancy](https://medvellum.com/s/physician/topics/renal/renal-cell-carcinoma-and-urothelial-malignancy) — Consultant-physician depth guide to Renal Cell Carcinoma AND Urothelial Malignancy for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complica (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Renal Replacement Therapy: Haemodialysis and Peritoneal Dialysis](https://medvellum.com/s/physician/topics/renal/renal-replacement-therapy-haemodialysis-peritoneal-dialysis) — Consultant-physician-depth guide to renal replacement therapy — the transplant-first landscape, IDEAL and symptom-based dialysis initiation, haemodialysis versus peritoneal dialysi (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Renal Tubular Acidoses AND Inherited Tubular Disorders](https://medvellum.com/s/physician/topics/renal/renal-tubular-acidoses-and-inherited-tubular-disorders) — Consultant-physician depth guide to Renal Tubular Acidoses AND Inherited Tubular Disorders for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Sodium Disorders — Hyponatraemia and Hypernatraemia](https://medvellum.com/s/physician/topics/renal/electrolyte-sodium-disorders) — Consultant-physician-depth guide to sodium and water homeostasis. Covers hyponatraemia (the commonest inpatient electrolyte disorder): symptom-stratified urgency, volume-status cla (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Tubulointerstitial Disease](https://medvellum.com/s/physician/topics/renal/tubulointerstitial-disease) — Consultant-physician-depth guide to acute and chronic interstitial nephritis — AIN as the great AKI mimic, the unreliability of the allergic triad, culprit drug classes (antibiotic (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Urinary Tract Infection AND Complicated UTI Pyelonephritis](https://medvellum.com/s/physician/topics/renal/urinary-tract-infection-and-complicated-uti-pyelonephritis) — Consultant-physician depth guide to urinary tract infection and complicated UTI/pyelonephritis — IDSA 2010 cystitis and pyelonephritis guidance, uncomplicated versus complicated di (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) ### respiratory - [Asthma and Severe Asthma](https://medvellum.com/s/physician/topics/respiratory/asthma-severe) — Consultant-physician-depth guide to asthma — T2 eosinophilic pathophysiology, spirometric and FeNO diagnosis, the GINA stepwise approach, severe asthma phenotyping and biologics (o (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Bronchiectasis AND Suppurative Lung Disease](https://medvellum.com/s/physician/topics/respiratory/bronchiectasis-and-suppurative-lung-disease) — Consultant-physician depth guide to Bronchiectasis AND Suppurative Lung Disease for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complicatio (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Chronic Obstructive Pulmonary Disease](https://medvellum.com/s/physician/topics/respiratory/copd) — Consultant-physician-depth guide to COPD — pathophysiology, spirometric diagnosis (GOLD), pharmacological and non-pharmacological management of stable disease, acute exacerbation m (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Diffuse Alveolar Haemorrhage and Pulmonary-Renal Syndromes](https://medvellum.com/s/physician/topics/respiratory/diffuse-alveolar-haemorrhage-and-pulmonary-renal-syndromes) — Consultant-physician-depth guide to diffuse alveolar haemorrhage — the haemoptysis-absent trap, capillaritis versus bland versus diffuse alveolar damage mechanisms, serial BAL diag (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Interstitial Lung Disease](https://medvellum.com/s/physician/topics/respiratory/interstitial-lung-disease) — Consultant-physician-depth guide to the interstitial lung diseases — classification, HRCT pattern recognition, diagnostic approach, and evidence-based management of IPF and the pro (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Lung Cancer](https://medvellum.com/s/physician/topics/respiratory/lung-cancer) — Consultant-physician-depth guide to lung cancer — the solitary pulmonary nodule workup, tissue and mediastinal staging, stage-mapped treatment intent, biomarker-first stage IV NSCL (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Lung Transplantation](https://medvellum.com/s/physician/topics/respiratory/lung-transplantation) — Consultant-physician depth guide to lung transplantation — candidate selection and timing, Lung Allocation Score, perioperative primary graft dysfunction, immunosuppression (tacrol (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Obstructive Sleep Apnoea](https://medvellum.com/s/physician/topics/respiratory/obstructive-sleep-apnoea) — Consultant-physician-depth guide to obstructive sleep apnoea (OSA) — pathophysiology of upper airway collapse, clinical features and Epworth Sleepiness Scale, cardiometabolic assoc (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Occupational AND Environmental Lung Disease](https://medvellum.com/s/physician/topics/respiratory/occupational-and-environmental-lung-disease) — Consultant-physician depth guide to Occupational AND Environmental Lung Disease for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complicatio (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Pleural Disease](https://medvellum.com/s/physician/topics/respiratory/pleural-disease) — Consultant-physician-depth guide to pleural disease — pleural effusion (transudate vs exudate, Light's criteria, pleural fluid analysis, causes and investigation), parapneumonic ef (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Pneumonia](https://medvellum.com/s/physician/topics/respiratory/pneumonia-physician) — Consultant-physician-depth guide to pneumonia — classification (CAP, HAP, VAP, aspiration, immunocompromised), pathogen patterns by setting, severity assessment (CURB-65, PSI, SMAR (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Pulmonary Embolism](https://medvellum.com/s/physician/topics/respiratory/pulmonary-embolism) — Consultant-physician-depth guide to pulmonary embolism — Virchow triad and risk factors, clinical probability (Wells, PERC, Revised Geneva), CTPA- and V/Q-based diagnosis, ESC risk (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Pulmonary Vascular Disease AND COR Pulmonale](https://medvellum.com/s/physician/topics/respiratory/pulmonary-vascular-disease-and-cor-pulmonale) — Consultant-physician depth guide to Pulmonary Vascular Disease AND COR Pulmonale for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complicati (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Respiratory Failure and Non-Invasive Ventilation](https://medvellum.com/s/physician/topics/respiratory/respiratory-failure-and-non-invasive-ventilation) — Consultant-physician-depth guide to acute respiratory failure — type 1 versus type 2 physiology, systematic ABG interpretation, controlled oxygen therapy, NIV in acidotic COPD exac (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Respiratory Investigation: PFTs, Bronchoscopy and Thoracoscopy](https://medvellum.com/s/physician/topics/respiratory/respiratory-investigation-pfts-bronchoscopy-thoracoscopy) — Consultant-physician-depth guide to respiratory investigation — spirometry and flow-volume loops, lung volumes and DLCO, bronchoprovocation testing, flexible bronchoscopy and EBUS- (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) - [Solitary Pulmonary Nodule](https://medvellum.com/s/physician/topics/respiratory/solitary-pulmonary-nodule) — Consultant-physician-depth guide to the solitary pulmonary nodule — the old-imaging-first principle, CT features that shift malignancy probability, subsolid nodule rules, Fleischne (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-17) ### rheumatological - [Allergic Rhinitis AND Asthma](https://medvellum.com/s/physician/topics/rheumatological/allergic-rhinitis-and-asthma) — Consultant-physician depth guide to the united airway disease of allergic rhinitis and asthma — type 2 eosinophilic inflammation, ARIA classification, GINA stepwise therapy, intran (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Antiphospholipid Syndrome](https://medvellum.com/s/physician/topics/rheumatological/antiphospholipid-syndrome) — Consultant-physician depth guide to Antiphospholipid Syndrome for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Complement Deficiencies AND Recurrent Infections](https://medvellum.com/s/physician/topics/rheumatological/complement-deficiencies-and-recurrent-infections) — Consultant-physician depth guide to complement deficiencies and recurrent infections — classical pathway defects (C1q, C1r/s, C2, C4) with autoimmune risk, lectin pathway defects w (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Crystal Arthropathies](https://medvellum.com/s/physician/topics/rheumatological/crystal-arthropathies) — Consultant-physician depth guide to Crystal Arthropathies for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Drug Induced Rheumatological Disease AND Biologics Safety](https://medvellum.com/s/physician/topics/rheumatological/drug-induced-rheumatological-disease-and-biologics-safety) — Consultant-physician depth guide to Drug Induced Rheumatological Disease AND Biologics Safety for FRACP DWE/DCE preparation — presentation, differentials, investigations, managemen (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Eosinophilic Disorders](https://medvellum.com/s/physician/topics/rheumatological/eosinophilic-disorders) — Consultant-physician depth guide to Eosinophilic Disorders for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-19) - [Fibromyalgia and Chronic Widespread Pain](https://medvellum.com/s/physician/topics/rheumatological/fibromyalgia-and-chronic-widespread-pain) — Consultant-physician-depth guide to fibromyalgia and chronic widespread pain — central sensitisation pathophysiology (amplified CNS pain processing, deficient descending inhibition (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [IgG4-Related Disease](https://medvellum.com/s/physician/topics/rheumatological/igg4-related-disease) — Consultant-physician-depth guide to IgG4-related disease for FRACP DWE and DCE — the one-disease-many-organs fibroinflammatory concept linking type 1 autoimmune pancreatitis (painl (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Immunological Investigation Immunoglobulins Complement Flow Cytometry](https://medvellum.com/s/physician/topics/rheumatological/immunological-investigation-immunoglobulins-complement-flow-cytometry) — Consultant-physician depth guide to Immunological Investigation Immunoglobulins Complement Flow Cytometry for FRACP DWE/DCE preparation — presentation, differentials, investigation (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Osteoarthritis](https://medvellum.com/s/physician/topics/rheumatological/osteoarthritis) — Consultant-physician depth guide to Osteoarthritis for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complications and exam angles. (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Rheumatoid Arthritis](https://medvellum.com/s/physician/topics/rheumatological/rheumatoid-arthritis) — Consultant-physician-depth guide to rheumatoid arthritis — autoimmune synovitis pathophysiology (T-cell driven, B-cell antibodies, cytokine cascades, pannus formation), symmetrical (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Rheumatological Investigation Autoantibodies Imaging Synovial Fluid](https://medvellum.com/s/physician/topics/rheumatological/rheumatological-investigation-autoantibodies-imaging-synovial-fluid) — Consultant-physician depth guide to Rheumatological Investigation Autoantibodies Imaging Synovial Fluid for FRACP DWE/DCE preparation — presentation, differentials, investigations, (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [SJ Gren S Syndrome AND Inflammatory Myopathies](https://medvellum.com/s/physician/topics/rheumatological/sj-gren-s-syndrome-and-inflammatory-myopathies) — Consultant-physician depth guide to SJ Gren S Syndrome AND Inflammatory Myopathies for FRACP DWE/DCE preparation — presentation, differentials, investigations, management, complica (exams=FRACP DWE,FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-18) - [Spondyloarthropathies](https://medvellum.com/s/physician/topics/rheumatological/spondyloarthropathies) — Consultant-physician-depth guide to the seronegative spondyloarthropathies — axial spondyloarthritis (ankylosing spondylitis, non-radiographic axSpA), psoriatic arthritis, reactive (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Systemic Autoinflammatory Syndromes](https://medvellum.com/s/physician/topics/rheumatological/systemic-autoinflammatory-syndromes) — Consultant-physician-depth guide to the systemic autoinflammatory syndromes for FRACP DWE and DCE — the innate-versus-adaptive immune framework, the hereditary recurrent fevers (fa (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Systemic Lupus Erythematosus](https://medvellum.com/s/physician/topics/rheumatological/systemic-lupus-erythematosus) — Consultant-physician-depth guide to systemic lupus erythematosus (SLE) — loss of immune tolerance, type I interferon signature, autoantibody profiling (ANA, anti-dsDNA, anti-Smith, (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Systemic Sclerosis (Scleroderma)](https://medvellum.com/s/physician/topics/rheumatological/systemic-sclerosis) — Consultant-physician-depth guide to systemic sclerosis for FRACP DWE and DCE — the three-hit pathophysiology, ACR/EULAR 2013 classification, limited versus diffuse cutaneous subtyp (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [The Systemic Vasculitides](https://medvellum.com/s/physician/topics/rheumatological/vasculitis-physician) — Consultant-physician-depth guide to the systemic vasculitides for FRACP DWE and DCE — the Chapel Hill 2012 vessel-size classification, large vessel disease (giant cell arteritis an (exams=FRACP DWE,FRACP DCE,MRCP Part 1,MRCP Part 2,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) ## Written Answers (239) ### cardiovascular - [Adult Congenital Heart Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/adult-congenital-heart-disease) — DCE-style written reasoning for Adult Congenital Heart Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Anticoagulation and Antiplatelet Therapy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/anticoagulation-and-antiplatelet-therapy) — DCE long-case preparation: structured written reasoning for perioperative anticoagulation planning and for major gastrointestinal bleeding on a direct oral anticoagulant. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Aortic Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/aortic-disease) — DCE-style written reasoning for Aortic Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Arrhythmias and Conduction Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/arrhythmias-and-conduction-disease) — DCE long-case preparation: structured written reasoning for arrhythmia scenarios — new AF with rapid ventricular response in sepsis, and syncope with bifascicular block. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Atrial Fibrillation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/atrial-fibrillation) — DCE long-case preparation: structured written reasoning for atrial fibrillation management, including CHA₂DS₂-VASc decision-making, rate versus rhythm strategy, DOAC dose selection (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Cardiac Investigations — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cardiac-investigations) — DCE long-case preparation: structured written reasoning for cardiac investigation selection, including stress test choice, CT coronary angiography interpretation, cardiac MRI LGE p (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cardiac-tumours-and-systemic-manifestations-of-cardiac-disease) — DCE-style written reasoning for Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Cardiomyopathies — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cardiomyopathies) — DCE long-case and short-case preparation: structured written reasoning for the approach to the newly diagnosed cardiomyopathy, covering the phenotype-first classification (HCM, DCM (exams=FRACP DCE,MRCP PACES,MRCP Part 2; updated=2026-07-11) - [Cardiovascular Prevention and Rehabilitation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cardiovascular-prevention-and-rehabilitation) — DCE long-case preparation: structured written reasoning for cardiovascular prevention scenarios — primary prevention assessment with a strong family history, and the post-MI second (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Coronary Artery Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/coronary-artery-disease) — DCE long-case preparation: structured written reasoning for acute coronary syndrome management, including problem-list synthesis, investigation interpretation, risk stratification, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [ECG Interpretation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/ecg-interpretation-physician-level) — DCE long-case preparation: structured written reasoning for physician-level ECG interpretation, including the systematic approach, ischaemia/mimic discrimination, and integration o (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Heart Failure — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/heart-failure) — DCE long-case preparation: structured written reasoning for heart failure management, including problem-list synthesis, investigation interpretation, and integrated management plan (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Hypertension — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/hypertension) — DCE long-case preparation: structured written reasoning for hypertension management, including problem-list synthesis, secondary cause workup, resistant hypertension management, an (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Infective Endocarditis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/infective-endocarditis) — DCE long-case preparation: structured written reasoning for infective endocarditis management, including problem-list synthesis, Modified Duke criteria application, investigation i (exams=FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-11) - [Pericardial Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pericardial-disease) — DCE long-case preparation: structured written reasoning for pericardial disease management, including problem-list synthesis, investigation interpretation, and integrated managemen (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Pulmonary Hypertension — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pulmonary-hypertension) — DCE long-case preparation: structured written reasoning for pulmonary hypertension, including the haemodynamic definition and WHO classification, the diagnostic workup culminating (exams=FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-13) - [Rheumatic Fever AND Rheumatic Heart Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/rheumatic-fever-and-rheumatic-heart-disease) — DCE-style written reasoning for Rheumatic Fever AND Rheumatic Heart Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Sudden Cardiac Death AND ICD CRT Therapy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/sudden-cardiac-death-and-icd-crt-therapy) — DCE-style written reasoning for Sudden Cardiac Death AND ICD CRT Therapy. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Syncope — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/syncope) — DCE long-case preparation: structured written reasoning for syncope, including the ESC 2018 three-category classification, the directed investigation pathway from ECG to implantabl (exams=FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-13) - [Valvular Heart Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/valvular-heart-disease) — DCE long-case preparation: structured written reasoning for valvular heart disease management, including problem-list synthesis, investigation interpretation, and integrated manage (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) ### dermatological - [Cutaneous Manifestations of Systemic Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cutaneous-manifestations-systemic-disease) — DCE long-case preparation: structured written reasoning for a patient with adult-onset dermatomyositis as a paraneoplastic marker requiring an integrated malignancy search, and a d (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Drug Eruptions AND Severe Cutaneous Adverse Reactions — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/drug-eruptions-and-severe-cutaneous-adverse-reactions) — DCE-style written reasoning for Drug Eruptions AND Severe Cutaneous Adverse Reactions. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Erythema Nodosum AND Panniculitis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/erythema-nodosum-and-panniculitis) — DCE-style written reasoning for Erythema Nodosum AND Panniculitis. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Genodermatoses with Systemic Significance — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/genodermatoses-with-systemic-significance) — DCE-style written reasoning for Genodermatoses with Systemic Significance. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Malignant Skin Lesions — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/malignant-skin-lesions) — DCE-style written reasoning for Malignant Skin Lesions. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Pyoderma Gangrenosum AND Neutrophilic Dermatoses — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pyoderma-gangrenosum-and-neutrophilic-dermatoses) — DCE-style written reasoning for Pyoderma Gangrenosum AND Neutrophilic Dermatoses. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Skin Signs OF Internal Malignancy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/skin-signs-of-internal-malignancy) — DCE-style written reasoning for Skin Signs OF Internal Malignancy. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Vasculitic Skin Lesions — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/vasculitic-skin-lesions) — DCE-style written reasoning for Vasculitic Skin Lesions. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) ### endocrine - [Adrenal Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/adrenal-disorders) — DCE long-case preparation: structured written reasoning for adrenal disorders — Addison's disease presenting as adrenal crisis, the three-step Cushing diagnostic algorithm, primary (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Adrenal Incidentaloma AND Workup — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/adrenal-incidentaloma-and-workup) — DCE-style written reasoning for Adrenal Incidentaloma AND Workup. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Calcium and Bone Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/calcium-and-bone-disorders) — DCE long-case preparation: structured written reasoning for calcium and bone disorders, including primary hyperparathyroidism with osteoporosis and CKD, hypercalcaemia of malignanc (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Diabetes Mellitus — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/diabetes-mellitus-physician) — DCE long-case preparation: structured written reasoning for diabetes management, including problem-list synthesis, investigation interpretation, pharmacological hierarchy, and inte (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Disorders OF Sodium AND Water Homeostasis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/disorders-of-sodium-and-water-homeostasis) — DCE-style written reasoning for Disorders OF Sodium AND Water Homeostasis. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [DKA and HHS — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/dka-and-hhs) — DCE long-case preparation: structured written reasoning for the management of a hyperglycaemic emergency — applying the JBDS diagnostic criteria to a complex patient, differentiati (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Hypoglycaemia — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/hypoglycaemia) — DCE-style written reasoning for Hypoglycaemia. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Metabolic Bone Disease AND Vitamin D Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/metabolic-bone-disease-and-vitamin-d-disorders) — DCE-style written reasoning for Metabolic Bone Disease AND Vitamin D Disorders. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Multiple Endocrine Neoplasia — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/multiple-endocrine-neoplasia) — DCE-style written reasoning for Multiple Endocrine Neoplasia. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Pituitary Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pituitary-disease) — DCE long-case preparation: structured written reasoning for pituitary disease management, including acromegaly workup and treatment, pituitary apoplexy emergency management, and hy (exams=FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-11) - [Reproductive Endocrinology — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/reproductive-endocrinology) — DCE-style written reasoning for Reproductive Endocrinology. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Thyroid Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/thyroid-disorders) — DCE long-case preparation: structured written reasoning for thyroid disorders, including cause discrimination in thyrotoxicosis (Graves vs thyroiditis vs amiodarone), Graves diseas (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Thyroid Nodules AND Thyroid Cancer — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/thyroid-nodules-and-thyroid-cancer) — DCE-style written reasoning for Thyroid Nodules AND Thyroid Cancer. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Transgender Medicine AND Hormone Therapy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/transgender-medicine-and-hormone-therapy) — DCE-style written reasoning for Transgender Medicine AND Hormone Therapy. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) ### gastrointestinal - [Acute Pancreatitis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/acute-pancreatitis) — DCE long-case preparation: structured written reasoning for acute pancreatitis — the two-of-three diagnostic criteria, the I GET SMASHED aetiology with gallstones and alcohol domin (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Chronic Pancreatitis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/chronic-pancreatitis) — DCE long-case preparation: structured written reasoning for chronic pancreatitis — the irreversible fibroinflammatory definition (TIGAR-O), alcohol as the dominant cause with smoki (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Colorectal Cancer — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/colorectal-cancer) — DCE-style written reasoning for Colorectal Cancer. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Functional GI Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/functional-gi-disorders) — DCE-style written reasoning for Functional GI Disorders. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Gallstone Disease AND Biliary Pathology — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/gallstone-disease-and-biliary-pathology) — DCE-style written reasoning for Gallstone Disease AND Biliary Pathology. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Gastrointestinal Bleeding — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/gi-bleeding-physician) — DCE long-case preparation: structured written reasoning for acute upper GI bleeding management, including problem-list synthesis, risk stratification, restrictive transfusion, anti (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [GI Investigation Endoscopy Capsule Liver Biopsy Elastography — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/gi-investigation-endoscopy-capsule-liver-biopsy-elastography) — DCE-style written reasoning for GI Investigation Endoscopy Capsule Liver Biopsy Elastography. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Inflammatory Bowel Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/inflammatory-bowel-disease) — DCE long-case preparation: structured written reasoning for inflammatory bowel disease management, including problem-list synthesis, investigation interpretation, and integrated ma (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Liver Transplantation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/liver-transplantation) — DCE-style written reasoning for Liver Transplantation. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Malabsorption and Small Bowel Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/malabsorption-and-small-bowel-disease) — DCE long-case preparation: structured written reasoning for malabsorption and small bowel disease — the three-level pathophysiology (luminal, mucosal, transport), the diagnostic pa (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Nutrition IN Liver AND GI Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/nutrition-in-liver-and-gi-disease) — DCE-style written reasoning for Nutrition IN Liver AND GI Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Obstructive Jaundice — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/obstructive-jaundice) — DCE long-case preparation: structured written reasoning for obstructive (surgical) jaundice — the conjugated hyperbilirubinaemia with elevated ALP and GGT, pale stools, dark urine, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Oesophageal Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/oesophageal-disorders) — DCE-style written reasoning for oesophageal scenarios: progressive dysphagia with alarm features in an older smoker, and recurrent food bolus obstruction in a young atopic patient. