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Full-Text Articles in Medicine and Health Sciences
Diagnosing Patients With Tiredness In General Practice, Jenny Doust
Diagnosing Patients With Tiredness In General Practice, Jenny Doust
Jenny Doust
Trying to sort out which patients have a relatively simple problem that will resolve spontaneously from those that require medical treatment and those that require urgent attention is one of the aspects of general practice that makes it interesting and challenging. Patients who present with tiredness in general practice can have any of a long list of diagnoses ranging from the trivial to the life threatening, and knowing how to determine who has which is an essential skill for competent practice.
Diagnostic And Management Strategies For Anaemia In Adults, Jenny Doust
Diagnostic And Management Strategies For Anaemia In Adults, Jenny Doust
Jenny Doust
BACKGROUND Anaemia is often an incidental finding or is discovered when patients present with nonspecific symptoms such as tiredness. OBJECTIVE This article presents strategies to identify the cause of anaemia and uses four case studies to illustrate these principles. DISCUSSION Few diagnostic tests can completely rule in or rule out causes of anaemia. This makes the investigation of anaemia complex. An understanding of the limitations of tests in aiding diagnosis is required.
Promoting Better Use Of The Psa Test In General Practice: Randomized Controlled Trial Of Educational Strategies Based On Outreach Visits And Mailout, D Weller, F May, D Rowett, A Esterman, C Pinnock, S Nicholson, Jenny Doust, C Silagy
Promoting Better Use Of The Psa Test In General Practice: Randomized Controlled Trial Of Educational Strategies Based On Outreach Visits And Mailout, D Weller, F May, D Rowett, A Esterman, C Pinnock, S Nicholson, Jenny Doust, C Silagy
Jenny Doust
Background. Prostate-specific antigen (PSA) testing for prostate cancer is controversial. Demand for PSA testing is likely to rise in the UK, Australia and other western countries. Primary care needs to develop appropriate strategies to respond to this demand. Objectives. Our aim was to compare the effectiveness of educational outreach visits (EOVs) and mailout strategies targeting PSA testing in Australian primary care. Methods. A randomized controlled trial was conducted in general practices in southern Adelaide. The main outcome measures at baseline, 6 months and 12 months post-intervention were PSA testing rates and GP knowledge in key areas relating to prostate cancer …