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.
Paul Booton is Professor of General Practice and Primary Care at St George's, University of London, and formerly Director of Primary Care Education, Imperial College, London
Carol Cooper is Honorary Teaching Fellow, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner
Graham Easton is Deputy Director of Primary Care Education, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner
Margaret Harper is Honorary Teaching Fellow, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner
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.
Paul Booton is Professor of General Practice and Primary Care at St George's, University of London, and formerly Director of Primary Care Education, Imperial College, London Carol Cooper is Honorary Teaching Fellow, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner Graham Easton is Deputy Director of Primary Care Education, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner Margaret Harper is Honorary Teaching Fellow, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner
Title page 5
Copyright page 6
Contents 7
Contributors 8
Preface 9
Acknowledgements 10
Abbreviations 11
Introduction: how to make the most of your GP attachment 13
Part 1: The essence of general practice 14
1: The 10-minute consultation: taking a history 14
What’s the difference between a focused history and a traditional one? 14
Focused history-taking in a nutshell 14
Listen 14
Clarify 15
Explore beliefs 15
Summarise 15
The past medical history 15
The treatment history 15
Family history 15
Where next? 15
2: The 10-minute consultation: managing your patient 16
What’s next? 17
Examining your patient 17
Investigations 17
Managing your patient 17
Tools for management 17
Treatment 17
Negotiation 17
Documentation 17
3: Continuity of care and the primary healthcare team 18
Continuity of care 19
Primary care team 19
Appointments 19
Use of time 19
Preventive medicine 19
Special interests 19
Chronic diseases 19
Home visits 19
4: Why do patients consult? 20
Lay referral system 21
Zola’s triggers 21
Ideas, concerns and expectations 21
Biopsychosocial model of health 21
Diversity and language difficulties 21
5: Preventive medicine 22
Preventive medicine in general practice 23
Primary prevention 23
Secondary prevention 23
Opportunistic screening 23
NHS population screening programmes 23
Tertiary prevention 23
Quality and Outcomes Framework 23
6: Significant event analysis, audit and research 24
What is significant event analysis? 24
Example of an SEA 24
What is audit? 24
Example of an audit 25
What is research? 25
The research process 25
7: Communication between primary and secondary care 26
Why communication matters 27
Key features of effective communication 27
Referral letters 27
Discharge summaries 27
Phoning hospital colleagues 27
Getting patients seen or admitted 27
8: Principles of good prescribing in primary care 28
9: Prescribing in children and the elderly 30
Prescribing for special groups 31
Prescribing for children 31
Prescribing for the elderly 31
10: Law and ethics 32
Consent to treatment 33
Children under 16 years 33
Confidentiality 33
Data protection 33
Confidentiality and the student 33
Ethics 33
11: Child abuse, domestic violence and elder abuse 34
Child abuse 35
Risk factors 35
Types of abuse (often overlap) 35
History 35
What to tell the parents and child 35
Domestic violence 35
History 35
Elder abuse and vulnerable adults 35
Part 2: Common presentations in general practice 36
Child health 36
12: The febrile child 36
Assessment of the child with a fever 37
History 37
Management and advice for non-serious fever 37
Indications for referral 37
Meningococcal disease 37
Urinary tract infection 37
Differential diagnosis 37
History 37
Examination 37
Investigations 37
Management 37
Advice to parent 37
13: Cough and wheeze 38
Cough and wheeze 38
History 38
Examination 38
Croup and epiglottitis 38
Bronchiolitis 38
Examination 38
Pertussis 38
14: Asthma 39
History 39
Examination 39
Acute asthma 39
Acute severe asthma 39
Life-threatening asthma 39
If it is not asthma, what is it? 39
Management of chronic asthma 39
15: Abdominal problems 40
Abdominal pain 40
History 40
Management of acute abdominal pain 41
Management of recurrent abdominal pain 41
Diarrhoea and vomiting 41
History 41
Management 41
Constipation 41
History 41
Examination 41
Management of idiopathic constipation 41
16: Common behaviour problems 42