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### general-medicine - [Abdominal Examination Routine — Short Answer Question](https://medvellum.com/s/physician/saqs/abdominal-examination-routine) — DCE short-case preparation: structured written reasoning for the systematic abdominal examination routine, covering the twelve-step sequence, the interpretation of key physical sig (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Anaphylaxis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/anaphylaxis) — DCE written preparation: structured clinical reasoning for anaphylaxis scenarios — bee sting with airway compromise, and refractory anaphylaxis in a beta-blocked patient. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Cardiovascular Examination — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cardiovascular-examination-routine) — DCE written assessment: structured reasoning for the cardiovascular system examination, covering the eleven-step routine, the timing-based murmur framework, the dynamic manoeuvres, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Clinical Research AND Research Ethics — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/clinical-research-and-research-ethics) — DCE-style written reasoning for Clinical Research AND Research Ethics. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Confidentiality Privacy AND Mandatory Reporting — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/confidentiality-privacy-and-mandatory-reporting) — DCE-style written reasoning for Confidentiality Privacy AND Mandatory Reporting. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Cranial Nerve Examination — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/neurological-examination-cranial-nerves) — DCE short-case and long-case preparation: structured written reasoning for a pupil-involving third nerve palsy (posterior communicating artery aneurysm) and the integrated interpre (exams=FRACP DCE,MRCP PACES,MRCP Part 2; updated=2026-07-11) - [Cultural Competence and Indigenous Health — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cultural-competence-indigenous-health) — DCE long-case preparation: structured written reasoning for a 48-year-old Aboriginal woman from a remote community admitted with decompensated rheumatic heart disease, type 2 diabe (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Drug Allergy and Desensitisation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/drug-allergy-and-desensitisation) — DCE long-case preparation: structured written reasoning for drug allergy and desensitisation — the allergy-versus-intolerance distinction, the immediate IgE versus delayed T-cell c (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [END OF Life Decision Making — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/end-of-life-decision-making) — DCE-style written reasoning for END OF Life Decision Making. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Evidence-Based Medicine and Critical Appraisal — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/evidence-based-medicine-critical-appraisal) — DCE long-case preparation: structured written reasoning for a 75-year-old woman with atrial fibrillation, moderate chronic kidney disease and a high bleeding risk in whom the evide (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Examination OF THE Unconscious Patient — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/examination-of-the-unconscious-patient) — DCE-style written reasoning for Examination OF THE Unconscious Patient. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Lymph Node Examination and Organomegaly — Short Answer Question](https://medvellum.com/s/physician/saqs/examination-lymph-nodes-and-splenomegaly) — DCE short-case preparation: structured written reasoning for the systematic examination of lymph nodes and organomegaly, covering the head-to-toe lymph node routine, the five chara (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Medical Errors and Open Disclosure — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/medical-errors-and-open-disclosure) — DCE long-case preparation: structured written reasoning for medical errors and open disclosure — the four definitions (medical error, adverse event, near miss, never event), the Sw (exams=FRACP DCE,MRCP Part 2,MRCP PACES; updated=2026-07-11) - [Medical Ethics Autonomy Beneficence NON Maleficence Justice — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/medical-ethics-autonomy-beneficence-non-maleficence-justice) — DCE-style written reasoning for Medical Ethics Autonomy Beneficence NON Maleficence Justice. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Medical Ethics, Capacity and Consent — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/medical-ethics-capacity-consent) — DCE long-case preparation: structured written reasoning for a 78-year-old woman with severe dementia and pneumonia whose family demand intensive care (capacity, best interests, sub (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Multi-morbidity and Complex Care — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/multi-morbidity-complex-care) — DCE long-case preparation: structured written reasoning for an 82-year-old woman with heart failure, atrial fibrillation, type 2 diabetes, stage 3b CKD, osteoporosis and mild cogni (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Neurological Examination of the Lower Limbs — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/neurological-examination-lower-limbs) — DCE short-case preparation: structured written reasoning for the systematic neurological examination of the lower limbs, covering the eight-step routine (gait, inspection, tone, po (exams=FRACP DCE,MRCP Part 2,MRCP PACES; updated=2026-07-11) - [Neurological Examination of the Upper Limbs — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/neurological-examination-upper-limbs) — DCE short-case preparation: structured written reasoning for the systematic neurological examination of the upper limbs, covering the eight-step routine, the interpretation of each (exams=FRACP DCE,MRCP Part 2,MRCP PACES; updated=2026-07-11) - [Perioperative Medicine — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/perioperative-medicine-physician) — DCE long-case preparation: structured written reasoning for the preoperative assessment and optimisation of a complex elderly patient with atrial fibrillation on a DOAC, type 2 dia (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Physician Wellbeing Burnout AND Professional Resilience — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/physician-wellbeing-burnout-and-professional-resilience) — DCE-style written reasoning for Physician Wellbeing Burnout AND Professional Resilience. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Preoperative Medical Assessment AND Optimisation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/preoperative-medical-assessment-and-optimisation) — DCE-style written reasoning for Preoperative Medical Assessment AND Optimisation. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Primary Immunodeficiency in Adults — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/primary-immunodeficiency-adults) — DCE long-case preparation: structured written reasoning for the workup of common variable immunodeficiency in an adult presenting with recurrent sinopulmonary infection, Giardia en (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Quality AND Safety IN Medicine — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/quality-and-safety-in-medicine) — DCE-style written reasoning for Quality AND Safety IN Medicine. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Rapid Response Systems and MET Calls — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/rapid-response-systems-and-met-calls) — DCE long-case preparation: structured written reasoning for the post-MET-call patient, covering the four-limb RRS model, the afferent-limb analysis of a delayed escalation, the SBA (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Respiratory Examination — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/respiratory-examination-routine) — DCE short-case preparation: structured written reasoning for the systematic respiratory examination, covering the eleven-step routine, the physiological basis of the cardinal chest (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Rheumatological Examination of the Hands — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/rheumatological-examination-hands) — DCE short-case preparation: structured written reasoning for the systematic rheumatological examination of the hands, covering the six-step routine, the synovitis versus bony swell (exams=FRACP DCE,MRCP Part 2,MRCP PACES; updated=2026-07-11) - [Rheumatological Examination Spine AND Lower Limbs — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/rheumatological-examination-spine-and-lower-limbs) — DCE-style written reasoning for Rheumatological Examination Spine AND Lower Limbs. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Skin Examination for Systemic Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/examination-skin-manifestations-systemic-disease) — DCE short-case preparation: structured written reasoning for the systematic skin examination, covering the six-step routine (general inspection, hands, face, trunk, legs, specific (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Speech and Higher Mental Function Examination — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/neurological-examination-speech-and-higher-function) — DCE short-case and long-case preparation: structured written reasoning for an acute Wernicke aphasia (stroke versus delirium distinction) and the interpretation of a cognitive doma (exams=FRACP DCE,MRCP PACES,MRCP Part 2; updated=2026-07-11) - [The Deteriorating Ward Patient — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/deteriorating-ward-patient) — DCE long-case preparation: structured written reasoning for the acutely deteriorating ward patient, covering NEWS2 interpretation and escalation thresholds, the ABCDE systematic as (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [The Undifferentiated Altered Mental Status — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-altered-mental-status) — DCE long-case preparation: structured written reasoning for the acutely confused patient, covering the ABCDE resuscitation-first principle, the DIMTOP differential, the collateral (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Thyroid Status Examination — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/thyroid-examination-routine) — DCE short-case preparation: structured written reasoning for the systematic thyroid status examination, covering the nine-step behind-the-patient routine, the hyperthyroid and hypo (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Back Pain — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-back-pain) — DCE long-case preparation: structured written reasoning for the patient with undifferentiated back pain, covering the triage framework (mechanical, radicular, red-flag serious path (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Chest Pain — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-chest-pain) — DCE long-case preparation: structured written reasoning for the patient with undifferentiated chest pain, covering the deadly six causes, the OPQRST history framework, the pain-cha (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Dyspnoea — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-dyspnoea) — DCE long-case preparation: structured written reasoning for the patient with undifferentiated breathlessness, covering the time-course framework, the focused history and examinatio (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Fatigue — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-fatigue) — DCE long-case preparation: structured written reasoning for chronic fatigue — the three functional categories (physiological, psychological, physical or systemic), the Tier 1 scree (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Fever and Fever of Unknown Origin — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-fever-unknown-origin) — DCE long-case preparation: structured written reasoning for a 62-year-old man with six weeks of fever, night sweats and weight loss on a background of treated tuberculosis and adal (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Lymphadenopathy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-lymphadenopathy) — DCE long-case preparation: structured written reasoning for the patient with undifferentiated lymphadenopathy, covering the localised-versus-generalised framework, the regional dif (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Oedema — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-oedema) — DCE long-case preparation: structured written reasoning for the patient with undifferentiated oedema, covering the Starling forces framework, the localised-versus-generalised class (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Palpitations — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-palpitations) — DCE long-case and short-case preparation: structured written reasoning for the diagnostic approach to undifferentiated palpitations, covering the four-descriptor classification (re (exams=FRACP DCE,MRCP PACES,MRCP Part 2; updated=2026-07-11) - [Undifferentiated Presentations Abdominal Pain — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-presentations-abdominal-pain) — DCE-style written reasoning for Undifferentiated Presentations Abdominal Pain. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Undifferentiated Weight Loss — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/undifferentiated-weight-loss) — DCE long-case preparation: structured written reasoning for the diagnostic approach to the patient with involuntary weight loss — the definition of the clinically significant loss, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Urticaria and Angioedema — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/urticaria-and-angioedema) — DCE long-case preparation: structured written reasoning for urticaria and angioedema — the lesion-duration rule and the histamine-versus-bradykinin branch point, chronic spontaneou (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) ### geriatric - [Comprehensive Geriatric Assessment and Frailty — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/comprehensive-geriatric-assessment-and-frailty) — DCE long-case preparation: structured written reasoning for a complex frail older woman with multiple comorbidities, functional decline, falls, polypharmacy, and malnutrition asses (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Delirium — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/delirium-physician) — DCE long-case preparation: structured written reasoning for a complex elderly patient with postoperative delirium superimposed on dementia, and a hypoactive delirium with multiple (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Dementia — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/dementia) — DCE long-case preparation: structured written reasoning for a complex elderly patient with mixed Alzheimer and vascular dementia presenting with worsening confusion and behavioural (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Elder Abuse and Safeguarding — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/elder-abuse-and-safeguarding) — DCE long-case preparation: structured written reasoning for an 82-year-old woman with moderate Alzheimer disease admitted with dehydration and malnutrition whose daughter has been (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [End-of-Life Care and Advance Care Planning — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/end-of-life-care-and-advance-care-planning) — DCE long-case preparation: structured written reasoning for an 82-year-old man with end-stage heart failure and chronic kidney disease admitted with a decompensation, who triggers (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Falls and Syncope in Older Adults — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/falls-and-syncope-older-adults) — DCE long-case preparation: structured written reasoning for a complex older patient with multifactorial falls and drug-induced orthostatic hypotension on a polypharmacy background, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Nutrition AND Hydration IN Older Adults — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/nutrition-and-hydration-in-older-adults) — DCE-style written reasoning for Nutrition AND Hydration IN Older Adults. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Orthogeriatrics AND Perioperative Medicine IN Older Adults — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/orthogeriatrics-and-perioperative-medicine-in-older-adults) — DCE-style written reasoning for Orthogeriatrics AND Perioperative Medicine IN Older Adults. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Parkinson S Disease IN Older Adults — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/parkinson-s-disease-in-older-adults) — DCE-style written reasoning for Parkinson S Disease IN Older Adults. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Polypharmacy and Deprescribing — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/polypharmacy-and-deprescribing) — DCE long-case preparation: structured written reasoning for a complex elderly patient with polypharmacy, frailty, falls and an adverse drug event, and a prescribing cascade in an o (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Pressure Injuries AND Wound Care — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pressure-injuries-and-wound-care) — DCE-style written reasoning for Pressure Injuries AND Wound Care. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Urinary Incontinence IN Older Adults — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/urinary-incontinence-in-older-adults) — DCE-style written reasoning for Urinary Incontinence IN Older Adults. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) ### haematological - [Acute Leukaemia — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/acute-leukaemia) — DCE long-case preparation: structured written reasoning for acute leukaemia — the APL emergency, risk-stratified AML induction and consolidation, the older unfit patient, neutropen (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Anaemia — Systematic Workup: Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/anaemia-systematic-workup) — DCE long-case preparation: structured written reasoning for the systematic workup of anaemia — applying the MCV classification and reticulocyte count, interpreting iron studies, an (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Bleeding Disorders AND Thrombocytopenia — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/bleeding-disorders-and-thrombocytopenia) — DCE-style written reasoning for Bleeding Disorders AND Thrombocytopenia. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Chronic Leukaemia and Myeloid Neoplasms — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/chronic-leukaemia) — DCE long-case preparation: structured written reasoning for chronic leukaemia and the related myeloid neoplasms. Covers the CLL watch-and-wait principle and the fitness-and-biology (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Coagulation Disorders: Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/coagulation-disorders) — DCE long-case preparation: structured written reasoning for coagulation disorders — interpreting the abnormal coagulation screen with mixing studies, diagnosing DIC, managing antip (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Haematological Investigation Blood Film Marrow Coagulation Tests — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/haematological-investigation-blood-film-marrow-coagulation-tests) — DCE-style written reasoning for Haematological Investigation Blood Film Marrow Coagulation Tests. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Haematopoietic Stem Cell Transplantation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/stem-cell-transplantation) — DCE long-case preparation: structured written reasoning for stem cell transplantation — acute GVHD grading and management, CMV reactivation and preemptive therapy, veno-occlusive d (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Haemolytic Anaemia — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/haemolytic-anaemia) — DCE-style written reasoning for Haemolytic Anaemia. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Iron Deficiency — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/iron-deficiency) — DCE long-case preparation: structured written reasoning for iron deficiency — the GI workup and management of a 68-year-old man with severe iron-deficiency anaemia, and functional (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Lymphoma — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/lymphoma-physician) — DCE long-case preparation: structured written reasoning for lymphoma — Hodgkin staging and PET-adapted ABVD, DLBCL with R-CHOP and the CNS-IPI, follicular watch-and-wait versus tre (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Multiple Myeloma — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/multiple-myeloma) — DCE long-case preparation: structured written reasoning for multiple myeloma — the IMWG diagnostic criteria, cast nephropathy as a reversible emergency, transplant-eligible VRd ind (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Myelodysplastic Syndromes — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/myelodysplastic-syndromes) — DCE-style written reasoning for Myelodysplastic Syndromes. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Myeloproliferative Neoplasms — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/myeloproliferative-neoplasms) — DCE-style written reasoning for Myeloproliferative Neoplasms. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Thrombophilia and VTE — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/thrombophilia-vte) — DCE long-case preparation: structured written reasoning for thrombophilia and VTE — the antiphospholipid syndrome patient with recurrent events (warfarin over DOACs, TRAPS trial), (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Transfusion Medicine — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/transfusion-medicine-physician) — DCE long-case preparation: structured written reasoning for transfusion scenarios — acute reaction discrimination and massive haemorrhage management on anticoagulation. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### hepatic - [Acute Liver Failure — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/acute-liver-failure) — DCE long-case preparation: structured written reasoning for acute liver failure — the definition and the three temporal subtypes, the aetiological workup and cause-specific treatme (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Autoimmune Liver Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/autoimmune-liver-disease) — DCE long-case preparation: structured written reasoning for autoimmune liver disease — the classification of the three diseases by the LFT pattern and autoantibody panel, the diagn (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Chronic Liver Disease and Cirrhosis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/chronic-liver-disease-cirrhosis) — DCE long-case preparation: structured written reasoning for decompensated cirrhosis management, including problem-list synthesis, ascites and SBP interpretation, hepatorenal syndro (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Hepatocellular Carcinoma — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/hepatocellular-carcinoma) — DCE long-case preparation: structured written reasoning for hepatocellular carcinoma — the BCLC staging system applied to a cirrhotic patient with a new liver lesion, the LI-RADS i (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Portal Hypertension — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/portal-hypertension) — DCE long-case preparation: structured written reasoning for portal hypertension management, including acute variceal bleeding, refractory ascites, hepatorenal syndrome, and hepatic (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Viral Hepatitis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/viral-hepatitis) — DCE long-case preparation: structured written reasoning for hepatitis B serology interpretation, the four phases of chronic HBV and treatment selection, HCV DAA therapy planning, a (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) ### infectious - [Antimicrobial Stewardship and Resistance — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/antimicrobial-stewardship-resistance) — DCE long-case preparation: structured written reasoning for severe Clostridioides difficile infection complicating broad-spectrum antibiotic therapy (severity stratification, fidax (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Bloodstream Infections and Infective Endocarditis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/bloodstream-infections-and-infective-endocarditis) — DCE long-case preparation: structured written reasoning for bloodstream infection scenarios — S. aureus bacteraemia in a dialysis catheter patient, and fever with a new murmur and (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Bone AND Joint Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/bone-and-joint-infections) — DCE-style written reasoning for Bone AND Joint Infections. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [CNS Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/central-nervous-system-infections) — DCE long-case preparation: structured written reasoning for suspected bacterial meningitis and for encephalitis, including management sequencing, CT-before-LP criteria, and CSF int (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Fungal Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/fungal-infections) — DCE long-case preparation: structured written reasoning for invasive pulmonary aspergillosis in a neutropenic patient after AML induction (the CT and galactomannan diagnostic strat (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Healthcare-Associated Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/healthcare-associated-infections) — DCE long-case preparation: structured written reasoning for a postoperative patient who develops a catheter-related bloodstream infection and ventilator-associated pneumonia simult (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [HIV and AIDS — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/hiv-aids-physician) — DCE long-case preparation: structured written reasoning for HIV — ART initiation in a complex patient with TB co-infection, hepatitis B co-infection and renal impairment, plus oppo (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Infections in the Immunocompromised Host — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/immunocompromised-host-infections) — DCE long-case preparation: structured written reasoning for febrile neutropenia in the post-chemotherapy patient (door-to-antibiotic protocol, empiric piperacillin-tazobactam, esca (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Sepsis and Septic Shock — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/sepsis-physician) — DCE long-case preparation: structured written reasoning for the Surviving Sepsis Campaign Hour-1 Bundle in a patient with septic shock, vasopressor escalation and fluid responsiven (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Sexually Transmitted Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/sexually-transmitted-infections) — DCE-style written reasoning for Sexually Transmitted Infections. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Tropical and Travel-Related Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/tropical-travel-infections) — DCE long-case preparation: structured written reasoning for the febrile returning traveller, covering the rule-out-malaria-first principle and severe falciparum malaria management (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Tuberculosis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/tuberculosis-physician) — DCE long-case preparation: structured written reasoning for pulmonary tuberculosis with comorbidities — problem-list synthesis, investigation interpretation (smear, GeneXpert, cult (exams=FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-11) - [Tuberculosis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/tuberculosis) — DCE long-case preparation: structured written reasoning for tuberculosis scenarios — reactivation risk in an anti-TNF candidate, and tuberculous meningitis with HIV co-infection. