GP summary Flashcards
do an ID check if it is a telehealth appointment
three point ID check:
name, date of birth, address
let them know who you are
ask them if they have anyone else in the room as well/if they have privacy
management
follow up ?telehealth
safety net
short term and long term management
referrals
preventative health things
STI screening
CST
BP check
excess alcohol use, smoking, vaping
FOBT
mammogram
CVD risk
skin check
osteoporosis, FRAX
diabetes screening
immunisations
cholesterol
prostate cancer screening
6 Ps for sexual history
partners
practices
protection
pregnancies
past history
plus more: HPV vaccine, consent, safety, CST
breast cancer screening
every 2 years 50-74
(40-74 if moderately increased risk)
review first line Rx for STIs and Ix for STIs
diabetes screening
australian type 2 diabetes risk assessment tool - use this every 3 years (AUSDRISK)
assesses risk of developing diabetes over the next 5 years for patients over 40
screening for alcohol use disorder
AUDIT-C
CAGE: cut down, annoyed, guilty, eye opener
STAR
set a quit date
tell friends and family
anticipate challenges
remove triggers
one standard drink is
10g of alcohol
prostate cancer screening
GPs should not order PSA test for men unless they provide informed consent
offer PSA testing every 2 years from 50 years of age at average risk
asthma first aid
444
call for help
4 puffs of reliever
4 breaths per pufff
every 4 minutes
keep going until the ambulance comes
risk factors for skin cancer
sun exposure
sun protection
skin type
history of childhood burns
previous skin cancer or significant FHx
gold standard for skin lesion
2mm excisional biopsy
performed under local anaesthetic
ellipse specimen should follow the lines of relaxed skin tension
primary closure with 1-2 sutures
review lock back pain
