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General Practice at a Glance


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Table of Contents

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


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

About the Author

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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