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IPCA

International Primary Care Association
 
 
 

Clinical Focus Primary Care

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.

 

Abstract

Paediatric sepsis is an important cause of morbidity and mortality in children. However, in a primary care setting it remains uncommon. This is a review of the current understanding of paediatric sepsis together with evidence-based advice about its recognition and management in primary care.

 

Abstract

The incidence of self-harm is increasing in the UK. It is the single best predictor of completed suicide and is associated with poor outcomes in terms of emotional wellbeing and educational attainment. The majority of patients do not present to medical services after an episode of self-harm and so GPs play an important role in identifying the problem, reducing stigma and providing support.

 

Self-harm is associated with a broad range of risk factors related to emotional distress rather than severe mental illness. It is commonly associated with misuse of alcohol and other substances. Other important risk factors are adverse life events such as unemployment and relationship difficulties, as well as a history of current or past abuse or institutional care. In young people precipitating factors can include arguments with parents and stressors at school such as exam pressures, bullying or cyber bullying.

 

Self-harm is stigmatised by the general public and medical professionals, so there is a need to approach the subject with sensitivity, respect and acceptance. Self-harm is a behaviour, rather than a diagnosis in itself. It can be seen as a symptom of an underlying mental or personal difficulty, or serve a function for the patient; exploring these reasons can guide management, which focuses on the underlying difficulties. Actively involve the patient in the management plan, asking about their preferences and previous experiences of treatment. High risk patients with a severe mental illness or active suicidal thoughts should be urgently referred on to mental health services for further assessment. Patients at low risk may be supported in primary care, and those in between can be referred to non-urgent mental health or social services, or a 3rd party organisation.

 
 

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