Practical General Practice
Guidelines for Effective Clinical Management
- 8th Edition - December 26, 2024
- Imprint: Elsevier
- Editors: Adam Staten, Kate Robinson
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 2 3 5 9 - 7
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 2 3 9 3 - 1
Practical General Practice: Guidelines for Effective Clinical Management, Eighth is designed as a highly useful quick reference guide to be used by busy GPs during consul… Read more
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Request a sales quotePractical General Practice: Guidelines for Effective Clinical Management, Eighth is designed as a highly useful quick reference guide to be used by busy GPs during consultations.
This handy book contains the latest guidelines and treatment recommendations for the vast majority of presentations commonly seen in general practice. Information is presented in a way that is quickly accessible in a time-pressured environment, including assessment, clinical investigations and management options.
Edited by practising GPs, this eighth edition has been fully updated and will be valuable to GP registrars, newly qualified GPs, and more experienced practitioners who wish to keep their knowledge up to date.
This handy book contains the latest guidelines and treatment recommendations for the vast majority of presentations commonly seen in general practice. Information is presented in a way that is quickly accessible in a time-pressured environment, including assessment, clinical investigations and management options.
Edited by practising GPs, this eighth edition has been fully updated and will be valuable to GP registrars, newly qualified GPs, and more experienced practitioners who wish to keep their knowledge up to date.
- Information on more than 1000 conditions commonly seen in general practice
- Bullet points for action give the GP an immediate summary of the issues that must be covered in the consultation
- All recommendations are highly specific – provides a firm guide for GPs rather than a list of possibilities to consider
- Recommendations all based on the latest evidence and guidelines
- Uses bullet points, tables and flow charts to help the reader access information quickly
- Useful appendices include treatment algorithms and tables
GP registrars, Qualified GPs
- Practical General Practice : Guidelines for Effective Clinical Management
- Cover image
- Title page
- Table of Contents
- Copyright
- Preface
- The structure of the book
- Acknowledgements
- List of Contributors
- List of Illustrations
- List of Tables
- Section 1. Principles and Practice of Primary Care
- 1. Principles and practice of primary care
- Challenges of primary care
- The evolving primary care team
- Use of technology
- Models of care
- Caring for the doctor
- Further reading
- References
- 2. Long-term conditions
- Prevalence of long-term conditions
- Comorbidity and multimorbidity
- Global burden
- Deprivation effects
- Effects of multimorbidity
- Healthcare utilisation
- Mental and physical
- Polypharmacy
- Clinical guidelines
- Evidence-based general practice
- Organisational
- Inverse care law
- What do patients with long-term conditions need from general practice?
- Conclusions
- References
- 3. Communication skills
- Professional requirement
- Communication skills
- Ideas, concerns, effect, and expectations
- Sharing information
- Shared decision making
- Working with interpreters
- Adherence and compliance
- Physical arrangement of the room
- The structure of the consultation
- How to react to a complaint
- Telephone and video consultations
- Email and text message consultations
- References
- 4. Disability
- Effect of impairment on carrying out normal day-to-day activities
- Prevalence of disability
- Human rights and disability
- Rehabilitation
- Intellectual disability, learning disability, and developmental disability
- Down syndrome
- Carers
- Cycle of good healthcare: A shared responsibility
- References
- Section 2. Manual of Clinical Practice
- 5. Childhood problems
- The child with a fever
- The child with a cough
- The child with wheeze
- The child with constipation
- The child with abdominal pain
- The child with diarrhoea
- The child with a murmur
- The child who collapses
- The child with chest pain
- The child who does not walk at age 15 months
- The child with a small head
- The child with a large head
- The child with a febrile seizure
- The child with seizures
- The child with headaches
- The child with a tic
