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Family Practice Notebook Updates 2016

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2541. doctor-patient relationship

doctor-patient relationship doctor-patient relationship - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search doctor-patient relationship Any experienced GP would give the following advice about the doctor's relationship with patients and their families: be friendly but show professional and ethical behaviour be sensitive to the patients' needs be aware how attititudes affect co-operation and compliance "Bad consultations (...) result from having insufficient clinical knowledge, from failing to relate to patients or from failing to understand the patient's behaviour, his perception of his illness or its context" ref: JGR Howie (1985), Decision Making in General Practice, ed M Sheldon et al, Macmillan) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted

2010 GP Notebook

2542. Dianette (R)

: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence (...) Dianette (R) Dianette (R) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Dianette (R) This a combined preparation of cyproterone acetate with ethinyloestradiol. It has anti-androgenic properties and may be helpful in women who require oral contraception and suffer from acne or hirsutism. Features of dianette include (1) dianette is essentially an oestrogen - dominant oral contraceptive pill and it carries

2010 GP Notebook

2543. chondroma

chondroma chondroma - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search chondroma A chondroma is a benign tumour which characteristically forms mature cartilage. Chondromata may be single or multiple - and may be familial if unilateral. Multiple chondromata is a condition known as Ollier's disease. It affects males and females equally, at around the age of 20-30. The long bones and hands and feet are the commonest sites (...) . Treatment is by excision. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains

2010 GP Notebook

2544. hyperactivity (hyperkinetic syndrome)

as first-line pharmacological treatment Reference: (1) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding (...) hyperactivity (hyperkinetic syndrome) hyperactivity (hyperkinetic syndrome) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search hyperactivity (hyperkinetic syndrome) Attention deficit hyperactivity disorder (ADHD) is a heterogeneous behavioural syndrome characterised by the core symptoms of: hyperactivity impulsivity inattention while these symptoms tend to cluster together, some people are predominantly hyperactive

2010 GP Notebook

2545. medullary carcinoma of the thyroid

medullary carcinoma of the thyroid medullary carcinoma of the thyroid - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search medullary carcinoma of the thyroid This is a malignancy of the parafollicular cells of the thyroid. This is a relatively uncommon thyroid carcinoma accounting for about 5% of thyroid malignancy. Both sexes are equally affected and the age of onset is variable. Aggressiveness is intermediate between (...) peptides may also be raised. Spread to both regional lymph nodes and distant metastases to bone, liver and lung are common. Diarrhoea and facial flushing are associated with medullary carcinomas of the thyroid. 20% of cases occur as part of the MEN-II syndrome. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment

2010 GP Notebook

2546. lipid lowering treatment in primary prevention

), fibrate, nicotinic acid or omega-3 fatty acid compound with a statin for the primary or secondary prevention of CVD ezetimibe prescribe in line with NICE guidance - see linked item Reference: Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions (...) lipid lowering treatment in primary prevention lipid lowering treatment in primary prevention - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search lipid lowering treatment in primary prevention Before starting statin treatment perform baseline blood tests and clinical assessment, and treat comorbidities and secondary causes of dyslipidaemia. Include all of the following in the assessment: smoking status alcohol consumption

2010 GP Notebook

2547. atopy and asthma

acid anhydrides used in industrial coatings drugs - NSAID's and food additives such as tartrazine; patients with extrinsic asthma are not aspirin sensitive aspergillus family history of atopy early onset attacks often seasonal occasional polyps investigation - eosinophilia; elevated IgE; skin prick test positive good response to beta agonists and disodium chromoglycate Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis (...) atopy and asthma atopy and asthma - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search atopy and asthma history of allergy: the most common allergen involved in the development of extrinsic asthma worldwide are the faecal particles of the house-dust mite other common allergens include: occupational allergens: IgE related causes include allergens from flour and grain, e.g. in farmers complex salts of platinum in metal refining

2010 GP Notebook

2548. allergy and asthma

refining acid anhydrides used in industrial coatings drugs - NSAID's and food additives such as tartrazine; patients with extrinsic asthma are not aspirin sensitive aspergillus family history of atopy early onset attacks often seasonal occasional polyps investigation - eosinophilia; elevated IgE; skin prick test positive good response to beta agonists and disodium chromoglycate Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis (...) allergy and asthma allergy and asthma - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search allergy and asthma history of allergy: the most common allergen involved in the development of extrinsic asthma worldwide are the faecal particles of the house-dust mite other common allergens include: occupational allergens: IgE related causes include allergens from flour and grain, e.g. in farmers complex salts of platinum in metal

2010 GP Notebook

2549. allergic asthma

acid anhydrides used in industrial coatings drugs - NSAID's and food additives such as tartrazine; patients with extrinsic asthma are not aspirin sensitive aspergillus family history of atopy early onset attacks often seasonal occasional polyps investigation - eosinophilia; elevated IgE; skin prick test positive good response to beta agonists and disodium chromoglycate Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis (...) allergic asthma allergic asthma - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search allergic asthma history of allergy: the most common allergen involved in the development of extrinsic asthma worldwide are the faecal particles of the house-dust mite other common allergens include: occupational allergens: IgE related causes include allergens from flour and grain, e.g. in farmers complex salts of platinum in metal refining

2010 GP Notebook

2550. sudden infant death syndrome

out in each and every case. This is never more true than when more than one child in a family has died. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly (...) sudden infant death syndrome sudden infant death syndrome - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search sudden infant death syndrome Sudden infant death syndrome is the commonest cause of death in the first year of life, causing one to two deaths per thousand livebirths. The incidence of sudden infant death has fallen in the past decade, and is currently steady at around 3 per 1000 live births commonest at 3 months more

