Pub Date : 2023-09-29DOI: 10.1177/17557380231198351s
{"title":"AKT answer relating to mental health and smoking","authors":"","doi":"10.1177/17557380231198351s","DOIUrl":"https://doi.org/10.1177/17557380231198351s","url":null,"abstract":"","PeriodicalId":92790,"journal":{"name":"InnovAiT","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135243792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-27DOI: 10.1177/17557380231197121
Dr Clare Etherington, Dr Kathryn Steven
{"title":"News & Views","authors":"Dr Clare Etherington, Dr Kathryn Steven","doi":"10.1177/17557380231197121","DOIUrl":"https://doi.org/10.1177/17557380231197121","url":null,"abstract":"","PeriodicalId":92790,"journal":{"name":"InnovAiT","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135536130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-27DOI: 10.1177/17557380231202346
Dr Iffat Shah, Dr Aaliya Goyal
When a patient presents with eye trauma, it can be a daunting prospect for the GP, particularly with the potential risks, including of irreversible sight loss. It may be tempting to send patients to the nearest eye emergency service when hearing the patient's presenting complaint. This is understandable given limited access to ophthalmic equipment in primary care, including, for example, a slit lamp or even a working ophthalmoscope. However, taking a relevant and accurate history with a subsequent focussed examination to assess the extent of damage is both useful and vital to ensure the patient is seen by the ophthalmologist within the appropriate timeframe. However, for some types of eye trauma, such as chemical burns, it is best to treat in tandem with history taking.
{"title":"Eye trauma","authors":"Dr Iffat Shah, Dr Aaliya Goyal","doi":"10.1177/17557380231202346","DOIUrl":"https://doi.org/10.1177/17557380231202346","url":null,"abstract":"When a patient presents with eye trauma, it can be a daunting prospect for the GP, particularly with the potential risks, including of irreversible sight loss. It may be tempting to send patients to the nearest eye emergency service when hearing the patient's presenting complaint. This is understandable given limited access to ophthalmic equipment in primary care, including, for example, a slit lamp or even a working ophthalmoscope. However, taking a relevant and accurate history with a subsequent focussed examination to assess the extent of damage is both useful and vital to ensure the patient is seen by the ophthalmologist within the appropriate timeframe. However, for some types of eye trauma, such as chemical burns, it is best to treat in tandem with history taking.","PeriodicalId":92790,"journal":{"name":"InnovAiT","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135536144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-25DOI: 10.1177/17557380231199715
Dr Steven Scholfield, Dr Lucy Priestner
Palpitations are symptoms of a noticeable heartbeat, and they can feel like a fluttering, forceful, or sinking feeling in the chest. Due to their nature, many patients present with fears of a serious underlying cardiac disorder, leading to heightened anxieties and concern; as such, the role of the general practitioner is to differentiate between those with benign symptoms (offering reassurance in the process), and those who require further investigation in secondary care. This article aims to assist in this decision-making process, highlighting important clinical findings from the history, examination and investigations, as well as the most up-to-date referral and lifestyle-related guidelines.
{"title":"Palpitations and arrhythmia","authors":"Dr Steven Scholfield, Dr Lucy Priestner","doi":"10.1177/17557380231199715","DOIUrl":"https://doi.org/10.1177/17557380231199715","url":null,"abstract":"Palpitations are symptoms of a noticeable heartbeat, and they can feel like a fluttering, forceful, or sinking feeling in the chest. Due to their nature, many patients present with fears of a serious underlying cardiac disorder, leading to heightened anxieties and concern; as such, the role of the general practitioner is to differentiate between those with benign symptoms (offering reassurance in the process), and those who require further investigation in secondary care. This article aims to assist in this decision-making process, highlighting important clinical findings from the history, examination and investigations, as well as the most up-to-date referral and lifestyle-related guidelines.","PeriodicalId":92790,"journal":{"name":"InnovAiT","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135859644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-23DOI: 10.1177/17557380231201603
Dr Satpal Singh Shekhawat
Peyronie’s disease is a common condition affecting the penis and is characterised by fibrosis of the tunica albuginea of the penis. This condition was named after Francois Gigot de la Peyronie in 1749. This condition causes symptoms of curvature of the penis on erection, painful erection, or pain during intercourse, and can lead to emotional or psychological turmoil for the patient. People suffering from the disease can feel a lump or plaque in the shaft of the penis, which can lead to deformity or shortening of the penis. Balanitis, phimosis and paraphimosis, balanitis xerotica obliterans, penile cancer and congenital malformations are other common penile disorders presenting in general practice that require assessment, diagnosis, treatment and occasionally specialist referral.
{"title":"Peyronie’s disease and other common penile disorders","authors":"Dr Satpal Singh Shekhawat","doi":"10.1177/17557380231201603","DOIUrl":"https://doi.org/10.1177/17557380231201603","url":null,"abstract":"Peyronie’s disease is a common condition affecting the penis and is characterised by fibrosis of the tunica albuginea of the penis. This condition was named after Francois Gigot de la Peyronie in 1749. This condition causes symptoms of curvature of the penis on erection, painful erection, or pain during intercourse, and can lead to emotional or psychological turmoil for the patient. People suffering from the disease can feel a lump or plaque in the shaft of the penis, which can lead to deformity or shortening of the penis. Balanitis, phimosis and paraphimosis, balanitis xerotica obliterans, penile cancer and congenital malformations are other common penile disorders presenting in general practice that require assessment, diagnosis, treatment and occasionally specialist referral.","PeriodicalId":92790,"journal":{"name":"InnovAiT","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-05DOI: 10.1177/17557380231199056
Dr Naomi Foster
Infertility is estimated to affect 1-in-7 couples living in the UK. An estimated 84% of couples will conceive naturally within a year if they have regular unprotected sex; but those who have been trying to conceive for greater than 3 years without success are less than 25% likely to conceive naturally within the course of the following year. Investigation of infertility in primary care is often focused on the female patient and neglectful of their male partner. However, male factors alone are responsible for 20–30% of couples’ infertility, and in an additional 30–40% of cases a male factor is present in combination with other female factors. An estimated 7% of men are affected by infertility, and the incidence of infertility appears to be increasing in the developed world. This article will address potential causes and how to investigate for them. The article will consider investigation in primary care and secondary care management strategies.
{"title":"Male infertility","authors":"Dr Naomi Foster","doi":"10.1177/17557380231199056","DOIUrl":"https://doi.org/10.1177/17557380231199056","url":null,"abstract":"Infertility is estimated to affect 1-in-7 couples living in the UK. An estimated 84% of couples will conceive naturally within a year if they have regular unprotected sex; but those who have been trying to conceive for greater than 3 years without success are less than 25% likely to conceive naturally within the course of the following year. Investigation of infertility in primary care is often focused on the female patient and neglectful of their male partner. However, male factors alone are responsible for 20–30% of couples’ infertility, and in an additional 30–40% of cases a male factor is present in combination with other female factors. An estimated 7% of men are affected by infertility, and the incidence of infertility appears to be increasing in the developed world. This article will address potential causes and how to investigate for them. The article will consider investigation in primary care and secondary care management strategies.","PeriodicalId":92790,"journal":{"name":"InnovAiT","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135320236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-04DOI: 10.1177/17557380231197117
Dr Will Mackintosh
{"title":"From the trainer","authors":"Dr Will Mackintosh","doi":"10.1177/17557380231197117","DOIUrl":"https://doi.org/10.1177/17557380231197117","url":null,"abstract":"","PeriodicalId":92790,"journal":{"name":"InnovAiT","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135403028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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