- The child with dysuria and abdominal pain
- The child with bedwetting (nocturnal enuresis)
- The child with protein in their urine
- The child with blood in their urine
- The child with an itchy perineum
- The child with worms in their stool
- The child with a painful penis
- The child with a groin swelling
- The child with a painful scrotum
- The child with a nonblanching rash
- The child with cervical lymphadenopathy
- The child with pica
- The child who is short
- The child who is tall
- The child with precocious puberty
- The child with excess body hair
- The child with a painful limp
- The infant who screams or vomits when feeding
- The infant who has weight faltering in the first 6 months of life
- The infant who has weight faltering after 6 months of age
- The child who is suspected of having a nonaccidental injury
- Reference
- 6. Cardiovascular problems
- Hypertension
- Chest pain of recent onset
- Unstable angina (acute coronary syndrome)
- Stable angina
- Heart failure
- Atrial fibrillation
- Prophylaxis of infective endocarditis
- Prevention of cardiovascular disease
- Familial hypercholesterolaemia
- References
- 7. Respiratory problems
- Asthma
- Chronic obstructive pulmonary disease
- Lower respiratory tract infection
- Tuberculosis
- References
- 8. Gastroenterologic problems
- Disorders of the upper gastrointestinal tract
- Gallstone disease
- Pancreatic disease
- Irritable bowel syndrome
- Inflammatory bowel disease
- Chronic diarrhoea
- Coeliac disease
- Iron-deficiency anaemia
- Weight loss
- Jaundice and abnormal liver function test results
- Special situations
- Chronic liver disease
- References
- 9. Surgical problems
- Gallstones and gallbladder disease
- Adenomyomatosis
- Diverticular disease
- Rectal bleeding
- Perianal disorders
- Abdominal wall and groin hernias
- Vascular problems
- References
- 10. Musculoskeletal problems
- Osteoarthritis
- Low back pain
- Neck pain
- Problems with upper limbs
- Problems with the lower limbs
- Problems with the feet
- Steroid injections in soft tissue lesions
- Oral nonsteroidal antiinflammatory drugs
- Monitoring patients taking disease-modifying antirheumatic drugs
- Biologic therapy monitoring
- Gout
- Rheumatoid arthritis
- Spondyloarthropathies
- Connective tissue diseases
- Osteoporosis
- Polymyalgia rheumatica
- Temporal arteritis
- Fibromyalgia
- Further reading
- References
- 11. Neurologic problems
- Headache
- Migraine (with or without aura)
- Nonmigrainous headache
- Epilepsy
- Parkinson disease
- Stroke
- Motor neurone disease
- Multiple sclerosis
- Huntington disease
- Paraplegia
- Essential tremor
- References
- 12. Women’s health
- Dysmenorrhoea
- Endometriosis
- Menorrhagia
- Irregular periods
- Intermenstrual bleeding
- Amenorrhoea
- Polycystic ovary syndrome
- Vaginal discharge
- Management of Candida
- Management of bacterial vaginosis
- Pelvic inflammatory disease
- Premenstrual syndrome
- Ovarian cancer screening
- Gestational trophoblastic hydatidiform mole and choriocarcinoma
- Menopause
- Hormone replacement therapy
- Cervical screening
- Further reading
- References
- 13. Obstetric problems
- Prepregnancy care
- Prenatal and antenatal advice
- Travel overseas
- Routine antenatal care
- Prenatal diagnosis and screening
- Problems in pregnancy
- Intrapartum care
- Postnatal care
- References
- 14. Older people
- Keeping older people healthy
- Managing frailty
- Supporting older people at home
- Suicide
- Delirium, acute confusion, agitation, and loss of mobility
- Diagnosis
- Dementia
- Falls
- Lower leg problems
- Elder abuse
- Sex and older adults
- Legal aspects
- Further reading
- References
- 15. Contraception, sexual problems, and sexually transmitted infections
- Contraception
- Information for professionals
- Information for patients
- Hormonal contraception
- Nonhormonal methods of contraception
- Emergency contraception
- Contraception in special cases
- Termination of pregnancy
- Infertility
- Sexual problems
- Sexually transmitted infections and human immunodeficiency virus
- Specific management of sexually transmitted infections
- Further reading
- References
- 16. Psychiatric problems
- Depression
- Management of depression
- Suicide and suicidal risk
- Stress reactions
- Anxiety disorders
- Self-harm
- Acute psychotic disorders
- Compulsory admission
- Chronic schizophrenia
- Bipolar affective disorder
- Dealing with violence
- Eating disorders
- Further reading
- References
- 17. Urinary and renal problems
- Urinary tract infections
- Urinary incontinence
