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DIVERTICULITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. PERIPHERAL NEUROPATHY Peripheral polyneuropathy is a primary condition of the peripheral nerves causing symmetrical motor and / or sensory symptoms and signsin the four limbs.
SINUSITIS - GENERAL PRACTICE NOTEBOOK Sinusitis is the inflammation of the mucous membranes of the paranasal sinuses. However, sinusitis is almost always accompanied by inflammation of the contiguous nasal mucosa, hence a more accurate term rhinosinusitis has superseded the terms rhinitis and sinusitis (1,2) usually results from inadequate drainage of the sinuses,typically the
RAISED MONOCYTES
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body.HYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve. LOW SODIUM - GENERAL PRACTICE NOTEBOOK Hyponatraemia is a low plasma sodium, defined as sodium less than 135 mmol/l. it is the most common disorder of electrolytes encountered inclinical practice:
OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
GENERAL PRACTICE NOTEBOOKHOMECOVID-19 RESOURCESCONTACT USTESTIMONIALSABOUT THIS RESOURCEAUTHORS Welcome to Primary Care Notebook. We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time, PMR - GENERAL PRACTICE NOTEBOOK Polymyalgia rheumatic (PMR) is a chronic inflammatory disease of unknown aetiology which presnts with pain and stiffness that is worst in the morning and particularly affects the shoulders and hips (1,2).DIVERTICULITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. PERIPHERAL NEUROPATHY Peripheral polyneuropathy is a primary condition of the peripheral nerves causing symmetrical motor and / or sensory symptoms and signsin the four limbs.
SINUSITIS - GENERAL PRACTICE NOTEBOOK Sinusitis is the inflammation of the mucous membranes of the paranasal sinuses. However, sinusitis is almost always accompanied by inflammation of the contiguous nasal mucosa, hence a more accurate term rhinosinusitis has superseded the terms rhinitis and sinusitis (1,2) usually results from inadequate drainage of the sinuses,typically the
RAISED MONOCYTES
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body.HYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve. LOW SODIUM - GENERAL PRACTICE NOTEBOOK Hyponatraemia is a low plasma sodium, defined as sodium less than 135 mmol/l. it is the most common disorder of electrolytes encountered inclinical practice:
OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade toDIVERTICULITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here.TRIGGER FINGER
Trigger finger, or digital flexor stenosing tenosynovitis, is a condition characterised by localised restriction of extension in a digit other than the thumb. there is a mismatch between the size of the tendon and its sheath making it difficult for the tendon to pass through a pulley. Usually, flexion is normal but beyond a certainrange of
OSTEOPOROSIS
Osteoporosis is a progressive, systemic skeletal disorder charcaterised by loss of bone tissue and disruption of bone micro architecture which leads to bone fragility and a consequent increased risk of fracture (1). bone formation exceeds bone resorption in youth, but by the third decade of life there is a gradual loss of bone mass. ANTIDEPRESSANTS (STOPPING OR SWITCHING TREATMENT vortioxetine is a new antidepressant and there is limited experience when switching, therefore extra caution is required, particularly when switching to or from inhibitors of CYP2D6, such as fluoxetine and paroxetine. when switching to another antidepressant, doses above 10mg should be reduced to 10mg over a period of 7 days before stopping and REFERENCE VALUES (PSA) New recommended prostate biopsy referral values for total PSA levels (1) AGE (YEARS) PSA CUT OFF (ng/ml) 50-69. >=3.0. Previous guidance suggested that a PSA > 5 in a man aged 70 years or over required further investigation (2). PSA is also used as a means of monitoring disease: Its main use is to monitor disease: if PSA > 40, there is ahigh
THREE COMMON THYROID DIAGNOSES Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. PYOSALPINX - GENERAL PRACTICE NOTEBOOK A pyometra is when the uterus is distended with pus. Pyometra are most likely: if the cervical canal is obstructed, for example, by malignancy or as a consequence of radiotherapy NEUROLOGICAL SYNDROMES G-R Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. CATARACT - GENERAL PRACTICE NOTEBOOK Cataract is defined as an opacity of the crystalline lens of the eye or its capsule, resulting in changes of the transparency and refractive index of the lens (1). GENERAL PRACTICE NOTEBOOKHOMECOVID-19 RESOURCESCONTACT USTESTIMONIALSABOUT THIS RESOURCEAUTHORS Welcome to Primary Care Notebook. We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time, PMR - GENERAL PRACTICE NOTEBOOK Polymyalgia rheumatic (PMR) is a chronic inflammatory disease of unknown aetiology which presnts with pain and stiffness that is worst in the morning and particularly affects the shoulders and hips (1,2).PERICARDITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here.DIVERTICULITIS
GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade toHYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve.RAISED MONOCYTES
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. ANTIDEPRESSANTS (STOPPING OR SWITCHING TREATMENT vortioxetine is a new antidepressant and there is limited experience when switching, therefore extra caution is required, particularly when switching to or from inhibitors of CYP2D6, such as fluoxetine and paroxetine. when switching to another antidepressant, doses above 10mg should be reduced to 10mg over a period of 7 days before stopping and HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body. GENERAL PRACTICE NOTEBOOK Pages with "menstruation" in the title are: absence of menstruation (menses) period (menstruation)OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
GENERAL PRACTICE NOTEBOOKHOMECOVID-19 RESOURCESCONTACT USTESTIMONIALSABOUT THIS RESOURCEAUTHORS Welcome to Primary Care Notebook. We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time, PMR - GENERAL PRACTICE NOTEBOOK Polymyalgia rheumatic (PMR) is a chronic inflammatory disease of unknown aetiology which presnts with pain and stiffness that is worst in the morning and particularly affects the shoulders and hips (1,2).PERICARDITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here.DIVERTICULITIS
GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade toHYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve.RAISED MONOCYTES
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. ANTIDEPRESSANTS (STOPPING OR SWITCHING TREATMENT vortioxetine is a new antidepressant and there is limited experience when switching, therefore extra caution is required, particularly when switching to or from inhibitors of CYP2D6, such as fluoxetine and paroxetine. when switching to another antidepressant, doses above 10mg should be reduced to 10mg over a period of 7 days before stopping and HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body. GENERAL PRACTICE NOTEBOOK Pages with "menstruation" in the title are: absence of menstruation (menses) period (menstruation)OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
TINNITUS - GENERAL PRACTICE NOTEBOOK Tinnitus is the perception of sounds in the ears or head that do not come from an outside source. It is a common condition, with similar prevalence rates in children young people and adults. The NHS Joint Strategic Needs Assessment Guidance (2019) reports that: 10% of the population will have tinnitus atOSTEOPOROSIS
Osteoporosis is a progressive, systemic skeletal disorder charcaterised by loss of bone tissue and disruption of bone micro architecture which leads to bone fragility and a consequent increased risk of fracture (1). bone formation exceeds bone resorption in youth, but by the third decade of life there is a gradual loss of bone mass. GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to GENERAL PRACTICE NOTEBOOK We use cookies. We may place these for analysis of our visitor data, to improve our website, show personalised content and to give you a great website experience. THREE COMMON THYROID DIAGNOSES Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. NEUROLOGICAL SYNDROMES G-R Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. AETIOLOGY AND RISK FACTORS Aetiolgy of aortic dissection is multifactorial. Both acquired degenerative disease and inherited susceptibility are thought to beresponsible.
MANAGEMENT OF MALIGNANT HYPERTENSION Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here.SURGICAL MANAGEMENT
Methods include: tendon repair or transfer to prevent progressive deformity secondary to tendon rupture and joint instability; reconstructive surgery for advanced joint destruction, instability anddeformity
CATARACT - GENERAL PRACTICE NOTEBOOK Cataract is defined as an opacity of the crystalline lens of the eye or its capsule, resulting in changes of the transparency and refractive index of the lens (1). GENERAL PRACTICE NOTEBOOKHOMECOVID-19 RESOURCESCONTACT USTESTIMONIALSABOUT THIS RESOURCEAUTHORS Welcome to Primary Care Notebook. We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time,PERICARDITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. VITAMIN D DEFICIENCY Vitamin D and its active metabolite 1,25-dihydroxyvitamin D (1,25(OH)2D) have classical actions on calcium balance and bone metabolism (1) insufficient 1,25(OH)2D leads to inadequate absorption of calcium and phosphate which results in secondary hyperparathyroidism and lack of new bone mineralisation - rickets in children and osteomalacia in adultsDIVERTICULITIS
GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body. GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to PMR - GENERAL PRACTICE NOTEBOOK Polymyalgia rheumatic (PMR) is a chronic inflammatory disease of unknown aetiology which presnts with pain and stiffness that is worst in the morning and particularly affects the shoulders and hips (1,2).HYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve.LICHEN SCLEROSIS
Lichen sclerosus (LS) is a chronic lymphocyte mediated inflammation of the skin which most commonly affects the ano-genital epithelium inwomen (1).
OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
GENERAL PRACTICE NOTEBOOKHOMECOVID-19 RESOURCESCONTACT USTESTIMONIALSABOUT THIS RESOURCEAUTHORS Welcome to Primary Care Notebook. We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time,PERICARDITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. VITAMIN D DEFICIENCY Vitamin D and its active metabolite 1,25-dihydroxyvitamin D (1,25(OH)2D) have classical actions on calcium balance and bone metabolism (1) insufficient 1,25(OH)2D leads to inadequate absorption of calcium and phosphate which results in secondary hyperparathyroidism and lack of new bone mineralisation - rickets in children and osteomalacia in adultsDIVERTICULITIS
GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body. PMR - GENERAL PRACTICE NOTEBOOK Polymyalgia rheumatic (PMR) is a chronic inflammatory disease of unknown aetiology which presnts with pain and stiffness that is worst in the morning and particularly affects the shoulders and hips (1,2). GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade toLICHEN SCLEROSIS
Lichen sclerosus (LS) is a chronic lymphocyte mediated inflammation of the skin which most commonly affects the ano-genital epithelium inwomen (1).
HYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve.OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to BLEEDING (HAEMATOSPERMIA) Haematospermia is the occurrence of blood in the ejaculate (1). The accurate incidence of haematospermia remains unknown (1) but is thought to be approximately 1 in 5000 of urology patientsSYMPTOMS AND SIGNS
Add your reflection on what you learned from this page and how it relates to your practice:-symptoms and signs NEUROLOGICAL SYNDROMES G-R Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. COMPLICATIONS OF GASTRECTOMY It is important to elicit a history of gastrectomy since it may explain subsequent complications such as: rapid feeling of fullness - very common but tends to improve over the first few months AETIOLOGY AND RISK FACTORS Aetiolgy of aortic dissection is multifactorial. Both acquired degenerative disease and inherited susceptibility are thought to beresponsible.
DUODENITIS - GENERAL PRACTICE NOTEBOOK This is a non-ulcerative form of duodenal inflammation. Endoscopic examination reveals widespread reddening of the mucosa. It is often seen in patients suspected of having duodenal ulceration. PYOSALPINX - GENERAL PRACTICE NOTEBOOK A pyometra is when the uterus is distended with pus. Pyometra are most likely: if the cervical canal is obstructed, for example, by malignancy or as a consequence of radiotherapy CATARACT - GENERAL PRACTICE NOTEBOOK Cataract is defined as an opacity of the crystalline lens of the eye or its capsule, resulting in changes of the transparency and refractive index of the lens (1).NASAL FURUNCLE
Nasal furunculosis is a boil in the nasal vestibule as a result of infection of a hair follicle. This condition is very rare. In this condition the tip of the nose becomes red and very painful. GENERAL PRACTICE NOTEBOOKHOMECOVID-19 RESOURCESCONTACT USTESTIMONIALSABOUT THIS RESOURCEAUTHORS Welcome to Primary Care Notebook. We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time,PERICARDITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. VITAMIN D DEFICIENCY Vitamin D and its active metabolite 1,25-dihydroxyvitamin D (1,25(OH)2D) have classical actions on calcium balance and bone metabolism (1) insufficient 1,25(OH)2D leads to inadequate absorption of calcium and phosphate which results in secondary hyperparathyroidism and lack of new bone mineralisation - rickets in children and osteomalacia in adultsDIVERTICULITIS
GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body. GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to PMR - GENERAL PRACTICE NOTEBOOK Polymyalgia rheumatic (PMR) is a chronic inflammatory disease of unknown aetiology which presnts with pain and stiffness that is worst in the morning and particularly affects the shoulders and hips (1,2).HYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve.LICHEN SCLEROSIS
Lichen sclerosus (LS) is a chronic lymphocyte mediated inflammation of the skin which most commonly affects the ano-genital epithelium inwomen (1).
OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
GENERAL PRACTICE NOTEBOOKHOMECOVID-19 RESOURCESCONTACT USTESTIMONIALSABOUT THIS RESOURCEAUTHORS Welcome to Primary Care Notebook. We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time,PERICARDITIS
Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. VITAMIN D DEFICIENCY Vitamin D and its active metabolite 1,25-dihydroxyvitamin D (1,25(OH)2D) have classical actions on calcium balance and bone metabolism (1) insufficient 1,25(OH)2D leads to inadequate absorption of calcium and phosphate which results in secondary hyperparathyroidism and lack of new bone mineralisation - rickets in children and osteomalacia in adultsDIVERTICULITIS
GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to HIGH PTH (HYPERPARATHYROIDISM) Parathyroid hormone (PTH) secreted from four parathyroid gland situated behind the thyroid gland, functions in regulating ionised calcium and phosphate within the reference range by stimulating specific receptor-mediated responses in cells throughout the body. GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to PMR - GENERAL PRACTICE NOTEBOOK Polymyalgia rheumatic (PMR) is a chronic inflammatory disease of unknown aetiology which presnts with pain and stiffness that is worst in the morning and particularly affects the shoulders and hips (1,2).HYPOCALCAEMIA
This is a low plasma calcium i.e. less than 2.3 mmol per l. It is far less common than hypercalcaemia because the skeleton is a readily mobilisable calcium reserve.LICHEN SCLEROSIS
Lichen sclerosus (LS) is a chronic lymphocyte mediated inflammation of the skin which most commonly affects the ano-genital epithelium inwomen (1).
OTITIS EXTERNA
Otitis externa is a diffuse inflammation of the skin lining the external auditory meatus. the external auditory meatus (outer ear canal) is the external part of the ear that lies between the surrounding environment and the middle ear. The outer ear canal is about 2cm long tube, lined by normal skin, ending blindly at the eardrum.
GENERAL PRACTICE NOTEBOOK GPnotebook no longer supports Internet Explorer. To ensure the site functions as intended, please upgrade your browser. Microsoft is encouraging users to upgrade to BLEEDING (HAEMATOSPERMIA) Haematospermia is the occurrence of blood in the ejaculate (1). The accurate incidence of haematospermia remains unknown (1) but is thought to be approximately 1 in 5000 of urology patientsSYMPTOMS AND SIGNS
Add your reflection on what you learned from this page and how it relates to your practice:-symptoms and signs NEUROLOGICAL SYNDROMES G-R Adding a reflective note enables GPnotebook Pro users to earn CPD credits for reading pages on GPnotebook. We are currently offering UK healthcare professionals 6 months of free access to GPnotebook Pro – to find out more about how GPnotebook Pro can help you, click here. COMPLICATIONS OF GASTRECTOMY It is important to elicit a history of gastrectomy since it may explain subsequent complications such as: rapid feeling of fullness - very common but tends to improve over the first few months AETIOLOGY AND RISK FACTORS Aetiolgy of aortic dissection is multifactorial. Both acquired degenerative disease and inherited susceptibility are thought to beresponsible.
DUODENITIS - GENERAL PRACTICE NOTEBOOK This is a non-ulcerative form of duodenal inflammation. Endoscopic examination reveals widespread reddening of the mucosa. It is often seen in patients suspected of having duodenal ulceration. PYOSALPINX - GENERAL PRACTICE NOTEBOOK A pyometra is when the uterus is distended with pus. Pyometra are most likely: if the cervical canal is obstructed, for example, by malignancy or as a consequence of radiotherapy CATARACT - GENERAL PRACTICE NOTEBOOK Cataract is defined as an opacity of the crystalline lens of the eye or its capsule, resulting in changes of the transparency and refractive index of the lens (1).NASAL FURUNCLE
Nasal furunculosis is a boil in the nasal vestibule as a result of infection of a hair follicle. This condition is very rare. In this condition the tip of the nose becomes red and very painful. This website is intended for medical professionals. We also usecookies. Learn more
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GREAT NEWS! GPNOTEBOOK IS FREE We're pleased to announce that your access to GPnotebook just became alot better!
We're on a mission to provide you with quick access to the most up to date information across the entire field of primary care medicine, and today we opened access to every medical professional, for free. Our hope is to save you time, keep you updated and assure yourconsultations.
Regular visitors to GPnotebook may notice some changes over the next few months. We’re looking to improve the look and feel of the site, add some new functionality and add a revamped education section. To facilitate this, we’ll be raising funding through advertising – including some that market pharmaceutical products. The content of the site, however, will remain 100% independent, written by the same team of doctors and edited by myself, just as it has been since Damian and I launched GPnotebook back in 2001. As always, if you have any comments or criticisms – especially with regard to any new bits of the site – please do not hesitate tocontact us.
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Dr Jim McMorran
The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions Ltd®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions Ltd® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.Advertise with us
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GREAT NEWS!
YOUR ACCESS TO FREE GPNOTEBOOK JUST BECAME EASIER! If you are from the UK or Ireland and currently use the Univadis resource link to access GPnotebook, we are excited to let you know that you will be able to log directly into GPnotebook from today. You will need to create a new password for the GPnotebook account to ensure it remains secure. Your account will remain free and your access, unlimited. Happy consulting. Set your password now For more info please contact us on support@gpnotebook.co.uk.Details
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