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Vaccine-Preventable Diseases — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/vaccine-preventable-diseases) — DCE long-case preparation: structured written reasoning for the immunisation decisions in the immunocompromised patient, covering the pre-immunosuppression window (before rituximab (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Viral Hepatitis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/viral-hepatitis-id) — DCE long-case preparation: structured written reasoning for infectious-diseases viral hepatitis scenarios — HBV reactivation prophylaxis before chemotherapy, and the HCV test-and-c (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Zoonotic and Vector-Borne Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/zoonotic-and-vector-borne-infections) — DCE long-case preparation: structured written reasoning for the patient with a suspected zoonotic infection, covering the exposure-history framework, the phase I and II serology of (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) ### neurological - [Epilepsy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/epilepsy-physician) — DCE long-case preparation: structured written reasoning for status epilepticus management, syndrome-based drug selection, and women-with-epilepsy preconception care. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Guillain-Barre Syndrome — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/guillain-barre-syndrome) — DCE long-case preparation: structured written reasoning for a patient with severe post-Campylobacter Guillain-Barre syndrome at the respiratory-failure threshold, and a Miller Fish (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Headache — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/headache) — DCE long-case preparation: structured written reasoning for thunderclap headache and subarachnoid haemorrhage workup, giant cell arteritis urgent management, chronic migraine with (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Meningitis and Encephalitis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/meningitis-encephalitis) — DCE long-case preparation: structured written reasoning for empiric therapy in suspected bacterial meningitis with immunocompromise, CSF interpretation across bacterial/viral/TB/fu (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Motor Neuron Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/motor-neuron-disease) — DCE long-case preparation: structured written reasoning for the integrated management of bulbar-onset ALS with respiratory muscle weakness and nutritional decline, and the diagnost (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Movement Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/movement-disorders) — DCE long-case preparation: structured written reasoning for Parkinson's disease with motor complications and hallucinations, plus a young patient with suspected Wilson disease — fo (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Multiple Sclerosis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/multiple-sclerosis) — DCE long-case preparation: structured written reasoning for multiple sclerosis — the clinical course (RRMS 85 per cent, SPMS, PPMS 15 per cent), the McDonald 2017 diagnostic criter (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Myasthenia Gravis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/myasthenia-gravis) — DCE long-case preparation: structured written reasoning for myasthenic crisis management and the integrated management of AChR-positive generalized MG with a thymoma. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Neurocutaneous Syndromes — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/neurocutaneous-syndromes) — DCE-style written reasoning for Neurocutaneous Syndromes. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Neurological Investigation LP EMG NCS EEG Neuroimaging — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/neurological-investigation-lp-emg-ncs-eeg-neuroimaging) — DCE-style written reasoning for Neurological Investigation LP EMG NCS EEG Neuroimaging. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Peripheral Neuropathy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/peripheral-neuropathy) — DCE long-case preparation: structured written reasoning for peripheral neuropathy — the four classification axes (fibre type, distribution, time course, axonal versus demyelinating (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Raised Intracranial Pressure AND Brain Tumours — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/raised-intracranial-pressure-and-brain-tumours) — DCE-style written reasoning for Raised Intracranial Pressure AND Brain Tumours. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Spinal Cord Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/spinal-cord-disease) — DCE long-case preparation: structured written reasoning for a patient with metastatic spinal cord compression requiring emergency management, and a young adult with nitrous oxide-r (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Stroke — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/stroke-physician) — DCE long-case preparation: structured written reasoning for acute stroke management, including problem-list synthesis, investigation interpretation, and integrated secondary preven (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Subarachnoid Haemorrhage AND Intracranial Haemorrhage — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/subarachnoid-haemorrhage-and-intracranial-haemorrhage) — DCE-style written reasoning for Subarachnoid Haemorrhage AND Intracranial Haemorrhage. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [TIA and Carotid Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/transient-ischaemic-attack-and-carotid-disease) — DCE-style written reasoning for high-risk TIA: urgent pathway, dual antiplatelet therapy, carotid imaging and revascularisation thresholds. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Vestibular Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/vestibular-disorders) — DCE-style written reasoning for Vestibular Disorders. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) ### oncological - [Breakthrough Cancer Pain AND Opioid Titration — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/breakthrough-cancer-pain-and-opioid-titration) — DCE-style written reasoning for Breakthrough Cancer Pain AND Opioid Titration. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Breast Cancer — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/breast-cancer-physician) — DCE long-case preparation: structured written reasoning for breast cancer — the receptor subtype framework (ER/PR, HER2, triple-negative) applied to a 52-year-old woman with HER2-p (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Cancer Cachexia AND Nutritional Support — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cancer-cachexia-and-nutritional-support) — DCE-style written reasoning for Cancer Cachexia AND Nutritional Support. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Immune Checkpoint Inhibitor Toxicity — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/immunotherapy-checkpoint-inhibitor-toxicity) — DCE long-case preparation: structured written reasoning for a patient on combination checkpoint inhibition presenting with multisystem immune-related toxicity (grade 3 colitis, hyp (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Oncologic Emergencies — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/oncologic-emergencies) — DCE long-case preparation: structured written reasoning for two high-yield oncologic emergencies — a lymphoma patient who develops febrile neutropenia and tumour lysis syndrome sim (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Pain Management IN Cancer AND Chronic Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pain-management-in-cancer-and-chronic-disease) — DCE-style written reasoning for Pain Management IN Cancer AND Chronic Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Palliative Care — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/palliative-care-symptom-management) — DCE long-case preparation: structured written reasoning for a complex patient with metastatic cancer presenting with multiple uncontrolled symptoms (pain, nausea, breathlessness, c (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Prostate Cancer — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/prostate-cancer) — DCE-style written reasoning for Prostate Cancer. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) ### pharmacological - [Adverse Drug Reactions — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/adverse-drug-reactions) — DCE long-case preparation: structured written reasoning for a complex patient with a severe adverse drug reaction (DRESS to allopurinol in chronic kidney disease) and a separate se (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Australian Envenomation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/envenomation) — DCE long-case preparation: structured written reasoning for Australian snake bite envenomation — the five clinical syndromes of elapid envenomation, the pressure immobilisation ban (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Beta Blocker AND Calcium Channel Blocker Toxicity — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/beta-blocker-and-calcium-channel-blocker-toxicity) — DCE-style written reasoning for Beta Blocker AND Calcium Channel Blocker Toxicity. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Cardiac Glycoside — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/cardiac-glycoside) — DCE-style written reasoning for Cardiac Glycoside. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Iron Toxicity — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/iron-toxicity) — DCE-style written reasoning for Iron Toxicity. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Lithium Toxicity — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/lithium-toxicity) — DCE long-case preparation: structured written reasoning for a complex elderly patient with chronic lithium toxicity precipitated by a drug interaction, with acute kidney injury and (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Opioid Benzodiazepine AND Alcohol Withdrawal — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/opioid-benzodiazepine-and-alcohol-withdrawal) — DCE-style written reasoning for Opioid Benzodiazepine AND Alcohol Withdrawal. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Paracetamol Toxicity — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/paracetamol-toxicity) — DCE long-case preparation: structured written reasoning for paracetamol toxicity — the single acute overdose and the nomogram decision, the staggered overdose that defeats the nomo (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Pharmacokinetics in Organ Failure — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pharmacokinetics-organ-failure) — DCE long-case preparation: structured written reasoning for medication review and dose adjustment in organ failure — applying pharmacokinetic principles to a complex elderly patien (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Poisoning — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/poisoning-approach-decontamination-antidotes) — DCE long-case preparation: structured written reasoning for the poisoned patient — applying the ABCDE-plus-toxidrome approach, the decontamination decision (when to give charcoal, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Salicylate Toxicity — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/salicylate-toxicity) — DCE-style written reasoning for Salicylate Toxicity. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Serotonin Syndrome and NMS — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/serotonin-syndrome-nms) — DCE long-case preparation: structured written reasoning for the recognition and management of serotonin syndrome and neuroleptic malignant syndrome, including the Hunter criteria, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Therapeutic Drug Monitoring — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/therapeutic-drug-monitoring) — DCE-style written reasoning for Therapeutic Drug Monitoring. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Toxic Alcohols — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/toxic-alcohols) — DCE-style written reasoning for Toxic Alcohols. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/tricyclic-antidepressant-and-sodium-channel-blocker-toxicity) — DCE-style written reasoning for Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) ### renal - [Acid-Base Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/acid-base-disorders-physician) — DCE long-case preparation: structured written reasoning for acid-base interpretation and management — applying the six-step algorithm to a complex patient, calculating compensation (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Acute Kidney Injury — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/acute-kidney-injury) — DCE long-case preparation: structured written reasoning for acute kidney injury management, including problem-list synthesis, investigation interpretation, and integrated managemen (exams=FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-11) - [Chronic Kidney Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/chronic-kidney-disease) — DCE long-case preparation: structured written reasoning for CKD management, including problem-list synthesis, investigation interpretation, progression-slowing therapy, complicatio (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Diabetic Kidney Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/diabetic-kidney-disease) — DCE long-case preparation: structured written reasoning for diabetic kidney disease management, including problem-list synthesis, investigation interpretation, progression-slowing (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Electrolyte Disorders (Calcium, Magnesium, Phosphate) — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/electrolyte-disorders-calcium-magnesium-phosphate) — DCE long-case preparation: structured written reasoning for divalent ion scenarios — severe hypercalcaemia with suppressed PTH in myeloma, and acute post-thyroidectomy hypocalcaemi (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Glomerulonephritis (Nephritic Spectrum) — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/glomerulonephritis-nephritic) — DCE long-case preparation: structured written reasoning for glomerulonephritis management, including problem-list synthesis, complement and serology interpretation, biopsy classifi (exams=FRACP DCE,MRCP Part 2,ABIM Internal Medicine; updated=2026-07-11) - [Hypertensive Nephrosclerosis and Renovascular Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/hypertensive-nephrosclerosis-and-renovascular-disease) — DCE written preparation: structured reasoning for renovascular scenarios — the young woman with a bruit and the older vascular patient with a creatinine rise on ACE inhibition. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Kidney Transplantation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/kidney-transplantation) — DCE long-case preparation: structured written reasoning for kidney transplantation — the diagnostic approach to a rising creatinine in a transplant recipient (rejection classificat (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Nephrolithiasis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/nephrolithiasis) — DCE long-case preparation: structured written reasoning for a recurrent stone former — the metabolic evaluation (24-hour urine, serum calcium and PTH), the five stone types and the (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Nephrotic Syndrome — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/nephrotic-syndrome) — DCE long-case preparation: structured written reasoning for nephrotic syndrome management, including problem-list synthesis, investigation interpretation, cause-specific immunosupp (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Polycystic Kidney Disease (ADPKD) — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/polycystic-kidney-disease) — DCE written preparation: structured reasoning for ADPKD scenarios — the new diagnosis in a young man with preserved GFR, and the tolvaptan decision in a woman with rapid progressio (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Potassium Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/electrolyte-potassium-disorders) — DCE long-case preparation: structured written reasoning for severe hyperkalaemia in a CKD patient on RAAS inhibitors, the four-pillar emergency management, insulin-dextrose hypogly (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Renal Cell Carcinoma AND Urothelial Malignancy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/renal-cell-carcinoma-and-urothelial-malignancy) — DCE-style written reasoning for Renal Cell Carcinoma AND Urothelial Malignancy. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Renal Replacement Therapy — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/renal-replacement-therapy-haemodialysis-peritoneal-dialysis) — DCE long-case preparation for RRT: modality selection, IDEAL initiation, access planning, PD peritonitis, and conservative care as an active alternative. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Renal Tubular Acidoses AND Inherited Tubular Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/renal-tubular-acidoses-and-inherited-tubular-disorders) — DCE-style written reasoning for Renal Tubular Acidoses AND Inherited Tubular Disorders. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Sodium Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/electrolyte-sodium-disorders) — DCE long-case preparation: structured written reasoning for hyponatraemia and hypernatraemia, including symptom-stratified urgency, volume-status classification, urine biochemistry (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Tubulointerstitial Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/tubulointerstitial-disease) — DCE long-case preparation: structured written reasoning for acute interstitial nephritis — a PPI-induced creatinine drift with deprescribing and steroid reasoning, and checkpoint-i (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Urinary Tract Infection AND Complicated UTI Pyelonephritis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/urinary-tract-infection-and-complicated-uti-pyelonephritis) — DCE-style written reasoning for Urinary Tract Infection AND Complicated UTI Pyelonephritis. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) ### respiratory - [Asthma and Severe Asthma — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/asthma-severe) — DCE long-case preparation: structured written reasoning for severe asthma management, including problem-list synthesis, phenotype-driven biologic selection, investigation interpret (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Bronchiectasis AND Suppurative Lung Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/bronchiectasis-and-suppurative-lung-disease) — DCE-style written reasoning for Bronchiectasis AND Suppurative Lung Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [COPD — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/copd) — DCE long-case preparation: structured written reasoning for COPD exacerbation management, problem-list synthesis, investigation interpretation, and integrated management planning i (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Diffuse Alveolar Haemorrhage — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/diffuse-alveolar-haemorrhage-and-pulmonary-renal-syndromes) — DCE written preparation: structured reasoning for diffuse alveolar haemorrhage scenarios — diagnosis when haemoptysis is absent, and management of anti-GBM disease with pulmonary-r (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Interstitial Lung Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/interstitial-lung-disease) — DCE long-case preparation: structured written reasoning for interstitial lung disease management, including problem-list synthesis, HRCT interpretation, investigation interpretatio (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Lung Cancer — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/lung-cancer) — DCE long-case preparation: structured written reasoning for lung cancer scenarios — the growing solitary pulmonary nodule in a smoker, and SVC obstruction at first presentation. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Lung Transplantation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/lung-transplantation) — DCE-style written reasoning for Lung Transplantation. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Obstructive Sleep Apnoea — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/obstructive-sleep-apnoea) — DCE long-case preparation: structured written reasoning for severe obstructive sleep apnoea with excessive daytime sleepiness, resistant hypertension, and atrial fibrillation — cov (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Occupational AND Environmental Lung Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/occupational-and-environmental-lung-disease) — DCE-style written reasoning for Occupational AND Environmental Lung Disease. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Pleural Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pleural-disease) — DCE long-case preparation: structured written reasoning for pleural effusion (Light's criteria, pleural fluid analysis, parapneumonic effusion and empyema) and malignant pleural ef (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Pneumonia — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pneumonia-physician) — DCE long-case preparation: structured written reasoning for severe CAP management — severity stratification, empiric therapy, corticosteroid adjunct, parapneumonic effusion managem (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Pulmonary Embolism — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pulmonary-embolism) — DCE long-case preparation: structured written reasoning for pulmonary embolism, including diagnostic algorithm application (Wells, D-dimer, CTPA/VQ), risk stratification (sPESI, bi (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Pulmonary Vascular Disease AND COR Pulmonale — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/pulmonary-vascular-disease-and-cor-pulmonale) — DCE-style written reasoning for Pulmonary Vascular Disease AND COR Pulmonale. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Respiratory Failure and Non-Invasive Ventilation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/respiratory-failure-and-non-invasive-ventilation) — DCE long-case preparation: structured written reasoning for acute respiratory failure — the acidotic COPD exacerbation and the hypoxaemic pneumonia support decision. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Respiratory Investigation — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/respiratory-investigation-pfts-bronchoscopy-thoracoscopy) — DCE written preparation: structured reasoning for respiratory investigation scenarios — interpreting three PFT panels (ILD vs obesity vs neuromuscular weakness) and working up a un (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Solitary Pulmonary Nodule — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/solitary-pulmonary-nodule) — DCE long-case preparation: structured written reasoning for solitary pulmonary nodule scenarios — the 9 mm solid nodule in a 60-year-old smoker, and the 12 mm part-solid nodule wit (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### rheumatological - [Allergic Rhinitis AND Asthma — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/allergic-rhinitis-and-asthma) — DCE-style written reasoning for Allergic Rhinitis AND Asthma. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Antiphospholipid Syndrome — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/antiphospholipid-syndrome) — DCE-style written reasoning for Antiphospholipid Syndrome. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Complement Deficiencies AND Recurrent Infections — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/complement-deficiencies-and-recurrent-infections) — DCE-style written reasoning for Complement Deficiencies AND Recurrent Infections. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Crystal Arthropathies — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/crystal-arthropathies) — DCE-style written reasoning for Crystal Arthropathies. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Drug Induced Rheumatological Disease AND Biologics Safety — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/drug-induced-rheumatological-disease-and-biologics-safety) — DCE-style written reasoning for Drug Induced Rheumatological Disease AND Biologics Safety. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Eosinophilic Disorders — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/eosinophilic-disorders) — DCE-style written reasoning for Eosinophilic Disorders. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Fibromyalgia and Chronic Widespread Pain — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/fibromyalgia-and-chronic-widespread-pain) — DCE long-case preparation: structured written reasoning for the patient with fibromyalgia and comorbid inflammatory disease, covering the 2016 ACR diagnostic criteria (WPI and SSS) (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [IgG4-Related Disease — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/igg4-related-disease) — DCE long-case preparation: structured written reasoning for a 62-year-old man with IgG4-related disease presenting as painless jaundice, bilateral submandibular gland enlargement a (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Immunological Investigation Immunoglobulins Complement Flow Cytometry — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/immunological-investigation-immunoglobulins-complement-flow-cytometry) — DCE-style written reasoning for Immunological Investigation Immunoglobulins Complement Flow Cytometry. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Osteoarthritis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/osteoarthritis) — DCE-style written reasoning for Osteoarthritis. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Rheumatoid Arthritis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/rheumatoid-arthritis) — DCE long-case preparation: structured written reasoning for a patient with newly diagnosed seropositive rheumatoid arthritis requiring treat-to-target management, and a complex pat (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Rheumatological Investigation Autoantibodies Imaging Synovial Fluid — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/rheumatological-investigation-autoantibodies-imaging-synovial-fluid) — DCE-style written reasoning for Rheumatological Investigation Autoantibodies Imaging Synovial Fluid. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [SJ Gren S Syndrome AND Inflammatory Myopathies — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/sj-gren-s-syndrome-and-inflammatory-myopathies) — DCE-style written reasoning for SJ Gren S Syndrome AND Inflammatory Myopathies. