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Family Practice Notebook Updates 2016

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2601. starting statin therapy

starting statin therapy starting statin therapy - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search starting statin therapy exclude secondary causes of hyperlipidaemia e.g. diabetes, hypothyroidism, liver/renal impairment check baseline lipids, liver and renal function, creatine phosphokinase (CK) advise patient regarding medication e.g. adverse effects of statin treatment start statin treatment - statins should be taken (...) ) Scottish Intercollegiate Guidelines Network (SIGN). Lipids and primary prevention of coronary heart disease. A National Clinical Guideline. www.sign.ac.uk [September 1999] (3) BNF 2.12 (4) Current Problems in Pharmacovigilance 2002; 28: 8-9. (5) Drug and Therapeutics Bulletin 2001; 39 (3): 17-21 (6) JBS2: Joint British Societies' guidelines on prevention of cardiovascular disease in clinical practice. Heart 2005; 91 (Supp 5). (7) Links: General Practice Notebook General Practice Notebook

2010 GP Notebook

2602. statins (starting/monitoring therapy)

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 (...) statins (starting/monitoring therapy) statins (starting/monitoring therapy) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search statins (starting/monitoring therapy) exclude secondary causes of hyperlipidaemia e.g. diabetes, hypothyroidism, liver/renal impairment check baseline lipids, liver and renal function, creatine phosphokinase (CK) advise patient regarding medication e.g. adverse effects of statin treatment start

2010 GP Notebook

2603. extrinsic asthma (features of)

complex salts of platinum in metal 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 (...) extrinsic asthma (features of) extrinsic asthma (features of) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search extrinsic asthma (features of) 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

2010 GP Notebook

2604. history taking(general principles)

not covered in the history of presenting complaint past medical history drug history - current medication; also known allergies family history - information related to hereditary illnesses social history - important information relating to the social situation of the patient. This part of the database is adapted from:- R. Turner, R. Blackwood, R. Jones; Guide to History and Examination for Clinical Students; Oxford University Medical School publication. Links: General Practice Notebook General Practice (...) history taking(general principles) history taking(general principles) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search history taking(general principles) The general format of a history of from a patient should take the form:- c/o - the reason why the patient is seeking help from a medical practitioner hpc - a chronological record of the complaint functional enquiry - systematic record of the functioning of organ systems

2010 GP Notebook

2605. sudden unexplained death syndrome

and investigation be carried 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 (...) sudden unexplained death syndrome sudden unexplained death syndrome - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search sudden unexplained 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

2010 GP Notebook

2606. Trypanosoma cruzi

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 (...) Trypanosoma cruzi Trypanosoma cruzi - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search Trypanosoma cruzi Chagas' disease is caused by Trypanosoma cruzi, which is spread by Reduviid bugs. American Trypanosomiasis or Chagas disease is an endemic disease mainly in Central and South America it is a zoonosis caused by the flagellated protozoan Trypanosoma cruzi (T. cruzi). In endemic areas, the primary route of transmission

2010 GP Notebook

2607. peripheral nerve lesions

" due to compression of the radial nerve against the humerus. 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 (...) peripheral nerve lesions peripheral nerve lesions - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search peripheral nerve lesions Peripheral nerve mononeuropathies are usually due to a single local lesion. The motor distribution is constant so that the level of the lesion can be ascertained from the muscles affected. The cutaneous distribution is fairly specific but often shows some variability and overlap. An entrapment

2010 GP Notebook

2608. congenital spherocytosis

and increased numbers of reticulocytes on the peripheral blood smear. There is usually a positive family history. 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 (...) congenital spherocytosis congenital spherocytosis - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search congenital spherocytosis Hereditary spherocytosis is a disorder of the red blood cell membrane, leading to haemolytic anaemia. It is inherited as an autosomal dominant condition often linked to chromosome 8. It affects about 1 in every 5000 individuals in the United States. The disorder is characterised by spherocytosis

