منابع مشابه
10-minute consultation: Dyspepsia.
x Is this really dyspepsia? Ask about epigastric pain; heartburn and acid regurgitation; attitudes towards meals; lying flat; and response to antacids. Consider biliary or cardiac pain. Predominant bloating may indicate aerophagia or the irritable bowel syndrome. x Be alert to “alarm symptoms” (weight loss, anaemia, vomiting, jaundice, and epigastric mass); patients aged 55 and over with recent...
متن کامل10-minute consultation: Prostatic symptoms.
x Discuss the cause of his symptoms. Show him a picture of where the prostate is and how it causes problems. He may be worried about cancer, so explain that usually the prostate simply enlarges but that in a small minority the symptoms are due to cancer. About 1 in 14 men will develop prostate cancer at some point in their life. x Discuss plans for initial investigation, including the prostate ...
متن کامل10-minute consultation: Gastro-oesophageal reflux disease.
What issues you should cover x Heartburn is common (7% of adults have daily and 35% monthly symptoms) and is chronic and relapsing but usually benign. Consider why the patient has consulted; many are worried about heart disease or cancer. x In two thirds of patients, heartburn does not progress. Those with longstanding disease ( > 5 years), however, may develop more severe symptoms as a result ...
متن کامل10-minute consultation: adverse drug event.
A 72 year old woman on holiday in your area consults you four weeks after starting treatment with a non-steroidal anti-inflammatory drug (NSAID) for her painful knee. She complains of “a reaction” to the drug. She says she has had problems with similar drugs previously, but this drug is new and supposedly has fewer side effects. She says she has been feeling weak and giddy and has developed a w...
متن کامل10-minute consultation: First episode psychosis.
x Ask about symptoms suggesting psychological vulnerability, such as irritability, feeling uneasy, constant tiredness, suspiciousness, and withdrawal. x If you suspect psychosis, ask more about changes in social functioning, such as problems in relationships with friends and family; cognition, such as poor concentration or memory; mood, such as feeling depressed, anxious, or irritable; and thou...
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ژورنال
عنوان ژورنال: BMJ
سال: 2002
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.324.7347.1219/a