General practice / Family medicine Books

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Book SynopsisTable of ContentsSyphilis: A Modern Resurgence Challenges in Managing Gonorrhea and New Advances in Prevention Trichomoniasis Update on the Epidemiology, Screening, and Management of Chlamydia trachomatis Infection Sexually Transmitted Human Papillomavirus: Update in Epidemiology, Prevention, and Management Update in Epidemiology and Management of Mycoplasma genitalium Infections Sexual Transmission of Viral Hepatitis Genital Herpes Infection: Progress and Problems An Ulcer by Any Other Name: Non-herpes and Non-syphilis Ulcerative Sexually Transmitted Infections Advances in Diagnostics of Sexually Transmitted Infections Approach to Managing Sex Partners of People with Sexually Transmitted Infections

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Book SynopsisJohn Lawson RCGP, 1983 President of the Royal College of General Practitioners vi Preface The Present State and Future Needs series had its roots in the dark days of the early 1960s when morale in general practice was low and when numbers of new entrants were actually going down.Table of Contents1 The place of general practice (primary health care).- 2 What goes on? A demography of general practice.- 3 Content of work.- 4 The primary health care team.- 5 General practitioners: numbers.- 6 General practitioner profile.- 7 Practice units.- 8 Education and training.- 9 Volume of work.- 10 Prescribing by general practitioners.- 11 General practitioners and the hospitals.- 12 The general practitioner in the hospital.- 13 Costs of health care.- 14 The Royal College of General Practitioners.- 15 Future needs.

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Book SynopsisSince the first edition was published in 2009, there have been significant advances in diagnostics and management of viral infections, as well as newly discovered viruses such as SARS-CoV-2 and Zika virus. This new edition provides up-to-date information on the key developments in clinical and diagnostic virology, especially molecular diagnosis, with guidance on new molecular and bedside tests. Effective antiviral treatments and novel combinations of treatments recently introduced are covered in depth. Infection control precautions and pandemic preparedness are discussed, with a focus on recent outbreaks. As with the first edition, coverage is succinct and practical with easily accessible information in algorithms and tables, and standardised chapter layouts organised from A to Z. This is an ideal introduction to complex topics for healthcare trainees, as well as a handy and easily accessible reference for more experienced hospital clinicians and primary care physicians.

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Book SynopsisDialysis: An Aquarium Filter for your Blood explains the experience of dialysis, answering questions about this treatment, including: What is it? Why do you need it? How does it feel? Written in easy to understand language with vibrant illustrations, this story introduces you to Amari who describes their experience of receiving dialysis, in order to reassure readers and help them to understand this treatment. Other important information is included in a ''Facts'' section, covering information about kidneys, different types of dialysis, what the treatment entails, and how to prepare for it. This informative and enjoyable book is part of the series The Strength of My Scars, written and illustrated by surgeon, Maria Baimas-George.

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Book SynopsisMotility is a fundamental property of living systems, from the cytoplasmic streaming of unicellular organisms to the most highly differentiated and de veloped contractile system of higher organisms, striated muscle. Although of motility have a long and in scientific investigations into the mechanisms teresting history, the knowledge of molecular processes, especially in the area of regulation of control of motility, has been developing at an ever more rapid pace with the utilization of multidisciplinary approaches from physiology, cell biology, genetics, biochemistry, pharmacology, and biophysics. In Volume 3, Cell and Muscle Motility continues the same philosophy as that of the preceding volumes. The essays are meant to focus on topics of current interest, to be critical rather than exhaustive, and to indicate the current trends of research efforts. The series is intended to fosTable of Contents1 Intermediate Filaments in Striated Muscle: A Review of Structural Studies in Embryonic and Adult Skeletal and Cardiac Muscle.- 2 Biochemistry and Structure of Mammalian Neurofilaments.- 3 Organization of Contractile Fibers in Smooth Muscle.- 4 Regulation of Muscle Contraction.- 5 The Membrane System and Cytoskeletal Elements of Mammalian Myocardial Cells.- 6 Control of Gene Expression in Muscle Development.- 7 Cloning of Contractile Protein.- 8 Role of Microtubules and Centrioles in Growth Regulation of Mammalian Cells.

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Book SynopsisA staple of family medicine training for 30 years, Essentials of Family Medicine offers a comprehensive introduction to this specialty designed just for clerkship students. Covering principles of family medicine, preventive care, and a full range of common ambulatory care problems, it provides all the guidance you need to succeed on a clinical rotation in family medicine.This 7th Edition features many significant changes, including a new, stronger focus on the hands-on “how-tos” of family medicine…a great deal of new coverage related to direct care, the context of care, and community medicine…input from a new Student Advisory Board to ensure the practicality and utility of the content… and many other key updates to keep Essentials of Family Medicine as relevant as possible for today’s practice. You’ll appreciate its user-friendly writing style, focus on common clinical problems, and use of case studies to illustrate

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Book SynopsisIf you thought you knew about the life of a GP, think again.Let me take you on an unbelievable journey to the truth, through spilt urine bottles, the patients who should have been in hospital months ago, existential crises, utterly unexplainable health problems and awkward silences.This is a job that requires you to be a detective, relationship counsellor, social worker, friend, sex therapist, parent-figure and sometimes, just sometimes, a doctor. Find out why you only get ten minutes with a GP, why you can never see the same doctor, why we are ALWAYS running late and why, despite a struggling system and an almost omnipresent sense of impending doom, I really love my job.

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Book SynopsisScientifically based overview of the state-of-play in musculoskeletal medicine Inexpensive, quick and easy reference for primary care physicians looking to be informed on the subject and able to refer patients to the right specialist Trade ReviewFrom the reviews: "This book offers a fresh perspective of musculoskeletal medicine grounded in scientific concepts, and presents logical models for understanding both acute and chronic pain mechanisms. … this book also tackles some controversial topics, separates fact from fiction, and proffers references for further reading. There are 15 chapters citing 60 references. … I thoroughly enjoyed reading this book in its entirety. Though pocket-sized, it packs an honest punch, with thought provoking perspectives on the limitations and management of musculoskeletal conditions." (James Inklebarger, Journal of Orthopaedic Medicine, Vol. 28 (1), 2006) "This is a very short overview of the therapeutic limitations and indications of what the author calls musculoskeletal medicine. … The different manual treatment systems … are briefly discussed. It is apparent from further reading that this booklet is intended to reach general practitioners." (S. Geens, Acta Orthopaedica Belgica, Vol. 72 (1), 2006) "J. K. Paterson, lately president of the British Association of Manipulative Medicine, has published a short, elegantly written, pocket-sized treatise on a huge subject. … I am unsure as to whom, or to which grade of which specialty this delightful book is addressed. I have come to the conclusion that all of us would benefit hugely from reading this inexpensive but profoundly thoughtful monograph. … the messages are transparently clear, careful and wise – a valuable pocketful." (M. Laurence, Journal of Bone and Joint Surgery, Vol. 88-B (3), 2006)Table of ContentsWhat Is Musculoskeletal Medicine?.- The Scientific Bases of Musculoskeletal Medicine.- The Patient’s View of Musculoskeletal Medicine.- The Doctor’s View of Musculoskeletal Medicine.- The Economics of Musculoskeletal Medicine.- Teaching Musculoskeletal Medicine.- Headache and Migraine.- Neck Pain.- Shoulder and Arm Pain.- Chest Pain.- Lower Trunk Pain.- Pelvic Pain.- Leg Pain.- Will Musculoskeletal Medicine Work?.- The Future of Musculoskeletal Medicine.

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Book SynopsisPatients with mental health issues present frequently in primary care and their consultations are often more challenging and time-consuming than those involving physical illness. For many patients there remains a significant stigma associated with mental ill-health and overcoming this adds further complexity to the consultation. Improving the Mental Health Consultation provides a simple ‘short circuit’ tool to help GPs and other healthcare professionals to explain mental health problems simply and effectively to their patients. The tool is straightforward, easy to convey within the confines of a 10-minute consultation and extremely effective in helping to break down the stigma that patients often feel. The tool has been developed and refined during over ten years of consultations in primary care. The detailed explanations of how to use the tool during the consultation, along with the extensive case studies, will help you to improve your mental health consultations and so help your patients deal better with their diagnosis. From anxiety to OCD and chronic fatigue to fibromyalgia, the book also provides detailed coverage of diagnosis and classification using ICD-11 and DSM-IV, and management using the latest NICE guidelines.Trade ReviewPre-publication review This book introduces a new consultation tool 'The Short Circuit' and makes a bold claim for it. But I think the author might be right: ‘Helping a patient understand a complex concept in a short time is difficult...[using this tool] your consultations will become quicker and more rewarding and the patient will be able to overcome any stigma leading them to a healthier understanding of mental health and able to engage better with any treatments.’ The style of the book is accessible and engaging and draws on the author's experience as a GP … As such it is forged in the fire of rapid-paced frontline care for patients, but brings a thoughtful, reflective response. Please read it. Your patients will benefit and, quite possibly, you will too. -- Professor Kay Mohanna FRCGP MA EdD, Professor of Healthcare Education, University of WorcesterAn important book ‘This is an important book from a doctor's point of view and helpful from a patient's perspective. Developing patter, Short circuit theory - all these things can help a trainee or even already qualified doctors to create their own way of approaching mental health - helped me see mental health as a pathology like any other disease. I sure would recommend it.' Amazon reviewer Table of ContentsPreface; Acknowledgements Chapter 1 Introduction 1.1 Mental health – the issue and a solution 1.2 The global Covid-19 pandemic Chapter 2 The short circuit theory 2.1 The 'short circuit' as a description of mental health disorders 2.2 The symptoms of the short circuit 2.3 The problem of insight 2.4 The three Ps: personality, pressure and pathology 2.5 The three Ps: patient assumptions vs. actual cases Chapter 3 The short circuit as a tool: a practical approach 3.1 Mental health problems 3.2 When to use the short circuit tool 3.3 Using the short circuit tool in a consultation 3.4 Summary 3.5 Worked examples Chapter 4 Mental illnesses in detail 4.1 Focus on anxiety 4.2 Focus on depression 4.3 Focus on OCD Chapter 5 Physical illness with mental health connections 5.1 Focus on physical symptoms 5.2 Fibromyalgia 5.3 Irritable bowel syndrome 5.4 Chronic pain syndrome 5.5 Chronic fatigue syndrome Chapter 6 Treating the patient 6.1 Treating the patient 6.2 Treatment modalities 6.3 Dealing with pressure 6.4 Cognitive behavioural therapy 6.5 Pharmacological treatments Chapter 7 Summary

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Book SynopsisIn 1986, Susan Campbell made the chance discovery of a hitherto unknown garden diary. She spent the next 35 years researching its background before writing this book. The diary was written between 1838 and 1865 by the father of Charles Darwin, Doctor Robert Darwin and after his death in 1848 it was continued by his sister, Susan. It describes the horticultural and domestic activities at The Mount, a large house with extensive, beautiful gardens and pastures on the banks of the River Severn, in Shrewsbury. It was the home of the Darwin family from 1800 until Susan's death in 1866 and, in 1809, it was Charles's birthplace. Apart from revealing that Doctor Darwin made his garden available for several of Charles's early horticultural experiments (1838-1841) the diary describes all the plants that grew in this garden, whether ornamental and exotic, utilitarian or edible, as well as the keeping of cows and pigs, the exchanges of plants with neighbours and family, and occasional events of local importance.

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Book SynopsisThis exciting, user-friendly text covers everything sports medicine and emergency clinicians need to know when encountering sports-related injuries and trauma, whether on the field or in the office. Divided into eight thematic sections, all aspects of musculoskeletal and other trauma care are described in detail, with each chapter including key points for quick reference. The opening section presents general approaches to sports-related trauma, from initial evaluation and acute management to stabilization, anesthesia and imaging. The different types of fractures and dislocations, as well as musculoskeletal healing complications, are covered in part two. The next three sections then take in-depth looks at bone and joint trauma in the upper extremity, lower extremity and axial skeleton, respectively. Soft tissue and other sports-related trauma comprise parts six and seven - from tendons, ligaments, nerves and more to chest, head and facial injuries. The final and largest section presents sports-specific injuries, covering more than 30 individual and team activities from baseball, basketball and hockey to swimming, sailing and triathalon. Throughout, copious figures, photographs and tables enhance and advance the content for a complete, well-rounded examination of the field. Comprehensive but not complex, Sports-related Fractures, Dislocations and Trauma is a practical, high-yield manual for sports medicine and emergency care specialists, primary care physicians and any other professionals caring for athletes both on the field and in the office.Trade ReviewTable of ContentsI General Approaches to Sports Trauma1 Initial Evaluation, Resuscitation, and Acute Management2 Sports Coverage for Travelling Teams3 Mass Sporting Event Coverage4 Stabilization, Immobilization, and Transportation5 Anesthesia and Acute Pain6 Imaging II General Synopsis of Acute Musculoskeletal Care in Sports7 Anatomy and Physiology8 Fracture Types and Definitions9 Dislocation Types and Definitions10 Musculoskeletal Healing Process11 Complications III Acute Sports-related Bones and Joints Trauma: Upper Extremity12 Clavicle13 Scapula14 Glenohumeral Joint15 Humerus16 Elbow Joint17 Radius and Ulna18 Carpus19 Metacarpus20 Finger IV Acute Sports-related Bones and Joints Trauma: Lower Extremity21 Pelvis22 Hip Joint23 Femur24 Knee25 Tibia and Fibula26 Ankle Joint27 Tarsus28 Metatarsus29 Toe V Acute Sports-related Bones and Joints Trauma: Axial Skeletal30 Cervical Spine31 Thoracic Spine32 Lumbar Spine33 Stress Fractures VI Acute Soft Tissue Injuries in Sports34 Tendons35 Muscles36 Ligaments37 Bursa38 Nerves39 Vascular40 Skin and Subcutaneous Tissue VII Other Sports-related Trauma41 Chest Trauma42 Abdominal Trauma43 Head Injury44 Facial Trauma45 Soft Tissue Neck Injury VIII Sports-specific Injuries46 Aquatic Sports47 Baseball and Softball48 Basketball49 Boxing50 Cheerleading51 CrossFit52 Cycling53 Dance54 Extreme Sports55 Field Hockey56 Football57 Gymnastics58 Ice Hockey59 Ice Skating60 Lacrosse61 Marathons62 Martial Arts63 Motor Sports64 Racket Sports65 Rock Climbing66 Rowing67 Rugby68 Sailing69 Skiing: Alpine70 Skiing: Cross-country71 Snowboarding72 Soccer73 Track and Field74 Triathalon75 Ultramarathon and Ultra-endurance Sports76 Volleyball77 Weightlifting78 Wrestling

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Book SynopsisThis groundbreaking book presents a unique and practical approach to the evolving field of exercise oncology - the study of physical activity in the context of cancer prevention and control. Presenting the current state of the art, the book is sensibly divided into four thematic sections. Following an opening chapter presenting an overview and timeline of exercise oncology, the chapters comprising part I discuss primary cancer prevention, physical activity and survivorship, and the mechanisms by which these operate. Diagnosis and treatment considerations are discussed in part II, including prehabilitation, exercise during surgical recovery, infusion and radiation therapies, and treatment efficacy. Post-treatment and end-of-life care are covered in part III, including cardio-oncology, energetics and palliative care. Part IV presents behavioral, logistical and policy-making considerations, highlighting a multidisciplinary approach to exercise oncology as well as practical matters such as reimbursement and economics.Written and edited by experts in the field, Exercise Oncology will be a go-to practical resource for sports medicine clinicians, family and primary care physicians, oncologists, physical therapy and rehabilitation specialists, and all medical professionals who treat cancer patients.Table of ContentsChapter 1. Exercise Oncology: Past and Present Kathryn H. SchmitzPart 1 - Physical Activity and Cancer Prevention Chapter 2. Primary PreventionErika Rees-Punia, Alpa V. Patel Chapter 3. Physical Activity and Cancer SurvivalChristine M. Friedenreich, Chelsea R. Stone, Sandra C. Hayes Chapter 4. Mechanisms of Exercise in Cancer Prevention, Treatment and SurvivorshipHannah Savage, Keri L. Schadler Part 2 - From Diagnosis through TreatmentChapter 5. Exercise Oncology from Diagnosis through Treatment: An Overview of Outcomes and ConsiderationsCiaran M. Fairman, Daniel A. GalvãoChapter 6. Prehabilitation: An Emerging Standard in Exercise OncologyNicole L. Stout, Julie K Silver, Jennifer Baima, Sasha E. Knowlton, Xiaorong HuChapter 7. Exercise during Surgical Recovery Rosa M. Pasculli, Jonas Sokolof, Elizabeth Olecki, Kelly Stahl, Niraj GusaniChapter 8. Exercise during Infusion TherapyKristin L. Campbell, Amy KirkhamChapter 9. Exercise During Radiation TherapyJoachim WiskemannChapter 10. Effects of Exercise on Cancer Treatment Completion and EfficacyAndria R. Morielli, Kerry S. Courneya Part 3 – Post-treatment to End of LifeChapter 11. Exercise Oncology from Post-Treatment to End of Life: An Overview of Outcomes and ConsiderationsKira Bloomquist, Sandra C. Hayes Chapter 12. Exercise during Immediate Post-treatment Kerri Winters-Stone, Mary Medysky, Anna L. SchwartzChapter 13. Long-term and Late Effects of Cancer Treatments on Prescribing Physical ActivityAnna L. Schwartz, Jennifer W. Bea, Kerri Winters-StoneChapter 14. Exercise and Cardio-OncologyAmy M. Berkman, Susan C. Gilchrist Chapter 15. Energetics and Cancer OutcomesLeah M. Ferrucci, Melinda L. IrwinChapter 16. Exercise for Advanced Cancers, Metastatic Disease and Palliative CareSonya Lowe, Christopher Sellar, Kirsten Suderman, Margaret L. McNeely Part 4 - Behavior, logistics, and policyChapter 17. Cancer Survivors Becoming and Staying Physically Active: Challenges of Behavior ChangeBernardine M. Pinto, Madison M. Kindred, Chloe GrimmettChapter 18. Making Exercise Standard in Cancer Care Karen Basen-Engquist, Nathan H. ParkerChapter 19. Viewing Exercise Oncology through the Lens of MultidisciplinarityMartijn M. StuiverChapter 20. Policy and Reimbursement Considerations for Exercise Programming in CancerAndrea Cheville, Jennifer Baima, Philip Chang, Charles Mitchell, Stephanie Otto, Sonal Oza, David S. ZuckerChapter 21. Shaping the Future of Exercise OncologyKathryn H. Schmitz

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Book SynopsisEach year, gun violence kills approximately 2,700 and injures approximately 14,500 children in the U.S.; the overwhelming majority of child gun deaths are among teenagers who die by homicide or suicide. Gun violence is the leading cause of death for Black teens. A recent spate of high-profile tragedies involving children, such as the Newtown mass shooting in 2012 and the Parkland mass shooting in 2018, have reinvigorated a national debate about the role of guns in our private and public spaces. Physicians, and in particular pediatricians, have become increasingly vocal about the need to address the epidemic of gun violence in the U.S.This book serves as an in-depth, comprehensive guide to adolescent gun violence prevention. It describes the epidemiology of teen gun violence in the U.S. by focusing on the parallel epidemics that claim the most lives: gun suicide among rural white males, and gun homicide among urban Black males. It offers in-depth reviews of key concepts that are crucial to reaching a meaningful understanding of gun violence. The text also addresses specific methods of intervention at various levels of society, from the individual; to the local community; and finally to the entire nation. This first of its kind book is a valuable reference for physicians, public health scientists, policy-makers, gun reform advocates, and anyone interested in working towards a safer future for young people.Table of Contents

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Book SynopsisThis clinical manual argues for using neurotherapy to enhance mental health and medical practice across settings and specialties. The text takes readers through the tools and methods of neurotherapy: the ClinicalQ for intake assessment, a stimulated EEG modality called braindriving, and neurofeedback protocols to retrain brain function. Case studies demonstrate neurotherapy as an efficient component in treating brain-related and mind/body conditions and symptoms, from ADHD, sleep disturbances, and depression to fibromyalgia and seizures. Its methods allow clinicians to find deviations in brain function that fall through the diagnostic cracks and choose therapeutic interventions best suited to clients based on reliable data. Included in the coverage: Treating the condition instead of the diagnosis. Case examples illustrating how to conduct the ClinicalQ, interpret results, and convey them to clients. Sample protocols of braindriving and neurofeedback. Using therapeutic harmonics to advance neurotherapy. Age-appropriate neurotherapy for children and seniors. Brainwave diagrams, data tables, client forms, and other helpful tools and visuals. Adding Neurotherapy to Your Practice will interest psychologists, physicians, psychiatrists, chiropractors, and social workers. This stimulating presentation emphasizes the individuality of every client, and the abundant healing capacity of the brain. Trade Review“Adding Neurotherapy to Your Practice delivers what the author promised in the subtitle: It provides a clinician’s guide to the applications of ClinicalQ, neurofeedback, and braindriving techniques to the behavioral sciences. … Adding Neurotherapy to Your Practice also functions as a motivational tool for clinicians who want to employ the principles of personalized medicine for improving the medical and behavioral outcomes of their clients and patients.” (Yulia A. Volkova and Richard M. Millis, PsycCRITIQUES, Vol. 60 (44) November, 2015)Table of ContentsOverview.- Introduction.- The ClinicalQ.- Treat the Condition not the Label.- Neurofeedback.- Potentiating Neurotherapy.- Braindriving.- Peripheral Biofeedback.

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Book SynopsisThe second edition of this definitive guide for clinical care of adolescents builds upon the practical knowledge and guidance of the first edition, and expands into new subjects of adolescent care. The handbook is divided into three sections: general adolescent medicine, sexuality, and mental health, and contains relevant, practical knowledge, covering those areas most often seen in the practice of adolescent medicine.The MassGeneral Hospital for Children Adolescent Medicine Handbook, 2nd edition details best practices in regards to diagnostic evaluations and clinical care, but also instructs practitioners on the best methods to connect, communicate, and continue that care with adolescents, in order to provide optimal treatment, and instill healthy lifetime behaviors. Each chapter is written by clinicians who have been trained at, or are members of the staff of Massachusetts General Hospital, and this edition has nearly doubled the amount of skilled physician authors. While this title has been revised and updated, entirely new chapters devoted to hypertension, immunizations, breast disorders, HIV, and resilience have also been added, reflecting new and changing contributions to the field of adolescent medicine. This second edition brings together the practical, hands-on knowledge of the first edition, along with new information and additional subject areas to create a balanced, multi-specialty method to treating and engaging adolescent patients.Trade Review“In 29 chapters and 3 parts the authors, members of the staff of Mass General Hospital (MGH) or its trainees, review the physical and mental health issues in adolescence including sexuality. … There are many tables and illustrations, some in color. Clearly written. To pediatric interns, residents and practitioners. Highly recommended.” (Pediatric Endocrinology Reviews (PER), Vol. 14 (4), June, 2017)“The purpose is to provide primary care providers in all medical and surgical specialties who may care for adolescents with an overview of the basic, most frequent topics encountered in adolescent medicine. … The author has done a great job in meeting these objectives and this is a needed handbook for primary care providers. … This is an excellent resource for busy primary care providers who need a broad overview of the most commonly encountered adolescent medicine topics.” (Rachel Dawson, Doody’s Book Reviews, June, 2017)Table of ContentsPreface AcknowledgementsPART 1. GENERAL ADOLESCENT MEDICINE1. Adolescent Preventive Services 2. The Adolescent Patient Interview: Adolescent Confidentiality and Consent3. Pubertal Development4. Normal Adolescent Development 5. Male Genitourinary Exam6. The Pelvic Examination and Pap Smear in Adolescents and Young Adults7. Adolescent Dermatology 8. Obesity 9. Nutrition: Healthy Eating in Adolescence; Nutritional Supplements: Performance-Enhancing Drugs, and Dietary Supplements; Irritable Bowel Syndrome; and Inflammatory Bowel Syndrome10. Sports Injuries in the Adolescent11. Cardiac Issues in Adolescence 12. Hypertension in Adolescents13. ImmunizationsPART 2. SEXUALITY, GYNECOLOGY, AND ABNORMAL GROWTH AND DEVELOPMENT14. Amenorrhea15. Abnormal Vaginal Bleeding16. Basics of Hormonal Contraception17. Adolescent Pregnancy18. Polycystic Ovary Syndrome 19. Breast Disorders in Adolescence20. Sexually Transmitted Infections (STI) in Adolescents 21. HIV in Adolescents22. Delayed Puberty, Short Stature, and Tall StaturePART 3. MENTAL HEALTH AND TRANSITION OF CARE23. Adolescent Substance Use and Prevention 24. Adolescent Mental Health Disorders25. Eating Disorders26. Adolescent Relationship Abuse in Clinical Settings: Opportunities for Prevention and Intervention27. Bullying and Cyber Bullying 28. Nature, Nurture, Adolescents and Resilience29. Transition of Care APPENDIX

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Book Synopsis'Cardiovascular Disease' is the fourth monograph in the series on management and treatment in major clinical sub specialties or patient groups. Each book is complete in its own right and has been prepared by practising physicians with specialist experience and a particular interest in treatment and management. The series has been prepared to fill a gap between standard textbooks of medicine and therapeutics and research reviews, symposia and original articles in specialist fields. The volumes aim to give authoritative, up-to-date advice on treatment and management which will be of use to both specialists and non-specialists and allow recent advances and developments to be seen in the context of contemporary clinical practice. The first three volumes dealt respectively with gastroin­ testinal diseases, rheumatic diseases and treatment in the elderly. Cardiovascular disease covers the range of common diseases affect­ ing the heart and the circulation. In view of the importance of coronary heart disease as a cause of death and morbidity a substan­ tial part of the book is devoted to description of the factors asso­ ciated with coronary artery disease (hyperlipidaemia and hypertension) and their management by drug and non-drug means. A further five chapters are devoted to the clinical syndromes asso­ ciated with coronary heart disease and their management. These not only consider acute 'in hospital' management, including sur­ gery, but also address epidemiological questions, including approaches to secondary prevention of myocardial infarction.Table of Contents1 Pharmacokinetic Properties of Cardiovascular Drugs.- 2 Atherosclerosis and Hyperlipoproteinaemia.- 3 Angina Pectoris.- 4 Sudden Death.- 5 Acute Myocardial Infarction.- 6 Secondary Prevention Following Acute Myocardial Infarction.- 7 Indications for Surgery in Coronary Heart Disease.- 8 Arrhythmias.- 9 Cardiac Failure.- 10 Hypertension.- 11 Rheumatic Fever.- 12 Chronic Valvular Disease of the Heart.- 13 Infective Endocarditis.- 14 Cardiomyopathies.- 15 Cor Pulmonale.

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Book SynopsisNeurological Disorders is the latest and fifth monograph in the series on management and treatment in major clinical specialties or patient groups. Each book is complete in'its own right and has been prepared by practising physicians with an interest in treatment and management, together with scientists involved in clinical research. The volumes are intended to fill a gap between standard textbooks of medicine and therapeutics and research reviews, symposia and original articles in superspecialist fields. It is the aim of the series to give authoritative up-to-date advice on treatment and management which will be of use to both specialists and nonspecialists and to allow recent advances in pathophysiol­ ogy and developments in treatment to be viewed in the context of contemporary clinical practice. The approach is intentionally by the minimum number didactic. Each volume has been written of authors to ensure a degree of continuity and uniformity of style. The first four volumes dealt respectively with gastrointestinal diseases, rheumatic diseases, treatment in the elderly and car­ diovascular disease. The present volume covers neurological diseases. Chapter 1 is an introduction to drugs and the nervous system. It reviews the chemical basis of neurotransmission and mechanisms of drug action in neurological disease. There follows a series of chapters discussing patient management in general and drug treatment in particular in common neurological problems presen­ ting in general medical practice. These include headache, cerebral vascular disease, epilepsy and the movement disorders.Table of Contents1 Drugs and the Nervous System.- 2 Headache, Pain and Raised Intracranial Pressure.- 3 Prevention and Treatment of Cerebrovascular Disease.- 4 Epilepsy.- 5 Treatment of Movement Disorders.- 6 Drag Treatment of Infections of the Nervous System.- 7 Disorders of Sleep and Wakefulness.- 8 Immunosuppressant and Cytotoxic Drugs, Toxic and Metabolic Disorders.- 9 Treatment of Diseases of Nerve and Muscle.- 10 Treatment of Disorders Involving the Autonomic Nervous System.- 11 Drugs in Neuroendocrinology.- 12 Vitamins and the Nervous System.

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Book SynopsisScientific Bases of Acupuncture summarizes the major scientific advances from 1976 - 1988 on the mechanisms of acupuncture. Outstanding researchers from Western countries, Japan and China report their findings in the format of review articles. The individual reviews summarize each author's personal research while also referring to the overall literature in the field of acupuncture and TENS.Table of ContentsCentral Neurotransmitters and Acupuncture Analgesia.- Acupuncture Research Related to Pain, Drug Addiction and Nerve Regeneration.- Mechanism of Acupuncture Analgesia Based on Animal Experiments.- Neurophysiological Mechanisms Involved in the Pain-Relieving Effects of Counterirritation and Related Techniques Including Acupuncture.- Activation of the Enkephalinergic System by Acupuncture.- Neurophysiology of Electroacupuncture Analgesia.- Neurophysiological Mechanisms of Acupuncture Analgesia in Experimental Animal Models.- Clinical and Research Observations on Acupuncture Analgesia and Thermography.- Studies Supporting the Concept of Physiological Acupuncture.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisThis book has been written primarily for general practitioners; it describes the social problems which are presented by patients to their doctors for help and advice. The aim of the book is to help the doctor manage these problems, both through his own interventions and by involving or referring the patient on to other agencies. While the more common problems have been considered in detail, those rarely encountered have been omitted. The book also concentrates on help available from non-medical sources, as these will be less familiar to the general practitioner than other medical or nursing services. There is often a close association between social difficulties and health problems, both physical and psychiatric. It is, there­ fore, vital that an attempt is made to meet the social needs of patients in order to promote good physical and mental health. R. H. Corney 8 Series Foreword This series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collect­ ive authorship; they are written by specialists working at district general hospitals. The writers derive their own experi­ ence from a range of cases less highly selected than those on which textbooks are traditionally based. They are also in a good position to pick out topics which they see creating difficulties for the practitioners of their district, whose personal capacities are familiar to them; and to concentrate on contexts where mistakes are most likely to occur.Table of ContentsPreface.- Series Foreword.- 1 Social problems — the key role of the doctor.- 2 The social services and sources of help for social problems.- 3 Children and young people.- 4 Problems of adult and family life.- 5 The elderly.- 6 The physically disabled.- 7 Mental illness and handicap.- 8 Housing problems.- 9 Financial, employment and legal problems.- Appendix 1 General co-ordinating bodies and sources of information.- Appendix 2 Voluntary organizations: children and young people.- Appendix 3 Voluntary organizations: adult and family life.- Appendix 4 Voluntary organizations: the elderly.- Appendix 5 Voluntary organizations: the physically disabled.- Appendix 6 Voluntary organizations: the mentally disordered.- Appendix 7 Voluntary organizations: housing problems.- Appendix 8 Voluntary organizations: financial, employment and legal problems.

