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International Primary Care Association

Volume 9 Issue 2 - 2016


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.


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.


Patients diagnosed with peripheral arterial disease (PAD) are often concerned with the risk of amputation. The more significant risks, however, are mortality secondary to a myocardial infarction or stroke. The role of the general practitioner is key to the counselling and risk management of the patient to reduce the long term risk and prevent costly hospital admissions in an already financially challenged NHS.

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