General Practice at a Glance

Paul Booton is Professor of General Practice and Primary Care at St George’s, University of London, and formerly Director of Primary Care Education, Imperial College, London

Carol Cooper is Honorary Teaching Fellow, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner

Graham Easton is Deputy Director of Primary Care Education, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner

Margaret Harper is Honorary Teaching Fellow, Department of Primary Care and Public Health at Imperial College Medical School, London, and a General Practitioner

Preface

Introduction: how to make the most of your GP attachment

Part 1 The essence of general practice

1 The 10-minute consultation: taking a history

2 The 10 minute consultation: managing your patient

3 Continuity of care

4 Why do patients consult?

5 Preventive medicine

6 Significant event analysis, audit and research

7 Communication between primary and secondary care

8 Safe prescribing

9 Prescribing in children and the elderly

10 Law and ethics

11 Child abuse, domestic violence and elder abuse

Part 2 Common presentations in general practice

Child health

12 The febrile child

13 Cough and wheeze

14 Asthma

15 Abdominal problems in children

16 Common behaviour problems

17 Childhood rashes

18 Child health promotion

19 Musculoskeletal problems

Sexual health

20 Common sexual problems

21 Sexually transmitted infections and HIV

22 Contraception

23 Subfertility

Women’s health

24 Termination of pregnancy

25 Menstrual disorders

26 The menopause

27 Common gynaecological cancers

28 Breast problems

The pregnant woman

29 Antenatal care

30 Bleeding and pain in pregnancy

31 Other pregnancy problems

Care of the elderly

32 Acute confusional state and dementia

33 Fits, faints, falls and funny turns

Cardiovascular problems

34 Chest pain

35 Stroke

36 Peripheral vascular disease

37 Preventing cardiovascular disease

Respiratory problems

38 Breathing difficulties

39 Adult cough and lung cancer

40 Asthma and chronic obstructive pulmonary disease

Endocrine problems

41 Diabetes

42 Thyroid disease

Gastro-intestinal problems

43 Acute diarrhoea and vomiting in adults

44 Dyspepsia and upper gastrointestinal symptoms

45 Lower gastrointestinal symptoms

46 The acute abdomen

Musculoskeletal problems

47 Back pain

48 Hip and lower limbs

49 Neck and upper limbs

50 Inflammatory arthritis, rheumatism and osteoarthritis

Eyes and ENT

51 URTI and sore throat

52 Ear symptoms

53 The red eye

54 Loss of vision and other visual symptoms

Dermatology

55 Eczema, psoriasis and skin tumours

56 Other skin problems

Mental Health

57 Depression

58 Anxiety, stress and panic disorder

59 Alcohol and drug misuse

60 Eating disorders

61 Psychosis and severe mental illness

Other common conditions

62 Headache

63 Tiredness

64 Insomnia

65 Allergy and hayfever

66 Urinary tract disorders

67 Chronic pain

Further reading and resources

Index

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