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CONTENTS: SYMPTOMSAssess and manage the patient using his/her symptoms as a starting pointAAbused patient 53Abdominal pain 19Abnormal vaginal bleeding 29Aggressive patient 50Anal symptoms 22Arm symptoms 35BBack pain 34Bites 39Blackout 7Body pain 32Breast symptoms 18Burns 39CCervical screening 27Chest pain 15Collapse 7Coma 1Confused patient 51Constipation 22Cough 16DDiarrhoea 21Difficult breathing 16Dizziness 8Dyspepsia 19EEar symptoms 12Eye symptoms 10FFace symptoms 11Fatigue 6Fever 4Fits 2Foot symptoms 37Foot care 37GGeneral body pain 32Genital symptoms 23HHeadache 9Heartburn 15IInjured patient 38JJaundice 40Joint symptoms 33LLeg symptoms 36Lymphadenopathy 5MMiserable patient 52Mouth symptoms 14NNail symptoms 48Neck pain 35Nose symptoms 13OOverweight patient 68PPain 32Pap smear 27RRape 53SSeizures 2Sexually transmitted infections 23Sexual problems 30Skin symptoms 40Difficulty sleeping 54Stressed patient 52Suicidal patient 49Syphilis 28TThroat symptoms 14Tiredness 6Traumatised patient 53UUnconscious patient 1Urinary symptoms 31VAbnormal vaginal bleeding 29Violent patient 50Vision symptoms 10Vomiting 20WWeakness 6Weight loss 3
CONTENTS: CHRONIC CONDITIONSAn approach to the diagnosis and routine care of the patient with a chronic conditionTBTB: diagnosis 55TB: routine care 57HIVHIV: diagnosis 60HIV: routine care 61Chronic respiratory diseaseAsthma and COPD: diagnosis 65Using inhalers and spacers 65Asthma: routine care 66COPD: routine care 67Chronic diseases of lifestyleCardiovascular disease risk: diagnosis 68Cardiovascular disease risk: routine care 69Diabetes: diagnosis 70Diabetes: routine care 71Hypertension: diagnosis 73Hypertension: routine care 74Heart failure 75Stroke 76Ischaemic heart disease: diagnosis 77Ischaemic heart disease: routine care 78Peripheral vascular disease 79Mental HealthMental health care act 80Depression and/or anxiety: diagnosis 81Depression and/or anxiety: routine care 82Substance abuse 83Psychosis and mania: diagnosis 84Psychosis and mania: routine care 84Dementia 86Epilepsy 87Musculoskeletal disordersChronic arthritis 88Gout 89Fibromyalgia 90Women’s healthContraception 91The pregnant patient 93Routine antenatal care 95Preventing mother-to-child transmission of HIV 96Postnatal care 97Menopause 98Prep room assessment 99Protect yourself from occupational infection 100Routine care summary 101Helpline numbersback page
Page 6 and 7: THE UNCONSCIOUS PatientManage the u
Page 8 and 9: WEIGHT LOSSRecognise the patient wi
Page 10 and 11: LYMPHADENOPATHY (enlarged lymph nod
Page 12 and 13: COLLAPSE• Unconscious 1• Fit 2
Page 14 and 15: HEADACHE• Sudden onset of severe
Page 16 and 17: FACE SYMPTOMSRecognize the patient
Page 18 and 19: NOSE SYMPTOMSRunny or blocked noseA
Page 20 and 21: CHEST PAINRecognise the patient wit
Page 22 and 23: WHEEZE/TIGHT CHESTInitial Managemen
Page 24 and 25: ABDOMINAL PAIN WITH OR WITHOUT SWEL
Page 26 and 27: DIARRHOEARecognise the ill patient
Page 28 and 29: GENITAL SYMPTOMSAssess the patient
Page 30 and 31: VAGINAL DISCHARGE• It is normal f
Page 32 and 33: OTHER GENITAL SYMPTOMSFirst assess
Page 34 and 35: ABNORMAL VAGINAL BLEEDING• BP < 9
Page 36 and 37: URINARY SYMPTOMSRecognise patient w
Page 38 and 39: JOINT SYMPTOMSRecognise the patient
Page 40 and 41: NECK PAINRecognise the patient with
Page 42 and 43: FOOT SYMPTOMS• If the problem is
Page 44 and 45: BURNSAttend urgently to the patient
Page 46 and 47: PAINFUL SKINFirm, red lump which so
Page 48 and 49: GENERALISED ITCHY RASHIf status unk
Page 50 and 51: GENERALISED NON ITCHY RED RASHIs pa
Page 52 and 53:
CHANGES IN SKIN COLOURYellow skinDa
Page 54 and 55:
SUICIDAL PatientRecognise the patie
Page 56 and 57:
CONFUSED Patient• The confused pa
Page 58 and 59:
TRAUMATISED/ABUSED PatientRecognize
Page 60 and 61:
TB: DIAGNOSISExclude TB in the pati
Page 62 and 63:
TB: ROUTINE CAREAssess the patient
Page 64 and 65:
Manage the patient with a positive
Page 66 and 67:
HIV: ROUTINE CAREAssess the patient
Page 68 and 69:
Advise the patient with HIV• Supp
Page 70 and 71:
ASTHMA AND COPD: DIAGNOSIS• The p
Page 72 and 73:
CHRONIC OBSTRUCTIVE PULMONARY DISEA
Page 74 and 75:
CARDIOVASCULAR DISEASE (CVD) RISK:
Page 76 and 77:
DIABETES: ROUTINE CAREAssess the pa
Page 78 and 79:
HYPERTENSION: DIAGNOSISCheck blood
Page 80 and 81:
HEART FAILURE: ROUTINE CARE• The
Page 82 and 83:
ISCHAEMIC HEART DISEASE (IHD): DIAG
Page 84 and 85:
PERIPHERAL VASCULAR DISEASE (PVD)
Page 86 and 87:
DEPRESSION AND ANXIETY: DIAGNOSISAs
Page 88 and 89:
SUBSTANCE ABUSEIdentify the patient
Page 90 and 91:
Advise the patient with psychosis
Page 92 and 93:
EPILEPSYDr• If the patient is fit
Page 94 and 95:
GOUT• Gout is a metabolic disease
Page 96 and 97:
CONTRACEPTIONGive emergency contrac
Page 98 and 99:
THE PREGNANT Patient• Fitting•
Page 100 and 101:
ROUTINE ANTENATAL CAREAssess the pr
Page 102 and 103:
POSTNATAL CAREAssess the mother and
Page 104 and 105:
PREP ROOM ASSESSMENT OF THE Patient
Page 106 and 107:
CVD RISKRoutine care summaryDIABETE
Page 108:
103TB HIV CHRONIC RESPIRATORYDISEAS
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