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Book SynopsisIn a relatively short period of time two-dimensional echo cardiography has become the most important non-invasive diagnostic tool in the daily practice of a pediatric cardiologist who predominantly deals with congenital structural heart disease in neonates and infants. Consequently, one-dimensional M-mode echocardiography has lost most of its importance particularly in this field. Therefore, an atlas showing exclusively two-dimensional echocardiograms of the most common and some less frequently occurring malformations appeared to be a useful addition to the existing literature. The confinement to two­ dimensional imaging alone allowed an elaborate presentation of the various defects with more than 200 selected still frames and many additional explanatory drawings and diagrams. The material was collected from patients who were referred to the Department of Pediatric Cardiology of the Wilhelmina University Children's Hospital in Utrecht during a period of about 2 years. The two-dimensional echocardiographic findings were correlated with cardiac catheterization data and/or surgical procedures and/or post­ mortem investigations. The necessary echocardiographic equipment was aquired with financial aid from the Dutch Heart Foundation. We are indebted to Mrs. J. W. Wetselaar for her outstanding artwork. We also thank P. D. Woltema and F. J. van Waert for the photographic reproductions, Jacomine Bosma for preparing and type-setting the entire manuscript and Dr. N. Middleton for critically reading the English text. G. J. van Mill, M. D. A. J. Moulaert, M. D. E. Harinck, M. D. CONTENTS 1. Introduction and the normal heart Introduction The normal heart 2 2.Table of Contents1. Introduction and the normal heart.- The normal heart.- 2. Isolated ventricular septal defect.- Perimembranous ventricular septal defect.- Muscular inlet ventricular septal defect.- Muscular trabecular ventricular septal defect.- Muscular outlet ventricular septal defect.- Subarterial outlet ventricular septal defect.- Multiple ventricular septal defects.- 3. Atrial septum, Atrial septal defect and anomalous pulmonary venous drainage.- 4. Atrioventricular septal defects.- Partial atrioventricular septal defects.- Complete atrioventricular septal defects.- 5. Ductus arteriosus and aorto-pulmonary window.- Ductus arteriosus.- Ductus arteriosus in transposition of the great arteries.- Aorto-pulmonary window.- 6. Pulmonary valve stenosis.- 7. Tetralogy of Fallot and truncus arteriosus.- 8. Coarctation of the aorta.- 9. Transposition of the great arteries.- Transposition of the great arteries with intact interventricular septum.- Transposition of the great arteries with ventricular septal defect.- Transposition of the great arteries, ventricular septal defect and left ventricular outflow tract obstruction.- 10. Aortic stenosis.- 11. Hypoplastic left heart.- 12. Univentricular heart.- 13. Congenitally corrected transposition of the great arteries.- 14. Criss-cross heart.

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Book SynopsisThis book has been written with general practitioners primarily in view, describing common paediatric conditions that present in the outpatient clinics and those that require admission to hospital. The book is neither a textbook of paediatrics nor a handbook but is aimed to provide guidelines for the more commonplace conditions. Some aspects therefore, have been dealt with in detail, where felt relevant, while others are omitted on grounds of probable rare encounter. It is hoped that this volume will provide the family practitioner with an insight in the paediatrician's approach to many of the common problems in chifdren and to help him decide on the best course of action to follow. The care of children constitutes a significant and important part of a family doctor's work and practitioners are keen to promote optional care in all circumstances. It is hoped that the endeavours of this book will go in some small way to help put across the practitioner's approach.Table of Contents1 Infant feeding.- Breast feeding.- Bottle feeding.- Vitamins.- Regurgitation.- Vomiting.- Colic.- The hungry baby.- The baby who does not feed.- 2 Respiratory diseases.- Upper respiratory tract infection.- Tonsillitis.- Otitis media.- Stridor.- Croup.- Acute epiglottitis.- Chest infections.- Pneumonias.- Lobar pneumonia.- Airways obstruction.- Asthma.- 3 Gastrointestinal problems.- Gastroenteritis and related problems.- Malabsorption.- Chronic inflammatory bowel disease.- Congenital abnormalities.- Large bowel obstruction.- Appendicitis.- Differential diagnosis.- 4 Urinary tract.- Urinary tract infection.- Congenital abnormalities.- Glomerular disease.- Renal tubular disorders.- 5 Fits in childhood.- Neonatal fits.- Febrile fits.- Epilepsy.- Infantile spasms.- Differential diagnosis of peculiar turns.- 6 Heart disease in children.- Innocent murmurs.- Basic cardiac parameters.- Congestive cardiac failure.- Ventricular septal defect.- Patent ductus arteriosus.- Atrial septal defect.- Co-arctation of the aorta.- Transposition of the great vessels.- Tetralogy of Fallot.- Pulmonary stenosis.- Aortic stenosis.- Truncus arteriosus.- Tricuspid atresia.- Precautions against infection.- 7 Metabolic disorders.- Diabetes mellitus.- Clinical manifestations.- Stabilization.- Insulin.- Oral hypoglycaemic agents.- Diet.- Education.- Urine testing.- Blood glucose monitoring.- Useful services.- Thyroid disorders.- Thyrotoxicosis.- Carcinoma of the thyroid.- Hypothyroidism.- Congenital adrenal hyperplasia.- Growth problems.- Short stature.- Differential diagnosis of short stature.- Tall children.- 8 Common symptoms and problems of doubtful origin.- Abdominal pain.- Headaches.- Nocturnal enuresis.- Faecal soiling and encopresis.- 9 The problem child.- The crying baby.- Breath-holding attacks.- Temper tantrums.- The overactive child.- The child who does not sleep.- The child who does not eat.- School problems.- 10 Developmental assessment and the handicapped child.- Neonatal developmental assessment.- Newborn reflexes and reactions.- Special senses.- General objectives in the assessment of the handicapped.- Useful information.- 11 Surgical conditions.- Common surgical conditions.- Abnormalities of the female external genitalia.- The umbilicus.- Hare lip, cleft palate and tongue tie.- Swellings in the neck.- Ear, nose and throat surgery.- The eyes.- Neurosurgical conditions.- Orthopaedic problems.- 12 Emergencies in paediatrics.- Respiratory emergencies.- Cardiac emergencies.- Fits and coma.- Metabolic emergencies.- Gastro-intestinal emergencies.- Genito-urinary emergencies.- Miscellaneous emergencies.

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Book SynopsisThis series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collec­ tive authorship; they are written by specialists working at district general hospitals. The writers derive their own experi­ ence from a range of cases less highly selected than those on which textbooks are traditionally based. They are also in a good position to pick out topics which they see creating difficulties for the practitioners of their district, whose personal capacities are familiar to them; and to concentrate on contexts where mistakes are most likely to occur. They are all well-accustomed to working in consultation. All the authors write from hospital experience and from the viewpoint of their specialty. There are, therefore, matters important to family practice which should be sought not within this series, but elsewhere. Within the series much practical and useful advice is to be found with which the general practitioner can compare his existing performance and build in new ideas and improved techniques. These books are attractively produced and I recommend them.Table of ContentsSection 1 General Aspects.- 1 Introduction.- Importance of rheumatology in practice.- Classification of rheumatic disorders.- Frequency of rheumatic disorders in family practice.- The outcome and prognosis of rheumatic diseases.- 2 Some illustrative problems.- Ankylosing spondylitis.- Non-steroidal anti-inflammatory drugs.- Pain and paraesthesiae in arms.- The acute back.- The painful foot.- A gouty attack.- The painful hip.- A knee effusion.- Laboratory investigations.- The acute neck.- Helpful organizations.- Polymyalgia rheumatic.- Early rheumatoid arthritis.- The painful shoulder.- Tennis elbow.- 3 Diagnosis and assessment of rheumatic disorders.- Symptoms, signs and their diagnostic significance.- X-rays and laboratory investigations.- Early diagnosis: indications for referral for further opinion.- 4 Effect of the psyche on rheumatism.- Assessment of the ‘psychological overlay’.- Psychological and emotional disturbance: their manifestations in rheumatology.- pure — psychogenic rheumatism.- 5 Basic management of arthritis and rheumatism.- Pain relief.- Disease activity and its reduction.- Improvement of mobility and function.- Analgesics.- Anti-inflammatory drugs.- Practical procedures in family practice.- Physiotherapy.- Occupational therapy and rehabilitation.- Section 2 The Common Rheumatic Disorders.- 6 Soft-tissue (non-articular) rheumatism.- Classification.- Clinical varieties and treatment.- 7 Osteoarthritis.- Aetiology and pathology.- Clinical varieties.- Management in family practice.- Management in hospital.- 8 Rheumatoid arthritis.- Early recognition.- Complications.- Differential diagnosis.- Management of the early case in practice.- Hospital management.- Rheumatoid arthritis in children and the elderly.- 9 Ankylosing spondylitis and seronegative spondarthritis.- Concept of seronegative spondarthritis.- Ankylosing spondylitis.- Clinical features.- Management in practice.- 10 Gout and crystal deposition arthritis.- Crystal deposition arthritis: clinical varieties.- Gout: investigation of patients.- Treatment of gout.- Investigation and treatment of chondrocalcinosis.- Section 3 Regional Pain Syndromes.- 11 Pain in the neck and back.- Common causes of pain.- Investigation of neck pain syndromes.- Treatment of neck pain syndromes.- Investigation of low back pain.- Treatment of low back pain.- 12 Pain syndromes of the upper limb.- Causes of pain.- Diagnosis and treatment of pain.- 13 Pain syndromes of the lower limb.- Causes of pain.- Diagnosis and treatment of pain.- Causes of painful feet.- Section 4 Appendix.- Glossary of rheumatic disorders.- Further reading.

