Child health

Child health promotion The neonatal check Neonatal bloodspot screening Summary of developmental milestones Screening for hip dysplasia Vision and hearing screening tests Birth trauma Genetic problems Minor problems of neonates and small babies Problems of prematurity Neonatal jaundice Feeding babies Weaning, feeding problems, and failure to thrive...

Haematology and immunology

Full blood count and ESR Anaemia: diagnosis and initial investigation Iron deficiency anaemia Other anaemias Haemoglobinopathy Bleeding and clotting disorders Anticoagulation Haematological malignancy Acute leukaemia Chronic leukaemia and myeloproliferation Lymphoma Immune deficiency syndromes Allergies The most commonly requested blood test is the full blood count (FBC). It gives information on:...

Respiratory medicine

Breathlessness Cough Chest signs Other signs of respiratory disease Respiratory investigations Bronchodilators and steroids Asthma in adults Asthma management in practice Drug treatment of asthma Chronic obstructive pulmonary disease Management of COPD Acute exacerbations of COPD Lung cancer Colds and influenza Pneumonia in adults Tuberculosis...

Consulting and certification

The consultation Consultation models Patient records Telephone consulting and home visits Referral letters and electronic media Organization of out-of-hours services The doctor’s bag Social factors in general practice Benefits for people on low income Multicultural medicine Breaking bad news Confirmation and certification of death Organ donation...

Mental health

Mental health assessment Mental health symptoms and signs Psychological therapies Anxiety Other anxiety-type disorders Chronic stress Depression Drugs for treating depression Psychosis Schizophrenia and mania Acute delirium Dementia Eating disorders Other psychological conditions Assessing a patient with mental health problems in primary care can be challenging. Aims (may need >1 appointment to achieve):...

Breast disease

Breast symptoms Benign breast disease Breast cancer screening Breast cancer Breast awareness means knowing what your breasts look and feel like normally. Evidence suggests that there is no need to follow a specific or detailed routine such as breast self-examination, but you should be aware of any changes in your breasts....

Healthy living

Prevention and screening Prevention of travel-related illness Diet Obesity Exercise Smoking Alcohol Management of alcohol misuse Assessment of drugs misuse Management of drugs misuse Insomnia In all disease, the goal is prevention. • Primary prevention Prevention of disease occurrence • Secondary prevention Controlling disease in early form (e.g. carcinoma in situ)...

Minor surgery

‘A minor operation: one performed on someone else’ Unaccredited Penguin Dictionary of Humorous Quotations, 2001 Providing minor surgery Basic techniques Removal of skin lesions Lower and upper limb injections Under the GMS contract, minor surgery can be provided as an additional service or directed enhanced service....

Pregnancy

Pre-conception and early pregnancy counselling Antenatal care Health promotion for pregnant women Who should deliver where? Screening in pregnancy Common symptoms in pregnancy Pruritus and rashes in pregnancy Rubella and parvovirus in pregnancy Other rash illnesses in pregnancy Other infections in pregnancy Bleeding in early pregnancy...

Neurology

Reflexes and muscle power Cranial nerve lesions Neuropathy Polyneuropathy Walking problems Other movement problems Speech problems Fits, faints, and funny turns Assessment of headache Migraine Other headaches and facial pain Raised intracranial pressure Intracranial bleeds Acute stroke Secondary prevention of stroke Parkinsonism and Parkinson’s disease...