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Clinical

Diagnosing COPD in general practice

Long-term exposure to risk factors such as tobacco smoking – the most common cause of COPD – and symptoms caused by progressive lung damage are often present before individuals seek a diagnosis. The...

Preventing skin tears among older adults in general practice

Skin tears can present a complex and chronic problem for an older patient with fragile skin, and can be very disabling, reducing quality of life dramatically in some cases. The right care is essential...

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 the pharmacology of heart failure

HF is defined by the American College of Cardiology/American Heart Association (ACC/AHA) as a complex clinical syndrome that occurs from any structural or functional impairment of ventricular filling...

Living with long COVID

The new guideline for NICE (2021) recommends that patients presenting with new or ongoing symptoms 4 weeks or later after an initial COVID-19 infection should have the following investigations done: a...

Understanding the use of pulse oximetry in COVID-19 disease

The fundamental principle in pulse oximetry is that when light is shone through a substance, some of that light is absorbed as it passes through the substance and the light that is not absorbed can be...

Improving outcomes for older people with diabetes

There are increasing numbers of people with diabetes over the age of 65 years. This is principally driven by the rise in prevalence of type 2 diabetes (T2DM) that correlates with greater rates of...

Understanding primary prevention of cardiovascular disease

The NHS Health Check programme was designed to identify people with risk factors for CVD and ensure that they had access to the support and medication they might need to reduce that risk (Waterall,...

Managing the side effects of contraception

Headache is a reported side effect of all hormonal methods of contraception, but is also very common in women of reproductive age, particularly those age >35 years old (Grossman Barr, 2010). Because...

Anaphylaxis: how to recognise and manage in primary care

‘a serious systemic hypersensitivity reaction that is usually rapid in onset and may cause death. Anaphylaxis is characterized by potentially life-threatening compromise in airway, breathing and/or...

You know where you can stick that … or do you? Where to inject the deltoid and why

Finding the important landmarks of the deltoid in the living is not difficult and can soon be learned with a little practice on yourself, your partner and patients; having a clear mental picture...

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