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Book SynopsisThis book is designed for use by medical students, nurses, young practitioners, internists, family physicians and all those initially involved with the problem of diagnostics. It is struc­ tured to provide a concise logical approach to the diagnosis of common illness and disorders in adults. The elucidation of an illness cause is not easy for the inexperienced. Although text­ books and guidance notes can be referred to for clarification of assembled thought - once a medical history has been taken - a system-orientated reference guide has considerable value for aiding and checking the logic of diagnosis. It is hoped that this book will fulfil that purpose. It could not have been written without the help of R. G. Brackenridge's Essential Medicine (1979, MTP, Lancaster, England), and J. Fry's Common Diseases (1979, MTP, Lancaster, England), to which the reader is referred and to which generous acknow­ ledgement is made. The tables of Differential Diagnosis that follow Chapters 3-7 are adapted from some that have appeared in Handbook of Differential Diagnosis, vols 1-3, published by Rocom Press, Hoffman La Roche Inc. , New Jersey, 1968-1974 - an invaluable publication now unfortun­ ately out of print, and permission to do so is gratefully apprec- 7 8 DIFFERENTIAL DIAGNOSIS iated. Finally without the stimulus and encouragement of Mr David Bloomer (MTP) and the particular assistance of Mrs J. C. Robinson, this book would never have been written. ALEXANDER D. G.Table of Contents1 Introduction — how to use this book for reference.- 2 The medical history.- 3 The cardiovascular system.- 4 The respiratory system.- 5 The gastrointestinal system.- 6 The digestive system (liver, biliary tract and pancreas).- 7 The urinary system.- 8 The central and peripheral nervous system.- 9 The skeletal system.- 10 The skin.- 11 The endocrine-hormonal system.- 12 The nutritional system and acid-base balance.- 13 The blood and lymphatic system.- 14 The psychological system.- 15 The common infections.

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Book Synopsis1 Shepherd Coronary artery disease, the most important cause of death in the United Kingdom, kills about 200 000 Britons each year. Many victims are struck down out of the blue and in the prime of an active working life. Others survive the fIrst attack but are so debilitated by it that they are compelled to fall back on the efforts of their family and the Social and Health Services for their future survival. The epidemic proportions of the problem and the burden which it places on the community at large has led many health care professionals to reassess their attitudes to heart disease prevention. In the past, the clinician's attention has been directed primarily at the treatment of established ischaemic heart disease rather than focussing on forestalling its appearance by attempting to tackle those life-style habits within the population which appear to predispose to it. A number of recent developments make this approach hard to sustain. First, there is now convincing evidence that action taken against cigarette smoking, hyper­ tension and hypercholesterolaemia offers signifIcant protection to the individual. Secondly, effective and apparently safe antihypertensive and lipid-lowering agents have recently become available to the practicing clinician. Thirdly, developments in computer technology and laboratory equipment manufacture have brought the measurement of coronary risk factors right into the primary health care setting. And, last, but not least, political attitudes towards prevention now favour the enthusiastic general practitioner with an interest in anticipating and averting the development of degenerative diseases like atherosclerosis.Table of Contents1 Hyperlipidaemia—is it really a GP’s problem?.- 2 Cholesterol in perspective as a coronary heart disease risk factor.- 3 Finding your patient.- 4 Finding your patient in general practice.- 5 Investigating individual patients.- 6 Management in general practice.- 7 Drug management.- 8 Specific guidelines for treatment.- 9 Classification of hyperlipidaemias.- 10 Costs and benefits.- Appendix I: Lipid metabolism.- Appendix II: Summary of major trials results.- Appendix III: Useful Addresses.

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Book SynopsisCardiology embraces a number of different conditions and disease processes. Cardiovascular disease is now responsible for most of the deaths of adults, especially premature deaths, in the developed world. The development of effective preventive measures, new drugs and surgical techniques makes it increasingly important to recognise those at risk, to diagnose accurately those suffering from disease and to prescribe, monitor and refer appropriately. This book is intended to focus attention on the opportunities which family' practice provides for this and to look at the need for a change in emphasis in approaching the problems. The book is in five parts. Part 1 is a reminder of some of the basic principles, which are essential if sensible cardiology is to be practised. Part 2 is about cardiac drugs, their use, effectiveness and risks. Part 3 looks at the diagnostic process; it comprises the history, examination, investigation and referral of patients, who might have cardiac disease and also the drugs which are most likely to be used. Part 4 is devoted to specific conditions. In Part 5, we look at the need for prevention and consider how it may be tackled in general practice. This is not a comprehensive textbook of cardiology. It is not intended for students. It is hoped that it may be useful to experienced doctors, struggling to provide a sound, sensible service in an environment of ever expanding technology.Trade Review`This splendid book is written by two general practitioners hoping to bring the mysteries of cardiology to the fingertips of all those engaged in family practice ..., and does indeed bring commonsense to cardiology. It can be recommended to all those wishing for an introduction to the subject.' Robert H. Anderson, International Journal of Cardiology, No. 28, 1990, pp. 129-131Table of Contents1: The Basics.- 1.1 Introduction.- 1.2 Basic Anatomy.- 1.3 Physiological models.- 1.4 Electrophysiology.- 2: Cardiac Drugs.- 2.1 Introduction.- 2.2 Hazards, safety and effectiveness.- 2.3 Sorting out the drugs.- 3: The Diagnostic Process.- 3.1 Introduction.- 3.2 Clinical history.- 3.3 Sorting out the symptoms.- 3.4 Examination.- 3.5 Electrocardiology.- 3.6 Pathology tests and chest X-rays.- 4: Cardiac Disease.- 4.1 Introduction.- 4.2 Ischaemic heart disease.- 4.3 Heart failure.- 4.4 Essential hypertension.- 4.5 Arrhythmias.- 4.6 Valvular disease.- 4.7 Congenital heart disease.- 4.8 Bacterial endocarditis.- 4.9 Cardiomyopathies.- 4.10 Pulmonary embolism.- 4.11 Pregnancy.- 4.12 Care of the patient dying of heart disease.- 5: The Role of General Practice.- 5.1 Introduction.- 5.2 Risk factors and prevention.- 5.3 The role of the Primary Health Care Team.- Further reading.

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Book SynopsisTO ACUPUNCTURE A Practical Guide for GPs and other Medical Personnel Peter Pearson, MBBS, MRCGP, DRCOG The Medical Centre, Yateley, Cambedey, Surrey GU17 7LS Publisht;d in. the UK and Europe by MTP Press Limited Falcon House Lancaster, England British Library Cataloguing in Publication Data Pearson, Peter An introduction to acupuncture: a practical guide for GPs and other medical personnel. 1. Acupuncture I. Title 615. 8'92 RM184 ISBN-13: 978-94-010-7935-8 e-ISBN-13: 978-94-009-3199-2 DOl: 10. 1007/978-94-009-3199-2 Published in the USA by MTPPress A division of Kluwer Academic Publishers 101 Philip Drive Norwell, MA 02061, USA Copyright © 1987 MTP Press Limited Softcover reprint of the hardcover 1st edition 1987 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the publishers. CONTENTS Preface 7 Acknowledgements 8 1 What is acupuncture? 9 2 Local dysfunction of channels 13 3 The channels and points 15 4 Technique 37 5 Specific conditions 45 6 Systemic treatment 53 7 Other forms of acupuncture 65 8 Academic considerations 73 9 Further information 79 References 83 Index 87 PREFACE Several years ago, a patient consulted me, and requested 'aquapuncture'. This sounded more like an underwater sexual activity than anything else, but I confessed ignorance! Several more requests highlighted my complete lack of knowledge of this subject and stimulated me into activity.Trade Review` .. this is an excellent introductory book. It will encourage many doctors to give this form of alternative therapy a trial. ' Journal of the Royal College of General Practitioners, June 1988Table of Contents1 What is acupuncture?.- 2 Local dysfunction of channels.- 3 The channels and points.- 4 Technique.- 5 Specific conditions.- 6 Systemic treatment.- 7 Other forms of acupuncture.- 8 Academic considerations.- 9 Further information.- References.

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Book SynopsisDDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was concerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symptoms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the community and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and relatively untried methods compared with those that are 'old' and well proven. Their ad vantages are that because of long -term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Table of Contents1. Background.- 2. Symptoms and their management.- 3. Radiological investigations.- 4. Catarrhal children.- 5. Chronic bronchitis and emphysema.- 6. Bronchial asthma.- 7. Tumours of the lung.- 8. Management of terminal illness.- 9. Tuberculosis.- 10. Sarcoidosis.- 11. Acute infections of the lungs.- 12. Chronic infections of the lungs.- 13. Fibrotic lung disorders.- 14. Emergencies.- Multiple Choice Questions.

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Book SynopsisAdministering the National Health Service (NHS) is asking to navigate without reliable and sufficient information. It is amazing how a national service costing more than £15,OOOM (1984) and employing more than 1 million has existed since 1948. It is likely that with better appropriate data there could be economies and great efficiency and effectiveness. Paradoxically there is much data on the NHS, published and unpublished, that has remained unexploited and unused. In this book we have taken up the challenges of showing the availability of data and its presentation so that clinicians, adminis­ trators, committee members and politicians can better understand the state and needs of the NHS. Why this book? Because it is not possible to make decisions without facts. There is too much data around that is unrelated to the needs of clinicians, administrators, committee members and politicians. It can be brought together to provide bases for de­ cisions and, more important, to show the gaps that exist and the need for more information. What does it contain? It includes social and demographic data, NHS facts and figures, manpower data on the use of the NHS and some examples of how quality can be assessed and promoted.Table of Contents1 Population.- 2 Socioeconomic factors.- 3 Mortality and morbidity in a district.- 4 Social pathologies.- 5 Inequalities in health correlates of social class.- 6 Structure and roles of NHS.- 7 Facilities and resources.- 8 Personnel in NHS.- 9 Education, training and careers.- 10 Utilization of resources and content of work.- 11 Prescribing.- 12 Psychiatry.- 13 Maternity services.- 14 Eyes and teeth.- 15 School medical service.- 16 Quality and outcomes.- 17 Complaints.- 18 Costs.

