John Murtagh's General Practice is the gold standard reference for established doctors and new graduates and students in the fields of general practice and primary health care. This new edition is completely revised and expanded, including *New diagnostic strategies for common presenting problems *Significant updates on sexual health and cervical cancer screening *Updated information on mental health diagnosis and treatment This seventh edition builds on its influential legacy and has been thoroughly updated by the experienced author team, including new authors who bring a new generation of knowledge and diagnostic expertise to this authoritative title.
Table of Contents
The authors v
Foreword viii
Acknowledgments xi
Preface xii
Making the most of your book xiii
Reviewers xvii
Laboratory reference values xx
Normal values: worth knowing by heart xxii
Abbreviations xxiii
Part 1 The basis of general practice 1
Chapter 1 The nature, scope and content
of general practice 2
Chapter 2 The family 6
Chapter 3 Consulting skills 13
Chapter 4 Communication skills 19
Chapter 5 Counselling skills 27
Chapter 6 Difficult, demanding and angry
patients 38
Chapter 7 Health promotion and patient
education 43
Chapter 8 The elderly patient 48
Chapter 9 Prevention in general practice 64
Chapter 10 Nutrition in health and illness 75
Chapter 11 Palliative care 83
Chapter 12 Pain and its management 93
Chapter 13 Research and evidence-based
medicine 107
Chapter 14 Travel medicine 117
Chapter 15 Tropical medicine and the returned
traveller 130
Chapter 16 Inspection as a clinical skill 142
Chapter 17 A safe diagnostic strategy 148
Chapter 18 Genetic conditions 157
Part 2
Diagnostic perspective in
general practice 177
Chapter 19 Depression 178
Chapter 20 Diabetes mellitus 187
Chapter 21 Drug and alcohol problems 205
Chapter 22 Anaemia 222
Chapter 23 Endocrine and metabolic disorders 230
Chapter 24 Spinal dysfunction 243
Chapter 25 Urinary tract infection 246
Chapter 26 Malignant disease 255
Chapter 27 HIV/AIDS―could it be HIV? 264
Chapter 28 Baffling viral and protozoal infections 276
Chapter 29 Baffling bacterial infections 283
Chapter 30 Infections of the central nervous
system 297
Chapter 31 Chronic kidney failure 303
Chapter 32 Connective tissue disease and the
systemic vasculitides 311
Chapter 33 Neurological dilemmas 321
Part 3
Problem solving in general
practice 339
Chapter 34 Abdominal pain 340
Chapter 35 Arthritis 363
Chapter 36 Anorectal disorders 385
Chapter 37 Thoracic back pain 394
Chapter 38 Low back pain 408
Chapter 39 Bruising and bleeding 429
Chapter 40 Chest pain 439
Chapter 41 Constipation 461
Chapter 42 Cough 472
Chapter 43 Deafness and hearing loss 487
Chapter 44 Diarrhoea 497
Chapter 45 The disturbed patient 515
Chapter 46 Dizziness/vertigo 535
Chapter 47 Dyspepsia (indigestion) 545
Chapter 48 Dysphagia 555
Chapter 49 Dyspnoea 560
Chapter 50 The painful ear 573
Chapter 51 The red and tender eye 587
Chapter 52 Pain in the face 603
Chapter 53 Fever and chills 613
Chapter 54 Faints, fits and funny turns 623
Chapter 55 Haematemesis and melaena 632
Chapter 56 Headache 635
Chapter 57 Hoarseness 653
Chapter 58 Jaundice 657
Chapter 59 Nasal disorders 674
Chapter 60 Nausea and vomiting 684
Chapter 61 Neck lumps 690
Chapter 62 Neck pain 695
Chapter 63 Shoulder pain 709
Chapter 64 Pain in the arm and hand 722
Chapter 65 Hip, buttock and groin pain 739
Chapter 66 Pain in the leg 752
Chapter 67 The painful knee 770
Chapter 68 Pain in the foot and ankle 790
Chapter 69 Walking difficulty and leg swelling 807
Chapter 70 Palpitations 814
CONTENTS
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Chapter 71 Sleep disorders 828
Chapter 72 Sore mouth and tongue 839
Chapter 73 Sore throat 850
Chapter 74 Tiredness/fatigue 859
Chapter 75 The unconscious patient 866
Chapter 76 Urinary disorders 875
Chapter 77 Visual failure 887
Chapter 78 Weight gain 900
Chapter 79 Weight loss 909
Part 4
Chronic disorders: continuing
management 917
Chapter 80 Allergic disorders including hay fever 918
Chapter 81 Anxiety disorders 926
Chapter 82 Asthma 935
Chapter 83 Chronic obstructive pulmonary disease 948
Chapter 84 Epilepsy 956
Chapter 85 Cardiovascular disease 965
Chapter 86 Hypertension 969
Chapter 87 Dyslipidaemia 986
Chapter 88 Chronic heart failure 991
Chapter 89 Osteoporosis 998
Part 5 Child and adolescent health 1003
Chapter 90 An approach to the child 1004
Chapter 91 Specific problems of children 1014
Chapter 92 Surgical problems in children 1030
Chapter 93 Common childhood infectious
diseases (including skin eruptions) 1041
Chapter 94 Behavioural and developmental
issues and disorders in children 1054
Chapter 95 Child abuse 1067
Chapter 96 Emergencies in children 1075
Chapter 97 Adolescent health 1090
Part 6 Women’s health 1097
Chapter 98 Cervical cancer screening 1098
Chapter 99 Family planning 1107
Chapter 100 Breast pain (mastalgia) 1118
Chapter 101 Lumps in the breast 1123
Chapter 102 Abnormal uterine bleeding 1135
Chapter 103 Lower abdominal and pelvic pain
in women 1143
Chapter 104 Premenstrual syndrome 1156
Chapter 105 The menopause 1160
Chapter 106 Vaginal discharge 1168
Chapter 107 Vulvar disorders 1176
Chapter 108 Basic antenatal care 1184
Chapter 109 Postnatal care 1193
Part 7 Male health 1201
Chapter 110 Male health: an overview 1202
Chapter 111 Scrotal pain 1206
Chapter 112 Inguinoscrotal lumps 1211
Chapter 113 Disorders of the penis 1222
Chapter 114 Disorders of the prostate 1230
Part 8 Sexual health 1241
Chapter 115 The subfertile couple 1242
Chapter 116 Sexual health 1250
Chapter 117 Sexually transmitted infections 1260
Chapter 118 Intimate partner violence and
sexual assault 1273
Part 9 Problems of the skin 1279
Chapter 119 A diagnostic and management
approach to skin problems 1280
Chapter 120 Pruritus 1290
Chapter 121 Common skin problems 1300
Chapter 122 Acute skin eruptions 1322
Chapter 123 Skin ulcers 1334
Chapter 124 Common lumps and bumps 1344
Chapter 125 Pigmented skin lesions 1362
Chapter 126 Hair disorders 1372
Chapter 127 Nail disorders 1383
Part 10
Accident and emergency
medicine 1393
Chapter 128 Emergency care 1394
Chapter 129 The doctor’s bag and other
emergency equipment 1410
Chapter 130 Stroke and transient ischaemic attacks 1415
Chapter 131 Thrombosis and thromboembolism 1422
Chapter 132 Common skin wounds and foreign
bodies 1428
Chapter 133 Common fractures and dislocations 1442
Part 11 Health of specific groups 1467
Chapter 134 The health of Aboriginal and Torres
Strait Islander peoples 1468
Chapter 135 Refugee health 1477
Appendix 1483
Index 1488
