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International Primary Care Association
Editor Admin

Editor Admin


Down syndrome is the most common identifiable cause of learning disability and occurs in approximately 1 in 1000 live births. Adults and children with Down syndrome are at increased risk of a wide range of medical problems which need to be identified early and treated appropriately.


Depressive illness affects a significant proportion of those aged under 18. It is often underdiagnosed in young people despite having a significant effect on the young person’s quality of life and future health. This article aims to provide information for primary care clinicians to aid an understanding of the effect of depression on young people, and discuss diagnosis and management.


The causes of chronic cough in children are extensive and the majority of respiratory conditions may present with cough. It is, however, important to establish the correct diagnosis and to manage the underlying cause. We outline a clinical approach to the management of a child presenting to primary care with a chronic cough. Highlighted are the specific diagnostic pointers, red flag features and when to refer for specialist investigations.


Anaemia is frequently encountered in general practice. Anaemia is not a diagnosis but a presentation of an underlying cause. Although iron deficiency anaemia is the one that is most commonly recognised; there are various classifications of anaemia with numerous causes. It is important for primary care physicians to recognise, diagnose and appropriately manage all types of anaemia.
The article sets to deliver a concise overview of anaemia for the general physician with clear systematic pathways for common anaemias that can be adopted for use during a busy surgery.

Trust! Defined by the OED as, “Firm belief in the reliability, truth, or ability of someone or something”. This month’s healthcare news is deluged with the “loss in trust between clinical staff and the government”. It is the words, truth and reliability, which interest me in the definition.


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International Primary Care Association
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