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Margaret Perry

Locum advanced nurse practitioner

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Streptococcal infections (Strep A) in primary care settings

Infections caused by Strep A typically come in waves and in previous years outbreaks have occurred around March to April (McKechnie 2022). However, in December 2022, there was a reported increase in...

Understanding autoimmune diseases: part 2

The basic underlying process of autoimmune diseases was discussed in part 1 of this series (Perry, 2022). In a healthy person, the immune system is able to destroy any invading organisms before they...

Understanding autoimmune diseases in primary care

The function of the body's immune system is to recognise foreign elements and destroy them before they cause problems. In healthy individuals, specialised systems regulate the immune system to ensure...

Shingles in adults: what the practice nurse needs to know

The overall incidence in adults is estimated to be 1.85 to 3.9 cases per 1000 population (National Institute for Health and Care Excellence (NICE), 2021), with an increasing occurrence in older adults...

Understanding constipation in adults

Prevalence rates for constipation are difficult to determine as it is likely that some of those affected may try self-help measures or over the counter (OTC) remedies and therefore never consult a...

Fungal skin infections

Fungal infections caused by dermatophytes, a group of fungi that invade and grow in dead keratin, lead to infection that is normally confined to dead layers of skin. Because dermatophytes require...

Anaemia in primary care: iron deficiency and anaemia of chronic disease

Iron deficiency anaemia (IDA) is the most common cause of anaemia and is a problem worldwide, with an estimated 500 million people affected, occurring both in low-income countries such as sub-Saharan...

Understanding vitamin B12 and folate deficiency

Vitamin B12 is vital for health and is essential for a number of physiological functions in the body, including the formation of healthy red blood cells, DNA synthesis and the healthy function of the...

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