Font Size


Menu Style



International Primary Care Association
Editor Admin

Editor Admin

The annual winter tempest to hit the NHS is blowing. The Times and Independent newspapers recently carried stories that the service is £2 billion in the red and this is even before the winter pressures have commenced.


Uterine fibroids are common benign growths of muscle fibres. Their incidence increases with age and growth is linked to oestrogen and progesterone. Malignant transformation is infrequent. Presentation is usually in primary care. This article highlights the key aspects of uterine fibroids with a focus on primary care physicians.


Medically unexplained symptoms are common in primary care. They are heterogenous in nature and patients can present with comorbid physical and psychological conditions making assessment and treatment more challenging. In addition to being expensive due to frequent and inappropriate healthcare utilization, they can be emotionally draining for the clinician.


This article aims to provide a “bite-sized” guide to the aetiology, diagnosis and assessment, and initial management of TMDs. TMDs are a common musculoskeletal complaint often presenting as pain in the (oro)facial region. They have the potential to develop into a persistent pain condition and be conservatively managed initially.


Patients with personality disorders can be challenging to manage in primary care. Clarity of diagnosis and appreciation of the limitations of therapeutic interventions are essential. A consistent, boundaried approach from all involved in care is important for a successful outcome and minimisation of stress amongst professionals, including general practitioners.

Page 11 of 21

BBC News Feed

Get in touch

Give us a call at
+44 207 637 3544

Email us at
info @


International Primary Care Association
73 Newman Street, London, W1T 3EJ