This latest edition has been comprehensively updated to include new information on the latest clinical evidence, national guidelines, and from the recent medical literature:
• all existing cases have been revised
• new cases have been added to cover pre-diabetes and premature ejaculation
• psoriasis, sore throat, thyroid disease and the PSA test are covered in even more detail
The first three editions have helped thousands of candidates through the CSA exam in the last nine years. The original approach has therefore been retained so the book continues to offer readers a concise ‘need-to-know’ guide to passing the CSA, with the emphasis on successfully completing a case in the allotted ten minutes using a structured consultation framework that works.
The aim of the book is to leave exam candidates with more time to concentrate on passing the CSA exam itself.
Author(s): Thomas Das
Edition: 4th
Publisher: Scion Publishing
Year: 2018
Language: English
Pages: 309
Tags: General Practice
Cover......Page 1
Hlaf-Title......Page 2
Title......Page 4
Copyright......Page 5
Contents......Page 6
Preface to the fourth edition......Page 12
Preface to the first edition......Page 13
Acknowledgements......Page 14
Abbreviations......Page 16
How to use this book......Page 18
Section 1: An approach to the CSA......Page 20
How to pass the CSA – full marks in 10 minutes......Page 22
Basic consultation structure......Page 23
Consultation structure – summary......Page 27
Interpersonal skills......Page 29
What if your mind goes blank?......Page 31
Section 2: Special GP cases......Page 34
Telephone consultation......Page 36
Home visit......Page 38
Breaking bad news......Page 40
The angry patient and complaints......Page 43
Patient refusing emergency management......Page 45
Mental Capacity Act......Page 46
Patients under 16......Page 47
Domestic violence......Page 49
Palliative care......Page 50
Hearing impairment......Page 53
Learning disability......Page 54
Consultations with more than one person......Page 56
Patient who is a healthcare professional......Page 58
Section 3: Typical cases......Page 60
Cardiovascular lifestyle advice......Page 62
Aspirin, antiplatelets and prevention of cardiovascular disease......Page 63
Hypertension......Page 64
Hypercholesterolaemia......Page 67
Chest pain......Page 70
Angina......Page 72
Palpitations......Page 75
Intermittent claudication......Page 77
Varicose veins......Page 78
Smoking cessation......Page 80
Cough......Page 83
COPD......Page 86
Asthma......Page 91
Obesity......Page 96
Drugs and surgery for obesity......Page 99
Dyspepsia......Page 100
Irritable bowel syndrome......Page 102
Rectal bleeding......Page 105
Constipation in adults......Page 107
Diarrhoea......Page 108
Pruritus ani......Page 110
Anaemia......Page 111
Liver disease......Page 114
Inguinal hernia......Page 115
Coeliac disease......Page 116
Diabetic review......Page 118
Type 2 diabetes mellitus......Page 120
Pre-diabetes......Page 124
Gestational diabetes......Page 125
Goitre......Page 127
Thyroid disease......Page 129
Tired all the time......Page 130
Chronic fatigue syndrome......Page 132
Gynaecomastia......Page 134
Osteoporosis......Page 136
Carpal tunnel syndrome......Page 139
Joint pain – a general approach......Page 141
Low back pain and sciatica......Page 143
Knee pain......Page 147
Shoulder pain......Page 149
Polymyalgia rheumatica......Page 150
Neck pain......Page 151
Rheumatoid arthritis......Page 152
Osteoarthritis......Page 154
Gout......Page 156
Tennis elbow......Page 157
Raynaud’s phenomenon......Page 159
Dupuytren’s contracture......Page 161
Headache......Page 164
Migraine......Page 166
Transient ischaemic attack......Page 168
Head injury......Page 170
Collapse and seizures......Page 172
Falls......Page 174
Parkinson’s disease......Page 176
Dementia......Page 178
Fungal skin infections......Page 180
Acne......Page 182
Eczema......Page 184
Psoriasis......Page 186
Ear pain......Page 190
Tinnitus......Page 191
Dental pain......Page 193
Labyrinthitis/vestibular neuronitis......Page 194
Snoring......Page 196
Sore throat and tonsillitis......Page 197
Painful and red eye......Page 200
Prostate cancer......Page 202
Prostate-specific antigen......Page 203
Haematuria......Page 204
Erectile dysfunction......Page 207
Premature ejaculation......Page 209
Benign prostatic hyperplasia......Page 210
Urinary incontinence......Page 212
Testicular pain......Page 214
Lower urinary tract symptoms (LUTS) in men......Page 215
Chlamydia......Page 218
Chronic kidney disease......Page 222
Management of CKD in primary care......Page 224
Menorrhagia......Page 226
Amenorrhoea/oligomenorrhoea......Page 228
Premenstrual syndrome......Page 230
Polycystic ovary syndrome......Page 231
Hirsutism......Page 233
Combined oral contraceptive pill......Page 235
Emergency contraception......Page 237
Termination of pregnancy request......Page 239
Subfertility......Page 241
Screening......Page 243
Diagnosing menopause......Page 244
Starting hormone replacement therapy......Page 245
Antenatal counselling......Page 247
Common issues during pregnancy......Page 249
Summary of NICE Guidelines (2017) on antenatal screening......Page 250
Booking visit......Page 252
Subsequent antenatal visits......Page 254
Paediatrics – general approach......Page 256
ADHD......Page 257
Nocturnal enuresis......Page 259
Constipation in children......Page 262
Diarrhoea and vomiting in child under five......Page 264
Eczema in children......Page 266
When to suspect child maltreatment......Page 269
Depression......Page 274
Anxiety......Page 280
Psychiatric risk assessment......Page 282
Recent non-accidental overdose......Page 284
Alcoholism......Page 286
Insomnia and sleep disorders......Page 289
Eating disorders......Page 291
Opiate addiction......Page 293
Cannabis abuse......Page 295
Post-traumatic stress disorder......Page 297
Appendix 1 – Influenza vaccination......Page 300
Appendix 2 – History taking......Page 302
Appendix 3 – Suggested phrases during a consultation......Page 306
Summary of consultation structure......Page 309
