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International Primary Care Association
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Abstract

The aetiology of Parkinson’s Disease is discussed and the differential diagnosis and specific diagnostic criteria. The non motor symptoms of PD are highlighted and how to manage them.

Abstract

Heart failure (HF) is predominantly a disease of the elderly. The mainstay of treatment is pharmacological, although the scope of device therapy has widened in recent years. Standard heart failure therapy has been shown to improve prognosis and symptoms in the elderly, although under-treatment of this group remains a challenge. However, HF remains a disease with a poor prognosis, and end of life care planning should be considered early in the patient pathway. Key to management is a multidisciplinary approach, with both specialist and generalist input that coordinates care across primary and secondary settings.

Abstract

This review aims to cover the epidemiology, pathophysiology, symptoms/signs and management options (including when to refer) of common hand conditions presenting to primary care. These include: triggering; ganglions; base of thumb arthritis; carpal tunnel syndrome; Dupuytren’s disease and De Quervain’s tenosynovitis.

Abstract

Antibiotics were one of the most important discoveries last century. As with all drugs, however, they are associated with adverse effects. This article reviews how inappropriate antibiotic prescribing not only fails to cure an infected patient; it may encourage overgrowth of resistant pathogens that ultimately threaten future management of sepsis.

A tumultuous year so far for UK generally and the NHS in particular. Against most of the predictions the EU referendum was a win for the exit camp. This will have major effects on healthcare delivery, both directly and indirectly.  

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