- Difficulty voiding
- Urinary stones
- Asymptomatic proteinuria in males and nonpregnant females
- Haematuria
- Nonvisible haematuria
- Chronic kidney disease
- Acute kidney injury
- References
- 18. Ear, nose, and throat
- The ear
- Otologic history
- Otologic examination
- Common symptom differentials
- External ear disease
- Disorders of the tympanic membrane
- Hearing loss
- Dizziness
- Tinnitus
- Lower motor neurone facial nerve palsy
- The nose
- Rhinitis
- Rhinosinusitis
- Sinonasal masses
- Epistaxis
- Obstructive sleep apnoea syndrome
- Throat and mouth
- Sore throat
- Bacterial tonsilitis
- Peritonsillar abscess
- Infectious mononucleosis
- Tonsillectomy
- Oral thrush
- Supraglottitis
- Dysphagia
- Dysphonia
- Globus sensation
- Sore mouth
- References
- 19. Eye problems
- General points
- The gritty, irritable red eye
- Painful red eye that is not ‘gritty’
- Eyelash, eyelid, and lacrimal problems
- Acute disturbance of vision
- Gradual loss of vision
- Myopia management
- Further reading
- References
- 20. Skin problems
- Atopic eczema
- Contact dermatitis
- Seborrhoeic dermatitis
- Acne vulgaris
- Acne rosacea
- Psoriasis
- Lichen planus
- Infection and infestation
- Lesions and malignancies
- Venous or varicose eczema
- Leg ulcers
- Hidradenitis suppurativa or acne inversa
- Urticaria and angioedema
- Alopecia
- References
- 21. Allergic problems
- Food allergies
- Anaphylaxis
- References
- 22. Diabetes and endocrinology
- Diabetes mellitus
- Type 2 diabetes mellitus
- Gestational diabetes
- Thyroid disease
- Hypoadrenalism
- Hypercalcaemia
- Hirsutism
- Gynaecomastia
- Hypogonadism in adult males
- Further reading
- 23. Persistent physical symptoms
- Prevalence
- Principles of management
- References
- 24. Palliative care and care of the dying patient
- Basic principles
- Emergencies
- Care in the last days of life
- Advanced neurologic disease
- End-stage renal failure
- End-stage respiratory disease
- End-stage heart failure
- Section 3. Appendices
- Appendix 1. UK routine schedule of immunisations
- Appendix 2. Incubation periods and infectivities of common diseases
- Appendix 3. Suggested immunisations for travel
- Appendix 4. Notification of infectious diseases
- Appendix 5. Child health promotion
- Appendix 6. Stages of child development
- Appendix 7. Stages of puberty
- Appendix 8. Predicted normal peak flow values in children (younger than 15 years of age)
- Appendix 9. Peak expiratory flow (PEF) in normal subjects
- Appendix 10. Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC)
- Appendix 11A. Summary of management of asthma in adults
- Appendix 11B. Summary of management of asthma in children
- Appendix 11C. Management of acute asthma in adults in general practice
- Appendix 11D. Management of acute asthma in children in general practice
- Appendix 12. Guidance for disease-modifying antirheumatic drug prescribing
- Appendix 13. Dermatomes and myotomes
- Appendix 14. Testing peripheral nerves
- Appendix 15. Drug levels
- Appendix 16. Checklist to guide the review of a patient with multiple sclerosis
- Appendix 17. Medical management of patients with obesity
- Appendix 18. Immunisations in pregnancy (UK)
- Appendix 19. Edinburgh postnatal depression scale
- Appendix 20. Admission procedures for patients with mental health problems
- Appendix 21. Early warning form for use in psychotic illness
- Appendix 22. The alcohol use disorders identification test
- Appendix 23. The international prostate symptom score
- Appendix 24. Body mass index for adults
- Appendix 25. Reference ranges for young adults
- Appendix 26. Anaphylaxis
- Appendix 27. Problems associated with specific causes of disability
- Appendix 28. The community dependency index
- Appendix 29. The Nottingham extended activities of daily living questionnaire
- Appendix 30. Drug stabilities in syringe drivers
- Appendix 31. Suspected cancer: Recognition and referral
- Appendix 32. Opioid dose conversion chart
- Index
- Edition: 8
- Published: December 26, 2024
- Imprint: Elsevier
- Language: English
- Paperback ISBN: 9780443123597
- eBook ISBN: 9780443123931
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Adam Staten
Adam Staten is General Practitioner at Red House Surgery, Milton Keynes, UK.
Affiliations and expertise
General Practitioner, Milton Keynes, UKKR
Kate Robinson
Kate Robinson is Dean at the Faculty of Health Care and Social Studies, Luton College of Higher Education, Luton, UK.
Affiliations and expertise
General Practitioner, Cheshire, UK