A Textbook of General Practice, 2nd edition - download pdf or read online

By Anne Stephenson

Geared toward scientific scholars and primary yr citizens, A Textbook of common perform comprises the fundamental info scholar must comprehend and comprehend approximately basic perform and being a physician. the educational variety of the booklet relies on experiential and reflective ideas according to glossy educative thought and perform. It presents suggestions on functional talents, the speculation of delivering solid drugs and the bigger issues of encouraging lifestyles lengthy studying improvement. the hot variation builds at the profitable formulation of the 1st, by means of completely reviewing and revisiting all content material. Self-assessment sections were extra to all chapters and a word list of phrases is incorporated on the finish of the publication. Thinking/discussion issues were prolonged and extra pupil prices integrated.

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Example text

A more sensitive problem may be presented only indirectly or left until last, even until the patient is at the door. GPs usually become quite adept at picking up these indirect messages. However, sometimes, in fact quite frequently, the real reason or one of the reasons for consultation, if it does emerge, can surprise the doctor, often at the end of a lengthy consultation in the middle of a busy surgery. 3 Mr H, a 45-year-old man, opened the consultation by asking for the result of a full blood count ordered by my partner because he had a very prolonged sore throat.

From Fry, J. and Sandler, G. 1993: Common diseases: their nature, prevalence, and care, 5th edition. Newbury: Petroc Press, p. 27. Reproduced by kind permission from Petroc Press. 3 shows the most common chronic conditions. ) Fifteen per cent of conditions presenting to general practice may be classified as major. 4 shows the most common major conditions. The National Morbidity Studies provide valuable information concerning those conditions presenting to general practice. However, it is important to remember that the data refer only to those patients who consulted either a GP or a practice nurse.

I asked this student to take a history and I sat down there. 2 The consultation – but who’s consulting whom? actually laughing or smiling … she couldn’t concentrate on what she was asking this man … it was really uncomfortable for me and for the patient. The patient suddenly stopped and said, ‘Look young lady, you are laughing, you shouldn’t laugh’, and the odd thing was that I could see there was a problem and I couldn’t cope with it, yet this man coped with it so well. Honestly it was so awkward.

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