Postmenopausal bleeding

2018 ◽  
Vol 11 (7) ◽  
pp. 387-390
Author(s):  
Freya Ridley-Davies

Postmenopausal bleeding (PMB) is defined as any vaginal bleeding occurring at least 12 months after the last menstrual period, in a woman who is of menopausal age. PMB is a common problem presenting in general practice, and accounts for 5% of secondary care referrals. Although PMB usually has a benign cause, it is important to exclude endometrial cancer, which is detected in approximately 10% of women presenting with PMB. This article offers an outline for the history, examination and initial investigations of PMB, as well as an overview of the common causes and how these are subsequently managed.

2021 ◽  
Vol 32 (2) ◽  
pp. 60-64
Author(s):  
Margaret Ann Perry

Otalgia is a frequent reason for minor illness consultations in general practice. Margaret Ann Perry provides an overview of the common causes, complications and treatments Otalgia, also known as earache, is a common condition, which has a variety of causes. It is a frequent reason for visits to GP surgeries or walk-in centres and can potentially affect any age. Most of the common causes of otalgia are benign conditions that can be easily treated; however, there are a few more sinister diagnoses that need to be considered in some cases. This article therefore aims to give nurses and non-medical prescribers confidence in assessing and treating patients who present with this common condition.


2020 ◽  
Vol 13 (5) ◽  
pp. 281-288
Author(s):  
Mark Newton ◽  
Paraskevi Tsirevelou

The discharging ear, also known as otorrhoea, is a common ear, nose and throat symptom and defined as drainage or flow exiting the ear. The discharge can be wax, blood, pus, mucus, or cerebrospinal fluid. The underlying cause can usually be determined from the history and physical examination. Most patients with otorrhoea can be managed within primary care and do not require referral or hospital admission. This article considers the common causes of a discharging ear, appropriate management, guidance for referral of patients to secondary care and some key take home points.


2018 ◽  
Vol 11 (3) ◽  
pp. 143-146
Author(s):  
Rodrick Babakhanlou

Bleeding per rectum is defined as the passage of blood from the anus. It is a common presentation in adults of all ages and the majority of cases can be managed in primary care. This article will focus on the common causes of rectal bleeding, its assessment and management, including guidance for referral pathways to secondary care.


2013 ◽  
Vol 6 (11) ◽  
pp. 709-716
Author(s):  
Rebecca Pugh ◽  
Anna Humphries

Postmenopausal bleeding (PMB) is one of the most common reasons for referral to gynaecology services. This is due to the concern of possible underlying malignancy, as approximately 10% of women with PMB will have endometrial cancer. With growing use of hormone replacement therapy there is increased uncertainty as to what constitutes unscheduled bleeding and careful history and examination is required. Although benign conditions represent the most frequent cause of PMB, all women will require urgent referral and investigation in secondary care.


2019 ◽  
Vol 13 (1) ◽  
pp. 21-27
Author(s):  
Aman Jain ◽  
Katie Clamp

Hip pain is one of the most common musculoskeletal presentations in general practice. There are multiples causes of hip pain, ranging from acute to chronic and traumatic to atraumatic. In general practice, it is important to identify the cause of hip pain, as management strategies vary depending on pathology. Some diagnoses need urgent referral to secondary care, whereas others can be managed in primary care. According to the RCGP, an estimated 1-in-5 consultations are for musculoskeletal conditions, so a good knowledge of management is important. In this article, we will discuss the anatomy of the hip, the most common causes of hip pain and their management.


Author(s):  
Edward Balai ◽  
Navdeep Bhamra ◽  
Karan Jolly

Salivary gland tumours are uncommon and account for just 6% of all head and neck neoplasms. Worldwide incidence varies, from 0.4 to 13.5 cases per 100 000 population. The parotid gland is by far the most commonly affected site, accounting for 80% of cases. The vast majority of these tumours are benign; only approximately 20–25% being malignant. This article considers the relevant clinical anatomy of the parotid gland, key aspects of assessment with history and examination, and when to refer to secondary care for further investigation. It will touch on the common benign and malignant parotid neoplasms and give an overview of secondary care management.


PLoS ONE ◽  
2011 ◽  
Vol 6 (12) ◽  
pp. e28157 ◽  
Author(s):  
Arlene M. Gallagher ◽  
Liam Smeeth ◽  
Suzie Seabroke ◽  
Hubert G. M. Leufkens ◽  
Tjeerd P. van Staa

2019 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
James Prater ◽  
Konstantinos Kirytopoulos ◽  
Tony Ma

Purpose Despite the advent of sophisticated control methods, there are still significant issues regarding late delivery of information technology projects. The purpose of this paper is to investigate the common causes of scheduling problems specifically in the information technology projects context. Design/methodology/approach Through a quantitative research, the importance of those causes, as well as the underpinning factors driving them, is explored. The causes are ranked according to their relative important index, and exploratory factor analysis is employed to reveal underlying dimensions (factors) of these causes. Findings From the analysis, four factors were extracted, namely, “Dataless Newbie,” “Technical Newbie,” “Pragmatic Futurist” and “Optimistic Politician.” These factors explain the different latent conditions that lead to scheduling problems in information technology projects. Practical implications The key contribution of this research is that it enlightens the latent conditions underpinning scheduling problems. Also, the evidence provides that schedule development for information technology projects is impacted by the same causes that impact engineering projects, and that applying a number of mitigation techniques widely used within the engineering area, such as reference class, would, no doubt, not only improve information technology schedules but also reduce the political pressures on the project manager. Originality/value This research provides a valuable insight into understanding the underlying factors for poor project estimation.


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