History 43
Range of problems 43
School refusal 43
The hyperactive child and attention deficit hyperactivity disorder 43
Management 43
Autistic spectrum disorder 43
17: Childhood rashes 44
Examination 44
Rashes and spots in babies 44
Exanthems 44
Purpuric rashes 45
Other common rashes 45
18: Child health promotion 46
Immunisations 47
Child surveillance programme 47
Examination of the newborn infant 47
First 5 weeks 47
8-week check by the GP and health visitor (includes the first immunisation) 47
8–9 months to school age 47
Primary and secondary schools 47
19: Musculoskeletal problems in children 48
Developmental dysplasia of the hip 49
Limping 49
Growing pains 49
History 49
Examination 49
Management 49
Flat feet, bow-legs and knock-knees 49
Rickets 49
Investigations 50
Management 50
Juvenile idiopathic arthritis 50
Sexual health 51
20: Common sexual problems 51
Erectile dysfunction (impotence) 52
History 52
Examination 52
Investigations 52
Management 52
Premature ejaculation 52
Management 52
Loss of libido 52
History 52
Examination 52
Investigations 52
Management 53
Dyspareunia 53
History 53
Examination 53
Investigations 53
Management 53
21: Sexually transmitted infections and HIV 54
Sexual history 55
Chlamydia 55
Gonococcus 55
Trichomonas vaginalis 55
Herpes virus (type 1 or 2) 55
Genital warts: human papilloma virus 55
Syphilis 55
HIV 55
22: Contraception 56
History 57
Examination 57
Contraceptive options 57
Female methods 57
Male methods 57
23: Subfertility 58
Definition and background 59
Aetiology 59
History 59
Examination 59
Investigations 59
Management 59
Pre-conception counselling 59
Women’s health 60
24: Termination of pregnancy 60
Key points to address in the GP consultation 61
Psycho-social issues to consider in the consultation 61
What if you feel unable to provide adequate counselling or referral because of religious or personal beliefs? 61
What happens in the specialist clinic? 61
Aftercare 61
25: Menstrual disorders 62
Menorrhagia 63
History 63
Examination 63
Investigations 63
Management 63
Dysmenorrhoea 63
Diagnosis 63
Treatment 63
Intermenstrual and post-coital bleeding 63
Post-menopausal bleeding 63
Polycystic ovarian syndrome 63
Underlying cause and long-term effect 63
History 63
Treatment 63
26: The menopause 64
Diagnosis 64
History 64
Investigations 64
Management 64
27: Common gynaecological cancers 65
Role of the GP in gynaecological malignancies 65
History 66
Examination 66
Management 66
28: Breast problems 66
History 66
Examination 66
Management 66
Benign breast disease 66
Breast cancer 67
Should you mention ‘cancer’? 67
NHS breast screening 67
The pregnant woman 68
29: Antenatal care 68
The pregnant woman 69
Antenatal care 69
History 69
Examination 69
Management 69
30: Bleeding and pain in pregnancy 70
Bleeding in early pregnancy 70
Miscarriage 70
History 71
Examination 71
Management 71
Bleeding in late pregnancy 71
Antiphospholipid syndrome 71
Abdominal pain 71
31: Other pregnancy problems 72
Common minor symptoms 73
More serious problems 73
Gestational diabetes 73
Multiple pregnancy 73
Medical disorders in pregnancy 73
Thyroid disease 73
Hypertension 73
Asthma 73
Epilepsy 73
Pre-existing diabetes 73
Care of the elderly 74
32: Acute confusional state and dementia 74
Clinical presentation of dementia 75
Clinical presentation of acute confusional state 75
History 75
Examination 75
Investigations 75
Management 75
Long-term management of dementia 75
33: Fits, faints, falls and funny turns 76
Blackouts 77
Syncope 77
Seizures 77
Vertigo 77
Non-vertiginous dizziness 77
Cardiovascular problems 78
34: Chest pain 78
Taking a history 79
Examination 79
Investigations 79
Management 79
35: Stroke 80
Role of the GP 80
History 80
Examination 80
Acute management of stroke and TIA 80
After a stroke 80
Rehabilitation 80
36: Peripheral vascular disease and leg ulcers 81
History 81
Examination 81
Investigations 81
Management 81
37: Preventing cardiovascular disease 82
Risk factors for CVD 83
Risk calculators 83
Reducing risk 83
Management of hypertension 83
Management of hyperlipidaemia 83
Management of raised glucose 83
How to talk to patients about prevention 83
Respiratory problems 84
38: Breathing difficulties 84
Sudden acute causes of breathlessness 85
Acute breathing difficulties at younger ages 85
Acute breathing difficulties at older ages 85
Slowly progressive causes of breathlessness 85
Vague breathlessness 85
39: Cough, smoking and lung cancer 86
