100 Cases in General Practice

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. "The case-based structure grabs the reader's attention and questions prompt the reader to think about and engage in each scenario... It encompasses a very wide range of different conditions and... also gives good insight into the wider role of the general practitioner beyond just medical management." -Oxford Medical School Gazette

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