General Practice Cases at a Glance

General Practice Cases at a Glance is a workbook of clinical scenarios, ideal for those working in general practice, on their GP rotations, or looking to improve their history-taking, diagnostic and management planning skills. Written by practising teaching GPs, it provides an accessible overview of the richness and complexity of general practice.

With 50 engaging consultations, covering all age ranges and a broad spread of clinical areas, each symptom-based chapter begins with the clinical presentation of a patient, before going on to uncover the full history and examination. As you work through each true-to-life case, there are red flag symptoms, useful charts and tables, and further resources to deepen your knowledge.

General Practice Cases at a Glance:

• Is suitable for clinical students, Foundation doctors, and those preparing for the MRCGP's CSA
• Includes 50 case scenarios from across the medical spectrum, from mental health and paediatrics to musculoskeletal and ENT medicine
• Is comprehensively illustrated
• Features current clinical guidelines, and charts and tables to accompany each case
• Is the companion volume to General Practice at a Glance, ISBN 978-0-470-65551-1, (Awarded First Prize in the Primary health care category at the 2013 BMA Medical Book Awards) but is also a stand-alone resource

Carol Cooper is an Honorary Teaching Fellow within the Department of Primary Care and Public Health, Imperial College London, UK.  She is also a General Practitioner.

Martin Block is Programme Director, Imperial GP Specialty Training and GP Partner at Clapham Park Group Practice, London, UK.

Preface vii

Part 1 Introduction 1

1 The consultation 2

2 Clinical reasoning to reach a diagnosis 4

Part 2 Cases 7

1 My baby is burning up 8

2 I need something for hay fever 10

3 I can’t seem to shift this cough 12

4 My knee is very bad 14

5 I have migraine 16

6 I’ve come for my flu jab 18

7 He’s a little terror 20

8 I’ve got a problem with my shoulder 22

9 I can’t believe how much weight I’ve put on 24

10 It’s my back passage 26

11 I am pregnant again 28

12 My baby has an upset tummy 30

13 My ear really hurts 32

14 I’m worried about my drinking 33

15 She cries all the time 34

16 I need something to help me sleep 36

17 My eye hurts 38

18 I think I should get this prostate test, doctor 40

19 I can’t live with this pain much longer 41

20 I’ve got a red eye 44

21 I’m fed up with my spots 46

22 I’ve come for the results of my blood tests 48

23 I’d like to talk to you about HRT 50

24 I’ve got a bit of a discharge 52

25 I’m feeling tired and woozy 54

26 I think I need to get my blood pressure checked 56

27 Well, I’m pregnant 58

28 I’ve been feeling short of breath 60

29 She’s coughing non-stop 62

30 I’m worried about my memory 64

31 I’ve got this pain in my chest, doctor 66

32 I’ve been having terrible stomach cramps 68

33 I’m concerned this mole has been growing 70

34 I seem to have lost weight 72

35 I’m worried about my erection 74

36 I think the cancer has got me 76

37 I’m all over the place these days 78

38 She’s had tummy ache for two days 80

39 I don’t want to have my period when I am on holiday 82

40 It’s my leg 84

41 I’m having terrible diarrhoea 86

42 The nurse did my diabetes check last week. I’m here for the results 88

43 My skin is really itchy 90

44 Doctor, I’m just feeling really down 92

45 I’ve got a really bad burning in my stomach 93

46 I want to talk about my risk of breast cancer 94

47 I’ve got a terrible back ache 96

48 I’d like antibiotics please 98

49 I’m tired all the time 100

50 I’m worried about this lump, doctor 102

List of abbreviations 105

Index of cases by speciality 106

Index 107

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.