Cough 87
Lung cancer 87
Background 87
Symptoms 87
Management in primary care 87
40: Asthma and chronic obstructive pulmonary disease 88
Asthma 89
Diagnosis 89
Management 89
Chronic obstructive pulmonary disease 89
Diagnosis 89
Management 89
Endocrine problems 90
41: Diabetes 90
Diagnosis 91
Management 91
Other interventions 91
Future directions for hyperglycaemic control in T2D 91
42: Thyroid disease 92
Pathology 93
A lump in the neck 93
The overactive thyroid 93
The underactive thyroid 93
Gastrointestinal problems 94
43: Acute diarrhoea and vomiting in adults 94
Acute diarrhoea 94
History 94
Examination 95
Investigations 95
Management 95
Advice for patients with diarrhoea and/or vomiting 95
Vomiting 95
44: Dyspepsia and upper gastrointestinal symptoms 96
Dyspepsia 97
History 97
Alarm features 97
Examination 97
Investigations 97
Management 97
45: Lower gastrointestinal symptoms 98
History 99
Examination 99
Management 99
Colorectal cancer 99
Crohn’s disease and ulcerative colitis 99
Irritable bowel syndrome 99
Diverticular disease 99
Coeliac disease 99
Haemorrhoids 99
46: The acute abdomen 100
Acute abdominal pain 101
History 101
Examination 101
Does your patient need an intimate examination? 101
Investigations 101
Management 101
Referring to hospital 101
Should you give analgesia? 101
Musculoskeletal problems 102
47: Back pain 102
Back pain 102
History 102
Examination 102
Investigations 103
Management 103
Cauda equina syndrome 103
Osteoporosis 103
Investigations 103
Management 103
Osteomalacia 103
Investigations 103
48: Hip and lower limb 104
The hip 104
Examination 104
Investigations 105
Management 105
The knee 105
History 105
Examination 105
Investigations 105
Management 105
Ankle and foot pain 105
The ankle 105
The foot 105
History 105
Examination 105
49: Neck and upper limb 106
Neck pain 106
History 106
Examination 106
Management 106
Shoulder pain 107
History 107
Examination 107
Investigations 107
Management 107
Elbow pain 107
History 107
Examination 107
Management 107
Hand and wrist 107
History 107
Examination 107
Management 107
50: Inflammatory arthritis, rheumatism and osteoarthritis 108
Inflammatory arthritis 108
History 109
Examination 109
Investigations 109
Management 109
Gout 109
Investigations 109
Management 109
Polymyalgia rheumatica and giant-cell arteritis 109
History 109
Examination 109
Investigations 109
Management 109
Osteoarthritis 109
Management 109
Eyes and ENT 110
51: Upper respiratory tract infection (including sore throat) 110
Upper respiratory tract infection 111
Definition 111
Pathology 111
History 111
Examination 111
Management 111
The GP as risk manager 111
52: Ear symptoms 112
Ear ache (otalgia) 113
History 113
Examination 113
Management 113
Ear discharge (otorrhoea) 113
Hearing loss 113
53: The red eye 114
History 115
Examination 115
Investigations 115
Management 115
Some ‘red eye’ red flags 115
54: Loss of vision and other visual symptoms 116
History 117
Examination 117
Summary of conditions presenting with visual symptoms in primary care 117
Focus on age-related macular degeneration 117
History 117
Examination 117
Management 117
Dermatology 118
55: Eczema, psoriasis and skin tumours 118
Skin problems in general practice 118
Eczema 118
History and examination 118
Management 118
Other medications 118
Psoriasis 118
Management 119
Skin cancers 119
Malignant melanoma 119
Basal cell carcinoma 119
Squamous cell carcinoma 119
Seborrhoeic keratoses 119
56: Other common skin problems 120
Acne 120
Acne rosacea 120
Seborrhoeic dermatitis 120
Pityriasis versicolor 120
Pityriasis rosea 120
Fungal infections 121
Warts 121
Molluscum contagiosum 121
Cold sores 121
Shingles 121
Impetigo 121
Scabies 121
Mental health 122
57: Depression 122
Depression in primary care 123
History 123
Examination 123
Investigations 123
Management 123
Non-drug treatments 123
Drug treatments 123
Assessing suicide risk 123
58: Anxiety, stress and panic disorder 124
History 125
Examination 125
Differential diagnosis 125
Investigations 125
Management 125
Treatment 125
Psychological help (CBT) 125
Pharmacological therapy (SSRI antidepressants) 125
Self-help (bibliotherapy, self-help groups) 125
Prognosis 125
59: Alcohol and drug misuse 126
Alcohol 127
History 127
Examination 127
Investigations 127
Management 127
Drugs 127
History 127
Examination 127
Investigations 127
Management 127
60: Eating disorders 128
History 129
Management 129
Anorexia nervosa 129
