Contributors 6
Preface 7
Acknowledgements 8
Abbreviations 9
Introduction: how to make the most of your GP attachment 11
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 Inflammatory 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
Paul Booton is Professor of General Practice andPrimary Care at St George s, University of London, andformerly Director of Primary Care Education, Imperial College,London Carol Cooper is Honorary Teaching Fellow, Department ofPrimary Care and Public Health at Imperial College MedicalSchool, London, and a General Practitioner Graham Easton is Deputy Director of Primary CareEducation, Department of Primary Care and Public Health at ImperialCollege Medical School, London, and a General Practitioner Margaret Harper is Honorary Teaching Fellow, Departmentof Primary Care and Public Health at Imperial College MedicalSchool, London, and a General Practitioner
A comprehensive guide on history taking, diagnosis andtreatment in primary care, useful for written and clinicalexaminations alike. In particular, the use of high yield schematicsthroughout - 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 ofall disciplines. It is intuitive and provides much teachingmaterial for patients. (Doody s) It will help you develop an understanding of the natureand structure of primary care. (Student BMA News) I think it is a fantastic book. I will be recommending it tomedical students and other GP registrars. It is a lovely summary ofgeneral practice. The authors are obviously very experienced andhave managed to distil the real need to know facts ina highly reader friendly and engaging way. I would recommend everypractice should have a copy of this text. Medical students willfind it really useful for exam revision and not just during a GPplacement. It s a really reader-friendly, clear book. It doesnot scrimp on the medical facts or lose anything by being so slimand lightweight. I think it is priced perfectly for its intendedmarket. The diagrams and illustrations are particularly good andrelevant: it s an excellent revision text for students. It isvery difficult to pick out any weaknesses based on its intendedaudience. I was thoroughly impressed with this book. I though fromthe style it was going to be a little too basic but it certainly isnot. Particularly noteworthy are the illustrations which are highlyrelevant and clear. The inclusion of photographs makes this textstand out from other similar texts on the market. A far moreengaging and informative read than other stodgy textbooks on thesame topic. I would have no hesitation in recommending this tomedical and GP registrars. (2013 BMA Medical BookAwards)
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