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Family Practice Notebook Updates 2016

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2561. type II diabetes mellitus

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 and all medical conditions. Copyright 2016 Oxbridge Solutions (...) type II diabetes mellitus type II diabetes mellitus - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search type II 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 diabetes is commonly associated with obesity

2010 GP Notebook

2562. NICE guidance - implantable cardioverter defibrillators

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 defibrillators NICE guidance - implantable cardioverter defibrillators - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search NICE guidance - implantable cardioverter defibrillators 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

2563. type 2 diabetes mellitus

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 and all medical conditions. Copyright 2016 Oxbridge Solutions (...) type 2 diabetes mellitus type 2 diabetes mellitus - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search type 2 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 diabetes is commonly associated with obesity

2010 GP Notebook

2564. NIDDM (type 2 diabetes)

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 and all medical conditions. Copyright 2016 Oxbridge Solutions (...) NIDDM (type 2 diabetes) NIDDM (type 2 diabetes) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search NIDDM (type 2 diabetes) 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 diabetes is commonly associated with obesity

2010 GP Notebook

2565. molluscum contagiosum

) It has an incubation period that varies from 3 to 12 weeks (3). Reference (1) (2) (3) 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 (...) molluscum contagiosum molluscum contagiosum - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search molluscum contagiosum Molluscum contagiosum is a viral skin disease characterised by firm, round, translucent, multiple, dome shaped, pearly white or flesh coloured, umbilicated papules of up to 5mm in diameter containing caseous matter and peculiar capsulated bodies (1,2). It is usually a benign, self limiting viral infection

2010 GP Notebook

2566. self-harm (deliberate)

self-harm (deliberate) self-harm (deliberate) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search self-harm (deliberate) 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 (...) estimated that more than 10% of girls 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

2010 GP Notebook

2567. suicide(attempted)

suicide(attempted) suicide(attempted) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search suicide(attempted) 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 (...) that more than 10% of girls 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

2010 GP Notebook

2568. polycystic disease of adulthood

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 (...) polycystic disease of adulthood polycystic disease of adulthood - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search polycystic disease of adulthood Autosomal dominant polycystic kidney disease is an important cause of renal failure. It is inherited as an autosomal dominant trait with penetrance approaching 100% in those surviving until their seventh or eighth decade. The condition most usually presents in adult life but may

2010 GP Notebook

2569. ADPKD

ADPKD ADPKD - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search ADPKD Autosomal dominant polycystic kidney disease is an important cause of renal failure. It is inherited as an autosomal dominant trait with penetrance approaching 100% in those surviving until their seventh or eighth decade. The condition most usually presents in adult life but may develop at any time, including in utero. Both kidneys are always affected (...) than placebo in the eGFR over a one year period in patients with late-stage chronic kidney disease but is associated with elevations of bilirubin and alanine aminotransferase levels. Reference: Gabow PA: Autosomal dominant polycystic kidney disease. N Engl J Med 1993; 329: 332-342. Levy M, Feingold J: Estimating prevalence in single-gene kidney diseases progressing to renal failure. Kidney Int 2000; 58: 925-943. Links: General Practice Notebook General Practice Notebook The information provided

2010 GP Notebook

2570. completed suicide

and families regarding suicidal ideation and behaviours. The Columbia Classification Algorithm for Suicide Assessment (C-CASA) which was created as a research instrument may be used to standardise the terminology in clinical practice (1). Reference: (1) (2) 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 (...) completed suicide completed suicide - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search completed suicide Suicide, derived from the Latin term sui caedere (intentionally killing oneself), can be defined as self-inflicted death with evidence (either explicit or implicit) that the person intended to die (1,2). A suicide attempt can be described as self-injurious behaviour with a nonfatal outcome accompanied by evidence (either

2010 GP Notebook

2571. NICE guidance - implantable cardioverter defibrillator and heart failure

cardiac signals, but the lead is not directly 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 (...) NICE guidance - implantable cardioverter defibrillator and heart failure NICE guidance - implantable cardioverter defibrillator and heart failure - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search NICE guidance - implantable cardioverter defibrillator and heart failure NICE guidance has stated which patients should be considered for the use of implantable cardioverter defibrillators (ICD) include (1): Implantable

2010 GP Notebook

2572. small for dates

such as familial short stature, Turner syndrome, or growth hormone deficiency approximately 10% of children born small for gestational age do not reach the normal height range those whose growth has not caught up by 4 years of age are candidates for treatment with growth hormone (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 (...) small for dates small for dates - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search small for dates The terms small for dates or light for dates are used to describe infants weighing less than the tenth centile for their gestation (although other definitions are also available - see below). Note, it is not the third centile that is important here, which can lead to confusion with definitions later in life such as short

2010 GP Notebook

2573. tick borne encephalitis

tick borne encephalitis tick borne encephalitis - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search tick borne encephalitis Tick-borne encephalitis (TBE) is caused by members of the flavivirus family that can affect the central nervous system although TBE is most commonly recognised as a meningo-encephalitis, mild febrile illnesses can also occur there are three versions of the disease related to the virus subtypes, namely (...) and the military laboratory workers who may be exposed to TBE should be vaccinated Reference: Immunisation Against Infectious Disease - "The Green Book".Chapter 31 Tick-borne encephalitis (August 2006) 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

