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John Murtagh's General Practice Companion Handbook 6E


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Table of Contents

ContentsABC of general practice 1A diagnostic perspective 1Abdominal pain 5Acne 19Acute allergic reactions 21Addison disease 22Adolescent health 22Alcohol problems 24Alopecia areata (patchy hair loss) 26Amnesia (loss of memory) 27Anaemia 27Angina pectoris 30Anorectal disorders 31Anorectal bleeding: diagnostic strategy model 33Anticoagulants 35Anxiety disorders 35Aphthous ulcers (canker sores) 38Arm and hand pain 39Asthma 47Back pain 54Bad news (breaking bad news)-guidelines 62Balanitis (balanoposthitis) 63Bed sores (pressure injury) 64Belching (aerophagia) 65Bell (facial nerve) palsy 65Benzodiazepine problems 65Bites and stings 66Bladder cancer 70Bladder dysfunction (in women during night) 71Blepharitis 71Body odour 71Boils (recurrent) 72Breast lumps 72Breast pain (mastalgia) 76Breath-holding attacks 78Bronchiolitis 79Bronchitis 79Bruising and bleeding 80Bruxism (teeth grinding) 83Burning feet syndrome 83Burns 83Calf pain 85Cancer 85Cannabis (marijuana) 87Cardiopulmonary resuscitation (CPR) 88`Cellulite' 89Cellulitis 89Central nervous system infections (incl. meningitis,encephalitis, abcess) 89Cervical cancer and the Pap test 93Chest pain 95Chilblains 100Children: normal developmental milestones 101Children: developmental disorders 101Child abuse 107Childhood: common infectious diseases 110Children: special observations 113Children's behaviour disorders 115Children: surgical problems 119Children: neonatal leg and foot abnormalities 123Children: special senses 125Optimal times for surgery/intervention in early children'sdisorders 126Children's emergencies 127Children's skin and hair disorders 131Chloasma 134Chronic obstructive pulmonary disease 134Cold sores 137Common cold (acute coryza) 137Communication and consulting skills (or how to prevent litigation) 138Concussion 140Conjunctivitis 140Constipation 143Contact dermatitis 146Contraception 147Cough 150Counselling skills 156Court appearance 157`Cracked' skin 157Cramps (nocturnal cramps in legs) 158Cranial nerves 159Croup 159Dandruff 161Deafness and hearing loss 161Depression 164Dermatitis/eczema 168Diabetes mellitus 171Diarrhoea 177Difficult, demanding and angry patients 184Diplopia 184Disturbed patients 185Diverticular disease 190Dizziness/vertigo 191Domestic (intimate partner) violence 195Drugs-illicit substance abuse 197Dry eyes 197Dry hair 197Dry mouth 199Dry skin 199Dyslipidaemia 200Dysmenorrhoea (primary) 202Dyspareunia 202Dyspepsia (indigestion) 203Stomach cancer 207Dysphagia 207Dyspnoea 208Dystonia 213Dysuria and frequency 214Ear pain 216Ectropion 222Elderly patients 222Emergency management of key medical conditions 224Encopresis (faecal incontinence in children) 225Endocarditis 226Endocrine-overview of conditions 227Endometriosis 228Entropion 229Enuresis (bed-wetting) 229Epilepsy 230Epistaxis: treatment techniques 235Erectile dysfunction 235Erysipelas 236Eye: dry 236Eye pain and redness 236Eyelashes: ingrowing (trichiasis) 242Eyelid `twitching' or `jumping' 243Eyes: flash burns 243Facial pain 244Fatty liver 249Fever and chills 249Fibroids (leiomyoma) 252Fibromyalgia syndrome 253Flatus: excessive 254Floaters and flashers of eyes 254Folliculitis 255Foot odour (smelly and sweaty feet) 255Foot pain (podalgia) 256Freckles and lentigines (sun spots) 260Frostbite 260Gambling 262Ganglion 262Gastroenteritis 263Gastroparesis (gastropathy) in adults 265Genetic disorders 265Genital herpes 268Genital warts 269Geographical tongue (erythema migrans) 269Gingivitis 269Glandular fever 270Globus hystericus 270Gout (monosodium urate crystal disease) 271Granuloma annularae 272Growing pains 272Grover disease 273Guillain-Barre syndrome 273Haematemesis and melaena 274Haematuria 276Haemochromatosis 277Haemorrhoids 277Hair disorders 277Halitosis 281Hangover 281Hay fever (seasonal allergic rhinitis) 282Head banging or rocking in toddlers 282Headache 282Head injury and unconsciousness 288Heartburn (dyspepsia) 291Heart failure 291Heel pain 295Hepatitis 298Herpes simplex 302Herpes zoster (shingles) 303Hiccoughs (hiccups) 305Hip pain 305Hirsutism (hirsuties) 309Hives (papular urticaria) 309Hoarseness 309Human immunodeficiency virus infection 310Hypertension 312Hyperventilation 314Hypoglycaemia 315Immunisation 316Impetigo 317Incontinence of urine 317Infantile colic 318Infertility/subfertility 318Influenza 319Ingrowing