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Learning experience in the subject
Consultation skills
 | Elucidate history, appropriate examination skills. |
| Recognise common deviations from the normal |
| Recognise how the physiological needs and responses change in the elderly. |
| Recognise need for referral |
Diagnosis and management
a) Acute life threatening conditions
| Myocardial infarction |
| Unstable angina |
| Cardiac arrest |
| Acute left ventricular failure |
| Acute asthma |
| Pneumonia |
| Pulmonary embolus, Deep vein thrombosis |
| Gastrointestinal haemorrhage |
| Diabetic crises: ketoacidosis, hypoglycaemia |
| Cerebrovascular accident |
| Seizures |
| Anaphylaxis |
| Acute confusional state |
| Meningitis |
b) Serious conditions
Cardiac:
| Ischaemic heart disease, Arrhythmias, Heart failure, Hypertension |
Respiratory:
| Asthma, COPD, Bronchiectasis, Lung neoplasm |
Gastrointestinal:
| Dyspepsia, ulcer and non-ulcer, Helicobacter pylori, Liver and pancreatic
disease, Inflammatory bowel disease, Malignancy, Irritable bowel syndrome. |
Neurological:
| Stroke, TIA, Epilepsy, Multiple sclerosis, Parkinson's disease, Headache
(migraine, sub-arachnoid). |
Endocrine:·
| Diabetes mellitus, Thyroid disease |
Miscellaneous:
| Inflammatory arthritis, Renal disease, Haematological malignancies, HIV
and AIDS |
Care of the elderly:
| Multiple pathology, Falls, Confusion, Off legs, Compliance, Polypharmacy,
Community and support services |
Familiarity with investigations
| Cardiac, ECG, & exercise ECG, Coronary angiography and pacemaker |
| Bronchoscopy |
| Upper & lower GI endoscopy |
| Radiology: plain, contrast, CT, MRI, Ultrasonography, Echo. |
| Liver biopsy |
| Laboratory investigations |
Source: D Rapley
Surviving GP Training (Download Word version)
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