2010 GP Notebook

2574. CHEK2

); 65(14):55-60. Evans DGR et al. (1994). Familial breast cancer. BMJ; 308:183-7 McPherson et al. (1994). BMJ;309: 1004 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 (...) CHEK2 CHEK2 - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search CHEK2 Up to 10% of breast cancer in western countries is due to genetic predisposition. Susceptibility to breast cancer appears to be inherited as an autosomal dominant with limited penetrance and may thus be inherited from either father or mother. About 5% of breast cancer is due to highly penetrant dominant genes. More than five genes are thought to be involved

2010 GP Notebook

2575. genes and breast carcinoma

oncoplastic or breast reconstructive skills Reference: Pulse (2005); 65(14):55-60. Evans DGR et al. (1994). Familial breast cancer. BMJ; 308:183-7 McPherson et al. (1994). BMJ;309: 1004 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 (...) genes and breast carcinoma genes and breast carcinoma - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search genes and breast carcinoma Up to 10% of breast cancer in western countries is due to genetic predisposition. Susceptibility to breast cancer appears to be inherited as an autosomal dominant with limited penetrance and may thus be inherited from either father or mother. About 5% of breast cancer is due to highly penetrant

2010 GP Notebook

2576. genetics and breast cancer

oncoplastic or breast reconstructive skills Reference: Pulse (2005); 65(14):55-60. Evans DGR et al. (1994). Familial breast cancer. BMJ; 308:183-7 McPherson et al. (1994). BMJ;309: 1004 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 (...) genetics and breast cancer genetics and breast cancer - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search genetics and breast cancer Up to 10% of breast cancer in western countries is due to genetic predisposition. Susceptibility to breast cancer appears to be inherited as an autosomal dominant with limited penetrance and may thus be inherited from either father or mother. About 5% of breast cancer is due to highly penetrant

2010 GP Notebook

2577. posttraumatic stress disorder

posttraumatic stress disorder posttraumatic stress disorder - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search posttraumatic stress disorder Post-traumatic stress disorder (PTSD) is a reaction which a person may develop in response to one or more traumatic events/stressors. a stressor which precipitates a PTSD is often of such a magnitude that the patient's coping strategies and defense mechanisms are overwhelmed post trauma (...) talking about their problems even when presenting with associated complaints children, particularly those aged under 8 years, may not complain directly of PTSD symptoms such as re-experiencing or avoidance instead, symptoms may take the form of re-enacting the experience, repetitive play or frightening dreams with no recognisable content Reference: (1) (2) (3) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any

2010 GP Notebook

2578. Antabuse

Antabuse Antabuse - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Antabuse disulfiram blocks the oxidation of alcohol causing an accumulation of acetaldehyde after drinking - disulfiram is an inhibitor of hepatic aldehyde dehydrogenase (ALDH). This results in symptoms such as abdominal colic, flushing, anxiety, dizziness, tachycardia, vomiting and headache. Symptoms start 5-15 minutes after drinking alcohol and last (...) . The summary of product characteristics must be consulted before prescribing this drug. Reference: Prescriber 2004; 15(9): 16-25. Drug and Therapeutics Bulletin (2000); 38 (8):60-64. Drug and Therapeutics Bulletin (1996), Drugs and alcohol: harmful cocktails?; 34 (5): 36-8. Kwentus J, Major LF (1979), Disulfiram in the treatment of alcoholism, J Stud Alcohol, 40, 428-46. Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment

2010 GP Notebook

2579. dislocation of the patella

dislocation of the patella dislocation of the patella - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search dislocation of the patella This condition usually results from a twisting injury or a direct blow, with the knee in slight flexion. the injury is painful and may cause the patient to fall to the ground commonly seen in the second and third decade of life and often in women (1) a retrospective study of 270 patients and 284 (...) patella. However, medial displacement is extremely uncommon and usually, a complication of surgery in recurrent dislocation. The knee is swollen and neither active nor passive movement is possible. X-ray of the knee confirms the displacement and in about 5% of cases, reveals an associated osteochondral fracture. Reference: (1) (2) (3) Links: General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition

2010 GP Notebook

2580. pregnancy (maternal mortality in pregnancy and childbirth)

pregnancy (maternal mortality in pregnancy and childbirth) pregnancy (direct and indirect maternal mortality in pregnancy and childbirth) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search pregnancy (direct and indirect maternal mortality in pregnancy and childbirth) Maternal mortality is defined as death while pregnant or within 42 days of termination of pregnancy. tenth revision of the International Classification (...) % CI 10.09-12.86) per 100 000 maternities compared with the 13.95 (95% CI 12.45-15.64) per 100 000 maternities reported for the previous triennium, 2003-05. Reference: Centre for Maternal and Child Enquiries (CMACE). Saving Mothers'Lives: reviewing maternal deaths to make motherhood safer: 2006-08. The Eighth Report on Confidential Enquiries into Maternal Deaths in the Uni- ted Kingdom. BJOG 2011;118(Suppl. 1):1-203. Links: General Practice Notebook General Practice Notebook The information

2010 GP Notebook

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