Essential Primary Care
May 2016, ©2016, Wiley-Blackwell
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.
Essential Primary Care:
• Is structured in five sections:
- The building blocks of primary care: its structure and connection with secondary care, the consultation, the process of making a diagnosis, prescribing, and ethical issues
- Health promotion
- Common and important presenting problems in roughly chronological order
- Death and palliative care
• Gives advice on how to phrase questions when consulting with patients and how to present information to patients
• Provides advice on how management extends to prescribing - often missing from current textbooks
• Contains case studies within each chapter which reflect the variety of primary care and provide top tips and advice for consulting with patients
• Supported by a companion website at www.wileyessential.com/primarycare featuring MCQs, EMQs, cases and OSCE checklists
How to use your textbook xi
About the companion website xii
Part 1: The key features of primary care
1 The structure and organisation of primary care 3
2 The GP consultation 10
3 Making a diagnosis 22
4 Prescribing 30
5 The interface with secondary care 42
6 The everyday ethics of primary care 50
Part 2: Healthy living and disease prevention
7 Behaviour change 59
8 Alcohol and drug misuse 68
9 Preventing cardiovascular disease 77
10 Caring for people with learning disabilities 85
Part 3: Common presenting problems
11 Tiredness 95
12 Child health in primary care 111
13 Managing the feverish and ill child in primary care 120
Alastair Hay, Lucy Jenkins and Jessica Buchan
14 Managing common conditions in infancy 134
15 Managing chronic conditions in childhood 139
Lucy Jenkins, Alastair Hay, Matthew Ridd and Jessica Buchan
16 Teenage and young ]adult health 147
Jessica Buchan and David Kessler
17 Respiratory tract infections 157
18 Low back pain 163
19 Heartburn and dyspepsia 170
20 Diarrhoea and rectal bleeding 177
21 Common skin conditions 184
22 Headache 194
23 Fits, faints and funny turns 201
24 Depression, anxiety and self ]harm 210
25 Sexual health and dysuria 219
26 Menstrual problems, contraception and termination of pregnancy 231
27 Pregnancy 241
28 Domestic violence and abuse 254
Middle and old age
29 Cardiovascular disease 265
30 Breathlessness 275
31 Joint pains and stiffness 287
32 Urinary problems and prostate disease 294
33 The menopause 302
34 Multimorbidity and polypharmacy 307
Polly Duncan and Andrew Blythe
35 Falls and fragility fractures 314
36 Visual and hearing loss 322
37 Dementia 331
Part 4: Cancer
38 Spotting patients with cancer 343
39 Looking after patients with cancer 352
Part 5: Palliative care and death
40 Palliative care and death 361
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