2010 GP Notebook

2609. Breastfeeding Multiples

duration and receive less breast milk than singleton infants. The recommended guidelines contained in this document suggest “best practices” for community and hospital-based health professionals and extend over the continuum of pregnancy to early childhood. • Families should be actively encouraged to breastfeed their twins and higher-order multiples. This includes assisting families to become informed about the benefits of breastfeeding multiples, available resources, and effective strategies (...) breastfeeding assistance. Breastfeeding support services should be provided in the home during the early months, particularly if the family has higher-order multiples. • Hospital and community policies and care practices are required that truly support the breastfeeding of multiple birth infants. This includes education of health care providers, effective communication among the many care providers, and coordination and continuity of care over the entire continuum. Breastfeeding Multiples January 2007 Page

2007 British Columbia Perinatal Health Program

2610. A systematic review of the evidence for incentive schemes to encourage positive health and other social behaviours in young people

A systematic review of the evidence for incentive schemes to encourage positive health and other social behaviours in young people MARCH 2006 The Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre) is part of the Social Science Research Unit, Institute of Education, University of London A systematic review of the evidence for incentive schemes to encourage positive health and other social behaviours in young people REPORT i AUTHORS Josephine Kavanagh, Alex (...) and practice relevant question for in-depth review. 2.4 From mapping to in-depth review A descriptive analysis of the first 80 studies included in the map was sent to the Consultation Group, along with a briefing and research options document. The studies were those for which the full report had been obtained, processed and descriptively coded in time for the consultation. This exercise resulted in the choice of a narrower question related to effectiveness for in-depth review: What is the best available

2006 EPPI Centre

2611. A 44 year old female smoker has been commenced on depo provera for contraception. She has had a 10 day vaginal bleed since the injection which is slightly less than her normal period. She wishes the b

? Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care. Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search. As well as research evidence we also allow clinicians to search across other content types including images, videos (...) of a monophasic oral contraceptive was effective, although there is no indication in the abstract as to over how many cycles the study was conducted. GP Notebook (4) has the following advice: “ If the patient has non-acceptable prolonged bleeding following the first Depo Provera injection then it has been suggested: • exclude an unrelated cause of prolonged vaginal bleeding e.g. retained products of conception, carcinoma, infection (e.g. Chlamydia), or carcinoma. It may be necessary to request a pelvic

2006 TRIP Answers

2612. GGT

Family Physician: American Academy of Family Physicians. Available online at http://www.aafp.org/afp/20011101/1555.html. British Liver Trust Information Service (Last update September, 10 2001). Cirrhosis. British Liver Trust. Available online at http://www.britishlivertrust.org.uk/publications/cirrhosis.html. MEDLINEplus (October 3, 2001). Medical Encyclopedia: ESR. U.S. National Library of Medicine, Bethesda, MD. MEdlinePlus. Available online at http://www.nlm.nih.gov/medlineplus/ency/article (...) , Hank. GGT - Gammaglutamyl Transferase. December, 2000. Available online at http://www.stat.unc.edu/visitors/temp/Health/Thyroid/ggt2.htm. Accessed September 2013. General Practice Notebook. GGT and alcohol intake. Available online at http://www.gpnotebook.co.uk/simplepage.cfm?ID=x20080405181818225450. Accessed September 2013. Ask a Laboratory Scientist This form enables you to ask specific questions about lab tests. Your questions will be answered by a laboratory scientist as part of a voluntary

2004 Lab Tests Online USA

2613. records in general practice

records in general practice records in general practice - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search records in general practice General practice records consist of: consultation records plus: registration data reminders and recalls personal data repeat medication list past medical history summary family history health promotion data hospital and community team communications More and more records are being kept (...) 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

2010 GP Notebook

2614. Perinatal Outcomes in Nutritionally Monitored Obese Pregnant Women

in Nutritionally Monitored Obese Pregnant Women The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00740766 Recruitment Status : Completed First Posted : August 25, 2008 Last Update Posted : June 8, 2009 Sponsor: Jamaica Hospital Medical Center Information provided by: Jamaica Hospital Medical Center Study Details (...) Study Description Go to Brief Summary: The aim of this prospective randomized study is the prevention of excessive weight gain in obese pregnant women. The study will compare perinatal outcomes of obese pregnant women treated in the traditional way to outcomes of nutritionally monitored obese pregnant women and evaluate a preliminary behavioral model applicable to the general practice of obstetrics. Condition or disease Intervention/treatment Phase Obesity Behavioral: Food diary and behavioral model

