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GeneralPractitioners

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Lack of information on “fit notes” renders them useless, says study

General practitioners have not been trained properly in how to use the “fit note” system for managing sick leave and are too vague when it comes to recommending what employers should be doing, a report published on 3 August has found.1  
feeds.bmj.com
over 4 years ago
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A 22 year old woman with bilateral panuveitis and parotid swelling

A 22 year old white woman presented with a three month history of bilateral red eyes and severely reduced vision in her left eye. The vision loss had occurred a few weeks before presentation. She had recently seen her general practitioner because of weight loss and facial swelling, and had been experiencing night sweats and reduced exercise tolerance related to fatigue.  
feeds.bmj.com
over 4 years ago
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4

Pharmacists could work in GP premises under proposed new model of care

General practitioners could see community pharmacists working as part of their team and on the same premises, under new proposals that aim to make better use of the clinical skills offered by dispensing professionals.  
feeds.bmj.com
over 4 years ago
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219

Rheumatology Toolbox

This project aims to promote rheumatological knowledge and skills in general practitioners. Our objectives are to: Increase skills in assessing, managing and referring patients with rheumatic diseases Optimise care and assessment of patients with rheumatic and musculoskeletal complaints Learn about tools to increase diagnostic accuracy, monitor disease activity, & guide treatment Promote the acquisition of rheumatological knowledge and skills…  
rheumatologytoolbox.com
over 4 years ago
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7

Gaps in paediatric rotas mean that GPs must do more in community, says royal college

Gaps in paediatric rotas mean that general practitioners need to deliver more child health services in the community, the Royal College of Paediatrics and Child Health (RCPCH) has said.  
feeds.bmj.com
over 4 years ago
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6

Stressed GPs are promised national occupational health service

The NHS plans to launch a new national occupational health service from next April to support general practitioners experiencing burnout and stress.  
feeds.bmj.com
over 4 years ago
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9

Tax fraud GP is struck off for persistent dishonesty

A general practitioner who was sentenced to 18 months in prison after admitting to defrauding the UK tax authorities of £185 000 (€255 000; $285 000) has been struck off by the Medical Practitioners Tribunal Service.  
feeds.bmj.com
about 4 years ago
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Understanding the ecological fallacy

Researchers investigated whether an association existed between antibiotic prescribing by general practices and antibiotic resistance. A cross sectional study design was used. The setting was 28 general practices in Scotland. The participants were patients registered with a general practitioner between January 1995 and December 1996 who provided a urine sample for analysis during this period. In total, 8833 patients were included in the sample. For each patient in each of the practices the number of dispensed prescriptions for trimethoprim was obtained from databases of health records.1  
feeds.bmj.com
about 4 years ago
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BMA sets out general practice reforms to meet rising demands

The BMA has called for a “meaningful programme of reform” to create a general practice that meets the needs of patients and attracts new graduates to the profession. Not implementing such changes “would be nothing short of a dereliction of [the government’s] duty to care for the nation’s health,” said Chaand Nagpaul, chair of the BMA’s General Practitioners Committee.  
feeds.bmj.com
about 4 years ago
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A case of unusual hand pain in general practice

A 34 year old white man presented to his general practitioner with a one year history of progressive bilateral hand pain. There was no trauma history or previous arthropathy. He consumed 84 units of alcohol a week, lived alone, and had lost his job as a plasterer owing to reduced hand function. He had three children. On initial examination of the hands and wrists, he had no swelling or bony tenderness and he had normal power, reflexes, and sensation of the upper limbs. Pain was elicited when he unclenched his fists.  
feeds.bmj.com
about 4 years ago
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A case of unusual hand pain in general practice

A 34 year old white man presented to his general practitioner with a one year history of progressive bilateral hand pain. There was no trauma history or previous arthropathy. He consumed 84 units of alcohol a week, lived alone, and had lost his job as a plasterer owing to reduced hand function. He had three children. On initial examination of the hands and wrists, he had no swelling or bony tenderness and he had normal power, reflexes, and sensation of the upper limbs. Pain was elicited when he unclenched his fists.  
feeds.bmj.com
about 4 years ago
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By 2025 a million more UK people will be living with life threatening conditions, warns royal college

One million more people in the United Kingdom will be living with multiple long term, life threatening conditions by 2025, an analysis by the Royal College of General Practitioners has found. This increase will cost general practice up to £1.2bn (€1.6bn; $1.8bn) a year, the college said.  
feeds.bmj.com
about 4 years ago
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Evaluation of a ring enhancing lesion

