General Practice at a Glance

Awarded First Prize, in the Primary health care category, at the 2013 BMA Medical Book Awards. 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.

Awarded First Prize, in the Primary health care category, atthe 2013 BMA Medical Book Awards.Following the familiar, easy-to-use at a Glance format, thisbrand new title provides a highly illustrated introduction to thefull range of essential primary care presentations, grouped bysystem, so you'll know exactly where to find the informationyou need, and be perfectly equipped to make the most of your GPattachment.General Practice at a Glance:* Is comprehensively illustrated throughout with over 60full-page colour illustrations* Takes a symptoms-based approach which mirrors the generalpractice curriculum* Offers 'one-stop' coverage of musculoskeletalcirculatory, respiratory, nervous, reproductive, urinary, endocrineand digestive presentations* Highlights the interrelations between primary and secondarycare* Includes sample questions to ask during history taking andexamination* Features 'red flags' to highlight symptoms or signswhich must not be missedThis accessible introduction and revision aid will help allmedical students and junior doctors develop an understanding of thenature and structure of primary care, and hit the ground running onthe general practice attachment.

Contributors 6Preface 7Acknowledgements 8Abbreviations 9Introduction: how to make the most of your GP attachment 11Part 1 The essence of general practice1 The 10-minute consultation: taking a history 122 The 10-minute consultation: managing your patient 143 Continuity of care and the primary healthcare team 164 Why do patients consult? 185 Preventive medicine 206 Significant event analysis, audit and research 227 Communication between primary and secondary care 248 Principles of good prescribing in primary care 269 Prescribing in children and the elderly 2810 Law and ethics 3011 Child abuse, domestic violence and elder abuse 32Part 2 Common presentations in general practice Child health12 The febrile child 3413 Cough and wheeze 3614 Asthma 3715 Abdominal problems 3816 Common behaviour problems 4017 Childhood rashes 4218 Child health promotion 4419 Musculoskeletal problems in children 46Sexual health20 Common sexual problems 4921 Sexually transmitted infections and HIV 5222 Contraception 5423 Subfertility 56Women's health24 Termination of pregnancy 5825 Menstrual disorders 6026 The menopause 6227 Common gynaecological cancers 6328 Breast problems 64The pregnant woman29 Antenatal care 6630 Bleeding and pain in pregnancy 6831 Other pregnancy problems 70Care of the elderly32 Acute confusional state and dementia 7233 Fits, faints, falls and funny turns 74Cardiovascular problems34 Chest pain 7635 Stroke 7836 Peripheral vascular disease and leg ulcers 7937 Preventing cardiovascular disease 80Respiratory problems38 Breathing diffi culties 8239 Cough, smoking and lung cancer 8440 Asthma and chronic obstructive pulmonary disease 86Endocrine problems41 Diabetes 8842 Thyroid disease 90Gastrointestinal problems43 Acute diarrhoea and vomiting in adults 9244 Dyspepsia and upper gastrointestinal symptoms 9445 Lower gastrointestinal symptoms 9646 The acute abdomen 98Musculoskeletal problems47 Back pain 10048 Hip and lower limb 10249 Neck and upper limb 10450 Inflammatory arthritis, rheumatism and osteoarthritis 106Eyes and ENT51 Upper respiratory tract infection (including sore throat) 10852 Ear symptoms 11053 The red eye 11254 Loss of vision and other visual symptoms 114Dermatology55 Eczema, psoriasis and skin tumours 11656 Other common skin problems 118Mental health57 Depression 12058 Anxiety, stress and panic disorder 12259 Alcohol and drug misuse 12460 Eating disorders 12661 Psychosis and severe mental illness 128Other common conditions62 Headache 13063 Tiredness and anaemia 13264 Insomnia 13465 Allergy and hay fever 13666 Urinary tract disorders 13867 Chronic pain 140Further reading and resources 142Index 146