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Practical General Practice: Guidelines for Effective Clinical Management / Edition 4

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Overview

This title has been prepared by general practitioners working in the UK. Practical General Practice is the leading guide to clinical management in primary care. It takes the form of a manual that can be used by the GP during consultation, but its recommendations are backed by the latest research evidence, so that it also serves as a GP's way into the general practice literature. Unlike other evidence-based guidance that is available either online or in paper format, it has an underlying structure which allows the GP to see immediately what treatment is recommended and why. Furthermore, those recommendations are concrete and specific, rather than a list of possibilities that the GP might wish to consider. The 5th edition has not only updated the material in the previous edition but has added new sections: for example, on chronic fatigue syndrome, eating disorders, MRSA, and domestic violence.
  • Bullet points for action which give the GP an immediate summary of the issues that must be covered in the consultation.
  • Bullet points of the key evidence which justifies those recommendations.
  • All chapters thoroughly revised, to reflect changes in the evidence, and in major guidelines, since the last edition.
  • NNT values provided when available
  • Totally new sections: domestic violence, MRSA, eating disorders, chronic fatigue syndrome, male hypogonadism, Addison's disease, hypercalcaemia.
  • Accompanying website, http://www.practicalgeneralpractice.co.uk

The book contains black-and-white illustrations.

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Editorial Reviews

From the Publisher
"...this provides the primary care physician with practical, quality advice (hence the title) on how to manage the patient in front of them.
The content is very factual, often in note form and covers a wide range of topics which are common to general practice.
this book which is just over 500 pages long, is an excellent and admirable contribution to quality care in general practice." Dr Harry Brown, Medix-Uk Website
Louisa C. Coutts-van Dijk
This is a well-established British general practitioner reference. This third edition has a CD version attached to the inside back cover. Brief practical guidelines are presented on more than 400 topics commonly encountered in primary care. This book is intended as a clinical vade mecum for general practitioners and GP trainees. Relevant epidemiology, patient presentation, assessment, and management guidelines from the primary care perspective are detailed; they are presented in bullet points. Patient education and indications for referral are also included. The authors state that their guidelines are not intended as a ""cookbook"" but as a practical starting point only. They stimulate the reader to explore other literature and to add annotations to the text. Despite the inherent difficulties with any guideline due to lack of evidence, lack of consensus, or cultural differences, the objectives of this book are admirably met. For a few of the guidelines one could quibble about the practicality or cost-effectiveness of the recommendations offered; these are small points. The range and choice of topics is excellent. There are separate chapters on health promotion, childhood problems, care of the elderly, substance abuse, and disability. Appendixes offer valuable additional information such as immunization schedules, BMI, and PFR tables. References to patient resources, guidelines, and journal articles are nationally oriented, which may disappoint some international readers. This book has a lot to offer not only to GPs, GP trainees, and family physicians but also nurse practitioners and physician assistants. Both the range and the choice of topics covered are excellent and reflect theextensive primary care experience of the two authors. The CD version included in the price enables the reader to do fast searches of the over 400 topics presented. This contributes to making this an excellent clinical quick reference that would come in handy on any primary care provider's desk.
From The Critics
Reviewer: Louisa C. Coutts-van Dijk, MD, MRCGP(Baylor College of Medicine)
Description: This is a well-established British general practitioner reference. This third edition has a CD version attached to the inside back cover.
Purpose: Brief practical guidelines are presented on more than 400 topics commonly encountered in primary care.
Audience: This book is intended as a clinical vade mecum for general practitioners and GP trainees.
Features: Relevant epidemiology, patient presentation, assessment, and management guidelines from the primary care perspective are detailed; they are presented in bullet points. Patient education and indications for referral are also included. The authors state that their guidelines are not intended as a "cookbook" but as a practical starting point only. They stimulate the reader to explore other literature and to add annotations to the text. Despite the inherent difficulties with any guideline due to lack of evidence, lack of consensus, or cultural differences, the objectives of this book are admirably met. For a few of the guidelines one could quibble about the practicality or cost-effectiveness of the recommendations offered; these are small points. The range and choice of topics is excellent. There are separate chapters on health promotion, childhood problems, care of the elderly, substance abuse, and disability. Appendixes offer valuable additional information such as immunization schedules, BMI, and PFR tables. References to patient resources, guidelines, and journal articles are nationally oriented, which may disappoint some international readers.
Assessment: This book has a lot to offer not only to GPs, GP trainees, and family physicians but also nurse practitioners and physician assistants. Both the range and the choice of topics covered are excellent and reflect the extensive primary care experience of the two authors. The CD version included in the price enables the reader to do fast searches of the over 400 topics presented. This contributes to making this an excellent clinical quick reference that would come in handy on any primary care provider's desk.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780750649117
  • Publisher: Elsevier Health Sciences
  • Publication date: 5/26/2003
  • Edition description: REV
  • Edition number: 4
  • Pages: 520
  • Product dimensions: 7.40 (w) x 9.60 (h) x 1.10 (d)