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Book SynopsisOne of the eXCltmg challenges of medicine has been the reaching of decisions based on less than complete evidence. As undergraduates in teaching hospitals future physicians are taught to think in clear and absolute black and white terms. Diagnoses in teaching hospitals all are based on supportive positive findings of in­ vestigations. Treatment follows logically on precise diagnosis. When patients die the causes of death are confirmed at autopsy. How very different is real life in clinical practice, and particularly in family medicine. By the very nature of the common conditions that present diagnoses tend to be imprecise and based on clinical assessment and interpretation. Much of the management and treatment of patients is based on opinions of individual physicians based on their personal expenences. Because of the relative professional isolation offamily physicians within their own practices, not unexpectedly divergent views and opinions are formed. There is nothing wrong in such divergencies because there are no clear absolute black and white decisions. General family practice functions in grey areas of medicine where it is possible and quite correct to hold polarized distinct opinions. The essence of good care must be eternal flexibility and readiness to change long-held cherished opinions. To demonstrate that with many issues in family medicine it is possible to have more than one view I selected 10 clinical and II non -clinical topics and invited colleagues and fellow-practitioners to enter into a debate-in-print.Table of Contents1 Mild-to-moderate hypertension — to treat or not to treat?.- The issues.- The case for treatment (1).- The case for treatment (2).- The case against treatment.- Critique.- Commentary.- 2 Psychotropic pills or psychotherapy?.- The issues.- The case for pills.- The case for psychotherapy.- Commentary.- 3 Alcoholism — disease or self-inflicted vice?.- The issues.- The case for alcoholism as a non-disease (1).- The case for alcoholism as a non-disease (2).- The case for alcoholism as a disease.- Critique.- Commentary.- 4 Acute myocardial infarction — home or hospital care?.- The issues.- The case for home care.- The case for hospital care.- Commentary.- 5 Is obesity worth treating?.- The issues.- The case for treating obesity.- The case against treating obesity.- Commentary.- 6 Diabetes: strict control or flexibility in management?.- The issues.- The case for strict control.- The case for realistic control.- The case for flexibility below 11.0 mmoI/I.- Commentary.- 7 Antibiotics for otitis media and sore throat?.- The issues.- The case for antibiotics.- The case against antibiotics.- Commentary.- 8 Premenstrual tension and the menopausal syndrome — specific treatment?.- The issues.- The case for specific therapy (1).- The case for specific therapy (2).- The case against specific treatment.- Commentary.- 9 Acute backache — active or passive treatment?.- The issues.- The case for active treatment.- The case for conservative management.- Commentary.- 10 Terminal care — at home or in the hospital or hospice?.- The issues.- The case for home care of the dying.- The case for hospital/hospice care (1).- The case for hospital/hospice care (2).- Commentary.- 11 Compulsory immunization, or not?.- The issues.- The case for compulsory immunization.- The case against compulsory immunization.- Commentary.- 12 House calls — more or less?.- The issues.- The case for fewer house calls (1).- The case for fewer house calls (2).- The case for more house calls (1).- The case for more house calls (2).- Commentary.- 13 Teamwork — delegated or shared?.- The issues.- The case for delegation (1).- The case for delegation (2).- The case for sharing.- Commentary.- 14 Patient participation — more or less?.- The issues.- The case for less patient participation (1).- The case for less patient participation (2).- The case for more patient participation (1).- The case for more patient participation (2).- The case for more patient participation (3): self-care benefits for primary care practitioners.- Commentary.- 15 Telling the truth, the whole truth, and nothing but the truth?.- The issues.- The case for telling the patient the truth.- Pallesen The case against telling the patient the truth.- Commentary.- 16 How many patients — more or less?.- The issues.- The case for fewer patients (1).- The case for fewer patients (2).- The case for more patients.- Commentary.- 17 The medical check-up — useful or useless?.- The issues.- The case for a medical check-up.- The case for screening.- The case against a medical check-up.- Commentary.- 18 Solo practice or group practice?.- The issues.- The case for solo practice.- The case for group practice: the future practice model in family medicine.- Commentary.- 19 Vocational training for family medicine — useful or useless?.- The issues.- The case for vocational training.- The case against vocational training.- Critique.- Commentary.- 20 At least one female family physician in every group practice?.- The issues.- The case for a female doctor in every group practice (1).- The case for a female doctor in every group practice (2).- The case against a female doctor in every practice.- Commentary.- 21 Prevention — realistic or not?.- The issues.- The case for realistic prevention.- The case for more prevention.- Critique.- Commentary.

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Book SynopsisDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was con­ cerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symp­ toms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the community and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and relatively untried methods compared with those that are 'old' and well proven. vii Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Table of Contents1 Viral infections.- 2 Fungal infections.- 3 Bacterial infections.- 4 Tropical infections.- 5 Parasitic infestations.- 6 Eczema.- 7 Psoriasis.- 8 Lichen planus.- 9 Pityriasis rosea.- 10 Acne.- 11 Rosacea.- 12 Urticaria.- 13 Erythema multiforme.- 14 Benign neoplasms.- 15 Skin malignancy.- 16 Disorders of pigmentation.- 17 Bullous disorders.- 18 Hair problems.- 19 Photosensitivity.- 20 Ichthyosis.- 21 Drug eruptions.- 22 Pruritus.- 23 Cutaneous manifestations of metabolic disease.- 24 Erythema nodosum.- 25 Cutaneous vasculitis.- 26 Purpura.- 27 Lupus erythematosus, scleroderma, dermatomyositis.- 28 Hyperhidrosis.- 29 Topical steroids.

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Book SynopsisDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was con­ cerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symp­ toms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the community and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and relatively untried methods compared with those that are 'old' and well proven. vii Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Table of Contents1. Introduction.- 2. The Pancreas.- 3. Thyroid Disease.- 4. The Parathyroid Gland and Calcium Metabolism.- 5. Endocrine Diseases of the Ovary and Breast.- 6. The Testis.- 7. Disorders of the Pituitary.- 8. Disorders of the Adrenal Gland.

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Book SynopsisThis book is a personal testimony of faith in the future and in the progression to better health and a better life. It is the testament of a rough and ready measuring device - a practising physician who sought to compare and contrast three systems of medical care to see what can be distilled from them to help us all in achieving better services for medical care. Medical care as a human and civic right is the con­ cern of us all. Seeking to live longer and in good health we depend on medical, social and welfare services to attain this goal. Yet it is quite obvious that there are limits and dilemmas that prevent anything but an unsatisfactory compromise. The resources that are available cannot meet all the calls. How then can we make the best use of the resources that we have? This must be the theme for this book. What can we learn from each other for the com­ mon good? Since we all are facing the same common prob­ lems, how do we go about resolving them? For example, how do the medical care services in the USSR, USA and UK cope with an acute heart attack, with a middle-aged woman with depression, with a brain-damaged child, with a road accident or with a case of measles? These are the common human factors involved.Table of Contents1 Medical care — common goals and common problems.- 2 National characteristics.- 3 Structure and patterns of medical services.- 4 First contact care.- 5 Specialist Ambulatory care.- 6 Hospitals.- 7 Preventive aspects of medical care.- 8 Public health and social services.- 9 Maternity and child care.- 10 Mental health care.- 11 The greater medical profession — medical manpower.- 12 Education and training.- 13 The present dilemmas of medical care.

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Book SynopsisJOHN JOHN FRY FRY All All examinations examinations create create problems problems and and stresses stresses in in examinees. examinees. The The examination examination for for the the Membership Membership of of the the Royal Royal College College of of General General Practitioners Practitioners is is no no exception. exception. Although Although the the examiners examiners state state that that their their objectives objectives are are to to pass pass candidates candidates wherever wherever and and whenever whenever possible, possible, nevertheless nevertheless the the failure failure rate rate remains remains con­ sistently sistently at at 30% 30% plus plus of of those those taking taking the the examination. examination. The The reasons reasons for for failure failure fall fall into into a a number number of of groups. groups. The The candidate candidate may, may, through through over-confidence, over-confidence, not not have have prepared prepared for for the the examination. examination. He He may may have have assumed assumed that that it it is is not not necessary necessary to to read, read, learn learn and and digest digest data, data, facts facts and and experience experience on on general general practice. practice. How How wrong wrong that that is, is, he he will will discover discover when when he he sits sits the the exam. exam.Table of Contents1 The MRCGP examination.- 2 The modified essay question paper or MEQ.- 3 The traditional essay question paper or TEQ.- 4 The multiple-choice question paper or MCQ.- 5 The oral examination and log diary.- 6 The problem-solving oral.- 7 Vital statistics.- 8 Sources of information.- 9 Work plan.- 10 Mock examination and answers: MEQ; TEQ; MCQ.

