Churchill’s Pocketbook of General Practice by Simon Cartwright

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By Simon Cartwright

This name is directed basically in the direction of well-being care pros outdoors of the USA. it's a concise, easy-to-refer-to instruction manual of universal stipulations obvious usually perform and the way to regard them. each one situation is mentioned in a regular method that would be commonly used to such a lot GPs – overview, together with heritage and exam, and administration. in the course of the e-book there are ‘alert’ bins (marked with an exclamation point!) in addition to priceless tricks and ‘useful tips’, trigger in containers. This variation is totally modern with the very most recent details and comprises nationwide guidance on treating significant ailments obvious in fundamental care.

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IUCDs can be left in situ during treatment unless the infection is severe or persistent. Sexual contacts should be treated with doxycycline 100 mg od for 10 days. Always seriously consider referral to a GUM clinic. Admit the patient if symptoms are severe. VAGINAL DISCHARGE The most common causes of vaginal discharge in general practice are Candida and Gardnerella (bacterial vaginosis – BV). Trichomonas is a less common cause. Chlamydia, gonorrhoea and herpes simplex are rarely associated with vaginal discharge (see also STIs, p.

G. promethazine 25 mg mane, 50 mg nocte. Consider admission if vomiting is prolonged or dehydration is a concern. HEARTBURN Heartburn usually worsens as pregnancy progresses. It can be exacerbated by oral iron. OBSTETRICS GLYCOSURIA Management • • Recommend frequent small meals. g. Maalox 10 ml after meals or prn. SWOLLEN ANKLES Swollen ankles are common in pregnancy. Management • • Exclude pre-eclampsia. ) Advise the patient to avoid long periods of standing. If oedema becomes uncomfortable, advise her to sit with the ankles above the level of the hips when resting, and to wear support stockings or tights (see below).

Ultrasound shows characteristic ovaries. Also check fasting blood sugar and serum cholesterol (POS patients have higher rates of ischaemic heart disease (IHD), hypertension and diabetes). Management Advice • • • • Lose weight. Encourage exercise, a healthy diet and advise against smoking. Discuss contraception, which is still necessary, if appropriate. Consider referral to a gynaecologist for assessment. Prescribing • • • • • Treat hirsutism, if appropriate (see p. 48). Treat acne, if appropriate (see p.

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