Bulimia nervosa 129
Obesity 129
Childhood obesity 129
Adult obesity 129
61: Psychosis and severe mental illness 130
Early detection of first episode and relapses 131
Early referral for treatment 131
Continued engagement over time 131
Reducing psychiatric symptoms 131
Improving and monitoring physical health 131
Relapse prevention 131
Other common conditions 132
62: Headache 132
Migraine 133
Treatment 133
Other types of headache 133
Serious causes of headache 133
63: Tiredness and anaemia 134
History 135
Examination 135
Chronic fatigue syndrome (CFS) 135
Obstructive sleep apnoea syndrome 135
Managing anaemia 135
64: Insomnia 136
History 137
Examination 137
Investigations 137
Management 137
Non-pharmacological treatments 137
Pharmacological treatments 137
65: Allergy and hay fever 138
Hay fever (seasonal allergic rhinitis) 139
History 139
Examination 139
Diagnosis 139
Management 139
Perennial rhinitis 139
History and examination 139
Diagnosis 139
Management 139
Food allergies and intolerance 139
Anaphylaxis 139
66: Urinary tract disorders 140
Haematuria 141
Infection 141
History 141
Investigations 141
Treatment 141
Renal colic 141
Prostate 141
Urinary incontinence 141
67: Chronic pain 142
Causes 143
Diagnosis 143
Management 143
Assessment 143
Treatment 143
The biopsychosocial approach 143
Biological therapy 143
Psychological therapy 143
Social therapy 143
‘Boom and bust’ versus ‘base and pace’ 143
Management of flare-ups 143
Further reading and resources 144
Index 148
"A comprehensive guide on history taking, diagnosis and
treatment in primary care, useful for written and clinical
examinations alike. In particular, the use of high yield schematics
throughout - from contraceptive methods and ear and eye symptoms,
to the acute abdomen and gynaecological cancer epidemiology -
differentiates this text from the rest." (Mobolaji O. Ajekigbe,
Imperial College London)
"This is a valuable book for young clinicians and students of
all disciplines. It is intuitive and provides much teaching
material for patients." (Doody's)
"It will help you develop an understanding of the nature
and structure of primary care." (Student BMA News)
"I think it is a fantastic book. I will be recommending it to
medical students and other GP registrars. It is a lovely summary of
general practice. The authors are obviously very experienced and
have managed to distil the real 'need to know' facts in
a highly reader friendly and engaging way. I would recommend every
practice should have a copy of this text. Medical students will
find it really useful for exam revision and not just during a GP
placement. It's a really reader-friendly, clear book. It does
not scrimp on the medical facts or lose anything by being so slim
and lightweight. I think it is priced perfectly for its intended
market. The diagrams and illustrations are particularly good and
relevant: it's an excellent revision text for students. It is
very difficult to pick out any weaknesses based on its intended
audience. I was thoroughly impressed with this book. I though from
the style it was going to be a little too basic but it certainly is
not. Particularly noteworthy are the illustrations which are highly
relevant and clear. The inclusion of photographs makes this text
stand out from other similar texts on the market. A far more
engaging and informative read than other stodgy textbooks on the
same topic. I would have no hesitation in recommending this to
medical and GP registrars." (2013 BMA Medical Book
Awards)
| Erscheint lt. Verlag | 19.10.2012 |
|---|---|
| Reihe/Serie | At a Glance |
| At a Glance | At a Glance |
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Allgemeines / Lexika |
| Medizin / Pharmazie ► Gesundheitswesen | |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Allgemeinmedizin | |
| Schlagworte | Allgemeinmedizin • Allgemeinpraxis, hausärztliche Praxis • Allgemeinpraxis, hausärztliche Praxis • Approach • Attachment • Brand • comprehensively • easytouse • Essential • full • General Practice/Family Practice • glance format • GP • highly • Illustrated • Illustrations • Information • Introduction • Medical Science • Medizin • Mirrors • New • perfectly • Practice • Presentations • Range • symptomsbased • System • title |
| ISBN-13 | 9781118518410 / 9781118518410 |
| Informationen gemäß Produktsicherheitsverordnung (GPSR) | |
| Haben Sie eine Frage zum Produkt? |
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