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-18) - [Spondyloarthropathies — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/spondyloarthropathies) — DCE long-case preparation: structured written reasoning for a patient with newly diagnosed axial spondyloarthritis (ankylosing spondylitis) requiring NSAID, physiotherapy and biolo (exams=FRACP DCE,MRCP Part 2; updated=2026-07-13) - [Systemic Autoinflammatory Syndromes — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/systemic-autoinflammatory-syndromes) — DCE long-case preparation: structured written reasoning for the systemic autoinflammatory syndromes — the innate-versus-adaptive immune framework, familial Mediterranean fever with (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Systemic Lupus Erythematosus — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/systemic-lupus-erythematosus) — DCE long-case preparation: structured written reasoning for a patient with proliferative class IV lupus nephritis requiring integrated induction and maintenance immunosuppression, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [Systemic Sclerosis — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/systemic-sclerosis) — DCE long-case preparation: structured written reasoning for systemic sclerosis — the ACR/EULAR 2013 classification, limited versus diffuse subtypes and their autoantibodies, sclero (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) - [The Systemic Vasculitides — Written Clinical Reasoning](https://medvellum.com/s/physician/saqs/vasculitis-physician) — DCE long-case preparation: structured written reasoning for the systemic vasculitides — the Chapel Hill 2012 vessel-size classification, giant cell arteritis with urgent steroids a (exams=FRACP DCE,MRCP Part 2; updated=2026-07-11) ## Clinical Cases (239) ### cardiovascular - [Adult Congenital Heart Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/adult-congenital-heart-disease) — DCE long-case and short-case station for Adult Congenital Heart Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Anticoagulation and Antiplatelet Therapy — DCE Clinical Case](https://medvellum.com/s/physician/cases/anticoagulation-and-antiplatelet-therapy) — DCE long-case station: unprovoked pulmonary embolism leading to a new cancer diagnosis — occult malignancy workup, anticoagulant choice and duration, and management of the anticoag (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Aortic Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/aortic-disease) — DCE long-case and short-case station for Aortic Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Arrhythmias and Conduction Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/arrhythmias-and-conduction-disease) — DCE short-case station: the irregular pulse — examination technique, the AF workup discussion, anticoagulation and rate/rhythm reasoning, with presentation template and probing que (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Atrial Fibrillation — DCE Clinical Case](https://medvellum.com/s/physician/cases/atrial-fibrillation) — DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for atrial fibrillation examination preparation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Cardiac Investigations — DCE Clinical Case](https://medvellum.com/s/physician/cases/cardiac-investigations) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and investigation planning for cardiac disease — covering the investigation pathway i (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/cardiac-tumours-and-systemic-manifestations-of-cardiac-disease) — DCE long-case and short-case station for Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Cardiomyopathies — DCE Clinical Case](https://medvellum.com/s/physician/cases/cardiomyopathies) — DCE clinical case for the cardiomyopathies: long case of a young cricketer with hypertrophic cardiomyopathy, a striking family history of sudden death, and a borderline HCM Risk-SC (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Cardiovascular Prevention and Rehabilitation — DCE Clinical Case](https://medvellum.com/s/physician/cases/cardiovascular-prevention-and-rehabilitation) — DCE short-case station: the cardiovascular risk-factor examination — xanthelasma, corneal arcus, tendon xanthomata, blood pressure technique, adiposity measures and peripheral puls (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Coronary Artery Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/coronary-artery-disease) — DCE long-case clinical station: comprehensive patient assessment, structured presentation, and integrated management plan for a post-NSTEMI patient with diabetes and multivessel di (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [ECG Interpretation — DCE Clinical Case](https://medvellum.com/s/physician/cases/ecg-interpretation-physician-level) — DCE long-case and short-case clinical station: comprehensive ECG interpretation in a complex cardiac patient, structured presentation, and discussion of ischaemia, conduction disea (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Heart Failure — DCE Clinical Case](https://medvellum.com/s/physician/cases/heart-failure) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for heart failure examination preparation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hypertension — DCE Clinical Case](https://medvellum.com/s/physician/cases/hypertension) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for hypertension examination preparation, covering resistant hypertens (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Infective Endocarditis — DCE Clinical Case](https://medvellum.com/s/physician/cases/infective-endocarditis) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for infective endocarditis examination preparation — including Modifie (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Pericardial Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/pericardial-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for pericardial disease — covering cardiac tamponade recognition and m (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pulmonary Hypertension — DCE Clinical Case](https://medvellum.com/s/physician/cases/pulmonary-hypertension) — DCE clinical case for pulmonary hypertension: long case of a woman with limited cutaneous systemic sclerosis and exertional syncope requiring urgent confirmation of scleroderma-ass (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Rheumatic Fever AND Rheumatic Heart Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/rheumatic-fever-and-rheumatic-heart-disease) — DCE long-case and short-case station for Rheumatic Fever AND Rheumatic Heart Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Sudden Cardiac Death AND ICD CRT Therapy — DCE Clinical Case](https://medvellum.com/s/physician/cases/sudden-cardiac-death-and-icd-crt-therapy) — DCE long-case and short-case station for Sudden Cardiac Death AND ICD CRT Therapy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Syncope — DCE Clinical Case](https://medvellum.com/s/physician/cases/syncope) — DCE clinical case for syncope: long case of a 62-year-old man with recurrent unexplained syncope and bifascicular block requiring risk stratification, implantable loop recorder mon (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Valvular Heart Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/valvular-heart-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for valvular heart disease examination preparation — covering severe A (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### dermatological - [Cutaneous Manifestations of Systemic Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/cutaneous-manifestations-systemic-disease) — DCE long-case and short-case clinical station for cutaneous manifestations of systemic disease: comprehensive assessment, presentation and discussion for a patient with adult-onset (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Drug Eruptions AND Severe Cutaneous Adverse Reactions — DCE Clinical Case](https://medvellum.com/s/physician/cases/drug-eruptions-and-severe-cutaneous-adverse-reactions) — DCE long-case and short-case station for Drug Eruptions AND Severe Cutaneous Adverse Reactions. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Erythema Nodosum AND Panniculitis — DCE Clinical Case](https://medvellum.com/s/physician/cases/erythema-nodosum-and-panniculitis) — DCE long-case and short-case station for Erythema Nodosum AND Panniculitis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Genodermatoses with Systemic Significance — DCE Clinical Case](https://medvellum.com/s/physician/cases/genodermatoses-with-systemic-significance) — DCE long-case and short-case station for Genodermatoses with Systemic Significance. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Malignant Skin Lesions — DCE Clinical Case](https://medvellum.com/s/physician/cases/malignant-skin-lesions) — DCE long-case and short-case station for Malignant Skin Lesions. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Pyoderma Gangrenosum AND Neutrophilic Dermatoses — DCE Clinical Case](https://medvellum.com/s/physician/cases/pyoderma-gangrenosum-and-neutrophilic-dermatoses) — DCE long-case and short-case station for Pyoderma Gangrenosum AND Neutrophilic Dermatoses. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Skin Signs OF Internal Malignancy — DCE Clinical Case](https://medvellum.com/s/physician/cases/skin-signs-of-internal-malignancy) — DCE long-case and short-case station for Skin Signs OF Internal Malignancy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Vasculitic Skin Lesions — DCE Clinical Case](https://medvellum.com/s/physician/cases/vasculitic-skin-lesions) — DCE long-case and short-case station for Vasculitic Skin Lesions. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### endocrine - [Adrenal Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/adrenal-disorders) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for Cushing disease with integrated diagnostic and management planning (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Adrenal Incidentaloma AND Workup — DCE Clinical Case](https://medvellum.com/s/physician/cases/adrenal-incidentaloma-and-workup) — DCE long-case and short-case station for Adrenal Incidentaloma AND Workup. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Calcium and Bone Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/calcium-and-bone-disorders) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for primary hyperparathyroidism with osteoporosis and CKD in a 68-year (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Diabetes Mellitus — DCE Clinical Case](https://medvellum.com/s/physician/cases/diabetes-mellitus-physician) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for diabetes mellitus examination preparation, covering the classic di (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Disorders OF Sodium AND Water Homeostasis — DCE Clinical Case](https://medvellum.com/s/physician/cases/disorders-of-sodium-and-water-homeostasis) — DCE long-case and short-case station for Disorders OF Sodium AND Water Homeostasis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [DKA and HHS — DCE Clinical Case](https://medvellum.com/s/physician/cases/dka-and-hhs) — DCE long-case clinical station: comprehensive assessment and integrated management of a young man with severe DKA precipitated by insulin omission and pneumonia, structured SASPOP (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hypoglycaemia — DCE Clinical Case](https://medvellum.com/s/physician/cases/hypoglycaemia) — DCE long-case and short-case station for Hypoglycaemia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Metabolic Bone Disease AND Vitamin D Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/metabolic-bone-disease-and-vitamin-d-disorders) — DCE long-case and short-case station for Metabolic Bone Disease AND Vitamin D Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Multiple Endocrine Neoplasia — DCE Clinical Case](https://medvellum.com/s/physician/cases/multiple-endocrine-neoplasia) — DCE long-case and short-case station for Multiple Endocrine Neoplasia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Pituitary Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/pituitary-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for acromegaly with multisystem complications and hypopituitarism mana (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Reproductive Endocrinology — DCE Clinical Case](https://medvellum.com/s/physician/cases/reproductive-endocrinology) — DCE long-case and short-case station for Reproductive Endocrinology. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Thyroid Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/thyroid-disorders) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for Graves disease with atrial fibrillation and orbitopathy, including (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Thyroid Nodules AND Thyroid Cancer — DCE Clinical Case](https://medvellum.com/s/physician/cases/thyroid-nodules-and-thyroid-cancer) — DCE long-case and short-case station for Thyroid Nodules AND Thyroid Cancer. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Transgender Medicine AND Hormone Therapy — DCE Clinical Case](https://medvellum.com/s/physician/cases/transgender-medicine-and-hormone-therapy) — DCE long-case and short-case station for Transgender Medicine AND Hormone Therapy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### gastrointestinal - [Acute Pancreatitis — DCE Clinical Case](https://medvellum.com/s/physician/cases/acute-pancreatitis) — DCE long-case and short-case clinical station for acute pancreatitis: comprehensive patient assessment, presentation and discussion for severe necrotising gallstone pancreatitis in (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Chronic Pancreatitis — DCE Clinical Case](https://medvellum.com/s/physician/cases/chronic-pancreatitis) — DCE long-case and short-case clinical station for chronic pancreatitis: comprehensive assessment of a 49-year-old man with alcohol-related chronic pancreatitis in the burnt-out pha (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Colorectal Cancer — DCE Clinical Case](https://medvellum.com/s/physician/cases/colorectal-cancer) — DCE long-case and short-case station for Colorectal Cancer. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Functional GI Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/functional-gi-disorders) — DCE long-case and short-case station for Functional GI Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Gallstone Disease AND Biliary Pathology — DCE Clinical Case](https://medvellum.com/s/physician/cases/gallstone-disease-and-biliary-pathology) — DCE long-case and short-case station for Gallstone Disease AND Biliary Pathology. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Gastrointestinal Bleeding — DCE Clinical Case](https://medvellum.com/s/physician/cases/gi-bleeding-physician) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for acute gastrointestinal bleeding examination preparation, including (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [GI Investigation Endoscopy Capsule Liver Biopsy Elastography — DCE Clinical Case](https://medvellum.com/s/physician/cases/gi-investigation-endoscopy-capsule-liver-biopsy-elastography) — DCE long-case and short-case station for GI Investigation Endoscopy Capsule Liver Biopsy Elastography. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Inflammatory Bowel Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/inflammatory-bowel-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for inflammatory bowel disease with acute severe flare, ext (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Liver Transplantation — DCE Clinical Case](https://medvellum.com/s/physician/cases/liver-transplantation) — DCE long-case and short-case station for Liver Transplantation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Malabsorption and Small Bowel Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/malabsorption-and-small-bowel-disease) — DCE long-case and short-case clinical station for malabsorption and small bowel disease: comprehensive assessment of a 42-year-old woman with coeliac disease presenting with iron d (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Nutrition IN Liver AND GI Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/nutrition-in-liver-and-gi-disease) — DCE long-case and short-case station for Nutrition IN Liver AND GI Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Obstructive Jaundice — DCE Clinical Case](https://medvellum.com/s/physician/cases/obstructive-jaundice) — DCE long-case and short-case clinical station for obstructive jaundice: comprehensive assessment of a 68-year-old man with painless progressive obstructive jaundice from a resectab (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Oesophageal Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/oesophageal-disorders) — DCE long-case station: progressive dysphagia with weight loss — the discriminating history, the epigastric and general examination, staging logic and the presentation of a suspecte (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### general-medicine - [Abdominal Examination Routine — DCE Clinical Case](https://medvellum.com/s/physician/cases/abdominal-examination-routine) — DCE clinical case: a 54-year-old woman with primary biliary cholangitis examined in the short-case station — the twelve-step routine, the constellation of chronic liver disease sti (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Anaphylaxis — DCE Clinical Case](https://medvellum.com/s/physician/cases/anaphylaxis) — DCE long-case station: post-anaphylaxis review of a young woman with two reactions in eight months — history reconstruction, examination for triggers and comorbidity, and a managem (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Cardiovascular Examination — DCE Clinical Case](https://medvellum.com/s/physician/cases/cardiovascular-examination-routine) — DCE short-case clinical station: the systematic cardiovascular examination of a 72-year-old man with severe aortic stenosis, covering the eleven-step routine, the timing-based murm (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Clinical Research AND Research Ethics — DCE Clinical Case](https://medvellum.com/s/physician/cases/clinical-research-and-research-ethics) — DCE long-case and short-case station for Clinical Research AND Research Ethics. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Confidentiality Privacy AND Mandatory Reporting — DCE Clinical Case](https://medvellum.com/s/physician/cases/confidentiality-privacy-and-mandatory-reporting) — DCE long-case and short-case station for Confidentiality Privacy AND Mandatory Reporting. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Cranial Nerve Examination — DCE Clinical Case](https://medvellum.com/s/physician/cases/neurological-examination-cranial-nerves) — DCE short-case and long-case clinical station: a patient with a pupil-involving posterior communicating artery aneurysm causing a third nerve palsy, and an integrated long case of (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Cultural Competence and Indigenous Health — DCE Clinical Case](https://medvellum.com/s/physician/cases/cultural-competence-indigenous-health) — DCE long-case clinical station: comprehensive assessment of a 48-year-old Aboriginal woman from a remote community admitted with decompensated rheumatic heart disease, type 2 diabe (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Drug Allergy and Desensitisation — DCE Clinical Case](https://medvellum.com/s/physician/cases/drug-allergy-and-desensitisation) — DCE long-case and short-case clinical station for drug allergy and desensitisation: comprehensive patient assessment, presentation and discussion for a penicillin allergy label com (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [END OF Life Decision Making — DCE Clinical Case](https://medvellum.com/s/physician/cases/end-of-life-decision-making) — DCE long-case and short-case station for END OF Life Decision Making. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Evidence-Based Medicine and Critical Appraisal — DCE Clinical Case](https://medvellum.com/s/physician/cases/evidence-based-medicine-critical-appraisal) — DCE long-case clinical station: comprehensive appraisal, application and shared decision-making for a 75-year-old woman with non-valvular atrial fibrillation, stage 3b chronic kidn (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Examination OF THE Unconscious Patient — DCE Clinical Case](https://medvellum.com/s/physician/cases/examination-of-the-unconscious-patient) — DCE long-case and short-case station for Examination OF THE Unconscious Patient. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Lymph Node Examination and Organomegaly — DCE Clinical Case](https://medvellum.com/s/physician/cases/examination-lymph-nodes-and-splenomegaly) — DCE clinical case: a 34-year-old man with generalised lymphadenopathy from Hodgkin lymphoma examined in the short-case station — the head-to-toe lymph node routine, the five charac (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Medical Errors and Open Disclosure — DCE Clinical Case](https://medvellum.com/s/physician/cases/medical-errors-and-open-disclosure) — DCE long-case and short-case clinical station for medical errors and open disclosure: comprehensive patient assessment, presentation and discussion for a tenfold insulin overdose a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Medical Ethics Autonomy Beneficence NON Maleficence Justice — DCE Clinical Case](https://medvellum.com/s/physician/cases/medical-ethics-autonomy-beneficence-non-maleficence-justice) — DCE long-case and short-case station for Medical Ethics Autonomy Beneficence NON Maleficence Justice. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Medical Ethics, Capacity and Consent — DCE Clinical Case](https://medvellum.com/s/physician/cases/medical-ethics-capacity-consent) — DCE long-case clinical station: comprehensive assessment of a 78-year-old woman with advanced Alzheimer disease and aspiration pneumonia whose enduring guardian son demands intensi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Multi-morbidity and Complex Care — DCE Clinical Case](https://medvellum.com/s/physician/cases/multi-morbidity-complex-care) — DCE long-case clinical station: comprehensive assessment of an 82-year-old woman with heart failure with reduced ejection fraction, atrial fibrillation, type 2 diabetes, stage 3b C (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Neurological Examination of the Lower Limbs — DCE Clinical Case](https://medvellum.com/s/physician/cases/neurological-examination-lower-limbs) — DCE short-case clinical station: a 24-year-old man examined neurologically in the lower limbs who has Friedreich ataxia — the eight-step routine, the localisation, the differential (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Neurological Examination of the Upper Limbs — DCE Clinical Case](https://medvellum.com/s/physician/cases/neurological-examination-upper-limbs) — DCE short-case clinical station: a 64-year-old man examined neurologically in the upper limbs who has the combined UMN and LMN signs of motor neuron disease — the eight-step routin (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Perioperative Medicine — DCE Clinical Case](https://medvellum.com/s/physician/cases/perioperative-medicine-physician) — DCE long-case clinical station: comprehensive perioperative assessment and management of a complex elderly patient with atrial fibrillation on a DOAC, insulin-treated diabetes, COP (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Physician Wellbeing Burnout AND Professional Resilience — DCE Clinical Case](https://medvellum.com/s/physician/cases/physician-wellbeing-burnout-and-professional-resilience) — DCE long-case and short-case station for Physician Wellbeing Burnout AND Professional Resilience. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Preoperative Medical Assessment AND Optimisation — DCE Clinical Case](https://medvellum.com/s/physician/cases/preoperative-medical-assessment-and-optimisation) — DCE long-case and short-case station for Preoperative Medical Assessment AND Optimisation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Primary Immunodeficiency in Adults — DCE Clinical Case](https://medvellum.com/s/physician/cases/primary-immunodeficiency-adults) — DCE long-case clinical station: comprehensive assessment of a 22-year-old man presenting with his second episode of invasive meningococcal disease in 18 months, leading to the diag (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Quality AND Safety IN Medicine — DCE Clinical Case](https://medvellum.com/s/physician/cases/quality-and-safety-in-medicine) — DCE long-case and short-case station for Quality AND Safety IN Medicine. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Rapid Response Systems and MET Calls — DCE Clinical Case](https://medvellum.com/s/physician/cases/rapid-response-systems-and-met-calls) — DCE long-case clinical station: comprehensive post-MET-call management of a 68-year-old man admitted with cellulitis who deteriorates to septic shock with acute kidney injury, hype (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Respiratory Examination — DCE Clinical Case](https://medvellum.com/s/physician/cases/respiratory-examination-routine) — DCE short-case clinical station: a systematic respiratory examination of a 66-year-old woman with progressive exertional dyspnoea, weight loss, and a history of smoking, presenting (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Rheumatological Examination of the Hands — DCE Clinical Case](https://medvellum.com/s/physician/cases/rheumatological-examination-hands) — DCE short-case clinical station: a 52-year-old woman examined by hand examination who has the classic symmetrical inflammatory polyarthritis of seropositive rheumatoid arthritis — (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Rheumatological Examination Spine AND Lower Limbs — DCE Clinical Case](https://medvellum.com/s/physician/cases/rheumatological-examination-spine-and-lower-limbs) — DCE long-case and short-case station for Rheumatological Examination Spine AND Lower Limbs. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Skin Examination for Systemic Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/examination-skin-manifestations-systemic-disease) — DCE short-case clinical station: a systematic skin examination of a 28-year-old woman with photosensitive facial rash and oral ulcers, presenting with the malar rash of SLE sparing (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Speech and Higher Mental Function Examination — DCE Clinical Case](https://medvellum.com/s/physician/cases/neurological-examination-speech-and-higher-function) — DCE short-case and long-case clinical station: a patient with an acute Wernicke aphasia from a dominant-hemisphere stroke for the speech-and-cognition short case, and an integrated (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [The Deteriorating Ward Patient — DCE Clinical Case](https://medvellum.com/s/physician/cases/deteriorating-ward-patient) — DCE long-case clinical station: comprehensive management of a 78-year-old woman with community-acquired pneumonia who acutely deteriorates overnight with septic shock, new atrial f (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [The Undifferentiated Altered Mental Status — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-altered-mental-status) — DCE long-case clinical station: comprehensive management of an 82-year-old man with an acute confusional state from multifactorial delirium (pneumonia, UTI, severe hyponatraemia, A (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Thyroid Status Examination — DCE Clinical Case](https://medvellum.com/s/physician/cases/thyroid-examination-routine) — DCE short-case clinical station: a systematic thyroid status examination of a 48-year-old woman with palpitations, heat intolerance and weight loss, presenting with the Graves-spec (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Back Pain — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-back-pain) — DCE long-case clinical station: comprehensive management of a 34-year-old man with axial spondyloarthritis presenting with inflammatory back pain, psoriasis and a prior episode of (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Chest Pain — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-chest-pain) — DCE long-case clinical station: comprehensive management of a 68-year-old woman with type 2 diabetes, hypertension and hyperlipidaemia who presents with an acute inferior STEMI — t (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Dyspnoea — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-dyspnoea) — DCE long-case clinical station: comprehensive management of a 72-year-old man with COPD and ischaemic heart disease who presents with acute dyspnoea, a productive cough, orthopnoea (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Fatigue — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-fatigue) — DCE long-case clinical station for undifferentiated fatigue: comprehensive patient assessment, presentation and discussion for multifactorial fatigue in a 62-year-old woman with ty (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Fever and Fever of Unknown Origin — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-fever-unknown-origin) — DCE long-case clinical station: comprehensive management of a 62-year-old retired park ranger with six weeks of fever, drenching night sweats and weight loss, on a background of tr (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Lymphadenopathy — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-lymphadenopathy) — DCE long-case clinical station: comprehensive management of a 58-year-old Nigerian-born man who presents with a six-week history of a painless left supraclavicular node, B symptoms (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Oedema — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-oedema) — DCE long-case clinical station: comprehensive management of a 70-year-old man with heart failure with reduced ejection fraction, cirrhosis from NAFLD, type 2 diabetes and hypertens (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Palpitations — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-palpitations) — DCE long-case clinical station for undifferentiated palpitations: comprehensive patient assessment, presentation and discussion for paroxysmal atrial fibrillation in a 68-year-old (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Presentations Abdominal Pain — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-presentations-abdominal-pain) — DCE long-case and short-case station for Undifferentiated Presentations Abdominal Pain. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Undifferentiated Weight Loss — DCE Clinical Case](https://medvellum.com/s/physician/cases/undifferentiated-weight-loss) — DCE long case and short case clinical station for the diagnostic approach to the patient with the involuntary weight loss: the comprehensive patient assessment, the presentation, a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Urticaria and Angioedema — DCE Clinical Case](https://medvellum.com/s/physician/cases/urticaria-and-angioedema) — DCE long-case and short-case clinical station for urticaria and angioedema: comprehensive patient assessment, presentation and discussion for chronic spontaneous urticaria with the (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### geriatric - [Comprehensive Geriatric Assessment and Frailty — DCE Clinical Case](https://medvellum.com/s/physician/cases/comprehensive-geriatric-assessment-and-frailty) — DCE long-case and short-case clinical station: comprehensive assessment, presentation, and discussion for a complex frail older woman with functional decline, falls, polypharmacy, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Delirium — DCE Clinical Case](https://medvellum.com/s/physician/cases/delirium-physician) — DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly patient with postoperative delirium superimposed on demen (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Dementia — DCE Clinical Case](https://medvellum.com/s/physician/cases/dementia) — DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly patient with mixed Alzheimer and vascular dementia, polyp (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Elder Abuse and Safeguarding — DCE Clinical Case](https://medvellum.com/s/physician/cases/elder-abuse-and-safeguarding) — DCE long-case clinical station: comprehensive assessment of an 82-year-old woman with moderate Alzheimer disease admitted with dehydration, malnutrition and a pressure injury whose (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [End-of-Life Care and Advance Care Planning — DCE Clinical Case](https://medvellum.com/s/physician/cases/end-of-life-care-and-advance-care-planning) — DCE long-case clinical station: comprehensive assessment of an 82-year-old man with end-stage heart failure and chronic kidney disease admitted with a decompensation, who triggers (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Falls and Syncope in Older Adults — DCE Clinical Case](https://medvellum.com/s/physician/cases/falls-and-syncope-older-adults) — DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex older patient with multifactorial falls, drug-induced orthostatic (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Nutrition AND Hydration IN Older Adults — DCE Clinical Case](https://medvellum.com/s/physician/cases/nutrition-and-hydration-in-older-adults) — DCE long-case and short-case station for Nutrition AND Hydration IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Orthogeriatrics AND Perioperative Medicine IN Older Adults — DCE Clinical Case](https://medvellum.com/s/physician/cases/orthogeriatrics-and-perioperative-medicine-in-older-adults) — DCE long-case and short-case station for Orthogeriatrics AND Perioperative Medicine IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Parkinson S Disease IN Older Adults — DCE Clinical Case](https://medvellum.com/s/physician/cases/parkinson-s-disease-in-older-adults) — DCE long-case and short-case station for Parkinson S Disease IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Polypharmacy and Deprescribing — DCE Clinical Case](https://medvellum.com/s/physician/cases/polypharmacy-and-deprescribing) — DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly woman with polypharmacy, frailty and falls, and a bedside (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pressure Injuries AND Wound Care — DCE Clinical Case](https://medvellum.com/s/physician/cases/pressure-injuries-and-wound-care) — DCE long-case and short-case station for Pressure Injuries AND Wound Care. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Urinary Incontinence IN Older Adults — DCE Clinical Case](https://medvellum.com/s/physician/cases/urinary-incontinence-in-older-adults) — DCE long-case and short-case station for Urinary Incontinence IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### haematological - [Acute Leukaemia — DCE Clinical Case](https://medvellum.com/s/physician/cases/acute-leukaemia) — DCE long-case and short-case clinical station for acute leukaemia: comprehensive patient assessment, presentation, and discussion for newly diagnosed acute myeloid leukaemia in a 6 (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Anaemia — Systematic Workup: DCE Clinical Case](https://medvellum.com/s/physician/cases/anaemia-systematic-workup) — DCE long-case clinical station: comprehensive investigation and management of iron deficiency anaemia in a complex patient with possible gastrointestinal malignancy, structured pre (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Bleeding Disorders AND Thrombocytopenia — DCE Clinical Case](https://medvellum.com/s/physician/cases/bleeding-disorders-and-thrombocytopenia) — DCE long-case and short-case station for Bleeding Disorders AND Thrombocytopenia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Chronic Myeloid Leukaemia with Comorbidity — Clinical Case](https://medvellum.com/s/physician/cases/chronic-leukaemia) — DCE long case for chronic myeloid leukaemia: a 58-year-old man with newly diagnosed chronic-phase CML and significant cardiovascular comorbidity (prior myocardial infarction and hy (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Coagulation Disorders: DCE Clinical Case](https://medvellum.com/s/physician/cases/coagulation-disorders) — DCE long-case clinical station: comprehensive assessment of a young man with severe haemophilia A on emicizumab presenting with an acute bleed, plus discussion of the modern manage (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Haematological Investigation Blood Film Marrow Coagulation Tests — DCE Clinical Case](https://medvellum.com/s/physician/cases/haematological-investigation-blood-film-marrow-coagulation-tests) — DCE long-case and short-case station for Haematological Investigation Blood Film Marrow Coagulation Tests. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Haematopoietic Stem Cell Transplantation — Clinical Case](https://medvellum.com/s/physician/cases/stem-cell-transplantation) — DCE long case — a transplant survivor with chronic graft-versus-host disease and late effects, modelling the full patient assessment, opening statement, problem list, integrated ma (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Haemolytic Anaemia — DCE Clinical Case](https://medvellum.com/s/physician/cases/haemolytic-anaemia) — DCE long-case and short-case station for Haemolytic Anaemia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Iron Deficiency — DCE Clinical Case](https://medvellum.com/s/physician/cases/iron-deficiency) — DCE short-case station: examine this patient for signs of iron deficiency anaemia — a systematic routine from hands to mouth to cause-hunt, the signs that matter, a presentation te (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Lymphoma — DCE Clinical Case](https://medvellum.com/s/physician/cases/lymphoma-physician) — DCE long-case and short-case clinical station for lymphoma: comprehensive patient assessment, presentation, and discussion for newly diagnosed bulky stage IIB classical Hodgkin lym (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Multiple Myeloma — DCE Clinical Case](https://medvellum.com/s/physician/cases/multiple-myeloma) — DCE long-case and short-case clinical station for multiple myeloma: comprehensive patient assessment, presentation, and discussion for newly diagnosed symptomatic myeloma in a 66-y (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Myelodysplastic Syndromes — DCE Clinical Case](https://medvellum.com/s/physician/cases/myelodysplastic-syndromes) — DCE long-case and short-case station for Myelodysplastic Syndromes. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Myeloproliferative Neoplasms — DCE Clinical Case](https://medvellum.com/s/physician/cases/myeloproliferative-neoplasms) — DCE long-case and short-case station for Myeloproliferative Neoplasms. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Thrombophilia and VTE — DCE Clinical Case](https://medvellum.com/s/physician/cases/thrombophilia-vte) — DCE long-case and short-case clinical station for thrombophilia and VTE: comprehensive patient assessment, presentation, and discussion for a complex patient with recurrent venous (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Transfusion Medicine — DCE Clinical Case](https://medvellum.com/s/physician/cases/transfusion-medicine-physician) — DCE long-case station: major gastrointestinal haemorrhage on apixaban — resuscitation, massive transfusion reasoning, reversal and anticoagulation resumption, with presentation tem (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### hepatic - [Acute Liver Failure — Clinical Case](https://medvellum.com/s/physician/cases/acute-liver-failure) — DCE long case for acute liver failure: a 19-year-old woman with Wilson disease acute liver failure presenting with jaundice, confusion and Coombs-negative haemolytic anaemia. Full (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Autoimmune Liver Disease — Clinical Case](https://medvellum.com/s/physician/cases/autoimmune-liver-disease) — DCE long case for autoimmune liver disease: a 54-year-old woman with an AIH-PBC overlap syndrome presenting with fatigue, pruritus and jaundice. Full patient assessment, SASPOP ope (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Chronic Liver Disease and Cirrhosis — DCE Clinical Case](https://medvellum.com/s/physician/cases/chronic-liver-disease-cirrhosis) — DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for chronic liver disease and cirrhosis examination prepara (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hepatocellular Carcinoma — Clinical Case](https://medvellum.com/s/physician/cases/hepatocellular-carcinoma) — DCE long case for hepatocellular carcinoma: a 62-year-old man with HCV cirrhosis (post-SVR) found to have a LI-RADS 5 lesion on surveillance. Full patient assessment, SASPOP openin (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Portal Hypertension — DCE Clinical Case](https://medvellum.com/s/physician/cases/portal-hypertension) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for portal hypertension examination preparation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Viral Hepatitis — DCE Clinical Case](https://medvellum.com/s/physician/cases/viral-hepatitis) — DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for chronic viral hepatitis examination preparation, coveri (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### infectious - [Antimicrobial Stewardship and Resistance — DCE Clinical Case](https://medvellum.com/s/physician/cases/antimicrobial-stewardship-resistance) — DCE long-case/short-case station for antimicrobial stewardship and antimicrobial resistance. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Bloodstream Infections and Infective Endocarditis — DCE Clinical Case](https://medvellum.com/s/physician/cases/bloodstream-infections-and-infective-endocarditis) — DCE short-case station: 'Examine this patient for signs of infective endocarditis' — a systematic examination routine for peripheral stigmata and the precordium, with presentation (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Bone AND Joint Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/bone-and-joint-infections) — DCE long-case and short-case station for Bone AND Joint Infections. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [CNS Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/central-nervous-system-infections) — DCE short-case station: examination of the patient with suspected meningeal irritation and altered cognition — systematic routine, presentation template, and discussion. (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Fungal Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/fungal-infections) — DCE long-case clinical station: comprehensive assessment of a 34-year-old man with HIV (CD4 24) who presents with a 3-week history of progressive headache, photophobia, and confusi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Healthcare-Associated Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/healthcare-associated-infections) — DCE long-case clinical station: comprehensive assessment of a 68-year-old man who is day 7 post-emergency laparotomy for perforated sigmoid diverticulum and develops Pseudomonas ae (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [HIV and AIDS — DCE Clinical Case](https://medvellum.com/s/physician/cases/hiv-aids-physician) — DCE long-case and short-case clinical station for HIV: comprehensive patient assessment, presentation and discussion for a late-presenter with advanced HIV complicated by Pneumocys (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Infections in the Immunocompromised Host — DCE Clinical Case](https://medvellum.com/s/physician/cases/immunocompromised-host-infections) — DCE long-case clinical station: comprehensive assessment of a 45-year-old kidney transplant recipient 4 months post-transplant who presents with CMV colitis and rising creatinine f (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Sepsis and Septic Shock — DCE Clinical Case](https://medvellum.com/s/physician/cases/sepsis-physician) — DCE long-case clinical station: comprehensive assessment of a sepsis survivor 6 weeks post-ICU discharge, covering post-sepsis syndrome (cognitive impairment, functional decline, p (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Sexually Transmitted Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/sexually-transmitted-infections) — DCE long-case and short-case station for Sexually Transmitted Infections. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Tropical and Travel-Related Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/tropical-travel-infections) — DCE long-case clinical station: comprehensive assessment of a returning traveller who survived severe falciparum malaria with cerebral involvement, AKI, and ARDS, now 6 weeks post- (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Tuberculosis — DCE Clinical Case](https://medvellum.com/s/physician/cases/tuberculosis-physician) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation and discussion for tuberculosis examination preparation — covering smear-positive cavi (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Tuberculosis — DCE Clinical Case](https://medvellum.com/s/physician/cases/tuberculosis) — DCE short-case station: respiratory examination of a patient with chronic apical changes after tuberculosis — apical crackles, bronchial breathing and volume loss, with a presentat (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Vaccine-Preventable Diseases — DCE Clinical Case](https://medvellum.com/s/physician/cases/vaccine-preventable-diseases) — DCE long-case clinical station: comprehensive immunisation management of a 58-year-old veterinary surgeon with rheumatoid arthritis about to start rituximab, with resolved hepatiti (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Viral Hepatitis — DCE Clinical Case](https://medvellum.com/s/physician/cases/viral-hepatitis-id) — DCE short-case station: examine this patient's abdomen — the chronic liver disease and portal hypertension examination in a patient with chronic viral hepatitis, a presentation tem (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Zoonotic and Vector-Borne Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/zoonotic-and-vector-borne-infections) — DCE long-case clinical station: comprehensive management of a 58-year-old abattoir worker who presents with culture-negative prosthetic valve endocarditis (chronic Q fever) — the e (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### neurological - [Epilepsy — DCE Clinical Case](https://medvellum.com/s/physician/cases/epilepsy-physician) — DCE long-case and short-case clinical station: a patient with long-standing drug-resistant focal epilepsy and comorbidities for comprehensive assessment, surgical evaluation, and i (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Guillain-Barre Syndrome — DCE Clinical Case](https://medvellum.com/s/physician/cases/guillain-barre-syndrome) — DCE long-case and short-case clinical station: comprehensive assessment of a patient three months after severe Guillain-Barre syndrome with residual disability and tracheostomy wea (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Headache — DCE Clinical Case](https://medvellum.com/s/physician/cases/headache) — DCE long-case clinical station: comprehensive patient assessment, structured presentation, and discussion for a complex headache case involving giant cell arteritis, polymyalgia rh (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Meningitis and Encephalitis — DCE Clinical Case](https://medvellum.com/s/physician/cases/meningitis-encephalitis) — DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for HSV encephalitis and bacterial meningitis with complica (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Motor Neuron Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/motor-neuron-disease) — DCE long-case and short-case clinical station: a patient with bulbar-onset amyotrophic lateral sclerosis complicated by respiratory muscle weakness, nutritional decline and pseudob (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Movement Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/movement-disorders) — DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for advanced Parkinson's disease with motor complications and a parkinsonian sh (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Multiple Sclerosis — DCE Clinical Case](https://medvellum.com/s/physician/cases/multiple-sclerosis) — DCE long-case and short-case clinical station for multiple sclerosis: comprehensive assessment of a 29-year-old woman with highly active relapsing-remitting MS failing interferon b (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Myasthenia Gravis — DCE Clinical Case](https://medvellum.com/s/physician/cases/myasthenia-gravis) — DCE long-case and short-case clinical station: a patient with acetylcholine-receptor-antibody-positive generalized myasthenia gravis, a thymoma, steroid-induced osteoporosis and a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Neurocutaneous Syndromes — DCE Clinical Case](https://medvellum.com/s/physician/cases/neurocutaneous-syndromes) — DCE long-case and short-case station for Neurocutaneous Syndromes. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Neurological Investigation LP EMG NCS EEG Neuroimaging — DCE Clinical Case](https://medvellum.com/s/physician/cases/neurological-investigation-lp-emg-ncs-eeg-neuroimaging) — DCE long-case and short-case station for Neurological Investigation LP EMG NCS EEG Neuroimaging. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Peripheral Neuropathy — DCE Clinical Case](https://medvellum.com/s/physician/cases/peripheral-neuropathy) — DCE long-case and short-case clinical station for peripheral neuropathy: comprehensive assessment of a 62-year-old man with diabetic distal symmetric polyneuropathy, a painless foo (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Raised Intracranial Pressure AND Brain Tumours — DCE Clinical Case](https://medvellum.com/s/physician/cases/raised-intracranial-pressure-and-brain-tumours) — DCE long-case and short-case station for Raised Intracranial Pressure AND Brain Tumours. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Spinal Cord Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/spinal-cord-disease) — DCE long-case and short-case clinical station: comprehensive assessment of a patient recovering from malignant spinal cord compression with residual paraparesis, structured present (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Stroke — DCE Clinical Case](https://medvellum.com/s/physician/cases/stroke-physician) — DCE long-case and short-case clinical station: comprehensive post-stroke patient assessment, structured presentation, integrated management plan, and neurological examination for s (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Subarachnoid Haemorrhage AND Intracranial Haemorrhage — DCE Clinical Case](https://medvellum.com/s/physician/cases/subarachnoid-haemorrhage-and-intracranial-haemorrhage) — DCE long-case and short-case station for Subarachnoid Haemorrhage AND Intracranial Haemorrhage. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [TIA and Carotid Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/transient-ischaemic-attack-and-carotid-disease) — DCE long-case/short-case station for high-risk TIA: urgent pathway, dual antiplatelet therapy, carotid imaging and secondary prevention counselling. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Vestibular Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/vestibular-disorders) — DCE long-case and short-case station for Vestibular Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### oncological - [Breakthrough Cancer Pain AND Opioid Titration — DCE Clinical Case](https://medvellum.com/s/physician/cases/breakthrough-cancer-pain-and-opioid-titration) — DCE long-case and short-case station for Breakthrough Cancer Pain AND Opioid Titration. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Breast Cancer — Clinical Case](https://medvellum.com/s/physician/cases/breast-cancer-physician) — DCE long case for breast cancer: a 62-year-old woman who is 7 years post-diagnosis of ER-positive breast cancer, presenting as a breast cancer survivor with new-onset bone pain fro (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Cancer Cachexia AND Nutritional Support — DCE Clinical Case](https://medvellum.com/s/physician/cases/cancer-cachexia-and-nutritional-support) — DCE long-case and short-case station for Cancer Cachexia AND Nutritional Support. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Immune Checkpoint Inhibitor Toxicity — DCE Clinical Case](https://medvellum.com/s/physician/cases/immunotherapy-checkpoint-inhibitor-toxicity) — DCE long-case and short-case clinical station for immune checkpoint inhibitor toxicity: comprehensive patient assessment, presentation and discussion for a 64-year-old man on combi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Oncologic Emergencies — DCE Clinical Case](https://medvellum.com/s/physician/cases/oncologic-emergencies) — DCE long-case clinical station for oncologic emergencies: comprehensive patient assessment, presentation and discussion for a 59-year-old woman with multiple myeloma presenting wit (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pain Management IN Cancer AND Chronic Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/pain-management-in-cancer-and-chronic-disease) — DCE long-case and short-case station for Pain Management IN Cancer AND Chronic Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Palliative Care — DCE Clinical Case](https://medvellum.com/s/physician/cases/palliative-care-symptom-management) — DCE long-case and short-case clinical station on palliative care: comprehensive assessment, presentation and discussion for a complex patient with metastatic lung cancer and multip (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Prostate Cancer — DCE Clinical Case](https://medvellum.com/s/physician/cases/prostate-cancer) — DCE long-case and short-case station for Prostate Cancer. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### pharmacological - [Adverse Drug Reactions — DCE Clinical Case](https://medvellum.com/s/physician/cases/adverse-drug-reactions) — DCE long-case and short-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly man with heparin-induced thrombocytopenia complicating an (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Australian Envenomation — Clinical Case](https://medvellum.com/s/physician/cases/envenomation) — DCE long case for Australian snake bite envenomation: a 42-year-old farmer in rural Victoria bitten by a brown snake, presenting with venom-induced consumption coagulopathy (VICC), (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Beta Blocker AND Calcium Channel Blocker Toxicity — DCE Clinical Case](https://medvellum.com/s/physician/cases/beta-blocker-and-calcium-channel-blocker-toxicity) — DCE long-case and short-case station for Beta Blocker AND Calcium Channel Blocker Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Cardiac Glycoside — DCE Clinical Case](https://medvellum.com/s/physician/cases/cardiac-glycoside) — DCE long-case and short-case station for Cardiac Glycoside. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Iron Toxicity — DCE Clinical Case](https://medvellum.com/s/physician/cases/iron-toxicity) — DCE long-case and short-case station for Iron Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Lithium Toxicity — DCE Clinical Case](https://medvellum.com/s/physician/cases/lithium-toxicity) — DCE long-case clinical station: comprehensive assessment, presentation and discussion for a complex elderly patient with chronic lithium toxicity precipitated by drug interactions, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Opioid Benzodiazepine AND Alcohol Withdrawal — DCE Clinical Case](https://medvellum.com/s/physician/cases/opioid-benzodiazepine-and-alcohol-withdrawal) — DCE long-case and short-case station for Opioid Benzodiazepine AND Alcohol Withdrawal. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Paracetamol Toxicity — Clinical Case](https://medvellum.com/s/physician/cases/paracetamol-toxicity) — DCE long case for paracetamol toxicity: a 38-year-old man with chronic alcohol use who presents 14 hours after a 24 g single paracetamol overdose with established hepatotoxicity. F (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pharmacokinetics in Organ Failure — DCE Clinical Case](https://medvellum.com/s/physician/cases/pharmacokinetics-organ-failure) — DCE long-case clinical station: comprehensive medication review and dose adjustment in organ failure in a complex elderly patient with CKD, atrial fibrillation, diabetes and polyph (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Poisoning — DCE Clinical Case](https://medvellum.com/s/physician/cases/poisoning-approach-decontamination-antidotes) — DCE long-case clinical station: comprehensive management of a complex mixed overdose (tricyclic antidepressant, paracetamol and alcohol) — toxidrome identification, the airway and (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Salicylate Toxicity — DCE Clinical Case](https://medvellum.com/s/physician/cases/salicylate-toxicity) — DCE long-case and short-case station for Salicylate Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Serotonin Syndrome and NMS — DCE Clinical Case](https://medvellum.com/s/physician/cases/serotonin-syndrome-nms) — DCE long-case clinical station: comprehensive assessment of a patient recovering from severe neuroleptic malignant syndrome complicated by rhabdomyolysis and acute kidney injury, a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Therapeutic Drug Monitoring — DCE Clinical Case](https://medvellum.com/s/physician/cases/therapeutic-drug-monitoring) — DCE long-case and short-case station for Therapeutic Drug Monitoring. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Toxic Alcohols — DCE Clinical Case](https://medvellum.com/s/physician/cases/toxic-alcohols) — DCE long-case and short-case station for Toxic Alcohols. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity — DCE Clinical Case](https://medvellum.com/s/physician/cases/tricyclic-antidepressant-and-sodium-channel-blocker-toxicity) — DCE long-case and short-case station for Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### renal - [Acid-Base Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/acid-base-disorders-physician) — DCE long-case clinical station: comprehensive acid-base interpretation and integrated management in a complex septic, diabetic patient with metformin-associated lactic acidosis and (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Acute Kidney Injury — DCE Clinical Case](https://medvellum.com/s/physician/cases/acute-kidney-injury) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for acute kidney injury, including volume status examination and integ (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Chronic Kidney Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/chronic-kidney-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for chronic kidney disease, including dialysis access examination and (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Diabetic Kidney Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/diabetic-kidney-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for diabetic kidney disease, including integrated management of the ca (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Electrolyte Disorders (Calcium, Magnesium, Phosphate) — DCE Clinical Case](https://medvellum.com/s/physician/cases/electrolyte-disorders-calcium-magnesium-phosphate) — DCE short-case station: examination for tetany and latent hypocalcaemia — Chvostek and Trousseau technique with honest sensitivity, the calcium-focused history, presentation templa (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Glomerulonephritis (Nephritic Spectrum) — DCE Clinical Case](https://medvellum.com/s/physician/cases/glomerulonephritis-nephritic) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for glomerulonephritis, including lupus nephritis with multisystem dis (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hypertensive Nephrosclerosis and Renovascular Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/hypertensive-nephrosclerosis-and-renovascular-disease) — DCE short-case station: the hypertension examination with renovascular detection built in — correct measurement, fundi, bruits, kidneys and peripheral pulses — with presentation te (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Kidney Transplantation — Clinical Case](https://medvellum.com/s/physician/cases/kidney-transplantation) — DCE long case for kidney transplantation: a 52-year-old man with diabetic kidney disease, six months post deceased-donor kidney transplant, presenting with a rising creatinine and (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Nephrolithiasis — DCE Clinical Case](https://medvellum.com/s/physician/cases/nephrolithiasis) — DCE long-case and short-case clinical station for nephrolithiasis: comprehensive assessment of a 48-year-old man with Crohn disease and recurrent calcium oxalate stones from enteri (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Nephrotic Syndrome — DCE Clinical Case](https://medvellum.com/s/physician/cases/nephrotic-syndrome) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for nephrotic syndrome, including abdominal and oedema examination, ca (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Polycystic Kidney Disease (ADPKD) — DCE Clinical Case](https://medvellum.com/s/physician/cases/polycystic-kidney-disease) — DCE short-case station: the abdominal examination in ADPKD — bilateral ballotable renal masses, cystic hepatomegaly, hernias, blood pressure and hypertensive fundi — with presentat (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Potassium Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/electrolyte-potassium-disorders) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for potassium disorders. The long case is a complex CKD patient with s (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Renal Cell Carcinoma AND Urothelial Malignancy — DCE Clinical Case](https://medvellum.com/s/physician/cases/renal-cell-carcinoma-and-urothelial-malignancy) — DCE long-case and short-case station for Renal Cell Carcinoma AND Urothelial Malignancy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Renal Replacement Therapy (Haemodialysis, Peritoneal Dialysis) — DCE Clinical Case](https://medvellum.com/s/physician/cases/renal-replacement-therapy-haemodialysis-peritoneal-dialysis) — DCE short-case station: examination of the dialysis patient — the arteriovenous fistula (thrill, bruit, aneurysm, steal signs), the PD catheter exit site, and the volume and cardio (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Renal Tubular Acidoses AND Inherited Tubular Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/renal-tubular-acidoses-and-inherited-tubular-disorders) — DCE long-case and short-case station for Renal Tubular Acidoses AND Inherited Tubular Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Sodium Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/electrolyte-sodium-disorders) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for sodium disorders, including severe hyponatraemia in a complex elde (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Tubulointerstitial Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/tubulointerstitial-disease) — DCE data station with long-case framing: urine microscopy and medication-chart reasoning in suspected drug-induced acute interstitial nephritis — interpretation, presentation templ (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Urinary Tract Infection AND Complicated UTI Pyelonephritis — DCE Clinical Case](https://medvellum.com/s/physician/cases/urinary-tract-infection-and-complicated-uti-pyelonephritis) — DCE long-case and short-case station for Urinary Tract Infection AND Complicated UTI Pyelonephritis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### respiratory - [Asthma and Severe Asthma — DCE Clinical Case](https://medvellum.com/s/physician/cases/asthma-severe) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for severe eosinophilic asthma with chronic corticosteroid dependence (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Bronchiectasis AND Suppurative Lung Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/bronchiectasis-and-suppurative-lung-disease) — DCE long-case and short-case station for Bronchiectasis AND Suppurative Lung Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [COPD — DCE Clinical Case](https://medvellum.com/s/physician/cases/copd) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for COPD with cor pulmonale and chronic respiratory failure. (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Diffuse Alveolar Haemorrhage — DCE Clinical Case](https://medvellum.com/s/physician/cases/diffuse-alveolar-haemorrhage-and-pulmonary-renal-syndromes) — DCE long-case station: granulomatosis with polyangiitis presenting as pulmonary-renal syndrome — the systemic vasculitis examination (purpura, nasal bridge, crackles, urine dipstic (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Interstitial Lung Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/interstitial-lung-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for interstitial lung disease examination preparation — covering IPF a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Lung Cancer — DCE Clinical Case](https://medvellum.com/s/physician/cases/lung-cancer) — DCE short-case station: respiratory examination in suspected lung cancer — clubbing, supraclavicular node and lobar collapse signs — with presentation template, differentials and p (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Lung Transplantation — DCE Clinical Case](https://medvellum.com/s/physician/cases/lung-transplantation) — DCE long-case and short-case station for Lung Transplantation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Obstructive Sleep Apnoea — DCE Clinical Case](https://medvellum.com/s/physician/cases/obstructive-sleep-apnoea) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for severe obstructive sleep apnoea in a commercial driver — covering (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Occupational AND Environmental Lung Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/occupational-and-environmental-lung-disease) — DCE long-case and short-case station for Occupational AND Environmental Lung Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Pleural Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/pleural-disease) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for malignant pleural mesothelioma with a large symptomatic effusion, (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Pneumonia — DCE Clinical Case](https://medvellum.com/s/physician/cases/pneumonia-physician) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for severe community-acquired pneumonia with septic shock, parapneumon (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pulmonary Embolism — DCE Clinical Case](https://medvellum.com/s/physician/cases/pulmonary-embolism) — DCE long-case and short-case clinical station: comprehensive patient assessment, presentation, and discussion for pulmonary embolism with right ventricular strain, renal impairment (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pulmonary Vascular Disease AND COR Pulmonale — DCE Clinical Case](https://medvellum.com/s/physician/cases/pulmonary-vascular-disease-and-cor-pulmonale) — DCE long-case and short-case station for Pulmonary Vascular Disease AND COR Pulmonale. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Respiratory Failure and Non-Invasive Ventilation — DCE Clinical Case](https://medvellum.com/s/physician/cases/respiratory-failure-and-non-invasive-ventilation) — DCE short-case station: respiratory examination of the breathless patient — work of breathing, cyanosis, CO2 retention signs, hyperinflation and cor pulmonale — with presentation t (exams=FRACP DCE,MRCP PACES; updated=2026-07-17) - [Respiratory Investigation — DCE Clinical Case](https://medvellum.com/s/physician/cases/respiratory-investigation-pfts-bronchoscopy-thoracoscopy) — DCE short-case data station: integrated interpretation of spirometry, flow-volume loop, lung volumes and DLCO in a patient with progressive dyspnoea — the read, the synthesis and t (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Solitary Pulmonary Nodule — DCE Clinical Case](https://medvellum.com/s/physician/cases/solitary-pulmonary-nodule) — DCE data-interpretation station: a CT report describing an incidental pulmonary nodule plus a brief history — structured reading, risk stratification, framework selection and the p (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### rheumatological - [Allergic Rhinitis AND Asthma — DCE Clinical Case](https://medvellum.com/s/physician/cases/allergic-rhinitis-and-asthma) — DCE long-case and short-case station for Allergic Rhinitis AND Asthma. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Antiphospholipid Syndrome — DCE Clinical Case](https://medvellum.com/s/physician/cases/antiphospholipid-syndrome) — DCE long-case and short-case station for Antiphospholipid Syndrome. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Complement Deficiencies AND Recurrent Infections — DCE Clinical Case](https://medvellum.com/s/physician/cases/complement-deficiencies-and-recurrent-infections) — DCE long-case and short-case station for Complement Deficiencies AND Recurrent Infections. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Crystal Arthropathies — DCE Clinical Case](https://medvellum.com/s/physician/cases/crystal-arthropathies) — DCE long-case and short-case station for Crystal Arthropathies. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Drug Induced Rheumatological Disease AND Biologics Safety — DCE Clinical Case](https://medvellum.com/s/physician/cases/drug-induced-rheumatological-disease-and-biologics-safety) — DCE long-case and short-case station for Drug Induced Rheumatological Disease AND Biologics Safety. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Eosinophilic Disorders — DCE Clinical Case](https://medvellum.com/s/physician/cases/eosinophilic-disorders) — DCE long-case and short-case station for Eosinophilic Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Fibromyalgia and Chronic Widespread Pain — DCE Clinical Case](https://medvellum.com/s/physician/cases/fibromyalgia-and-chronic-widespread-pain) — DCE long-case clinical station: comprehensive management of a 48-year-old woman with rheumatoid arthritis and secondary fibromyalgia presenting with worsening widespread pain, fati (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [IgG4-Related Disease — DCE Clinical Case](https://medvellum.com/s/physician/cases/igg4-related-disease) — DCE long-case clinical station: comprehensive management of a 62-year-old retired engineer who presents with six weeks of painless obstructive jaundice, three months of progressive (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Immunological Investigation Immunoglobulins Complement Flow Cytometry — DCE Clinical Case](https://medvellum.com/s/physician/cases/immunological-investigation-immunoglobulins-complement-flow-cytometry) — DCE long-case and short-case station for Immunological Investigation Immunoglobulins Complement Flow Cytometry. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Osteoarthritis — DCE Clinical Case](https://medvellum.com/s/physician/cases/osteoarthritis) — DCE long-case and short-case station for Osteoarthritis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Rheumatoid Arthritis — DCE Clinical Case](https://medvellum.com/s/physician/cases/rheumatoid-arthritis) — DCE long-case and short-case clinical station for rheumatoid arthritis: comprehensive patient assessment, presentation and discussion for long-standing seropositive rheumatoid arth (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Rheumatological Investigation Autoantibodies Imaging Synovial Fluid — DCE Clinical Case](https://medvellum.com/s/physician/cases/rheumatological-investigation-autoantibodies-imaging-synovial-fluid) — DCE long-case and short-case station for Rheumatological Investigation Autoantibodies Imaging Synovial Fluid. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [SJ Gren S Syndrome AND Inflammatory Myopathies — DCE Clinical Case](https://medvellum.com/s/physician/cases/sj-gren-s-syndrome-and-inflammatory-myopathies) — DCE long-case and short-case station for SJ Gren S Syndrome AND Inflammatory Myopathies. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Spondyloarthropathies — DCE Clinical Case](https://medvellum.com/s/physician/cases/spondyloarthropathies) — DCE long-case and short-case clinical station for the spondyloarthropathies: comprehensive patient assessment, presentation and discussion for long-standing ankylosing spondylitis (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Systemic Autoinflammatory Syndromes — DCE Clinical Case](https://medvellum.com/s/physician/cases/systemic-autoinflammatory-syndromes) — DCE long-case and short-case clinical station for the systemic autoinflammatory syndromes: comprehensive patient assessment, presentation and discussion for undiagnosed familial Me (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Systemic Lupus Erythematosus — DCE Clinical Case](https://medvellum.com/s/physician/cases/systemic-lupus-erythematosus) — DCE long-case and short-case clinical station for systemic lupus erythematosus: comprehensive assessment, presentation and discussion for a complex patient with active class IV lup (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Systemic Sclerosis — DCE Clinical Case](https://medvellum.com/s/physician/cases/systemic-sclerosis) — DCE long-case and short-case clinical station for systemic sclerosis: comprehensive patient assessment, presentation and discussion for a 47-year-old man with early diffuse cutaneo (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [The Systemic Vasculitides — DCE Clinical Case](https://medvellum.com/s/physician/cases/vasculitis-physician) — DCE long-case and short-case clinical station for the systemic vasculitides: comprehensive patient assessment, presentation and discussion for newly diagnosed granulomatosis with p (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ## Vivas (239) ### cardiovascular - [Adult Congenital Heart Disease — Viva Defence](https://medvellum.com/s/physician/vivas/adult-congenital-heart-disease) — DCE viva defence for Adult Congenital Heart Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Anticoagulation and Antiplatelet Therapy — Viva Defence](https://medvellum.com/s/physician/vivas/anticoagulation-and-antiplatelet-therapy) — Structured DCE viva: defending anticoagulation in an elderly patient with atrial fibrillation, recurrent falls and chronic kidney disease — risk quantification, agent choice, and t (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Aortic Disease — Viva Defence](https://medvellum.com/s/physician/vivas/aortic-disease) — DCE viva defence for Aortic Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Arrhythmias and Conduction Disease — Viva Defence](https://medvellum.com/s/physician/vivas/arrhythmias-and-conduction-disease) — Structured DCE viva for arrhythmias: long-case defence of an elderly patient with persistent AF, CKD and fall risk — anticoagulation, rate/rhythm strategy, and monitoring — with pr (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Atrial Fibrillation — Viva Defence](https://medvellum.com/s/physician/vivas/atrial-fibrillation) — Structured DCE viva for atrial fibrillation: long-case defence and short-case discussion covering rate versus rhythm reasoning, CHA₂DS₂-VASc decision-making, DOAC selection, ablati (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Cardiac Investigations — Viva Defence](https://medvellum.com/s/physician/vivas/cardiac-investigations) — Structured DCE viva for cardiac investigations: long-case defence covering investigation pathway in a complex cardiology patient and short-case discussion covering echocardiogram r (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease — Viva Defence](https://medvellum.com/s/physician/vivas/cardiac-tumours-and-systemic-manifestations-of-cardiac-disease) — DCE viva defence for Cardiac Tumours AND Systemic Manifestations OF Cardiac Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Cardiomyopathies — Viva Defence](https://medvellum.com/s/physician/vivas/cardiomyopathies) — Structured DCE viva for the cardiomyopathies: long-case defence covering a young man with dilated cardiomyopathy and a probable LMNA mutation — the ICD decision informed by DANISH, (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Cardiovascular Prevention and Rehabilitation — Viva Defence](https://medvellum.com/s/physician/vivas/cardiovascular-prevention-and-rehabilitation) — Structured DCE viva for cardiovascular prevention: long-case defence of a 62-year-old post-NSTEMI patient with statin-associated muscle symptoms — the secondary prevention bundle d (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Coronary Artery Disease — Viva Defence](https://medvellum.com/s/physician/vivas/coronary-artery-disease) — Structured DCE viva for coronary artery disease: long-case defence covering NSTEMI risk stratification, antiplatelet selection, CABG vs PCI decision-making, and post-MI complicatio (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [ECG Interpretation — Viva Defence](https://medvellum.com/s/physician/vivas/ecg-interpretation-physician-level) — Structured DCE viva for physician-level ECG interpretation: long-case defence of a complex ECG and short-case discussion of acute ischaemia, conduction disease, and arrhythmia patt (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Heart Failure — Viva Defence](https://medvellum.com/s/physician/vivas/heart-failure) — Structured DCE viva for heart failure: long-case defence and short-case discussion covering GDMT reasoning, device therapy, cardiorenal syndrome, and examination findings. (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hypertension — Viva Defence](https://medvellum.com/s/physician/vivas/hypertension) — Structured DCE viva for hypertension: long-case defence and short-case discussion covering resistant hypertension reasoning, secondary cause workup, target organ damage, and cardio (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Infective Endocarditis — Viva Defence](https://medvellum.com/s/physician/vivas/infective-endocarditis) — Structured DCE viva for infective endocarditis: long-case defence covering Duke criteria, prosthetic valve IE, surgical decision-making, embolic complications, and antibiotic thera (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Pericardial Disease — Viva Defence](https://medvellum.com/s/physician/vivas/pericardial-disease) — Structured DCE viva for pericardial disease: long-case defence covering constrictive pericarditis in a complex patient and short-case discussion covering JVP interpretation, perica (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pulmonary Hypertension — Viva Defence](https://medvellum.com/s/physician/vivas/pulmonary-hypertension) — Structured DCE viva for pulmonary hypertension: long-case defence covering a young woman with idiopathic pulmonary arterial hypertension — the mandatory right heart catheterisation (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Rheumatic Fever AND Rheumatic Heart Disease — Viva Defence](https://medvellum.com/s/physician/vivas/rheumatic-fever-and-rheumatic-heart-disease) — DCE viva defence for Rheumatic Fever AND Rheumatic Heart Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Sudden Cardiac Death AND ICD CRT Therapy — Viva Defence](https://medvellum.com/s/physician/vivas/sudden-cardiac-death-and-icd-crt-therapy) — DCE viva defence for Sudden Cardiac Death AND ICD CRT Therapy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Syncope — Viva Defence](https://medvellum.com/s/physician/vivas/syncope) — Structured DCE viva for syncope: long-case defence covering a middle-aged man with recurrent unexplained syncope and bifascicular block — the ESC 2018 directed investigation pathwa (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-13) - [Valvular Heart Disease — Viva Defence](https://medvellum.com/s/physician/vivas/valvular-heart-disease) — Structured DCE viva for valvular heart disease: long-case defence (severe AS with comorbidity — SAVR vs TAVI) and short-case discussion (cardiovascular examination and murmurs). (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### dermatological - [Cutaneous Manifestations of Systemic Disease — Viva Defence](https://medvellum.com/s/physician/vivas/cutaneous-manifestations-systemic-disease) — Structured DCE viva for cutaneous manifestations of systemic disease: long-case defence covering the paraneoplastic approach to adult-onset dermatomyositis with malignancy search, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Drug Eruptions AND Severe Cutaneous Adverse Reactions — Viva Defence](https://medvellum.com/s/physician/vivas/drug-eruptions-and-severe-cutaneous-adverse-reactions) — DCE viva defence for Drug Eruptions AND Severe Cutaneous Adverse Reactions. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Erythema Nodosum AND Panniculitis — Viva Defence](https://medvellum.com/s/physician/vivas/erythema-nodosum-and-panniculitis) — DCE viva defence for Erythema Nodosum AND Panniculitis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Genodermatoses with Systemic Significance — Viva Defence](https://medvellum.com/s/physician/vivas/genodermatoses-with-systemic-significance) — DCE viva defence for Genodermatoses with Systemic Significance. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Malignant Skin Lesions — Viva Defence](https://medvellum.com/s/physician/vivas/malignant-skin-lesions) — DCE viva defence for Malignant Skin Lesions. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Pyoderma Gangrenosum AND Neutrophilic Dermatoses — Viva Defence](https://medvellum.com/s/physician/vivas/pyoderma-gangrenosum-and-neutrophilic-dermatoses) — DCE viva defence for Pyoderma Gangrenosum AND Neutrophilic Dermatoses. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Skin Signs OF Internal Malignancy — Viva Defence](https://medvellum.com/s/physician/vivas/skin-signs-of-internal-malignancy) — DCE viva defence for Skin Signs OF Internal Malignancy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Vasculitic Skin Lesions — Viva Defence](https://medvellum.com/s/physician/vivas/vasculitic-skin-lesions) — DCE viva defence for Vasculitic Skin Lesions. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### endocrine - [Adrenal Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/adrenal-disorders) — Structured DCE viva for adrenal disorders: long-case defence covering Cushing syndrome diagnostic strategy and management, primary aldosteronism workup, and phaeochromocytoma preop (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Adrenal Incidentaloma AND Workup — Viva Defence](https://medvellum.com/s/physician/vivas/adrenal-incidentaloma-and-workup) — DCE viva defence for Adrenal Incidentaloma AND Workup. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Calcium and Bone Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/calcium-and-bone-disorders) — Structured DCE viva for calcium and bone disorders: long-case defence of primary hyperparathyroidism with osteoporosis and CKD (PTH-based differential, parathyroidectomy criteria, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Diabetes Mellitus — Viva Defence](https://medvellum.com/s/physician/vivas/diabetes-mellitus-physician) — Structured DCE viva for diabetes mellitus: long-case defence and short-case discussion covering the modern pharmacological hierarchy, organ-protective agents, glycaemic target indi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Disorders OF Sodium AND Water Homeostasis — Viva Defence](https://medvellum.com/s/physician/vivas/disorders-of-sodium-and-water-homeostasis) — DCE viva defence for Disorders OF Sodium AND Water Homeostasis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [DKA and HHS — Viva Defence](https://medvellum.com/s/physician/vivas/dka-and-hhs) — Structured DCE viva for physician-level hyperglycaemic emergency management: long-case defence of a complex patient with severe DKA precipitated by insulin omission and pneumonia, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hypoglycaemia — Viva Defence](https://medvellum.com/s/physician/vivas/hypoglycaemia) — DCE viva defence for Hypoglycaemia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Metabolic Bone Disease AND Vitamin D Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/metabolic-bone-disease-and-vitamin-d-disorders) — DCE viva defence for Metabolic Bone Disease AND Vitamin D Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Multiple Endocrine Neoplasia — Viva Defence](https://medvellum.com/s/physician/vivas/multiple-endocrine-neoplasia) — DCE viva defence for Multiple Endocrine Neoplasia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Pituitary Disease — Viva Defence](https://medvellum.com/s/physician/vivas/pituitary-disease) — Structured DCE viva for pituitary disease: long-case defence covering acromegaly with complications, biochemical diagnosis, surgical and medical management, and short-case examinat (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Reproductive Endocrinology — Viva Defence](https://medvellum.com/s/physician/vivas/reproductive-endocrinology) — DCE viva defence for Reproductive Endocrinology. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Thyroid Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/thyroid-disorders) — Structured DCE viva for thyroid disorders: long-case defence of Graves disease with atrial fibrillation and orbitopathy (cause discrimination, antithyroid drugs vs radioiodine vs s (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Thyroid Nodules AND Thyroid Cancer — Viva Defence](https://medvellum.com/s/physician/vivas/thyroid-nodules-and-thyroid-cancer) — DCE viva defence for Thyroid Nodules AND Thyroid Cancer. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Transgender Medicine AND Hormone Therapy — Viva Defence](https://medvellum.com/s/physician/vivas/transgender-medicine-and-hormone-therapy) — DCE viva defence for Transgender Medicine AND Hormone Therapy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### gastrointestinal - [Acute Pancreatitis — Viva Defence](https://medvellum.com/s/physician/vivas/acute-pancreatitis) — Structured DCE viva for acute pancreatitis: long-case defence of a 58-year-old man with severe alcohol-related necrotising pancreatitis complicated by infected walled-off necrosis, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Chronic Pancreatitis — Viva Defence](https://medvellum.com/s/physician/vivas/chronic-pancreatitis) — Structured DCE viva for chronic pancreatitis: long-case defence of a 49-year-old man with alcohol-related chronic pancreatitis, chronic pain on opioids, severe exocrine insufficien (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Colorectal Cancer — Viva Defence](https://medvellum.com/s/physician/vivas/colorectal-cancer) — DCE viva defence for Colorectal Cancer. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Functional GI Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/functional-gi-disorders) — DCE viva defence for Functional GI Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Gallstone Disease AND Biliary Pathology — Viva Defence](https://medvellum.com/s/physician/vivas/gallstone-disease-and-biliary-pathology) — DCE viva defence for Gallstone Disease AND Biliary Pathology. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Gastrointestinal Bleeding — Viva Defence](https://medvellum.com/s/physician/vivas/gi-bleeding-physician) — Structured DCE viva for acute gastrointestinal bleeding: long-case defence covering resuscitation, risk stratification, restrictive transfusion, variceal versus non-variceal pathwa (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [GI Investigation Endoscopy Capsule Liver Biopsy Elastography — Viva Defence](https://medvellum.com/s/physician/vivas/gi-investigation-endoscopy-capsule-liver-biopsy-elastography) — DCE viva defence for GI Investigation Endoscopy Capsule Liver Biopsy Elastography. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Inflammatory Bowel Disease — Viva Defence](https://medvellum.com/s/physician/vivas/inflammatory-bowel-disease) — Structured DCE viva for IBD: long-case defence and short-case discussion covering acute severe UC rescue therapy, biologic selection, perianal Crohn's management, extraintestinal m (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Liver Transplantation — Viva Defence](https://medvellum.com/s/physician/vivas/liver-transplantation) — DCE viva defence for Liver Transplantation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Malabsorption and Small Bowel Disease — Viva Defence](https://medvellum.com/s/physician/vivas/malabsorption-and-small-bowel-disease) — Structured DCE viva for malabsorption and small bowel disease: long-case defence of a 42-year-old woman with coeliac disease presenting with iron deficiency anaemia, weight loss, a (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Nutrition IN Liver AND GI Disease — Viva Defence](https://medvellum.com/s/physician/vivas/nutrition-in-liver-and-gi-disease) — DCE viva defence for Nutrition IN Liver AND GI Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Obstructive Jaundice — Viva Defence](https://medvellum.com/s/physician/vivas/obstructive-jaundice) — Structured DCE viva for obstructive jaundice: long-case defence of a 68-year-old man with painless progressive jaundice, a pancreatic head mass, Courvoisier sign, and an elevated C (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Oesophageal Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/oesophageal-disorders) — Structured DCE viva for oesophageal disorders: long-case defence of a 70-year-old with Barrett's oesophagus and confirmed low-grade dysplasia against a background of cardiac comorb (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### general-medicine - [Abdominal Examination Routine — Viva Defence](https://medvellum.com/s/physician/vivas/abdominal-examination-routine) — Structured DCE viva for the abdominal examination short case: defence of the twelve-step routine, the interpretation of chronic liver disease stigmata, the differentiation of organ (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Anaphylaxis — Viva Defence](https://medvellum.com/s/physician/vivas/anaphylaxis) — Structured DCE viva for anaphylaxis: long-case defence of recurrent idiopathic anaphylaxis — trigger reconstruction, mast-cell screening, autoinjector training and safety-net build (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Cardiovascular Examination — Viva Defence](https://medvellum.com/s/physician/vivas/cardiovascular-examination-routine) — Structured DCE viva for the cardiovascular system examination: the defence of the eleven-step routine, the timing-based murmur framework, the dynamic manoeuvres, the JVP waveform i (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Clinical Research AND Research Ethics — Viva Defence](https://medvellum.com/s/physician/vivas/clinical-research-and-research-ethics) — DCE viva defence for Clinical Research AND Research Ethics. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Confidentiality Privacy AND Mandatory Reporting — Viva Defence](https://medvellum.com/s/physician/vivas/confidentiality-privacy-and-mandatory-reporting) — DCE viva defence for Confidentiality Privacy AND Mandatory Reporting. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Cranial Nerve Examination — Viva Defence](https://medvellum.com/s/physician/vivas/neurological-examination-cranial-nerves) — Structured DCE viva for cranial nerve examination: short-case defence of a pupil-involving third nerve palsy, a Horner syndrome and an LMN facial palsy, with the localising reasoni (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Cultural Competence and Indigenous Health — Viva Defence](https://medvellum.com/s/physician/vivas/cultural-competence-indigenous-health) — Structured DCE viva for cultural competence and Indigenous health: long-case defence of a 48-year-old Aboriginal woman from a remote community with decompensated rheumatic heart di (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Drug Allergy and Desensitisation — Viva Defence](https://medvellum.com/s/physician/vivas/drug-allergy-and-desensitisation) — Structured DCE viva for drug allergy and desensitisation: long-case defence covering a penicillin allergy label complicating essential therapy, with the risk-stratified delabeling (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [END OF Life Decision Making — Viva Defence](https://medvellum.com/s/physician/vivas/end-of-life-decision-making) — DCE viva defence for END OF Life Decision Making. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Evidence-Based Medicine and Critical Appraisal — Viva Defence](https://medvellum.com/s/physician/vivas/evidence-based-medicine-critical-appraisal) — Structured DCE viva for evidence-based medicine and critical appraisal: long-case defence of a 75-year-old woman with atrial fibrillation, chronic kidney disease and a recent fall (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Examination OF THE Unconscious Patient — Viva Defence](https://medvellum.com/s/physician/vivas/examination-of-the-unconscious-patient) — DCE viva defence for Examination OF THE Unconscious Patient. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Lymph Node Examination and Organomegaly — Viva Defence](https://medvellum.com/s/physician/vivas/examination-lymph-nodes-and-splenomegaly) — Structured DCE viva for the lymph node and organomegaly short case: defence of the head-to-toe node routine, the five characteristics of every node, the interpretation of consisten (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Medical Errors and Open Disclosure — Viva Defence](https://medvellum.com/s/physician/vivas/medical-errors-and-open-disclosure) — Structured DCE viva for medical errors and open disclosure: long-case defence covering a tenfold insulin overdose and a failure to cease metformin in acute kidney injury, with the (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Medical Ethics Autonomy Beneficence NON Maleficence Justice — Viva Defence](https://medvellum.com/s/physician/vivas/medical-ethics-autonomy-beneficence-non-maleficence-justice) — DCE viva defence for Medical Ethics Autonomy Beneficence NON Maleficence Justice. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Medical Ethics, Capacity and Consent — Viva Defence](https://medvellum.com/s/physician/vivas/medical-ethics-capacity-consent) — Structured DCE viva for medical ethics, capacity and consent: long-case defence of a 78-year-old woman with advanced Alzheimer disease and aspiration pneumonia whose enduring guard (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Multi-morbidity and Complex Care — Viva Defence](https://medvellum.com/s/physician/vivas/multi-morbidity-complex-care) — Structured DCE viva for multi-morbidity: long-case defence of an 82-year-old woman with heart failure with reduced ejection fraction, atrial fibrillation, type 2 diabetes, stage 3b (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Neurological Examination of the Lower Limbs — Viva Defence](https://medvellum.com/s/physician/vivas/neurological-examination-lower-limbs) — Structured DCE viva for the lower limb neurological examination short case: defence of the eight-step routine (gait, inspection, tone, power, reflexes, plantar, coordination, senso (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Neurological Examination of the Upper Limbs — Viva Defence](https://medvellum.com/s/physician/vivas/neurological-examination-upper-limbs) — Structured DCE viva for the upper limb neurological examination short case: defence of the eight-step routine, the interpretation of combined UMN and LMN signs for motor neuron dis (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Perioperative Medicine — Viva Defence](https://medvellum.com/s/physician/vivas/perioperative-medicine-physician) — Structured DCE viva for physician-level perioperative medicine: long-case defence of a complex elderly patient with atrial fibrillation on a DOAC, insulin-treated diabetes, COPD, a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Physician Wellbeing Burnout AND Professional Resilience — Viva Defence](https://medvellum.com/s/physician/vivas/physician-wellbeing-burnout-and-professional-resilience) — DCE viva defence for Physician Wellbeing Burnout AND Professional Resilience. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Preoperative Medical Assessment AND Optimisation — Viva Defence](https://medvellum.com/s/physician/vivas/preoperative-medical-assessment-and-optimisation) — DCE viva defence for Preoperative Medical Assessment AND Optimisation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Primary Immunodeficiency in Adults — Viva Defence](https://medvellum.com/s/physician/vivas/primary-immunodeficiency-adults) — Structured DCE viva for primary immunodeficiency in adults: long-case defence of a 34-year-old woman with newly diagnosed common variable immunodeficiency (recurrent sinopulmonary (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Quality AND Safety IN Medicine — Viva Defence](https://medvellum.com/s/physician/vivas/quality-and-safety-in-medicine) — DCE viva defence for Quality AND Safety IN Medicine. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Rapid Response Systems and MET Calls — Viva Defence](https://medvellum.com/s/physician/vivas/rapid-response-systems-and-met-calls) — Structured DCE viva for the post-MET-call patient: long-case defence of a 68-year-old man with cellulitis who deteriorates to septic shock with multi-organ failure, with discussion (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Respiratory Examination — Viva Defence](https://medvellum.com/s/physician/vivas/respiratory-examination-routine) — Structured DCE viva for the respiratory short case: model presentation of the systematic respiratory examination, with discussion of the eleven-step routine, the cardinal chest sig (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Rheumatological Examination of the Hands — Viva Defence](https://medvellum.com/s/physician/vivas/rheumatological-examination-hands) — Structured DCE viva for the rheumatological hand examination short case: defence of the six-step routine, the synovitis versus bony swelling distinction, the discriminating deformi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Rheumatological Examination Spine AND Lower Limbs — Viva Defence](https://medvellum.com/s/physician/vivas/rheumatological-examination-spine-and-lower-limbs) — DCE viva defence for Rheumatological Examination Spine AND Lower Limbs. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Skin Examination for Systemic Disease — Viva Defence](https://medvellum.com/s/physician/vivas/examination-skin-manifestations-systemic-disease) — Structured DCE viva for the skin short case: model presentation of the systematic six-step skin examination, with discussion of the morphology vocabulary and the distribution clues (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Speech and Higher Mental Function Examination — Viva Defence](https://medvellum.com/s/physician/vivas/neurological-examination-speech-and-higher-function) — Structured DCE viva for speech and higher mental function: short-case defence of an acute Wernicke aphasia, a conduction aphasia, and a progressive cognitive domain profile, with t (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [The Deteriorating Ward Patient — Viva Defence](https://medvellum.com/s/physician/vivas/deteriorating-ward-patient) — Structured DCE viva for the deteriorating ward patient: long-case defence of a 78-year-old woman with community-acquired pneumonia who acutely deteriorates with septic shock, new a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [The Undifferentiated Altered Mental Status — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-altered-mental-status) — Structured DCE viva for the acutely confused elderly patient: long-case defence of an 82-year-old man with multifactorial delirium (pneumonia, UTI, severe hyponatraemia, AKI, chron (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Thyroid Status Examination — Viva Defence](https://medvellum.com/s/physician/vivas/thyroid-examination-routine) — Structured DCE viva for the thyroid short case: model presentation of the systematic nine-step thyroid status examination performed from behind the patient, with discussion of the (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Back Pain — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-back-pain) — Structured DCE viva for the undifferentiated back pain patient: long-case defence of a 34-year-old man with inflammatory back pain, psoriasis and uveitis, meeting the ASAS criteria (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Chest Pain — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-chest-pain) — Structured DCE viva for the undifferentiated chest pain patient: long-case defence of a 68-year-old woman with type 2 diabetes and cardiovascular risk factors presenting with an in (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Dyspnoea — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-dyspnoea) — Structured DCE viva for the undifferentiated dyspnoeic patient: long-case defence of a 72-year-old man with COPD and ischaemic heart disease presenting with acute dyspnoea, coexist (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Fatigue — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-fatigue) — Structured DCE viva for undifferentiated fatigue: long-case defence covering the three functional categories (physiological, psychological, physical or systemic), the Tier 1 screen (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Fever and Fever of Unknown Origin — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-fever-unknown-origin) — Structured DCE viva for fever of unknown origin: long-case defence of a 62-year-old retired park ranger with six weeks of fever, night sweats and weight loss on a background of tre (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Lymphadenopathy — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-lymphadenopathy) — Structured DCE viva for the undifferentiated lymphadenopathy patient: long-case defence of a 58-year-old Nigerian-born man with a six-week history of a painless left supraclavicula (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Oedema — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-oedema) — Structured DCE viva for the undifferentiated oedematous patient: long-case defence of a 70-year-old man with heart failure, cirrhosis, diabetes and hypertension presenting with gen (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Palpitations — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-palpitations) — Structured DCE viva for the patient presenting with undifferentiated palpitations: the model presentation of the focused history and the cardiovascular examination, the four-descri (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Undifferentiated Presentations Abdominal Pain — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-presentations-abdominal-pain) — DCE viva defence for Undifferentiated Presentations Abdominal Pain. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Undifferentiated Weight Loss — Viva Defence](https://medvellum.com/s/physician/vivas/undifferentiated-weight-loss) — Structured DCE viva for the diagnostic approach to the patient with involuntary weight loss: the long-case defence covering the 68-year-old man with the weight loss, the anorexia, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Urticaria and Angioedema — Viva Defence](https://medvellum.com/s/physician/vivas/urticaria-and-angioedema) — Structured DCE viva for urticaria and angioedema: long-case defence covering chronic spontaneous urticaria with the four-step EAACI treatment ladder (antihistamine up-titration, om (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### geriatric - [Comprehensive Geriatric Assessment and Frailty — Viva Defence](https://medvellum.com/s/physician/vivas/comprehensive-geriatric-assessment-and-frailty) — Structured DCE viva for CGA and frailty: long-case defence covering a complex frail older woman with functional decline, falls, polypharmacy, malnutrition, and cognitive impairment (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Delirium — Viva Defence](https://medvellum.com/s/physician/vivas/delirium-physician) — Structured DCE viva for delirium: long-case defence covering a complex elderly patient with postoperative delirium superimposed on dementia, plus a DCE short-case cognitive assessm (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Dementia — Viva Defence](https://medvellum.com/s/physician/vivas/dementia) — Structured DCE viva for dementia: long-case defence covering a complex elderly patient with mixed Alzheimer and vascular dementia, polypharmacy, BPSD, driving and capacity, plus a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Elder Abuse and Safeguarding — Viva Defence](https://medvellum.com/s/physician/vivas/elder-abuse-and-safeguarding) — Structured DCE viva for elder abuse and safeguarding: long-case defence of an 82-year-old woman with moderate Alzheimer disease admitted with dehydration, malnutrition and a pressu (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [End-of-Life Care and Advance Care Planning — Viva Defence](https://medvellum.com/s/physician/vivas/end-of-life-care-and-advance-care-planning) — Structured DCE viva for end-of-life care and advance care planning: long-case defence of an 82-year-old man with end-stage heart failure and chronic kidney disease admitted with a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Falls and Syncope in Older Adults — Viva Defence](https://medvellum.com/s/physician/vivas/falls-and-syncope-older-adults) — Structured DCE viva for falls and syncope: long-case defence covering a complex older patient with multifactorial falls, drug-induced orthostatic hypotension, diabetic neuropathy a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Nutrition AND Hydration IN Older Adults — Viva Defence](https://medvellum.com/s/physician/vivas/nutrition-and-hydration-in-older-adults) — DCE viva defence for Nutrition AND Hydration IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Orthogeriatrics AND Perioperative Medicine IN Older Adults — Viva Defence](https://medvellum.com/s/physician/vivas/orthogeriatrics-and-perioperative-medicine-in-older-adults) — DCE viva defence for Orthogeriatrics AND Perioperative Medicine IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Parkinson S Disease IN Older Adults — Viva Defence](https://medvellum.com/s/physician/vivas/parkinson-s-disease-in-older-adults) — DCE viva defence for Parkinson S Disease IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Polypharmacy and Deprescribing — Viva Defence](https://medvellum.com/s/physician/vivas/polypharmacy-and-deprescribing) — Structured DCE viva for polypharmacy and deprescribing: long-case defence covering a complex elderly patient with polypharmacy, frailty, falls and multiple inappropriate medication (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pressure Injuries AND Wound Care — Viva Defence](https://medvellum.com/s/physician/vivas/pressure-injuries-and-wound-care) — DCE viva defence for Pressure Injuries AND Wound Care. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Urinary Incontinence IN Older Adults — Viva Defence](https://medvellum.com/s/physician/vivas/urinary-incontinence-in-older-adults) — DCE viva defence for Urinary Incontinence IN Older Adults. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### haematological - [Acute Leukaemia — Viva Defence](https://medvellum.com/s/physician/vivas/acute-leukaemia) — Structured DCE viva for acute leukaemia: long-case defence of newly diagnosed acute myeloid leukaemia in a fit older adult (intensive versus lower-intensity induction, ELN 2022 ris (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Anaemia — Systematic Workup: Viva Defence](https://medvellum.com/s/physician/vivas/anaemia-systematic-workup) — Structured DCE viva for physician-level anaemia investigation: long-case defence of iron deficiency anaemia in a complex patient with possible GI malignancy, and short-case discuss (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Bleeding Disorders AND Thrombocytopenia — Viva Defence](https://medvellum.com/s/physician/vivas/bleeding-disorders-and-thrombocytopenia) — DCE viva defence for Bleeding Disorders AND Thrombocytopenia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Chronic Leukaemia and Myeloid Neoplasms — Viva Defence](https://medvellum.com/s/physician/vivas/chronic-leukaemia) — Structured DCE viva for chronic leukaemia: a long-case defence of symptomatic chronic lymphocytic leukaemia with TP53 disruption in a 62-year-old fit man (the iwCLL active-disease (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Coagulation Disorders: Viva Defence](https://medvellum.com/s/physician/vivas/coagulation-disorders) — Structured DCE viva for physician-level coagulation disorders: long-case defence of antiphospholipid syndrome with acute thrombosis in a patient with SLE, and short-case discussion (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Haematological Investigation Blood Film Marrow Coagulation Tests — Viva Defence](https://medvellum.com/s/physician/vivas/haematological-investigation-blood-film-marrow-coagulation-tests) — DCE viva defence for Haematological Investigation Blood Film Marrow Coagulation Tests. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Haematopoietic Stem Cell Transplantation — Viva Defence](https://medvellum.com/s/physician/vivas/stem-cell-transplantation) — Branching oral examination for stem cell transplantation — a transplant survivor with chronic graft-versus-host disease and late effects, modelling the DCE long-case viva defence a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Haemolytic Anaemia — Viva Defence](https://medvellum.com/s/physician/vivas/haemolytic-anaemia) — DCE viva defence for Haemolytic Anaemia. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Iron Deficiency — Viva Defence](https://medvellum.com/s/physician/vivas/iron-deficiency) — Structured DCE viva for iron deficiency: long-case defence of a postmenopausal woman with iron-deficiency anaemia — malignancy workup, iron replacement strategy, and the ferritin-i (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Lymphoma — Viva Defence](https://medvellum.com/s/physician/vivas/lymphoma-physician) — Structured DCE viva for lymphoma: long-case defence of newly diagnosed bulky stage IIB classical Hodgkin lymphoma in a young man with asthma (PET-adapted ABVD versus A+AVD, fertili (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Multiple Myeloma — Viva Defence](https://medvellum.com/s/physician/vivas/multiple-myeloma) — Structured DCE viva for multiple myeloma: long-case defence of newly diagnosed symptomatic myeloma in a fit 66-year-old presenting with cast nephropathy and hypercalcaemia (transpl (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Myelodysplastic Syndromes — Viva Defence](https://medvellum.com/s/physician/vivas/myelodysplastic-syndromes) — DCE viva defence for Myelodysplastic Syndromes. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Myeloproliferative Neoplasms — Viva Defence](https://medvellum.com/s/physician/vivas/myeloproliferative-neoplasms) — DCE viva defence for Myeloproliferative Neoplasms. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Thrombophilia and VTE — Viva Defence](https://medvellum.com/s/physician/vivas/thrombophilia-vte) — Structured DCE viva for thrombophilia and VTE: long-case defence of recurrent VTE with triple-positive antiphospholipid syndrome and cancer-associated thrombosis (warfarin vs DOAC, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Transfusion Medicine — Viva Defence](https://medvellum.com/s/physician/vivas/transfusion-medicine-physician) — Structured DCE viva for transfusion medicine: long-case defence of a transfusion-dependent myelodysplasia patient plus short-case anaemia discussion, covering thresholds, reactions (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### hepatic - [Acute Liver Failure — Viva Defence](https://medvellum.com/s/physician/vivas/acute-liver-failure) — Structured DCE viva for acute liver failure: long-case defence of Wilson disease ALF in a young woman (urgent transplant referral, chelation, cerebral oedema prophylaxis, no routin (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Autoimmune Liver Disease — Viva Defence](https://medvellum.com/s/physician/vivas/autoimmune-liver-disease) — Structured DCE viva for autoimmune liver disease: long-case defence of an AIH-PBC overlap syndrome in a 54-year-old woman (UDCA plus prednisolone and azathioprine, TPMT check, bone (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Chronic Liver Disease and Cirrhosis — Viva Defence](https://medvellum.com/s/physician/vivas/chronic-liver-disease-cirrhosis) — Structured DCE viva for cirrhosis: long-case defence and short-case discussion covering decompensation prevention, variceal prophylaxis, SBP and albumin, hepatorenal syndrome, hepa (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hepatocellular Carcinoma — Viva Defence](https://medvellum.com/s/physician/vivas/hepatocellular-carcinoma) — Structured DCE viva for hepatocellular carcinoma: long-case defence of a BCLC A HCC in a 62-year-old man with HCV cirrhosis (post-SVR) found on surveillance (LI-RADS 5, curative tr (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Portal Hypertension — Viva Defence](https://medvellum.com/s/physician/vivas/portal-hypertension) — Structured DCE viva for portal hypertension: long-case defence covering acute variceal bleeding management, hepatorenal syndrome, refractory ascites, and hepatic encephalopathy, pl (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Viral Hepatitis — Viva Defence](https://medvellum.com/s/physician/vivas/viral-hepatitis) — Structured DCE viva for viral hepatitis: long-case defence and short-case discussion covering HBV serology, phases of chronic infection, antiviral selection, HCV DAA therapy, HDV s (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### infectious - [Antimicrobial Stewardship and Resistance — Viva Defence](https://medvellum.com/s/physician/vivas/antimicrobial-stewardship-resistance) — Structured DCE viva for antimicrobial stewardship and resistance: long-case defence of a 72-year-old woman who develops severe Clostridioides difficile infection (NAP1/027 strain) (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Bloodstream Infections and Infective Endocarditis — Viva Defence](https://medvellum.com/s/physician/vivas/bloodstream-infections-and-infective-endocarditis) — Structured DCE viva for bloodstream infection and endocarditis: long-case defence of prosthetic-valve endocarditis with an embolic stroke — treatment duration, the surgery decision (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Bone AND Joint Infections — Viva Defence](https://medvellum.com/s/physician/vivas/bone-and-joint-infections) — DCE viva defence for Bone AND Joint Infections. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [CNS Infections — Viva Defence](https://medvellum.com/s/physician/vivas/central-nervous-system-infections) — Structured DCE viva for CNS infections: long-case defence of post-pneumococcal meningitis follow-up plus probing questions on sequencing, steroids, and special populations. (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Fungal Infections — Viva Defence](https://medvellum.com/s/physician/vivas/fungal-infections) — Structured DCE viva for invasive fungal infection: long-case defence of a 60-year-old man with AML on induction who develops invasive pulmonary aspergillosis, with discussion of th (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Healthcare-Associated Infections — Viva Defence](https://medvellum.com/s/physician/vivas/healthcare-associated-infections) — Structured DCE viva for healthcare-associated infections: long-case defence of a 68-year-old man post-emergency laparotomy who develops Pseudomonas aeruginosa catheter-related bloo (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [HIV and AIDS — Viva Defence](https://medvellum.com/s/physician/vivas/hiv-aids-physician) — Structured DCE viva for HIV: long-case defence covering ART initiation in a complex patient with TB and hepatitis B co-infection, drug-interaction management, IRIS, opportunistic i (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Infections in the Immunocompromised Host — Viva Defence](https://medvellum.com/s/physician/vivas/immunocompromised-host-infections) — Structured DCE viva for the immunocompromised host: long-case defence of a 62-year-old man with AML on induction who develops febrile neutropenia complicated by invasive pulmonary (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Sepsis and Septic Shock — Viva Defence](https://medvellum.com/s/physician/vivas/sepsis-physician) — Structured DCE viva for sepsis and septic shock: long-case defence covering the Hour-1 Bundle in septic shock with multiple comorbidities, vasopressor escalation, and post-sepsis s (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Sexually Transmitted Infections — Viva Defence](https://medvellum.com/s/physician/vivas/sexually-transmitted-infections) — DCE viva defence for Sexually Transmitted Infections. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Tropical and Travel-Related Infections — Viva Defence](https://medvellum.com/s/physician/vivas/tropical-travel-infections) — Structured DCE viva for tropical infections: long-case defence of a returning traveller with severe falciparum malaria complicated by cerebral malaria, AKI, and ARDS, with discussi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Tuberculosis — Viva Defence](https://medvellum.com/s/physician/vivas/tuberculosis-physician) — Structured DCE viva for tuberculosis: long-case defence covering smear-positive cavitary pulmonary TB with comorbidities (diabetes, CKD, hepatitis B, atrial fibrillation on warfari (exams=FRACP DCE,MRCP PACES,ABIM Internal Medicine; updated=2026-07-11) - [Tuberculosis — Viva Defence](https://medvellum.com/s/physician/vivas/tuberculosis) — Structured DCE viva for tuberculosis: long-case defence of a migrant patient with smear-positive pulmonary TB and a new HIV diagnosis — regimen construction, ART timing, IRIS, cont (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Vaccine-Preventable Diseases — Viva Defence](https://medvellum.com/s/physician/vivas/vaccine-preventable-diseases) — Structured DCE viva for adult immunisation decisions in the immunocompromised patient: long-case defence of a 58-year-old veterinary surgeon with rheumatoid arthritis and resolved (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Viral Hepatitis — Viva Defence](https://medvellum.com/s/physician/vivas/viral-hepatitis-id) — Structured DCE viva for infectious-diseases viral hepatitis: long-case defence of a 45-year-old with chronic hepatitis B and fluctuating ALT — phase assignment, treat-versus-watch, (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Zoonotic and Vector-Borne Infections — Viva Defence](https://medvellum.com/s/physician/vivas/zoonotic-and-vector-borne-infections) — Structured DCE viva for the zoonotic infection patient: long-case defence of a 58-year-old abattoir worker with culture-negative prosthetic valve endocarditis (chronic Q fever), wi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) ### neurological - [Epilepsy — Viva Defence](https://medvellum.com/s/physician/vivas/epilepsy-physician) — Structured DCE viva for epilepsy: long-case defence (drug-resistant focal epilepsy and surgery) and short-case discussion (women with epilepsy and status epilepticus decision-makin (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Guillain-Barre Syndrome — Viva Defence](https://medvellum.com/s/physician/vivas/guillain-barre-syndrome) — Structured DCE viva for Guillain-Barre syndrome: long-case defence covering respiratory decision-making, disease-modifying therapy, the steroid trap, autonomic monitoring and progn (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Headache — Viva Defence](https://medvellum.com/s/physician/vivas/headache) — Structured DCE viva for headache: long-case defence covering chronic migraine with medication overuse and giant cell arteritis in a complex patient, and short-case discussion of cr (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Meningitis and Encephalitis — Viva Defence](https://medvellum.com/s/physician/vivas/meningitis-encephalitis) — Structured DCE viva for CNS infections: long-case defence covering empiric therapy in immunocompromised bacterial meningitis, HSV encephalitis diagnostic reasoning, and short-case (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Motor Neuron Disease — Viva Defence](https://medvellum.com/s/physician/vivas/motor-neuron-disease) — Structured DCE viva for motor neuron disease: long-case defence (bulbar-onset ALS with respiratory failure and nutritional decline) and short-case discussion (combined UMN and LMN (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Movement Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/movement-disorders) — Structured DCE viva for movement disorders: long-case defence covering advanced Parkinson's disease with motor complications and psychosis, plus a DCE short-case parkinsonian exami (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Multiple Sclerosis — Viva Defence](https://medvellum.com/s/physician/vivas/multiple-sclerosis) — Structured DCE viva for multiple sclerosis: long-case defence of a 29-year-old woman with highly active relapsing-remitting MS failing interferon, with residual disability, JC viru (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Myasthenia Gravis — Viva Defence](https://medvellum.com/s/physician/vivas/myasthenia-gravis) — Structured DCE viva for myasthenia gravis: long-case defence (AChR-positive generalized MG with a thymoma) and short-case discussion (fatigable weakness examination and the MG-vers (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Neurocutaneous Syndromes — Viva Defence](https://medvellum.com/s/physician/vivas/neurocutaneous-syndromes) — DCE viva defence for Neurocutaneous Syndromes. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Neurological Investigation LP EMG NCS EEG Neuroimaging — Viva Defence](https://medvellum.com/s/physician/vivas/neurological-investigation-lp-emg-ncs-eeg-neuroimaging) — DCE viva defence for Neurological Investigation LP EMG NCS EEG Neuroimaging. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Peripheral Neuropathy — Viva Defence](https://medvellum.com/s/physician/vivas/peripheral-neuropathy) — Structured DCE viva for peripheral neuropathy: long-case defence of a 62-year-old man with diabetic distal symmetric polyneuropathy, a painless foot ulcer, and a superimposed subac (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Raised Intracranial Pressure AND Brain Tumours — Viva Defence](https://medvellum.com/s/physician/vivas/raised-intracranial-pressure-and-brain-tumours) — DCE viva defence for Raised Intracranial Pressure AND Brain Tumours. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Spinal Cord Disease — Viva Defence](https://medvellum.com/s/physician/vivas/spinal-cord-disease) — Structured DCE viva for spinal cord disease: long-case defence covering the emergency management of metastatic spinal cord compression, the Patchell decision, corticosteroid dosing (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Stroke — Viva Defence](https://medvellum.com/s/physician/vivas/stroke-physician) — Structured DCE viva for stroke: long-case defence and short-case discussion covering reperfusion decision-making, vascular territory localisation, secondary prevention, and neurolo (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Subarachnoid Haemorrhage AND Intracranial Haemorrhage — Viva Defence](https://medvellum.com/s/physician/vivas/subarachnoid-haemorrhage-and-intracranial-haemorrhage) — DCE viva defence for Subarachnoid Haemorrhage AND Intracranial Haemorrhage. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [TIA and Carotid Disease — Viva Defence](https://medvellum.com/s/physician/vivas/transient-ischaemic-attack-and-carotid-disease) — DCE viva for high-risk TIA and symptomatic carotid stenosis: definition, urgent pathway, DAPT, and revascularisation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Vestibular Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/vestibular-disorders) — DCE viva defence for Vestibular Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### oncological - [Breakthrough Cancer Pain AND Opioid Titration — Viva Defence](https://medvellum.com/s/physician/vivas/breakthrough-cancer-pain-and-opioid-titration) — DCE viva defence for Breakthrough Cancer Pain AND Opioid Titration. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Breast Cancer — Viva Defence](https://medvellum.com/s/physician/vivas/breast-cancer-physician) — Structured DCE viva for breast cancer: long-case defence of a HER2-positive breast cancer in a 52-year-old woman managed with neoadjuvant TCHP (the receptor subtype framework, the (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Cancer Cachexia AND Nutritional Support — Viva Defence](https://medvellum.com/s/physician/vivas/cancer-cachexia-and-nutritional-support) — DCE viva defence for Cancer Cachexia AND Nutritional Support. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Immune Checkpoint Inhibitor Toxicity — Viva Defence](https://medvellum.com/s/physician/vivas/immunotherapy-checkpoint-inhibitor-toxicity) — Structured DCE viva for immune checkpoint inhibitor toxicity: long-case defence covering a patient on combination ipilimumab-nivolumab who develops multisystem irAEs (grade 3 colit (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Oncologic Emergencies — Viva Defence](https://medvellum.com/s/physician/vivas/oncologic-emergencies) — Structured DCE viva for oncologic emergencies: long-case defence of a patient with lung cancer presenting with multiple simultaneous oncologic emergencies (superior vena cava obstr (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pain Management IN Cancer AND Chronic Disease — Viva Defence](https://medvellum.com/s/physician/vivas/pain-management-in-cancer-and-chronic-disease) — DCE viva defence for Pain Management IN Cancer AND Chronic Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Palliative Care — Viva Defence](https://medvellum.com/s/physician/vivas/palliative-care-symptom-management) — Structured DCE viva for palliative care and symptom management: a long-case defence covering a complex patient with metastatic cancer and multiple uncontrolled symptoms, goals-of-c (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Prostate Cancer — Viva Defence](https://medvellum.com/s/physician/vivas/prostate-cancer) — DCE viva defence for Prostate Cancer. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### pharmacological - [Adverse Drug Reactions — Viva Defence](https://medvellum.com/s/physician/vivas/adverse-drug-reactions) — Structured DCE viva for adverse drug reactions: a long-case defence of a complex patient with DRESS to allopurinol superimposed on multimorbidity and renal impairment, and a DCE sh (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Australian Envenomation — Viva Defence](https://medvellum.com/s/physician/vivas/envenomation) — Structured DCE viva for Australian envenomation: long-case defence of a brown snake bite with VICC and thrombotic microangiopathy in a 42-year-old farmer (pressure immobilisation f (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Beta Blocker AND Calcium Channel Blocker Toxicity — Viva Defence](https://medvellum.com/s/physician/vivas/beta-blocker-and-calcium-channel-blocker-toxicity) — DCE viva defence for Beta Blocker AND Calcium Channel Blocker Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Cardiac Glycoside — Viva Defence](https://medvellum.com/s/physician/vivas/cardiac-glycoside) — DCE viva defence for Cardiac Glycoside. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Iron Toxicity — Viva Defence](https://medvellum.com/s/physician/vivas/iron-toxicity) — DCE viva defence for Iron Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Lithium Toxicity — Viva Defence](https://medvellum.com/s/physician/vivas/lithium-toxicity) — Structured DCE viva for lithium toxicity: long-case defence covering a complex elderly patient with chronic lithium toxicity precipitated by drug interactions, with acute kidney in (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Opioid Benzodiazepine AND Alcohol Withdrawal — Viva Defence](https://medvellum.com/s/physician/vivas/opioid-benzodiazepine-and-alcohol-withdrawal) — DCE viva defence for Opioid Benzodiazepine AND Alcohol Withdrawal. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Paracetamol Toxicity — Viva Defence](https://medvellum.com/s/physician/vivas/paracetamol-toxicity) — Structured DCE viva for paracetamol toxicity: long-case defence of a single acute paracetamol overdose with established hepatotoxicity in a high-risk patient (N-acetylcysteine regi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pharmacokinetics in Organ Failure — Viva Defence](https://medvellum.com/s/physician/vivas/pharmacokinetics-organ-failure) — Structured DCE viva for physician-level clinical pharmacology: long-case defence of a complex elderly patient with CKD, AF, diabetes and polypharmacy needing a medication review, a (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Poisoning — Viva Defence](https://medvellum.com/s/physician/vivas/poisoning-approach-decontamination-antidotes) — Structured DCE viva for physician-level toxicology: long-case defence of a complex mixed overdose (tricyclic antidepressant plus paracetamol plus alcohol) covering toxidrome identi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Salicylate Toxicity — Viva Defence](https://medvellum.com/s/physician/vivas/salicylate-toxicity) — DCE viva defence for Salicylate Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Serotonin Syndrome and NMS — Viva Defence](https://medvellum.com/s/physician/vivas/serotonin-syndrome-nms) — Structured DCE viva for serotonin syndrome and neuroleptic malignant syndrome: long-case defence covering recognition, the Hunter criteria, the SS-versus-NMS distinction, cyprohept (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Therapeutic Drug Monitoring — Viva Defence](https://medvellum.com/s/physician/vivas/therapeutic-drug-monitoring) — DCE viva defence for Therapeutic Drug Monitoring. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Toxic Alcohols — Viva Defence](https://medvellum.com/s/physician/vivas/toxic-alcohols) — DCE viva defence for Toxic Alcohols. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity — Viva Defence](https://medvellum.com/s/physician/vivas/tricyclic-antidepressant-and-sodium-channel-blocker-toxicity) — DCE viva defence for Tricyclic Antidepressant AND Sodium Channel Blocker Toxicity. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### renal - [Acid-Base Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/acid-base-disorders-physician) — Structured DCE viva for physician-level acid-base interpretation: long-case defence of a complex mixed acid-base disorder in a septic, diabetic patient, and short-case discussion o (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Acute Kidney Injury — Viva Defence](https://medvellum.com/s/physician/vivas/acute-kidney-injury) — Structured DCE viva for acute kidney injury: long-case defence and short-case discussion covering KDIGO staging, pre-renal/intrinsic/post-renal classification, fluid assessment, ne (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Chronic Kidney Disease — Viva Defence](https://medvellum.com/s/physician/vivas/chronic-kidney-disease) — Structured DCE viva for chronic kidney disease: long-case defence covering progression-slowing therapy, complication management (anaemia, CKD-MBD, hyperkalaemia), dialysis planning (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Diabetic Kidney Disease — Viva Defence](https://medvellum.com/s/physician/vivas/diabetic-kidney-disease) — Structured DCE viva for diabetic kidney disease: long-case defence covering progression-slowing therapy with SGLT2 inhibitors and finerenone, RAAS blockade, multifactorial interven (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Electrolyte Disorders (Calcium, Magnesium, Phosphate) — Viva Defence](https://medvellum.com/s/physician/vivas/electrolyte-disorders-calcium-magnesium-phosphate) — Structured DCE viva for divalent ion disorders: long-case defence of asymptomatic hypercalcaemia with inappropriately normal PTH on a thiazide — the operate-or-monitor discussion i (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Glomerulonephritis (Nephritic Spectrum) — Viva Defence](https://medvellum.com/s/physician/vivas/glomerulonephritis-nephritic) — Structured DCE viva for glomerulonephritis: long-case defence covering pulmonary-renal syndrome from ANCA vasculitis, complement interpretation, biopsy classification, induction im (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Hypertensive Nephrosclerosis and Renovascular Disease — Viva Defence](https://medvellum.com/s/physician/vivas/hypertensive-nephrosclerosis-and-renovascular-disease) — Structured DCE viva: long-case defence of a 66-year-old with resistant hypertension, GFR decline on dual therapy and a 70% renal artery stenosis — the CORAL defence of medical ther (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Kidney Transplantation — Viva Defence](https://medvellum.com/s/physician/vivas/kidney-transplantation) — Structured DCE viva for kidney transplantation: long-case defence of a complex transplant recipient 6 months post-transplant with a rising creatinine and BK viraemia (the biopsy an (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Nephrolithiasis — Viva Defence](https://medvellum.com/s/physician/vivas/nephrolithiasis) — Structured DCE viva for nephrolithiasis: long-case defence of a 48-year-old man with Crohn disease and recurrent calcium oxalate stones from enteric hyperoxaluria, covering the pat (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Nephrotic Syndrome — Viva Defence](https://medvellum.com/s/physician/vivas/nephrotic-syndrome) — Structured DCE viva for nephrotic syndrome: long-case defence covering cause-specific immunosuppression (rituximab for membranous — MENTOR/GEMRITUX), renal vein thrombosis and anti (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Polycystic Kidney Disease (ADPKD) — Viva Defence](https://medvellum.com/s/physician/vivas/polycystic-kidney-disease) — Structured DCE viva: long-case defence of a 40-year-old woman with Mayo 1D ADPKD, eGFR 52 and a sister with a cerebral aneurysm — the tolvaptan decision, selective aneurysm screeni (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Potassium Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/electrolyte-potassium-disorders) — Structured DCE viva for potassium disorders: long-case defence of severe hyperkalaemia in a CKD patient on RAAS inhibitors covering the four-pillar emergency management, the calciu (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Renal Cell Carcinoma AND Urothelial Malignancy — Viva Defence](https://medvellum.com/s/physician/vivas/renal-cell-carcinoma-and-urothelial-malignancy) — DCE viva defence for Renal Cell Carcinoma AND Urothelial Malignancy. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Renal Replacement Therapy (Haemodialysis, Peritoneal Dialysis) — Viva Defence](https://medvellum.com/s/physician/vivas/renal-replacement-therapy-haemodialysis-peritoneal-dialysis) — Structured DCE viva: long-case defence of a 67-year-old woman with cardiac disease and frailty approaching end-stage kidney disease — modality reasoning, access timing, the cardiov (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Renal Tubular Acidoses AND Inherited Tubular Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/renal-tubular-acidoses-and-inherited-tubular-disorders) — DCE viva defence for Renal Tubular Acidoses AND Inherited Tubular Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Sodium Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/electrolyte-sodium-disorders) — Structured DCE viva for sodium disorders: long-case defence covering the competing risks of cerebral oedema and osmotic demyelination in severe hyponatraemia, the 3% saline bolus r (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Tubulointerstitial Disease — Viva Defence](https://medvellum.com/s/physician/vivas/tubulointerstitial-disease) — Structured DCE viva for acute interstitial nephritis: long-case defence of biopsy-proven PPI-induced AIN in a polypharmacy patient — deprescribing, the steroid decision with observ (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Urinary Tract Infection AND Complicated UTI Pyelonephritis — Viva Defence](https://medvellum.com/s/physician/vivas/urinary-tract-infection-and-complicated-uti-pyelonephritis) — DCE viva defence for Urinary Tract Infection AND Complicated UTI Pyelonephritis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) ### respiratory - [Asthma and Severe Asthma — Viva Defence](https://medvellum.com/s/physician/vivas/asthma-severe) — Structured DCE viva for severe asthma: long-case defence covering phenotyping, biologic selection, oral-steroid-sparing strategy, comorbidity integration, and acute severe asthma e (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Bronchiectasis AND Suppurative Lung Disease — Viva Defence](https://medvellum.com/s/physician/vivas/bronchiectasis-and-suppurative-lung-disease) — DCE viva defence for Bronchiectasis AND Suppurative Lung Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [COPD — Viva Defence](https://medvellum.com/s/physician/vivas/copd) — Structured DCE viva for COPD: long-case defence covering exacerbation management, NIV reasoning, eosinophil-guided ICS decisions, cor pulmonale, and comorbidity integration, plus s (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Diffuse Alveolar Haemorrhage — Viva Defence](https://medvellum.com/s/physician/vivas/diffuse-alveolar-haemorrhage-and-pulmonary-renal-syndromes) — Structured DCE viva for diffuse alveolar haemorrhage: long-case defence of granulomatosis with polyangiitis presenting with alveolar haemorrhage and dialysis-dependent renal diseas (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Interstitial Lung Disease — Viva Defence](https://medvellum.com/s/physician/vivas/interstitial-lung-disease) — Structured DCE viva for interstitial lung disease: long-case defence and short-case discussion covering diagnostic reasoning, antifibrotic therapy, CTD-ILD management, acute exacer (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Lung Cancer — Viva Defence](https://medvellum.com/s/physician/vivas/lung-cancer) — Structured DCE viva for lung cancer: long-case defence of a never-smoker with stage IV EGFR-mutant NSCLC — targeted-therapy sequencing, resistance management, and the conversations (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Lung Transplantation — Viva Defence](https://medvellum.com/s/physician/vivas/lung-transplantation) — DCE viva defence for Lung Transplantation. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Obstructive Sleep Apnoea — Viva Defence](https://medvellum.com/s/physician/vivas/obstructive-sleep-apnoea) — Structured DCE viva for obstructive sleep apnoea: long-case defence covering severe OSA with excessive daytime sleepiness, resistant hypertension, atrial fibrillation, and a commer (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Occupational AND Environmental Lung Disease — Viva Defence](https://medvellum.com/s/physician/vivas/occupational-and-environmental-lung-disease) — DCE viva defence for Occupational AND Environmental Lung Disease. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Pleural Disease — Viva Defence](https://medvellum.com/s/physician/vivas/pleural-disease) — Structured DCE viva for pleural disease: long-case defence covering malignant pleural mesothelioma with asbestos exposure (diagnosis, pleural control, chemotherapy, compensation), (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Pneumonia — Viva Defence](https://medvellum.com/s/physician/vivas/pneumonia-physician) — Structured DCE viva for pneumonia: long-case defence covering severe CAP with septic shock, empiric therapy, corticosteroid adjunct, parapneumonic effusion, and ICU severity scorin (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pulmonary Embolism — Viva Defence](https://medvellum.com/s/physician/vivas/pulmonary-embolism) — Structured DCE viva for pulmonary embolism: long-case defence covering diagnostic algorithm reasoning, risk stratification (sPESI, biomarkers, echo), DOAC dosing in renal impairmen (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Pulmonary Vascular Disease AND COR Pulmonale — Viva Defence](https://medvellum.com/s/physician/vivas/pulmonary-vascular-disease-and-cor-pulmonale) — DCE viva defence for Pulmonary Vascular Disease AND COR Pulmonale. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Respiratory Failure and Non-Invasive Ventilation — Viva Defence](https://medvellum.com/s/physician/vivas/respiratory-failure-and-non-invasive-ventilation) — Structured DCE viva for respiratory failure and NIV: long-case defence of severe COPD with a second acidotic exacerbation this year — acute NIV, ceilings of care, domiciliary oxyge (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Respiratory Investigation — Viva Defence](https://medvellum.com/s/physician/vivas/respiratory-investigation-pfts-bronchoscopy-thoracoscopy) — Structured DCE viva for respiratory investigation: defending the investigation chain in progressive dyspnoea with crackles — HRCT, pulmonary function tests, and the BAL/biopsy deci (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) - [Solitary Pulmonary Nodule — Viva Defence](https://medvellum.com/s/physician/vivas/solitary-pulmonary-nodule) — Structured DCE viva for the solitary pulmonary nodule: defence of an incidental 11 mm spiculated nodule in an ex-smoker with emphysema and cardiac comorbidity — surveillance versus (exams=FRACP DCE,MRCP Part 2; updated=2026-07-17) ### rheumatological - [Allergic Rhinitis AND Asthma — Viva Defence](https://medvellum.com/s/physician/vivas/allergic-rhinitis-and-asthma) — DCE viva defence for Allergic Rhinitis AND Asthma. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Antiphospholipid Syndrome — Viva Defence](https://medvellum.com/s/physician/vivas/antiphospholipid-syndrome) — DCE viva defence for Antiphospholipid Syndrome. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Complement Deficiencies AND Recurrent Infections — Viva Defence](https://medvellum.com/s/physician/vivas/complement-deficiencies-and-recurrent-infections) — DCE viva defence for Complement Deficiencies AND Recurrent Infections. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Crystal Arthropathies — Viva Defence](https://medvellum.com/s/physician/vivas/crystal-arthropathies) — DCE viva defence for Crystal Arthropathies. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Drug Induced Rheumatological Disease AND Biologics Safety — Viva Defence](https://medvellum.com/s/physician/vivas/drug-induced-rheumatological-disease-and-biologics-safety) — DCE viva defence for Drug Induced Rheumatological Disease AND Biologics Safety. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Eosinophilic Disorders — Viva Defence](https://medvellum.com/s/physician/vivas/eosinophilic-disorders) — DCE viva defence for Eosinophilic Disorders. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Fibromyalgia and Chronic Widespread Pain — Viva Defence](https://medvellum.com/s/physician/vivas/fibromyalgia-and-chronic-widespread-pain) — Structured DCE viva for the fibromyalgia patient with comorbid inflammatory disease: long-case defence of a 48-year-old woman with rheumatoid arthritis and secondary fibromyalgia, (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [IgG4-Related Disease — Viva Defence](https://medvellum.com/s/physician/vivas/igg4-related-disease) — Structured DCE viva for IgG4-related disease: long-case defence of a 62-year-old retired engineer with painless jaundice, bilateral submandibular gland enlargement and renal impair (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Immunological Investigation Immunoglobulins Complement Flow Cytometry — Viva Defence](https://medvellum.com/s/physician/vivas/immunological-investigation-immunoglobulins-complement-flow-cytometry) — DCE viva defence for Immunological Investigation Immunoglobulins Complement Flow Cytometry. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Osteoarthritis — Viva Defence](https://medvellum.com/s/physician/vivas/osteoarthritis) — DCE viva defence for Osteoarthritis. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Rheumatoid Arthritis — Viva Defence](https://medvellum.com/s/physician/vivas/rheumatoid-arthritis) — Structured DCE viva for rheumatoid arthritis: long-case defence covering treat-to-target management of newly diagnosed seropositive erosive RA with methotrexate, escalation princip (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Rheumatological Investigation Autoantibodies Imaging Synovial Fluid — Viva Defence](https://medvellum.com/s/physician/vivas/rheumatological-investigation-autoantibodies-imaging-synovial-fluid) — DCE viva defence for Rheumatological Investigation Autoantibodies Imaging Synovial Fluid. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [SJ Gren S Syndrome AND Inflammatory Myopathies — Viva Defence](https://medvellum.com/s/physician/vivas/sj-gren-s-syndrome-and-inflammatory-myopathies) — DCE viva defence for SJ Gren S Syndrome AND Inflammatory Myopathies. (exams=FRACP DCE,MRCP PACES; updated=2026-07-18) - [Spondyloarthropathies — Viva Defence](https://medvellum.com/s/physician/vivas/spondyloarthropathies) — Structured DCE viva for the spondyloarthropathies: long-case defence covering the treatment ladder for newly diagnosed ankylosing spondylitis (NSAIDs, physiotherapy, biologic escal (exams=FRACP DCE,MRCP PACES; updated=2026-07-13) - [Systemic Autoinflammatory Syndromes — Viva Defence](https://medvellum.com/s/physician/vivas/systemic-autoinflammatory-syndromes) — Structured DCE viva for the systemic autoinflammatory syndromes: long-case defence covering undiagnosed familial Mediterranean fever complicated by AA amyloidosis, with colchicine (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Systemic Lupus Erythematosus — Viva Defence](https://medvellum.com/s/physician/vivas/systemic-lupus-erythematosus) — Structured DCE viva for systemic lupus erythematosus: long-case defence covering induction of class IV proliferative lupus nephritis with mycophenolate versus cyclophosphamide, pre (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [Systemic Sclerosis — Viva Defence](https://medvellum.com/s/physician/vivas/systemic-sclerosis) — Structured DCE viva for systemic sclerosis: long-case defence covering a woman with limited cutaneous SSc presenting with pulmonary arterial hypertension and interstitial lung dise (exams=FRACP DCE,MRCP PACES; updated=2026-07-11) - [The Systemic Vasculitides — Viva Defence](https://medvellum.com/s/physician/vivas/vasculitis-physician) — Structured DCE viva for the systemic vasculitides: long-case defence covering newly diagnosed granulomatosis with polyangiitis presenting as a pulmonary-renal syndrome, with rituxi (exams=FRACP DCE,MRCP PACES; updated=2026-07-11)