Chronic Conditions in GP

Question 1

What strategies can be used in pain management?

Answer 1

• Prevention
• Treat the cause
• Medical intervention
• Physcal therapy
• Nerve blocks

Question 2

In terms of medical intervention for pain management, what are the options?

Answer 2

Follow WHO analgesic ladder
-Paracetamol
-NSAIDs
-Opiates
-Adjuncts
Also medications for neuropathic pain

Question 3

What is TATT?

Answer 3

Tired all the time - an incredibly common presentation in GP land - 5-7% of all attendences.

Question 4

What are the biggest causes of TATT?

Answer 4

Stress and recovery post illness.

Question 5

Which medical conditions can present with TATT?

Answer 5

Anaemia and hypothyroidism, as well as depression.

Question 6

A patient presents with TATT. What symptoms do we need to enquire about?

Answer 6

• Weight loss
• Lymphadenopathy
• Other signs of malignancy
• Neurological signs
• Changes to hair/skin/nails
• Sleep disturbance

Question 7

When a patient complains of tiredness, what is important to clarify?

Answer 7

What do they mean by tiredness? Is it SoB on exertion, mentl exhaustion, all day or just one end of the day? Muscle weakness?

Question 8

If a TATT patient complains of weight changes, what should we ask?

Answer 8

Is there a change to appetite? If so does it match with the change in weight?
Any problems with eating?

Question 9

What do we need to ask a woman who complains of being TATT?

Answer 9

Menstruation - heavy, lots of blood loss, possibility of pregnancy?

Question 10

https://patient.info/doctor/fatigue-and-tatt

Answer 10

yep