A 49 year old previously healthy woman presented to her general practitioner with a two week history of progressive headaches, forgetfulness, and decreased visual acuity. She had no other symptoms or findings of note. On examination, she was oriented to person, location, and time. Her heart rate was 78 beats/min, respiratory rate was 18 breaths/min, and blood pressure was 116/78 mm Hg. She was afebrile and had no meningeal signs. Physical examination identified a right homonymous hemianopsia but no other neurological or cognitive deficits. There was no evidence of papilloedema. Her electrolytes, complete blood count, and C reactive protein concentration were normal. Magnetic resonance imaging (MRI) showed a single ring enhancing lesion with irregular borders.  
feeds.bmj.com
about 4 years ago
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Evaluation of a ring enhancing lesion

A 49 year old previously healthy woman presented to her general practitioner with a two week history of progressive headaches, forgetfulness, and decreased visual acuity. She had no other symptoms or findings of note. On examination, she was oriented to person, location, and time. Her heart rate was 78 beats/min, respiratory rate was 18 breaths/min, and blood pressure was 116/78 mm Hg. She was afebrile and had no meningeal signs. Physical examination identified a right homonymous hemianopsia but no other neurological or cognitive deficits. There was no evidence of papilloedema. Her electrolytes, complete blood count, and C reactive protein concentration were normal. Magnetic resonance imaging (MRI) showed a single ring enhancing lesion with irregular borders.  
feeds.bmj.com
about 4 years ago
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1

Evaluation of a ring enhancing lesion

A 49 year old previously healthy woman presented to her general practitioner with a two week history of progressive headaches, forgetfulness, and decreased visual acuity. She had no other symptoms or findings of note. On examination, she was oriented to person, location, and time. Her heart rate was 78 beats/min, respiratory rate was 18 breaths/min, and blood pressure was 116/78 mm Hg. She was afebrile and had no meningeal signs. Physical examination identified a right homonymous hemianopsia but no other neurological or cognitive deficits. There was no evidence of papilloedema. Her electrolytes, complete blood count, and C reactive protein concentration were normal. Magnetic resonance imaging (MRI) showed a single ring enhancing lesion with irregular borders.  
feeds.bmj.com
about 4 years ago
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0
1

Evaluation of a ring enhancing lesion

A 49 year old previously healthy woman presented to her general practitioner with a two week history of progressive headaches, forgetfulness, and decreased visual acuity. She had no other symptoms or findings of note. On examination, she was oriented to person, location, and time. Her heart rate was 78 beats/min, respiratory rate was 18 breaths/min, and blood pressure was 116/78 mm Hg. She was afebrile and had no meningeal signs. Physical examination identified a right homonymous hemianopsia but no other neurological or cognitive deficits. There was no evidence of papilloedema. Her electrolytes, complete blood count, and C reactive protein concentration were normal. Magnetic resonance imaging (MRI) showed a single ring enhancing lesion with irregular borders.  
feeds.bmj.com
about 4 years ago
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A 22 year old woman with bilateral panuveitis and parotid swelling

A 22 year old white woman presented with a three month history of bilateral red eyes and severely reduced vision in her left eye. The vision loss had occurred a few weeks before presentation. She had recently seen her general practitioner because of weight loss and facial swelling, and had been experiencing night sweats and reduced exercise tolerance related to fatigue.  
feeds.bmj.com
about 4 years ago
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Cancer outcomes will not improve without more funding, say GPs

More general practitioners and diagnostic resources are needed in primary care to realise ambitions for improving cancer survival rates, doctors have warned.  
feeds.bmj.com
about 4 years ago
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bmj.h5510-0

A 34 year old woman presented with an extensive cutaneous eruption on the lower limbs and buttocks. She had had atopic dermatitis with recurrent flares until age 22. She currently had idiopathic hirsutism and chronic foot onychodystrophy. Results of fungal culture of the nails three years earlier were negative. She had no personal or family history of psoriasis and no pets. When the lesions first appeared on her knees six months earlier she had consulted her general practitioner. A diagnosis of psoriasis was suspected and daily topical calcipotriol and betamethasone (strength III—potent topical steroid) were prescribed. The treatment was continued even though the lesions worsened and extended to her thighs and buttocks, with intense pruritus and burning. Finally she consulted our dermatological emergency unit.  
feeds.bmj.com
about 4 years ago
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More than 400 pharmacists will be recruited to GP surgeries by next year

By next year more than 400 clinical pharmacists will provide support to almost 700 general practitioner surgeries and more than seven million patients.  
feeds.bmj.com
about 4 years ago