Meet the Author

General Practitioner, East Sussex, UK

Former Senior Research Fellow, Academic Unit of Primary Care, The Trafford Centre for Medical Education and Research, University of Sussex; former General Practitioner, Brighton and Hove, UK

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Table of Contents

Preface.
Structure of the Book.
Acknowledgements.
Feedback and Updating.
List of Contributors.
List of Abbreviations.
Chapter 1 - General.
Chapter 2 - Infectious Diseases: Immunisation, Travel and Related Issues.
Chapter 3 - Sexually Transmitted Infections.
Chapter 4 - Childhood Problems.
Chapter 5 - Cardiovascular Problems.
Chapter 6 - Respiratory Problems.
Chapter 7 - Gastroenterological Problems.
Chapter 8 - Endocrine Problems.
Chapter 9 - Rheumatological Problems.
Chapter 10 - Neurological Problems.
Chapter 11 - Gynaecological Problems.
Chapter 12 - Contraception and Sexual Problems.
Chapter 13 - Obstetric Problems.
Chapter 14 - Urinary Problems.
Chapter 15 - Surgical Problems.
Chapter 16 - Psychiatric Problems.
Chapter 17 - Substance Abuse.
Chapter 18 - Eating Disorders.
Chapter 19 - The Management of Chronic Fatigue Syndrome.
Chapter 20 - Ear, Nose and Throat Problems.
Chapter 21 - Eye Problems.
Chapter 22 - Skin Problems.
Chapter 23 - Allergic Problems.
Chapter 24 - Older People.
Chapter 25 - Disability.
Chapter 26 - Haematology.
Chapter 27 - Cancer and Palliative Care with Patients with Cancer.
Chapter 28 - Management of Pain.
Chapter 29 - Death and Bereavement.
Chapter 30 - Health Promotion.
Appendix 1 - Routine Scale of Immunisations.
Appendix 2 - Incubation Period and Infectivity of Common Diseases.
Appendix 3 - A Suggested Table of 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 (Under 15 Years of Age).
Appendix 9 - Peak Expiatory Flow in Normal Subjects.
Appendix 10 - FEV/FVC Charts.
Appendix 11a - Summary of Stepwise Management in Adults.
Appendix 11b - Summary of Stepwise Management in Children Aged 5-12 Years.
Appendix 11c - Summary of Stepwise Management in Children Under 5.
Appendix 11d - Management of Acute Severe Asthma in Adults in General Practice.
Appendix 11e - Management of Acute Asthma in Children in General Practice.
Appendix 12 - Pill Ladders.
Appendix 13 - Obstetrical Table.
Appendix 14 - Edinburgh Postnatal Depression Scale.
Appendix 15 - Admission Procedures for Patients with Mental Health Problems.
Appendix 16 - The Early Warning Form for Use in Psychotic Illness.
Appendix 17 - International Prostate Symptom Score (IPSS).
Appendix 18 - Body Mass Index.
Appendix 19 - Reference Ranges for Young Adults.
Appendix 20 - Dermatomes and Myotomes.
Appendix 21 - Testing Peripheral Nerves.
Appendix 22 - Drug Levels.
Appendix 23 - Suggestions for Monitoring Patients Taking Disease-Modifying Anti-Rheumatic Drugs.
Appendix 24 - Problems Associated with Specific Causes of Disability.
Appendix 25 - The Community Dependency Index.
Appendix 26 - Nottingham Extended Activities of Daily Living Questionnaire (EADL).
Appendix 27 - Drug Stabilities in Syringe Drivers.
Appendix 28 - An Example of the Mini Mental State Examination.
Appendix 29 - Checklist Guide to the Review of a Patient with Multiple Sclerosis.
Appendix 30 - Summary of the Criteria to Determine Eligibility for Treatment Using Interferon Beta and Glatiramer Acetate for People with MS within the 'Risk-Sharing Scheme'.
Appendix 31 - Guidelines for the Urgent Referral of Patients with Suspected Cancer.
Appendix 32 - Conversion table to Assist in a Decision about Methodone Dosage According to a Patient's Current Opiate Use.
Index.
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