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Blythe Andrew - Essential Primary Care

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Essential Primary Care aims to provide undergraduate students with a comprehensive overview of the clinical problems encountered in primary care. It covers the structure of primary care in the UK, disease prevention and the management of common and important clinical presentations from infancy to old age. Case studies are used in every chapter to illustrate key learning points. The book provides practical advice on how to consult with patients, make sense of their symptoms, explain things to them, and manage their problems.;List of tables -- List of illustrations -- Contributors -- Foreword -- Preface -- 1. The key features of primary care: 1. The structure and organisation of primary care; 2. The GP consultation; 3. Making a diagnosis; 4. Prescribing; 5. The interface with secondary care; 6. The everyday ethics of primary care -- 2. Healthy living and disease prevention: 7. Behaviour change; 8. Alcohol and drug misuse; 9. Preventing cardiovascular disease; 10. Caring for people with learning disabilities -- 3. Common presenting problems: 11. Tiredness -- Childhood: 12. Child health in primary care; 13. Managing the feverish and ill child in primary care; 14. Managing common conditions in infancy; 15. Managing chronic conditions in childhood; 16. Teenage and young-adult health -- Early adulthood: 17. Respiratory tract infections; 18. Low back pain; 19. Heartburn and dyspepsia; 20. Diarrhoea and rectal bleeding; 21. Common skin conditions; 22. Headache; 23. Fits, faints and funny turns; 24. Depression, anxiety and self-harm; 25. Sexual health and dysuria; 26. Menstrual problems, contraception and termination of pregnancy; 27. Pregnancy; 28. Domestic violence and abuse

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Table of Contents List of Tables Chapter 01 Chapter 02 Chapter 03 - photo 1
Table of Contents
List of Tables
  1. Chapter 01
  2. Chapter 02
  3. Chapter 03
  4. Chapter 04
  5. Chapter 05
  6. Chapter 06
  7. Chapter 07
  8. Chapter 08
  9. Chapter 09
  10. Chapter 10
  11. Chapter 11
  12. Chapter 12
  13. Chapter 13
  14. Chapter 14
  15. Chapter 15
  16. Chapter 16
  17. Chapter 17
  18. Chapter 18
  19. Chapter 19
  20. Chapter 20
  21. Chapter 21
  22. Chapter 22
  23. Chapter 23
  24. Chapter 24
  25. Chapter 25
  26. Chapter 26
  27. Chapter 27
  28. Chapter 28
  29. Chapter 29
  30. Chapter 30
  31. Chapter 31
  32. Chapter 32
  33. Chapter 33
  34. Chapter 34
  35. Chapter 35
  36. Chapter 36
  37. Chapter 37
  38. Chapter 38
  39. Chapter 39
  40. Chapter 40
List of Illustrations
  1. Chapter 01
  2. Chapter 03
  3. Chapter 04
  4. Chapter 06
  5. Chapter 08
  6. Chapter 09
  7. Chapter 10
  8. Chapter 11
  9. Chapter 12
  10. Chapter 13
  11. Chapter 15
  12. Chapter 17
  13. Chapter 18
  14. Chapter 19
  15. Chapter 21
  16. Chapter 22
  17. Chapter 23
  18. Chapter 24
  19. Chapter 25
  20. Chapter 26
  21. Chapter 27
  22. Chapter 28
  23. Chapter 29
  24. Chapter 30
  25. Chapter 32
  26. Chapter 34
  27. Chapter 36
  28. Chapter 37
  29. Chapter 38
  30. Chapter 40
Guide
Pages

This book is dedicated to

Mina, Robbie and Laura Blythe

Walter, Sam, Isobel and Rufus Buchan

With our love

Andrew Blythe and Jessica Buchan

This title is also available as an e-book.

For more details, please see

www.wiley.com/buy/9781118867617

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Essential Primary Care Edited by Andrew Blythe General Practitioner at - photo 2

Essential Primary Care

Edited by

Andrew Blythe

General Practitioner at Gaywood House Surgery, Bristol;
Director of Assessments and Feedback for the MB ChB Programme,
Faculty of Health Sciences, University of Bristol

Jessica Buchan

General Practitioner;
Teaching Fellow, University of Bristol

This edition first published 2017 2017 by John Wiley Sons Ltd Registered - photo 3

This edition first published 2017 2017 by John Wiley & Sons, Ltd

Registered Office
John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

Editorial Offices
9600 Garsington Road, Oxford, OX4 2DQ, UK
The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
111 River Street, Hoboken, NJ 07030-5774, USA

For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell

The right of Andrew Blythe and Jessica Buchan to be identified as the authors of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher.

Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by health science practitioners for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organisation or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organisation or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom.

Library of Congress Cataloging-in-Publication Data

Essential primary care / edited by Andrew Blythe, Jessica Buchan.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-86761-7 (pbk.)
I.Blythe, Andrew, 1965, editor.II.Buchan, Jessica, editor.
[DNLM: 1.Primary Health CareGreat Britain. W 84.6 FA1]
RA440
362.10714226dc23

2015033626

A catalogue record for this book is available from the British Library.

Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.

Cover image: http://www.gettyimages.co.uk/detail/photo/senior-health-care-house-call-royalty-free-image/157649298

Contributors

All of the contributors are practising GPs and are members of the Centre for Academic Primary Care at the University of Bristol.

Andrew Blythe
Senior Teaching Fellow

Jessica Buchan
Teaching Fellow in Primary Care

Polly Duncan
Academic Clinical Fellow

Gene Feder
Professor of Primary Care

Alastair Hay
Professor of Primary Care

Sarah Jahfar
Teaching Fellow in Primary Care

Lucy Jenkins
Teaching Fellow in Primary Care

David Kessler
Reader in Primary Care Mental Health

Barbara Laue
Senior Teaching Fellow in Primary Care

Matthew Ridd
Consultant Senior Lecturer in Primary Care

Trevor Thompson
Reader in Healthcare Education

Simon Thornton
Academic Clinical Fellow

Foreword

For many medical students, the first place they will encounter patients will be in general practice. Later in their course, they will have extended attachments to practices and will have the chance to consult with patients themselves. The experience can be exciting and interesting, but also a bit overwhelming. Patients come to the GP to talk about anything and everything. They present with physical, psychological or social problems, and sometimes all three types of problem at once. They do not turn up and describe a neatly packaged problem, but often have a jumble of symptoms which dont obviously correspond to any of the anatomical or physiological systems. How can a medical student know where to start when faced with such a wide range of potential problems?

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