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IPCA

International Primary Care Association
 
 
 

Clinical Focus Primary Care

Editor Admin

Editor Admin

A very Merry Xmas and A Happy and Prosperous 2016 to all our readers.

 

We leave 2015 with the Chancellor agreeing to pump in an extra £6 billion into the NHS and the government retreating from the unnecessary confrontation with junior doctors. The cash is welcome to ease general and the upcoming winter pressures but unless there is a concomitant restructure to minimize the bureaucracy much of the money will not be directed at frontline services but on bean counters. Bean counters incentivized to attain, and generally failing, the meaningless central government health targets, and being paid very well to do so. This smacks of and mirrors in many respects what we all loath about the financial industry which almost single-handedly ruined the UK economy, but purportedly was working in the public’s best interests!

Abstract

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.

Abstract

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.

Abstract

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.

Abstract

The causes of chronic cough in children are extensive and the majority of respiratory conditions may present with cough. It is, however, important to establish the correct diagnosis and to manage the underlying cause. We outline a clinical approach to the management of a child presenting to primary care with a chronic cough. Highlighted are the specific diagnostic pointers, red flag features and when to refer for specialist investigations.

 
 

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