Font Size

Profile

Menu Style

Cpanel

IPCA

International Primary Care Association
 
 
 

Clinical Focus Volume 6 N3

Editor Admin

Editor Admin

Depression is a common mental health disorder in children and adolescents and presents relatively frequently to primary care. Early recognition, assessment and treatment of depression is important to alleviate distress, improve functioning and later outcome, and manage risks. Primary care and tier 1 professionals may manage mild depression whilst moderate to severe depression is usually managed by specialist mental health services. Treatment of depression is dependent on severity and individual circumstances; interventions include supportive measures, addressing stressors, psychological therapy, and antidepressant edication in selected cases.

Primary care professionals are amongst the most frequent users of the National Poisons Information Service in the United Kingdom. This paper provides an up-to-date review on the management of acute poisoning in this setting.

Colorectal cancer is the third most common cancer in men and the second most common cancer in women worldwide. Incidence strongly increases with age, with the median age at diagnosis being 70 years in developed regions. Although 5-year relative survival exceeds 90% in stage I disease, it only marginally exceeds 10% in stage IV disease. This review aims to guide generalists through the early diagnosis, referral, and treatment of colorectal cancer, and highlight current preventive strategies.

The deed is done. Brexit is happening. We shall see what it brings to the NHS, a worsening of frontline medical and non-medical staff by all accounts. A trickle of exits of EU citizens may turn to a deluge if the issue of retaining citizenship is not resolved, early on in the negotiations. The worry is that the UK government may be relying on recruiting from outside the EU, such traditional heartlands as India, Nigeria and other Commonwealth of Nations. I am not sure if this will be easy as the laws on immigration and rights have so parred the advantages that there is unlikely to be a rush of healthcare staff wishing to come to the UK. The double whammy for politicians is that increasing numbers of staff, particularly in primary care, are choosing to retire early, work part time or simply have a career change. Plugging this gap, with the decision for additional places in medical school, will take over a decade for the effect to show. Indeed, the last round of undergraduate medical school places were unfilled and had to be offered in clearing. I cannot remember this happening in my working lifetime, 39 years. Jam tomorrow then!  

A 65 years old lady with a history of type 2 diabetes mellitus and well controlled hypertension is brought to A&E with central chest discomfort of 2 days duration. Her BP was 143/89 mmHg, Pulse 98 regular. Normal ECG. The A&E doctors arranged CT Aortogram to exclude aortic dissection. What is the diagnosis based on the imaging?

 
 

BBC News Feed

Get in touch

Give us a call at
+44 207 637 3544

Email us at
info @ ipcauk.org

Address:

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