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Awarded First Prize, within the fundamental overall healthiness care type, on the 2013 BMA scientific publication Awards.
Following the widespread, easy-to-use at a Glance layout, this fresh identify presents a hugely illustrated advent to the complete diversity of crucial fundamental care shows, grouped through method, so you’ll understand precisely the place to discover the data you would like, and be completely built to utilize your GP attachment.
General perform at a Glance:
- Is comprehensively illustrated all through with over 60 full-page color illustrations
- Takes a symptoms-based process which mirrors the final perform curriculum
- Offers ‘one-stop’ insurance of musculoskeletal, circulatory, breathing, apprehensive, reproductive, urinary, endocrine and digestive presentations
- Highlights the interrelations among fundamental and secondary care
- Includes pattern inquiries to ask in the course of background taking and examination
- Features ‘red flags’ to focus on signs or indicators which must never be missed
This obtainable advent and revision reduction can assist all clinical scholars and junior medical professionals boost an knowing of the character and constitution of fundamental care, and hit the floor operating at the basic perform attachment.
Read Online or Download General practice at a glance PDF
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Additional info for General practice at a glance
Abuse may be physical, sexual (rape can occur within marriage) or emotional. Victims are often ashamed about what has happened, may think it their fault and be frightened to report it for fear of repercussions. History Always see the patient alone. Give her the opportunity to talk. Note non-verbal cues and hidden agendas. Does she seem to have low self-esteem or self-neglect? Ask open then closed questions. ’ Explain the limits of confidentiality. Ask about self-harm, depression, anxiety, drug or alcohol abuse, all often related to domestic violence.
Clinical signs are poor indicators and the severity of the attack may not be recognised. The following is adapted from the British Thoracic Society (BTS) and SIGN guidelines. It refers to children over 2 years. Under 2 years diagnosis is difficult – assess and refer urgently. Acute severe asthma Unable to complete sentences or feed, agitation, altered consciousness, use of accessory muscles of respiration • Pulse rate >120 if over 5 years, >140 if aged 2–5 years • Respiratory rate >30 if over 5 years, > 40 if 2–5 years old • SpO2 <92% • Peak flow in older children <33–50% of best or predicted PEFR Give beta-agonists as first line treatment up to 10 puffs, if no improvement refer urgently to hospital.
Examination • Exclude other causes of fever. • Feel the abdomen for tenderness, renal mass or large bladder. • Inspect the external genitalia if indicated for evidence of a congenital abnormality, vulvitis or balanitis. Investigations Take a urine sample (if possible clean catch) before treating, and send the sample for culture to confirm the diagnosis. Explain to the parents the importance of a sterile sample. Whether you treat based on the dipstick or wait for the results of a mid stream urine (MSU) depends on the child’s age and the clinical picture.