100 Cases in General Practice

Summary:
The aim of the 100 Cases series is to provide a novel learning and revision tool that works by guiding the student through clinical cases, imitating those that students and Foundation Year Doctors are likely to meet in a general practice setting. The cases are written to interest students in clinical problems and to help them develop their skills of clinical reasoning, with each scenario providing details of a patient's medical history and the key findings of a clinical examination, together with initial investigation results data for evaluation.

Key questions then prompt the student to evaluate the patient, and reach a decision regarding their condition and the possible treatment plan; while the answer pages enable the reader to understand the processes a clinician goes through in such situations. The volumes are designed with the student in mind, and include features to aid self-directed learning, clinical thinking and problem-solving.

• 100 cases - covering many typical complaints likely to be encountered, as well as less frequently seen problems
• Succinct case studies presented in an easy-to-read format, listing patient history, examination and investigations
• Questions at the end of each case prompt the student to think about their options for diagnosis, interpretation, investigation and management
• Answer pages guide the reader through the clinician's sequence of thoughts and actions
• Part of the successful 100 Cases series

Table of Contents:
Person-centred medicine
Bio-psycho-social approach
Non serious physical injury with serious social consequences
The importance of family history
Ethico-legal issues
Difficult communication
Telephone consultation
Patient pathway to the GP
Sorting symptoms
When to investigate
Uncertainty
Risk management
Team approach
The GP role
Continuity of care
When to refer
Use of resources
Individual and community needs
Diversity and Access issues
Subtle symptoms with rare, potentially life-threatening consequences
Advocacy
‘There’s a lot of it about’
Seasonal conditions
Normality
A long list
Hypochondriacs eventually get ill
We don’t always get it right
New information or knowledge
Partial, early presentation
‘It’s a bit like my granny’
Medicalising symptoms
Psychosomatic presentations
Seeing the patient in the street
Getting medical care for our own family
Our own experience
An uncomfortable relationship with a patient
Adherence
Differential diagnosis
Infectious diseases
Family problems
Importance of treating conditions with no serious sequelae
Treatment of chronic conditions for which there are no symptoms
Epidemiological contributions
Common, self-limiting conditions
Where there is no cure – holding a patient
Not winning
Latrogenic disease

About the Author(s):
Martin Mueller MD MHPE MRCGP DCH DRCOG DIMC DFFP FHEA, Senior General Practice Tutor, King's College London School of Medicine at Guy's, King's College and St Thomas' Hospitals, London; Visiting Senior Lecturer, Centre for Medical Education, Barts and The London School of Medicine and Dentistry, London, UK

John Grabinar BMBCh MRCGP MA(Oxon) DObstRCOG DCH, Lewisham Primary Care Trust, Lewisham, UK

Volume Editor: Anne Stephenson MBChB PhD(Medicine) FHEA, Senior Lecturer in General Practice and Director of Community Education, King's College London School of Medicine at Guy's, King's College and St Thomas' Hospitals, London, UK


Series Editor: P John Rees MD FRCP is Consultant Physician and Dean of Medical Education, King's College London School of Medicine at Guy's, King's and St Thomas' Hospitals, London, UK

Reviews: