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International Primary Care Association

Clinical Focus Volume 6 N1

Volume 6 Issue 1 - 2012


Type 2 diabetes is becoming more common, primarily due to increasing levels of obesity in our society. It is also being diagnosed more frequently in young people, so it is now much more often seen in women of reproductive age. Given that people with Type 2 diabetes are now typically managed in primary care, it is important for primary care teams to understand the issues around pre-existing diabetes and pregnancy. For similar reasons, gestational diabetes is also much more common than it used to be and there are now internationally agreed criteria for diagnosis and a greater consensus in the principles of management.


Full assessment of the individual with genital ulceration should include a sexual history and specialised investigations. Infective and malignant causes need to be excluded before concluding an inflammatory origin. A multidisciplinary approach is often indicated.


This article discusses syncope, epileptic and febrile seizures. A careful history will determine whether an attack is provoked or unprovoked, facilitating further evaluation to establish diagnosis and management. It is important always to exclude acute symptomatic causes of seizures and syncope. The majority of children who experience syncope, febrile seizure or a single epileptic seizure will not have epilepsy.


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