CSA Symptom Solver: Clinical Frameworks for the MRCGP CSA Exam

Description

UPDATED AND CORRECTED IN AUGUST 2019. In an already busy GP registrar year with e-Portfolio updates, tutorials, VTS away days, home visits, and the daily rigmarole of clinics, there is perhaps not enough time to revise the whole of medicine, surgery and the specialities (ENT, Ophthalmology, gynaecology, paeds etc.) that would give you confidence to face the exams. For this reason we wrote this book with the GP registrar in mind. It includes over 120 common symptoms that patients present with and those that may come up in the RCGP CSA exams. For each symptom a comprehensive consultation framework has been included to guide you through the best approach in dealing with the complaint. This CSA book includes guidance such as what questions to ask, eliciting relevant past medical history, social history etc. The CSA framework then guides you to which examinations would be relevant and what investigations should be requested in your CSA exam. The final part of each chapter advises about possible differential diagnoses and evidence based ways of managing these. We have also included in this book simple explanation briefs that you can use to explain the pertinent diagnoses to the patient in a jargon free manner. This book has been specifically written to save you hours of time researching before your examinations and hopefully will become your core companion to ease you through the CSA exams and into your future as a fully fledged General Practitioner. We hope that you find this book a useful aid to excel in the CSA exams and continue to use it well into your independent GP years! Cover Page Table of Contents Introduction Preface About the authors Contributors & Editors Abbreviations Challenging Cases Home visit Telephone consultation Angry patients Complaints procedure Breaking bad news Domestic violence Child protection End of life / palliative Care Genetic counselling Paternity test Cardiovascular Chest pain Angina Hypertension Palpitations Hypercholesterolaemia Peripheral arterial disease Varicose veins Deep Vein Thrombosis ( DVT) Respiratory Cough Shortness of breath Heart Failure Asthma COPD Smoking cessation Gastroenterology Abdominal pain Dyspepsia Obesity Diarrhoea Travel Irritable bowel syndrome (IBS) Dysphagia PR bleeding Pruritus ani Constipation Liver disease Genitourinary Erectile dysfunction PSA Haematuria Renal stones Urinary incontinence (female) Chronic Kidney Disease (CKD) Vasectomy Testicular problems Inguinal hernias Endocrine Diabetes Hypothyroidism Hyperthyroidism Galactorrhoea Gynaecomastia Tired all the time Neurology Headache Migraine Temporal arteritis Trigeminal neuralgia Stroke / TIA Loss of consciousness Epilepsy Multiple Sclerosis ENT Ear pain Hearing loss / tinnitus Vertigo Snoring (sleep apnoea) Facial pain Rhinitis Halitosis Mouth ulcers Ophthalmology Red eye Loss of vision Obstetrics & Gynaecology Menorrhagia Amenorrhoea Polycystic ovary syndrome (PCOS) Hirsutism Subfertility Combined oral contraceptive pill Progestogen only pill Emergency contraceptive pill Hormonal replacement therapy (HRT) Pre-menstrual syndrome (PMS) Antenatal Termination of pregnancy Vaginal discharge Breast pain & lump Smear test Musculoskeletal system Chronic fatigue syndrome Polymyalgia Rheumatica Osteoporosis Gout Joint pain (RA/OA) Back pain Hip pain Knee pain Ankle & foot pain Shoulder pain Elbow pain Hand pain Raynaud's phenomenon Dermatology Eczema Psoriasis Acne Fungal infections Head lice Scabies Alopecia Paediatrics Approach to Paediatric history Asthma Autism / MMR ADHD Meningitis Upper respiratory tract infections (URTI) Urinary tract infection (UTI) Limp Nocturnal enuresis Functional Constipation Care of elderly Dementia Falls Mental health Depression Insomnia Psychosis Suicidal ideation Anxiety disorder Post traumatic stress disorder (PTSD) Obsessive-compulsive disorder (OCD) Alcoholism Drug dependency Eating disorders