toenails 320Injectable contraceptives 321Insect stings 321Insomnia 321Intertrigo 322Irritable bowel syndrome (IBS) 324Jaundice 326Jet lag 328Jitters 329Jock itch 329K Kawasaki's disease (mucocutaneous lymph node syndrome) 330Keloid or hypertrophic scar 330Keratoacanthoma 331Keratoses (solar and seborrhoeic) 331Keratosis pilaris 332Kidney disease 332Knee pain 334Laryngitis 339Lead poisoning 339Leg pain 340Lice infestation 344Lichen planus 345Melanoma 346Melasma (chloasma) 347Meniere syndrome 347Menopause syndrome 347Menorrhagia 349Men's health: an overview 351Metabolic syndrome 351Migraine attack 352Milker's nodules 352Molluscum contagiosum 352`Monkey muscle' tear 352Morning sickness 353Mouth soreness 353Mouth ulcers 355Multiple sclerosis (MS) 355Myocardial infarction and NSTEACS 356The ECG and myocardial infarction 360Myoclonic jerks (periodic limb movement disorder) 362Nail disorders 363Narcotic dependence 366Neck pain 367Needlesticks and sharps injuries 369Nightmares (dream anxiety) 369Nose 370Nutrition advice 372Obesity 375Obsessive-compulsive disorder 376Obstetric care 376Oily hair 384Opioid (heroin) overdosage 384Orf 384Osteoporosis 384Otitis externa 385Otitis media 385Paget disease (osteitis deformans) 386Pain and its management 386Palliative care 388Palpitations 390Panic attack 393Parkinson disease 393Paronychia 395Pelvic inflammatory disease (females) 395Pelvic pain 396Perioral dermatitis 397Peripheral neuropathy 398Guillain-Barre syndrome 399Personality disorders 399Perspiration: excessive (hyperhidrosis) 401Phimosis 401Photoageing/wrinkles 401Pityriasis rosea 402Pityriasis versicolor (tinea versicolor) 402Plantar warts 403Pneumonia 403Polycystic ovary syndrome (PCOS) 405Polymyalgia rheumatica and giant cell arteritis 406Premature ejaculation 407Premenstrual tension syndrome 407Prickly heat (miliaria/heat rash) 408Prostate disorders 408Pruritus (generalised) 410Pruritus ani 411Pruritus vulvae 412Psoriasis 412Purpura: diagnostic strategy model 415Rectal bleeding 416Refugee health 418Restless legs (Ekbom syndrome) 418Reye syndrome and aspirin 419Rhinitis 419Ringworm 420Rosacea 420Ross River and Barmah Forest infection 421Scabies 422Scrotal pain 422Seborrhoeic dermatitis 424Septicaemia (sepsis) 425Sexually transmitted infections 426Shingles 427Shoulder pain 428Sinusitis 429Skin cancer 430Skin eruptions 431Sleep disorders 434Smoking/nicotine 436Snapping or clinking hip 437Snoring 438Sore throat 438Spinal dysfunction 441Splenectomy patients 441Sprained ankle 442Stinging fish 443Stitch in side (precordial catch, Texidor twinge) 443Stress disorders 443Stroke and TIAs (transient ischaemic attacks) 443Stuttering 447Stye in eye 447Subconjunctival haemorrhage 447Sudden infant death syndrome (SIDS) and ALTE 447Sunburn 448Sweating 449Syphilis 449Tampon toxic shock syndrome 450Tearduct (nasolacrimal duct) blockage in child 450Teething 450Temporomandibular joint dysfunction 451Tennis elbow 451Tension-type headache 451Testicular tumours 451Tetanus 452Thrombotic disorders and anticoagulation 453Thrush (candidiasis) of mouth 455Thumb sucking 455Thyroid disorders 456Tick bites 457Tics 457Tinea infections 458Tinnitus 460Tiredness/fatigue 461Tongue disorders 462Torticollis (acute wry neck) 463Travel medicine and tropical infections 463Travel sickness 472Tremor 472Tropical ear 474Umbilical discharge 475Umbilical granuloma in infants 475Undescended testes 475Unemployment 476Urethritis 476Urinary tract infection 477Urticaria (hives) 480Vaginal discharge 481Venous ulcers 483Visual loss 485Vitiligo 487Vomiting 488Vulvar disorders 489Warts 492Weight loss 493Whiplash 495Whole-person approach to management 495Worms (helminths) see Tropical infections 497Wounds: removal of non-absorbable sutures 497Wrinkles 497Writer's cramp 497Z Zoonoses 498Appendixes 500

About the Author

John Murtagh, AM, is Executive Director, Education at the Royal Australian College of General Practitioners and Adjunct Professor of General Practice at the Department of Community Medicine and General Practice , Monash University, Victoria, Australia. He is one of Australia's leading GPs and community educators. A Professor in General Practice in the School of Primary Health Care at Monash University in Melbourne, Professorial Fellow in the Department of General Practice at the University of Melbourne and Adjunct Clinical Professor in the Graduate School of Medicine at the University of Notre Dame, Fremantle.

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