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IPCA

International Primary Care Association
 
 
 

Clinical Focus Primary Care

Abstract

Sexual dysfunctions affect both men and women and include Delayed Ejaculation, Male Erectile Disorder, Female Orgasmic Disorder, Female Sexual Interest-Arousal Disorder, Genito-Pelvic Pain Disorder/Penetration Disorder, Male Hypoactive Sexual Desire Disorder, Premature Ejaculation and Substance-Medication Induced Sexual Dysfunction. Untreated sexual dysfunctions may cause significant distress and interpersonal difficulty in some individuals or couples. The diagnosis of sexual dysfunctions includes a thorough medical history and evaluation, followed by the appropriate medical, psychological and psychosocial treatment interventions.

Abstract

Herbal supplements are in widespread use in all medical specialties. Evidence that supports their efficacy and safety is often lacking and the GP, physician or specialist nurse are left with very little objective advice to give patients. In this article, an update is given on a range of supplements used in musculoskeletal medicine with the specific purpose of informing health care providers and allowing them to offer the best advice on their use.

Abstract

General Practitioners are commonly faced with abnormalities of the full blood count. This can vary from thrombocytopenia, to lymphocytosis to eosinophilia, amongst others. We aim to provide practical guidance for managing these problems in primary care, with reference to various professional guidelines where appropriate. The approach to other disorders such as lymphadenopathy, paraproteins, haemochromatosis, as well as antibodies in pregnancy, is also discussed. The approach to anaemia has been covered in a separate linked article.

The festive season approaches and the NHS crises will mount. Black holes of underfunding, bed shortages, pressure on primary care and accident and emergency insufficiencies………  

 

Abstract

Sunshine exposure and diet alone do not provide adequate vitamin D for vulnerable groups in the UK. To prevent deficiency and the health consequences, GPs should be advising appropriate supplements for all infants, toddlers and pregnant and breastfeeding women. GP practices could distribute the low cost Healthy Start supplements to all their clients.

Abstract

Patients with personality disorders can be challenging to manage in primary care. Clarity of diagnosis and appreciation of the limitations of therapeutic interventions are essential. A consistent, boundaried approach from all involved in care is important for a successful outcome and minimisation of stress amongst professionals, including general practitioners.

Abstract

This article aims to provide a “bite-sized” guide to the aetiology, diagnosis and assessment, and initial management of TMDs. TMDs are a common musculoskeletal complaint often presenting as pain in the (oro)facial region. They have the potential to develop into a persistent pain condition and be conservatively managed initially.

Abstract

Medically unexplained symptoms are common in primary care. They are heterogenous in nature and patients can present with comorbid physical and psychological conditions making assessment and treatment more challenging. In addition to being expensive due to frequent and inappropriate healthcare utilization, they can be emotionally draining for the clinician.

 
 

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