Pharmaceuticals in treatment of oral mucosal manifestations of manifestations of various diseases on the oral mucosa

The paper reports principles for etiotropic and symptomatic therapy of oral mucosal diseases. The options for dental care tactics selection by the general practitioner, the primary care physician, based on the clinical manifestations are discussed using certain nosological entities as examples. It has been shown that general functional state of the organism plays a vital part in achieving treatment efficacy.

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Indications for paediatric tonsillectomy GP versus Consultant perspective

The Journal of Laryngology & Otology ◽

10.1017/s0022215100126088 ◽

1994 ◽

Vol 108 (2) ◽

pp. 131-134 ◽

Cited By ~ 12

Author(s):

M. J. Donnelly ◽

M. S. Quraishi ◽

D. P. McShane

Keyword(s):

Primary Care ◽

General Practitioner ◽

Primary Care Physician ◽

General Practitioners ◽

Questionnaire Survey ◽

Care Physician ◽

The Past ◽

Ear Infections ◽

Glue Ear

AbstractTonsillectomy is a commonly performed operation in children. Although the justification for this procedure has been debatable in the past, more rigorous criteria in defining the need for tonsillectomies are becoming established. The role of the primary care physician in the management of tonsillar disease in children is important as the decision to refer a child for tonsillectomy is made by the general practitioner. A questionnaire survey of 400 general practitioners (GPs) and 31 consultant ENT surgeons was carried out to establish the important criteria used in deciding the need for paediatric tonsillectomy. We found that in general there was a good correlation between GP and Consultant indications for tonsillectomy. However there were two important areas of difference, while most of the GPs felt that recurrent ear infections and ‘glue ear’ were important indications for tonsillectomy, Consultants did not. Therefore we must be aware of the current recommendations for tonsillectomy and inform present and future GPs.

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Rheumatic polymyalgia: clinic, diagnosis, principles of therapy (to help the primary care physician)

Medical Council ◽

10.21518/2079-701x-2021-4-164-169 ◽

2021 ◽

pp. 164-169

Author(s):

M. S. Svetlova

Keyword(s):

Primary Care ◽

Primary Care Physician ◽

Primary Care Physicians ◽

Clinical Manifestations ◽

The Elderly ◽

Care Physician ◽

Diagnostic Methods ◽

Malignant Neoplasms ◽

Adequate Treatment ◽

Laboratory Activity

In recent decades, there has been an increase in the number of elderly people. Among the patients of the primary care physician, without a doubt, those who are over 60 years old predominate. A feature of the elderly is polymorbidity. Combined pathology, numerous complaints of patients make it difficult to diagnose diseases, require patience from the doctor, and, of course, knowledge. There are diseases that are peculiar only to the elderly, developing only after 50 years. These include rheumatic polymyalgia. This pathology is not frequent and, in this regard, is not very familiar to outpatient therapists. However, it is to them that elderly patients turn with complaints of pain and stiffness in the shoulder and/or pelvic girdle, in the neck, in the joints of the hands, fever, weight loss, sleep disorders, depression, general malaise (the main complaints of patients with rheumatic polymyalgia). The above-mentioned clinical manifestations, as well as the high laboratory activity inherent in this disease, make the doctor look for malignant neoplasms, infectious, systemic processes. This takes a long time, the diagnosis is delayed, the sufferings of the patient are prolonged. The article presents data on the prevalence, clinical features, methods of diagnosis of rheumatic polymyalgia and its differential diagnosis. The criteria of the disease, the principles of management of the patient at the outpatient stage (step-by-step treatment with glucocorticoids, alternative approaches, prevention of side effects of therapy, which develop quite often) are also given. Awareness of primary care physicians about rheumatic polymyalgia, its manifestations and diagnostic methods will speed up the diagnosis, timely consultation of the patient with a rheumatologist, which will allow you to start adequate treatment, significantly improve the quality of life of an elderly patient, and prevent the destabilization of concomitant diseases.

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