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Book SynopsisThis third edition of the Beecham Manual has its origins in a manual produced by Selwyn Carson for his general practice in Christchurch, New Zealand. He produced loose-leaf sets of instructions for his practice team and colleagues. Beecham Research Laboratories of New Zealand did a great service for the medical profession by publishing and distributing Dr Carson's manual there. The British version of the Beecham Manual had different objectives. The vocational training programme needed basic resources and the British Manual was created as an easy to read reference book on common prob­ lems and methods in general practice. The first and second editions met with enthusiastic approval from princi­ pals, trainers and trainees. This third edition follows the same general format but has been completely revised and updated and includes many new additions. The five sections are: o planned care of definable population and other groups o principles of teaching and learning o emergencies and their management o psychiatry o clinical care of common conditions We have kept to simple, clear and brief presentations of our conjoint views based on our experiences in our own practices. We dedicate this third edition to our colleagues involved in caring, learning and teaching. They may not agree with us completely but we hope that we will make them consider our suggestions and use them for thought, debate and discussion. We hope also that it will be used as a work book for the whole practice team.Table of ContentsSection A Planned Care.- A1 Family Planning.- The Combined Pill.- Starting a Patient on the Pill.- The Morning After Pill.- The Progestogen only Pill.- Injectable Progestogen.- The Sheath ..- The Rhythm Method.- The Vaginal Diaphragm.- The IUCD or Coil.- Sterilization.- Termination of Pregnancy.- A2 Antenatal Care.- Initial Examination (8–12 weeks pregnant).- From 12–28 weeks.- From 30 weeks onwards.- Postnatal Examination (6 weeks after delivery).- A3 Child Care.- Routine Preventive Care in the first 14 years of life.- Developmental Surveillance.- At Birth.- Motor Responses in the few weeks after birth.- Motor Responses 4–6 weeks after birth.- 6 weeks.- Motor Responses: 8-14 weeks.- 7 months.- 18 months.- 2-2 1/2 years.- 4 1/2 years.- Notes on the Use of Percentile Charts.- A4 The Adolescent.- A5 Care of Adults.- Record Keeping.- Using Records to improve Patient Care.- Overseas Travel Advice.- A6 Care of the Elderly.- A7 Terminal Care.- A8 Care of Immigrants.- A9 Care of the Disabled.- Section B Teaching and Learning.- B1 Patient Education.- The Need.- Whose Job is it?.- How is it Done?.- Content.- Methods.- B2 Undergraduate Education.- B3 Vocational Training.- Vocational Training Regulations.- Group Activities for Trainee GPs.- The Trainee Year.- Criteria for Membership of the Royal College of General Practitioners.- The MRCGP Examination.- Continuing Education.- Section C Emergencies.- Emergencies.- Acute Abdomen.- Anaphylaxis.- Back Pain.- Bereavement.- Bleeding.- Blindness.- Breathlessness.- Chest Pain.- Group.- Death — sudden and unexpected.- Dental and Oral.- Diarrhoea and Vomiting.- Earache.- Falls.- Fits, Faints and Convulsions.- Headaches.- Non-accidental Injury.- Psychiatric.- Sexual Assault.- Sore Throat.- Stroke.- The Unconscious Patient.- Vascular.- Vertigo.- Section D Psychiatry in General Practice.- Psychiatry in General Practice.- Anxiety.- Depression (Affective Illness).- Organic Psychoses.- Section E Clinical Care.- E1 Cardiovascular.- Anaemia.- Cardiac Arrhythmias.- Chronic Cardiac Failure.- High Blood Pressure.- E2 Respiratory.- Chronic Bronchitis.- Hay Fever.- E3 Rheumatic.- Ankylosing Spondylitis.- Gout.- Osteoarthritis (Osteoarthrosis).- Polymyalgia Rheumatica.- Rheumatoid Arthritis.- E4 CNS.- Epilepsy.- Migraine.- Multiple Sclerosis.- Parkinsonism.- Stroke.- E5 Gastrointestinal.- Dyspepsia and Functional Disorders of the GI Tract.- Peptic Ulcers.- Irritable Bowel Syndrome (spastic colon, mucous colitis).- Gallbladder Disease.- E6 Endocrine.- Diabetes Mellitus.- Thyroid.- E7 Genitourinary.- Chronic Renal Failure.- Urinary Tract Infection.- E8 The Menopause.- E9 Non-illness.

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Book SynopsisWHY WE MUST PRACTISE TRANSCULTURAL MEDICINE Health professionals and GPs should concern themselves with ethnicity, religion and culture as much as with the age, sex and social class of their patients. Transcultural medicine is the knowledge of medical and communication encounters between a doctor or health worker of one ethnic group and a patient of another. It embraces the physical, psychological and social aspects of care as well as the scientific aspects of culture, religion and ethnicity without getting involved in the politics of segregation or integration. English general practitioners and health professionals tend to regard everyone as English, and to assume that all patients have similar needs. Would that it were as simple as that! For economic reasons - based on supply and demand - the mass migration of working populations from the new Commonwealth countries, along with their dependent relatives (including their parents) to Britain took place during one decade - the 1960s. Broadly speaking, the workers were in their thirties and forties, and their dependent parents were in their fifties and sixties. All these will, of course, be 30 years older in the 1990s.Table of ContentsI: General Aspects.- 1. Avoiding communication problems.- 2. Ethnic terminology and occupations.- 3. History-taking and the examination.- 4. Factors affecting diagnosis and how to avoid diagnostic traps.- 5. Psychiatric disorders among different ethnic groups.- 6. Diet-related diseases.- 7. Avoiding diagnostic traps related to customs.- 8. Diseases related to visits to country of origin.- 9. Therapy and multi-ethnic groups: factors affecting treatment.- 10. Alternative therapies and ethnic groups.- II: Special Considerations.- 11. Cultural conflicts in a mixed marriage.- 12. Disease patterns in mutli-ethnic groups in the UK.- 13. Hidden corners of ethnic medical history.- 14. Gaps and needs in ethnic care.- 15. Transcultural factors in the consultation: the three generations concept.- 16. Management of ethnic Asian patients in general practice.- 17. Obstetric problems in multi-ethnic women.- 18. Family planning and culture.- 19. Paediatric problems in various ethnic groups.- 20. Pharmacists’ understanding of cultural customs and dangers of multi-therapy.- 21. Midwife, health visitor and nurse: dealing with patients from different cultures.- 22. Cultural aspects of the MRCGP examination.- 23. Muslim patients and the British GP.- 24. Nutritional problems in ethnic groups.- 25. Skin problems encountered in multi-ethnic patients.- III: Selected Points.- 26. Multi-cultural medicine: a series in the British Medical Journal.- 27. Transcultural medicine: education and examination.- Appendix: Resources available.

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Book SynopsisIn writing this short monograph on 'Problems in Peripheral Vascular Disease', I have tried to steer a course between a simplistic dogmatic approach more appropriate to an under­ graduate text, and a detailed specialist treatise of interest only to vascular surgeons. Although arterial surgery has been performed for centuries, the main indications in the past were to deal with the effects of trauma and aneurysm formation. The development of arterio­ graphy and the ability to see arterial blocks and stenoses allowed surgeons to carry out increasingly sophistidated operations for an enlarging range of pathological conditions. Even today, arterial surgery continues to develop, and although we are often dealing with the 'surgery of ruins', a successful outcome is just as rewarding for surgeon and patient alike. In this book I have also included a discussion on venous problems including a note about recent developments in direct surgery of the deep veins of the lower limb which could be a re­ warding field of endeavour for the vascular surgeon. The original descriptions by Buerger and Raynaud are taken from 'Classic Descriptions of Disease' by Ralph H. Major. While reviewing my own surgical practice, I have had the pleasure of reading once again the publications of H.H.G. Eastcott (arterial surgery), J.T. Hobbs (varicose veins), G.L. Hill (Buerger's disease), Adrian Marston (intestinal ischaemia), Martin Bimstingl (vasospastic disorders) and C.H. Hawkes (lumbar canal stenosis).Table of Contents1 Arterial occlusive disease.- Presentation.- Examination and risk factors.- Investigations.- Vasoactive drugs.- Surgical treatment.- 2 The surgical treatment of intermittent claudication.- Assessment.- Aortoiliac disease.- Femoropopliteal reconstruction.- 3 The critically ischaemic limb.- Definition.- Clinical features.- Management.- Results.- 4 When should arteries be dilated?.- Percutaneous transluminal angioplasty.- Technique.- Indications.- 5 Acute ischaemia and arterial embolism.- Thrombosis.- Embolism.- Clinical features.- Management.- 6 Amputation in peripheral vascular disease.- Indications.- Technique.- Results.- Rehabilitation.- 7 What is Buerger’s disease?.- Clinical features.- Prognostic factors.- Management.- 8 Aneurysms.- Pathogenesis.- Aortic aneurysms.- Surgery of leaking aortic aneurysms.- Dissecting aortic aneurysms.- 9 What about sex, doctor?.- Physiology.- Vasculogenic impotence.- Prevention of impotence.- Surgical treatment of vasculogenic impotence.- 10 Vascular surgery of the intestinal tract.- Anatomy.- Pathology.- Chronic intestinal ischaemia.- Acute intestinal ischaemia.- 11 Raynaud’s what?.- Physiology.- Raynaud’s syndrome.- Raynaud’s disease.- Raynaud’s phenomenon.- Assessment and investi-ation.- Treatment.- 12 The diabetic foot.- Pathophysiology.- Clinical presentation.- Assessment.- Management.- 13 Lumbar canal stenosis.- Cauda equina syndrome.- Anatomy.- Clinical features.- Diagnosis.- Treatment.- 14 Varicose veins.- Anatomy.- Physiology.- Classification.- Assessment.- Management.- Recurrent varicose veins.- Superficial thrombophlebitis.- Restless leg syndrome.- 15 Compression sclerotherapy for varicose veins.- Patient selection.- Injection technique.- Complications.- 16 Venous thromboembolism.- Pathogenesis.- Prevention of deep vein thrombosis (DVT).- Clinical features of DVT.- Management of DVT.- Recurrent DVT.- Pulmonary embolism.- 17 The post-thrombotic syndrome.- Clinical features.- Venous outflow obstruction.- Venous reconstructive surgery.- 18 Leg ulcers.- Aetiology.- Clinical features.- Diagnosis.- Management.

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Table of Contents1 The Normal Back.- Section I The Vertebral Column.- 1 The locomotion of fish.- 2 The escape from the seas.- 3 The biomechanics of quadrupeds.- 4 From four legs to two.- 5 The uniqueness of man.- 6 The anatomy of posture.- Section II The Motion Segments.- 7 Building blocks.- 8 Spinal mobility.- 9 The role of the discs.- 10 Stability and strength.- 11 The biomechanics of backache.- 2 The Abnormal Back.- 12 Spinal stenosis.- 13 Prolapsed intervertebral disc.- 14 Osteoarthritis of the facet joints.- 15 Facet joint malfunction.- 16 Lesions of ligaments.- 17 Spondylolysis and spondylolisthesis.- 18 The sacroiliac joint.- 19 Muscle spasm.- 20 Muscle fatigue.- 3 Conservative Treatment of the Abnormal Back.- 21 Bed rest, psychoactive drugs and epidural injections.- 22 Analgesics, acupuncture and TENS.- 23 Posture correction and exercise.- 24 Spinal manipulation.- References and further reading.

