General Practice at a Glance

Description

Following the familiar, easy-to-use at a Glance format, this brand new title provides a highly illustrated introduction to the full range of essential primary care presentations, grouped by system, so you’ll know exactly where to find the information you need, and be perfectly equipped to make the most of your GP attachment.

General Practice at a Glance:

• Is comprehensively illustrated throughout with over 60 full-page colour illustrations
• Takes a symptoms-based approach which mirrors the general practice curriculum
• Offers ‘one-stop’ coverage of musculoskeletal, circulatory, respiratory, nervous, reproductive, urinary, endocrine and digestive presentations
• Highlights the interrelations between primary and secondary care
• Includes sample questions to ask during history taking and examination
• Features ‘red flags’ to highlight symptoms or signs which must not be missed

This accessible introduction and revision aid will help all medical students and junior doctors develop an understanding of the nature and structure of primary care, and hit the ground running on the general practice attachment.

Table of contents

Contributors
Preface
Acknowledgements
Abbreviations
Introduction: how to make the most of your GP attachment

Part 1 The essence of general practice

• 1 The 10-minute consultation: taking a history 12
• 2 The 10-minute consultation: managing your patient 14
• 3 Continuity of care and the primary healthcare team 16
• 4 Why do patients consult? 18
• 5 Preventive medicine 20
• 6 Significant event analysis, audit and research 22
• 7 Communication between primary and secondary care 24
• 8 Principles of good prescribing in primary care 26
• 9 Prescribing in children and the elderly 28
• 10 Law and ethics 30
• 11 Child abuse, domestic violence and elder abuse 32

Part 2 Common presentations in general practice Child health

• 12 The febrile child 34
• 13 Cough and wheeze 36
• 14 Asthma 37
• 15 Abdominal problems 38
• 16 Common behaviour problems 40
• 17 Childhood rashes 42
• 18 Child health promotion 44
• 19 Musculoskeletal problems in children 46

Sexual health

• 20 Common sexual problems 49
• 21 Sexually transmitted infections and HIV 52
• 22 Contraception 54
• 23 Subfertility 56

Women’s health

• 24 Termination of pregnancy 58
• 25 Menstrual disorders 60
• 26 The menopause 62
• 27 Common gynaecological cancers 63
• 28 Breast problems 64

The pregnant woman

• 29 Antenatal care 66
• 30 Bleeding and pain in pregnancy 68
• 31 Other pregnancy problems 70

Care of the elderly

• 32 Acute confusional state and dementia 72
• 33 Fits, faints, falls and funny turns 74

Cardiovascular problems

• 34 Chest pain 76
• 35 Stroke 78
• 36 Peripheral vascular disease and leg ulcers 79
• 37 Preventing cardiovascular disease 80

Respiratory problems

• 38 Breathing diffi culties 82
• 39 Cough, smoking and lung cancer 84
• 40 Asthma and chronic obstructive pulmonary disease 86

Endocrine problems

• 41 Diabetes 88
• 42 Thyroid disease 90

Gastrointestinal problems

• 43 Acute diarrhoea and vomiting in adults 92
• 44 Dyspepsia and upper gastrointestinal symptoms 94
• 45 Lower gastrointestinal symptoms 96
• 46 The acute abdomen 98

Musculoskeletal problems

• 47 Back pain 100
• 48 Hip and lower limb 102
• 49 Neck and upper limb 104
• 50 Infl ammatory arthritis, rheumatism and osteoarthritis 106

Eyes and ENT

• 51 Upper respiratory tract infection (including sore throat) 108
• 52 Ear symptoms 110
• 53 The red eye 112
• 54 Loss of vision and other visual symptoms 114

Dermatology

• 55 Eczema, psoriasis and skin tumours 116
• 56 Other common skin problems 118

Mental health

• 57 Depression 120
• 58 Anxiety, stress and panic disorder 122
• 59 Alcohol and drug misuse 124
• 60 Eating disorders 126
• 61 Psychosis and severe mental illness 128

Other common conditions

• 62 Headache 130
• 63 Tiredness and anaemia 132
• 64 Insomnia 134
• 65 Allergy and hay fever 136
• 66 Urinary tract disorders 138
• 67 Chronic pain 140

Further reading and resources 142
Index 146