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Clinical

Evidence-based management of disease-related malnutrition: updated guidance

The Managing Adult Malnutrition in the Community panel has updated its guidance for community healthcare professionals. The updated guide reflects the latest evidence and best practice and is...

COPD, exacerbation and self-management: a literature review

COPD prevalence is also associated with socioeconomic deprivation and high-risk occupational industrial areas, and environmental and metabolic risk factors have the highest impact on disease...

Acute onset low back pain leading to a diagnosis of cauda equina syndrome: a case study

CES is documented as a rare and challenging neurological condition to diagnose (Greenhalgh et al, 2018). It is defined by Zusman et al (2020) as a significant compression of the nerve roots in the...

Understanding HPV and cervical screening

HPV is a group of viruses that most sexually active people come into contact with during their lifetime: it is estimated approximately 8 in 10 people will be infected with HPV at some point in their...

Assessment and examination of the respiratory system

Taking a patient history is an essential element in establishing a diagnosis and is used to get a deeper understanding of the patient's symptoms. The purpose of a systematic health history is to...

Identification and management of dysfunctional breathing in primary care

The ‘breathing drive’ is responsive to the body's requirements detected by feedforward and feedback loops from the brain and receptors in the respiratory system, with underlying ‘background’ control...

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...

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...

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