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Elsevier

Churchill Livingstone

  • Psychiatry & Psychosocial Medicine

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Psychiatry and Psychological Medicine - General Practice: The Integrative Approach Series. The most common psychiatric disorders presenting to General Practitioners are depression, anxiety, adjustment disorders, and alcohol abuse and dependence. The prognoses of anxiety, depression and psychotic disorders are all improved by early detection and intervention, and so the GP’s role is pivotal in improving the level of functioning and quality of life of their patients. The GP is uniquely positioned to assess psychiatric symptoms, because they will have often seen a patient over an extended timeframe and so will have access to information about the patient and their premorbid functioning.

  • Genetic Conditions

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Genetic Conditions - General Practice: The Integrative Approach. Genetic conditions are those that are directly or indirectly due to a pathogenic variation in a person’s genome that is present at birth. The variant may be inherited from a parent, or occur for the fi rst time in the family in that person in the production of the egg or sperm or at conception (spontaneous mutation or chromosomal change). This chapter covers Epigenetics, Genetic counselling and genetic services, Genetic testing, Chromosomal conditions, Single gene conditions and Inherited genetic susceptibility.

  • Allergies

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Allergies - General Practice: The Integrative Approach. The purpose of this chapter is to introduce you to the basics of allergy, what the practitioner should know in order to plan an effective integrative treatment strategy, and to provide an overview of some therapies that have been used successfully to treat different aspects of allergy. For the patient, an integrative approach usually means making lifestyle changes and being more attentive to what they allow inside their body and their home. For the practitioner, it means becoming more informed about allergy and treatment options in order to make better treatment decisions for each patient.

  • Blood

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Blood - General Practice: The Integrative Approach. This chapter examines the management of patients with haematological disorders likely to be encountered in general practice. Haematology in general practice involves the care and monitoring of a very broad and disparate group of medical conditions and syndromes, ranging from investigation of anaemia and iron disorders, bleeding diatheses, venous thromboembolism and thrombophilias,to blood-product administration, and the initial diagnosis and comanagement of patients with haematological malignancy.

  • Bones

    General Practice - The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Bones - General Practice: The Integrative Approach. Bones are complex organs with many important functions, the most obvious being structural. They provide support for the body and the means by which muscles can insert into fixed structures in order to allow movement. They are also important in hearing, through the transduction of sound via the ear’s ossicles, and they protect other soft organs that are easily damaged, such as the brain, eyes, kidneys, lungs and spleen. Bone marrow, which is largely within the medulla of the long bones, is the centre for production of blood cells (haematopoesis) and an important site for storage of fatty acids. Bones also have important metabolic functions. This chapter describes the following conditions affecting bones: osteoporosis, rickets, osteomalacia, Paget’s disease and bone cancer.

  • Geriatric Medicine

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Geriatric Medicine - General Practice: The Integrative Approach Series details the medical and consulting knowledge required of a General Practitioner when managing older patients. The world’s population is ageing rapidly, particularly in developed countries, where life expectancy is over 80 years for women and just under 80 years for menin many countries. Rapid ageing is occurring in less developed countries too, with the number of people aged over 65 years increasing dramatically in many countries. Consequently, much of general practice now involves care of older people in a range of settings—community, residential and acute-care facilities. It is easy to form the impression that ageing normally involves disease, disability and dependency, but while these are more common with increasing age, they are far from inevitable. Most 90-year-olds are not demented, maintain excellent mobility, are independent in personal, domestic and most community activities of daily living and live in their own home.

  • Men's Health

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Men's Health - General Practice: The Integrative Approach Series. This chapter discusses men’s health including erectile dysfunction, testicular cancer, prostate disease and also deals with the difficulty faced by GPs of getting male patients to present for a regular check-up.

  • Endocrinology

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Endocrinology - General Practice the Integrative Approach Series. Endocrine problems are important in the general practice setting, for a range of reasons. First, they are common enough to occur regularly, either as new cases or in patients managing a chronic illness. Secondly, they can cause serious and life-threatening complications if not diagnosed and treated. Thirdly, they often present a challenging diagnostic problem because of their often slow onset and their capacity to produce non-specific symptoms such as weakness, tiredness or weight change, particularly in the early stages.This chapter explores the endocrinological disorders including Pituitary disorders, Thyroid disorders and Adrenal gland disorders that are important for a GP to know about and to manage. The common model of managing endocrine problems is as a shared-care model with an endocrinologist.

  • Respiratory Medicine

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Respiratory Medicine - General Practice: The Integrative Approach. The human respiratory system is complex and finely tuned. Fortunately, two factors are of enormous benefit to us. First, there is a large reserve of function, greater than many of us are ever going to call upon; and secondly, the respiratory system can tolerate quite a degree of insult before symptoms appear. The predominant symptoms of respiratory problems that present to GPs are breathlessness, cough, sputum, wheeze and chest pain. Diagnosis is the important first step in medical practice, and the classic method of adequate history, appropriate physical examination, thinking about the clinical problem and then considering special investigations will clarify most situations. The four diagnoses that are most prominent and/or important in general practice are: asthma, chronic obstructive pulmonary disease (COPD), lung cancer and infections.

  • Urology

    General Practice: The Integrative Approach Series
    • 1st Edition
    • Kerryn Phelps + 1 more
    • English
    Urology - General Practice: The Integrative Approach. Symptoms suggesting urological pathology are common presentations in primary care. These include recurrent urinary tract infections, frequency and urgency of micturition, nocturia and urinary incontinence. Acute presentations to general practitioners or hospital emergency departments often involve pain: acute loin pain, testicular pain and the pain of urinary retention. Some signs may be suspicious for malignancy (e.g. haematuria). In addition, lumps in the scrotum and testes are a frequent cause for patient concern. A systematic approach to these presentations is easily followed, and history and examination will provide the diagnosis in the majority of cases.

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