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IPCA

International Primary Care Association
 
 
 

Clinical Focus Primary Care

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.

Abstract

Uterine fibroids are common benign growths of muscle fibres. Their incidence increases with age and growth is linked to oestrogen and progesterone. Malignant transformation is infrequent. Presentation is usually in primary care. This article highlights the key aspects of uterine fibroids with a focus on primary care physicians.

More crises in the NHS. General Practice is being overwhelmed and recruitment has slowed and so we have returned to enticing doctors from abroad. It is astonishing that with all the resources allocated to “Workforce Planning”, both financial and human resource, we continue to lurch from feast to famine in medical manpower! I recall the tiered lecture rooms in the Middlesex Hospital Medical School, London there was a row of chairs with easels to accommodate the extra places for Medical students as the planners had grossly underestimated UK’s requirements. The politicians closed the Medical School and where the Middlesex Hospital once proudly served the populace, is a building of apartments that only foreign investors can afford.

 
 

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International Primary Care Association
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