2010 GP Notebook

2551. personality disorders

from 30% to 60% family and early childhood experiences play an important role, including experiencing abuse (emotional, physical, and sexual), neglect, and bullying (1). Reference: (1) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd® (...) personality disorders personality disorders - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search personality disorders Personality disorders (PD) are deeply ingrained, maladaptive patterns of behaviour which appear from late childhood to early adulthood. the definition of the term “personality” is still a controversial concept. most commonly used definition is; “an enduring pattern of thoughts, feelings, and behaviour

2010 GP Notebook

2552. sulphonylureas

sulphonylureas sulphonylureas - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search sulphonylureas The sulphonylureas are a family of drugs based on a common sulphonylurea core. These drugs act via augmentation of secretion of insulin from pancreatic beta-cells. Sulphonylureas may also cause a reduction in serum glucagon and potentiate the action of insulin at the extrapancreatic tissues. They vary in potency tremendously (...) of antidiuretic hormone and very rarely cause hyponatraemia (hyponatraemia is also reported with glimepiride and glipizide) The summary of product characteristics must be consulted before prescribing one of this class of drugs. Reference: BNF 6.1.2.1 Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all

2010 GP Notebook

2553. lipoprotein lipase deficiency

lipoprotein lipase deficiency lipoprotein lipase deficiency - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search lipoprotein lipase deficiency Lipoprotein lipase deficiency is a rare condition and inherited as an autosomal recessive condition. It is characterised by the presence of chylomicrons in fasting plasma. Fasting tryglyceride levels are characteristically > 10 mmol/L. Characteristically there is a fasting (...) by a deficiency of apolipoprotein C-II, causing an accumulation of chylomicrons and very low density lipoproteins (VLDL) xanthomas and hepatosplenomegaly are less common in C-II anapolipoproteinemia than in lipoprotein lipase deficiency (1) Reference: Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all

2010 GP Notebook

2554. Caroli's disease

Caroli's disease Caroli's disease - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Caroli's disease Caroli's disease is a rare congenital, non familial condition characterised by multiple, irregular, saccular dilatations of the intrahepatic ducts separated by segments of normal or stenotic ducts. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis (...) or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best

2010 GP Notebook

2555. NICE guidance - implantable cardioverter defibrillator

attached to the heart unlike a conventional ICD, the subcutaneous device is not designed to provide long-term pacing Reference: Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained (...) NICE guidance - implantable cardioverter defibrillator NICE guidance - implantable cardioverter defibrillator - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search NICE guidance - implantable cardioverter defibrillator NICE guidance has stated which patients should be considered for the use of implantable cardioverter defibrillators (ICD) include (1): Implantable cardioverter defibrillators (ICDs) are recommended as options

2010 GP Notebook

2556. non-insulin dependent diabetes mellitus

is not prone to ketoacidosis there is no association with autoimmune disease more common in people of African, African-Caribbean and South Asian family origin Treatment: nutritional therapy oral hypoglycaemic agents occasionally insulin therapy Reference: Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any (...) non-insulin dependent diabetes mellitus non-insulin dependent diabetes mellitus - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search non-insulin dependent diabetes mellitus Type 2 diabetes is a chronic metabolic condition characterised by insulin resistance (that is, the body's inability to effectively use insulin) and insufficient pancreatic insulin production, resulting in high blood glucose levels (hyperglycaemia) Type 2

2010 GP Notebook

2557. choice of antihypertensive drug

choice of antihypertensive drug choice of antihypertensive drug - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search choice of antihypertensive drug The guidance regarding combination treatment of systemic hypertension has been updated (1): BP targets in adults (non-diabetics) Clinical Blood pressure: people aged under 80 years: lower than 140/90 mm Hg people aged over 80 years: lower than 150/90 mm Hg daytime average APBM (...) is initiated with beta Blocker and 2nd drug is required, Add CCB rather than diuretic to reduce person's risk of developing DM Reference: Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information

2010 GP Notebook

2558. parasuicide

parasuicide parasuicide - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search parasuicide In England and Wales there are at least 200,000 general hospital presentations for self-harm (intentional self-poisoning or self-injury) per year self-harm occurs in relation to a wide range of personal problems, emotional turmoil and psychiatric disorders. It carries a significant risk of subsequent suicide and has major impacts on family (...) and more than 3% of boys had self-harmed in the previous year (2) self-harm increases the likelihood that the person will eventually die by suicide by between 50- and 100-fold above the rest of the population in a 12-month period Reference: Self-harm (longer term management), NICE Clinical Guideline (November 2011) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical

2010 GP Notebook

2559. hypoparathyroidism (idiopathic)

hypoparathyroidism (idiopathic) hypoparathyroidism (idiopathic) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search hypoparathyroidism (idiopathic) Idiopathic hypoparathyroidism is an uncommon condition characterised by the absence, fatty replacement or atrophy of the parathyroid glands. It may be familial or sporadic. Familial idiopathic hypoparathyroidism may be inherited as a sex linked recessive, autosomal recessive (...) General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence. GPnotebook stores small data

2010 GP Notebook

2560. hypoparathyroidism (sporadic)

hypoparathyroidism (sporadic) hypoparathyroidism (sporadic) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search hypoparathyroidism (sporadic) Idiopathic hypoparathyroidism is an uncommon condition characterised by the absence, fatty replacement or atrophy of the parathyroid glands. It may be familial or sporadic. Familial idiopathic hypoparathyroidism may be inherited as a sex linked recessive, autosomal recessive (...) General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence. GPnotebook stores small data

2010 GP Notebook

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