2008 Clinical Trials

2615. The Diabetes TeleCare Study

is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00288132 Recruitment Status : Completed First Posted : February 7, 2006 Last Update Posted : March 2, 2018 Sponsor: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Collaborator: University of North Carolina, Chapel Hill Information provided by (Responsible Party): National Institute (...) of Diabetes and Digestive and Kidney Diseases (NIDDK) Study Details Study Description Go to Brief Summary: The American Diabetes Association clinical care guidelines stress the importance of metabolic control to prevent complications and improve quality of life for persons with diabetes. Unfortunately, these guidelines have not had widespread acceptance into clinical practice. Therefore, we propose translational research to evaluate telemedicine technology using interactive video conferencing (Diabetes

2006 Clinical Trials

2616. Computerized Assessment for Patients With Cancer

) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00194493 Recruitment Status : Completed First Posted : September 19, 2005 Last Update Posted : May 4, 2015 Sponsor: Dana-Farber Cancer Institute Collaborator: University of Washington Information provided by (Responsible Party): Donna Berry, PhD, RN, FAAN (...) , management of written questionnaires and the clinicians' unfamiliarity with the nature of the queries and numerical scale scores. Web-based electronic technology now has been developed and tested for feasibility using touchscreen, notebook computers and the computerized assessment program, a screening assessment providing usable and easily interpreted graphic output to cancer clinicians. The purpose of this study is to design and evaluate the clinical integration of the web-based computerized assessment

2005 Clinical Trials

2617. familial Creutzfeldt-Jacob disease

familial Creutzfeldt-Jacob disease familial Creutzfeldt-Jacob disease - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search familial Creutzfeldt-Jacob disease The familial forms of Creutzfeldt-Jacob (CJD) disease: have a wide spectrum of clinical features may vary in its clinical features between and within families have an autosomal dominant mode of inheritence account for 10% of cases of CJD In general: familial CJD presents (...) earlier, from 40 years on the clinical course is longer 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

2010 GP Notebook

2618. family history

age and cause of death of family members position in family and number of siblings consanguinity (especially cousin marriages) 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 (...) family history family history - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search family history The most relevant family history is that of first-degree relatives, the parents, siblings and children. The health of more distant relatives and certainly that of the spouse, although not a blood relative, can also be important to a patient's well-being. Factors include: general and psychiatric health current age of family members

2010 GP Notebook

2619. FH (familial hypercholesterolaemia)

FH (familial hypercholesterolaemia) FH (familial hypercholesterolaemia) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search FH (familial hypercholesterolaemia) This is an autosomal dominant disorder of chromosome 19 with homozygous and heterozygous forms; the latter occurs in one in 500 people (meaning that approximately 110,000 people are affected in the UK) (1). It is defined in the WHO classification as a type IIa (...) with premature CHD (men < 55 years and women < 65 years) are screened for lipids. Reference: Public Health England (August 2018).Familial Hypercholesterolaemia Implementing a systems approach to detection and management. JBS2: Joint British Societies' guidelines on prevention of cardiovascular disease in clinical practice. Heart 2005; 91 (Supp 5). 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

2620. hypertriglyceridaemia (familial)

hypertriglyceridaemia (familial) hypertriglyceridaemia (familial) - General Practice Notebook This site is intended for healthcare professionals General Practice Notebook | Medical search hypertriglyceridaemia (familial) Familial hypertriglycidaemia 2.3-10 mmol/L This condition has an autosomal dominant inheritance. This condition is characterised by increased VLDL only (high VLDL production, decreased lipoprotein lipase activity) [Fredrickson type IV]. This condition occurs in approximately 1 (...) 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

2010 GP Notebook

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