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Book SynopsisOne of the few real and lasting benefits of international medical meetings is the opportunity to meet, talk, gossip and get to know colleagues from other countries. So it was that we met, talked and planned at WONCA (World Organization of National Colleges and Academies and Academic Associa­ tions of General Practitioners/Family Physicians) meetings at Montreux and New Orleans. We realized that although we worked in different places and in different practices 'primary health care' was essentially the same the world over. Our roles, our problems, our clinical content, our challenges and objectives were similar whether we work in Europe, North America, Australasia, South Africa or developing countries. With such similarities we asked ourselves - 'why not share our common experiences for mutual benefits?' The question developed into an idea and the idea into this book. We started by selecting what we considered were important topics and then we invited friends and colleagues to join us in putting our experiences and beliefs from years of practice to readers from all over the world to demonstrate our common concerns and to learn from one another.Table of Contents1 Access to care.- 2 The health team.- 3 Relations with specialists in clinical and allied health professions.- 4 Providing for emergencies in general family practice.- 5 Promoting health — practice and principles.- 6 Principles of management in patient care.- 7 Patient education.- 8 Medical records.- 9 Group practice management.- 10 Facilities and equipment in general family practice.- 11 Applied research in general family practice.- 12 The general family practice as a teaching and learning environment.- 13 Practising primary care in developing nations.

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Book SynopsisPart one of the book presents the gastrointestinal problems that commonly face the general practitioner. Emphasis is placed on analysis of clinical data and how this may provoke the most profitable lines of investigation. Many of the investigation and treatment protocols are within the scope of general practice, but hospital management is also included. It was possible to deal with common oesophageal diseases under the heading of oeso­ phageal problems in Part 1. In contrast, it proved impossible to discuss adequately all of the common diseases affecting other organs of the digestive system under the problem headings. For this reason, a fuller ac count of many common alimentary diseases is provided in Part two. M. L.-5. K. G. D. W. 9 Series Foreword This series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collec­ tive authorship; they are written by specialists working at district general hospitals. The writers derive their own experi­ ence from a range of cases less highly selected than those on which textbooks are traditionally based. They are also in a good position to pick out topics which they see creating difficulties for the practitioners of their district, whose personal capacities are familiar to them; and to concentrate on contexts where mistakes are most likely to occur. They are all well-accustomed to working in consultation.Table of ContentsPreface.- Series Foreword.- 1 Common Problems.- 1 Common oesophageal problems.- Heartburn.- Problems with swallowing.- 2 Nausea and vomiting.- 3 The acute abdomen.- 4 Recurrent abdominal pain and discomfort.- Symptoms and diagnosis.- Investigation.- 5 Acute diarrhoea.- Acute infective diarrhoea.- Diarrhoea in travellers.- Diarrhoea due to drugs.- 6 Chronic and recurrent diarrhoea.- Causes and indications.- Investigations.- 7 Malabsorption.- Mechanisms of malabsorption.- Clinical features.- Investigation of suspected malabsorption.- 8 Problems with laxatives.- Laxative abuse.- Problems with specific laxatives.- 9 Constipation and other problems with defaecation.- Constipation.- Other problems.- 10 Gastrointestinal bleeding.- Acute upper gastrointestinal haemorrhage.- Chronic or recurrent bleeding.- Rectal bleeding.- 11 Diagnosis of the common causes of jaundice.- Unconjugated hyperbilirubinaemia.- Hepatocellular and cholestatic jaundice.- 12 Miscellaneous gastrointestinal symptoms.- Anorexia.- The ‘abnormal’ tongue.- Bad breath.- Wind and gaseousness.- 13 Gastrointestinal endoscopy.- 2 Common Diseases.- 14 Peptic ulcer.- Aetiological factors.- Clinical features.- Diagnosis.- Management.- 15 Some diseases that cause malabsorption.- Coeliac disease.- Malabsorption after gastric surgery.- Crohn’s disease.- Malabsorption after small bowel resection.- Small intestinal lymphoma.- Chronic small bowel ischaemia.- Bacterial colonization of small intestine.- Post-infective malabsorption.- Giardiasis — Tropical sprue.- Whipple’s disease.- Pancreatic insufficiency.- 16 The irritable bowel syndrome.- Aetiology and pathogenesis.- Clinical categories.- Management.- 17 Inflammatory bowel disease.- Ulcerative colitis.- Crohn’s disease.- Complications and special problems.- 18 Diverticular disease of the colon.- Diffuse diverticulosis.- Sigmoid diverticulosis.- 19 Common liver diseases.- Viral hepatitis.- Hepatitis type A.- Hepatitis type B.- Hepatitis type non-A, non-B.- Complications of hepatitis.- Chronic hepatitis.- Chronic persistent hepatitis.- Chronic active hepatitis.- Drug induced liver disease.- Direct hepatotoxicity.- Toxicity due to drug metabolites.- ‘Hypersensitivity’ induced damage.- Halothane.- Canalicular cholestasis.- Other hepatic reactions to drugs.- Alcoholic liver disease.- Cirrhosis.- Categories of cirrhosis.- Encephalopathy.- 20 Common pancreatic diseases.- Acute pancreatitis.- Chronic pancreatitis.- Further reading.

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Book SynopsisOver several years working in a district general hospital as a physician with a cardiological interest, the common problems in this field are clearer. This knowledge has come through normal out-patient clinic referrals, care of in-patients, and by working in a domiciliary consultative capacity. The problems that concern family physicians nowadays are somewhat different from the problems of two or three decades ago. The accent now is very much on the implications of hypertensive and ischaemic heart disease. Rheumatic fever is rarely seen, though its sequelae may still be discovered. Hence the approach of this book is to the common problems of today in family practice, and the book is not intended to be a reference text book of cardiology. It does not include references because it has been written from personal experience gained from the treatment and management of patients with common cardiac problems. It is hoped that it will be of value primarily to family physicians because it has been written in an attempt to fill a need as measured by the problems that are referred to specialists in the cardiological field. It may prove of value to those medical students and nurses who wish to consider medical problems in a practical way, that is from the ways that cardiac problems present in practice.Table of ContentsPreface.- Foreword.- 1 Presenting symptoms — chest pain.- Skin.- Intercostal muscles and muscles attached to the chest wall.- Ribs and spine.- costo-chondral junctions.- Pleura and diaphragmatic pleura.- The pericardium.- The myocardium.- The aorta.- The oesophagus.- Anxiety and cardiac neurosis.- 2 Ischaemic heart disease.- Myocardial ischaema.- Myocardial infarction.- 3 Hypertension.- Presentation.- General considerations.- Investigations.- Treatment.- Notes on hypotensive drugs.- 4 Cardiac murmurs.- Systolic murmurs.- Diastolic murmurs.- 5 Syncope.- Dysrhythmias.- Valvular heart disease.- Congenital heart disease.- Hypotension.- Other low output states.- Pulmonary embolism.- Cardiac compression.- 6 Breathlessness.- Presenting symptoms.- Acute cardiac failure.- Chronic heart failure.- The signs of heart failure.- Investigations in cardiac failure.- Treatment of cardiac failure.- 7 Infective and invasive processes of the heart.- Pericardium.- Myocardium.- Endocardium.- 8 Electrocardiography.- Particular value of e.c.g. in practice.- Reading and recording the e.c.g..- Some examples of common e.c.g. abnormalities.- 9 Dysrhythmias.- Presenting symptoms.- Supra-ventricular dysrhythmias.- Ventricular causes of dysrhythmia.- other dysrhythmias.- 10 Changing trends in the investigation and treatment of cardiological problems.- Investigations.- Methods of treatment.- 11 Drug therapy in practice.- Diuretics.- The ?-blocking drugs.- Other antidysrhythmic drugs.- Hypotensive drugs.- Anti-anginal drugs.- 12 Present and future problems.- Changing trends of cardiac disease.- Statistics concerning heart disease.- Epidemiology and prevention.- Logistics.

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Book SynopsisThe topics chosen for discussion represent the most common problems referred by family doctors to chest clinics. It was taken for granted that the reader will be familiar with the symptoms, signs, and natural history of respiratory diseases, so that the stress is on differential diagnosis and treatment. Tuberculosis once occupied nearly all the time of chest physicians. At present weeks go by without a single case presenting itself. There has been no comparable improvement in cancer of the lung, which remains one of the most intract­ able problems. Asthma was seldom referred to out-patient clinics when the disease was regarded as more unpleasant than dangerous. The hazards of severe attacks and the advan­ tages of liaison with a hospital department are now widely recognized. A similar change of attitude to the management of chronic bronchitis brought many new patients to the chest clinics in place of the vanishing tuberculous population. Some uncommon pulmonary diseases are included: allergic alveolitis, because of the importance of early diagnosis, and sarcoidosis in order to discourage unnecessary treatment. The book is intended to be a practical guide and is not a critical review. This might serve as an excuse for its didactic style and the exclusion of controversial subjects. Some statements are repeated at more than one place in order to help readers who wish to consult individual chapters bearing on some current problem. Source references are omitted and are replaced by a short list of books recommended for further reading.Table of Contents1 Symptoms, clinical signs and breathing tests.- Cough.- Sputum.- Haemoptysis.- Dyspnoea.- Pain.- Percussion.- Auscultation.- Clubbing of the fingers-Cyanosis.- Pursed-lip breathing.- 2 Pneumonia.- Defences of the lung-Factors predisposing to infection.- Classification.- Clinicalfeatures.- Investigations.- Complications.- Recurrent pneumonia.- Differential diagnosis.- Treatment.- 3 Chronic bronchitis.- Prevalence.- Pathology.- Clinicalfeatures.- Investigations.- Differential diagnosis.- Complications.- Treatment.- 4 Asthma.- Pathogenesis.- Classification.- Clinicalfeatures.- Investigations.- Differential diagnosis.- Prognosis.- Treatment.- 5 Tuberculosis.- Mortality.- Natural history.- Presentation.- Diagnostic tests.- Investigation of contacts.- Prevention.- Treatment.- 6 Cancer of the lung.- Mortality.- Aetiology.- Classification.- Presentation.- Clinicalsigns.- Progress.- Investigations.- Differential diagnosis.- Prevention.- Treatment.- 7 Pleural effusions.- Aetiology.- Investigations.- Differential diagnosis.- Tumours of the pleura.- Complications.- Treatment.- 8 Recurrent respiratory illness in children.- Viral infections.- Cystic fibrosis.- Immune deficiencies.- Bronchiectasis.- 9 Fibrosing alveolitis.- Diagnosis.- Treatment.- 10 Spontaneous pneumothorax.- Pathogenesis.- Symptoms and signs.- Treatment.- 11 Pulmonary sarcoidosis.- Natural history.- Treatment.- Further reading.

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