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There is ample opportunity and scope for gynaecology in prim ary care in general practice. Many conditions and problems can be managed successfully in this context without referral to hos pital and specialist care. The first aim of this book is to deal with common problems that are referred for consultant opinion and specialist management to the average District General Hospital by analysing problems of presentation and diagnosis on a symptom-orientated basis. Selection for primary care management as opposed to hospital referral is then considered, following which the wide range of available treatment is evaluated with particular emphasis on the maximum use of up-to-date but proven regimes. The full use of the expertise of the practitioner is highlighted throughout. The second aim is to encourage the practice of primary care gynaecology and to help those doctors who have a special in terest in the subject, while hopefully stimulating others to de velop a similar one. With this in mind, the approach to the problems is realistic and often dogmatic while opportunities for individual management and for practical procedures are kept to the forefront.
List of contents
1 Gynaecology in primary care.- 2 Postmenopausal bleeding.- 3 Excessive vaginal bleeding.- 4 Painful periods.- 5 Backache.- 6 Painful difficult intercourse.- 7 Vaginal discharge.- 8 Urinary symptoms.- Appendix A: History.- Appendix B: Examination.- B1: Breast examination.- B2: Abdominal examination.- B3: Pelvic examination.
