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IPCA

International Primary Care Association
 
 
 

Clinical Focus Primary Care

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

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

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

With the increasing burden of musculoskeletal disease, and an ageing population in the community, an up-to-date summary of how to manage the commonest of these conditions is required to aid primary care physicians. With focus on the inflamed hot joint and giant cell arteritis. This review highlights the necessary features that can help to unpick these potentially complex conditions.

We are well into 2016. So much happening in healthcare.

 

The government managed to extract defeat from the jaws of victory as the junior doctors reinstated their February strike. Perhaps the claim from the employers that 15 of the 16 issues had been agreed prior to the most recent talks was an economy of the truth. It did not augur well that the Prime Minister, in a Radio 4 interview, indicated that ultimately the government will not allow a veto over the contract, implying it could be imposed. Indeed, imposition it will be. Around the world government confrontation with medical professionals has usually ended with a climb down by the former. I think history will repeat in this instance.  

Abstract

It is important that doctors and health professionals are aware that children and young people who are sexually exploited can present across a range of health settings with a variety of physical and mental health problems, and actively consider the possibility of sexual exploitation in their assessments.

‘GPs are ….in an ideal position to notice early signs of childhood sexual exploitation when children present in their surgeries, if alert to possible indicators.

Abstract

There are over 8.5 million dogs in the United Kingdom with approximately 30% of all households owning a domestic dog. However, while there has been an increasing popularity of the domestic dog, so there has been a significant increase in the number of dog bite injuries (DBI) recorded.

Abstract

Urological conditions can often be a source of considerable anxiety for both parent and child but with an understanding of normal anatomy and basic conditions it is possible to manage many presentations in the community and provide reassurance to families.

 

 
 

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