Respiratory Medicine in GP setting Flashcards
What are the main respiratory presenting symptoms in a GP setting?
Cough
Dyspnoea
Wheeze
Chest tightness
Chest pain
Haemoptysis
Define Dyspnoea.
Difficult or laboured breathing
List some common URTI’s seen in GP.
Sinusitis, pharyngitis, tonsillitis.
Do people w URTI’s usually need antibitocis?
No
When might you give antibiotics?
If URTI’s not settling or getting worse
What do GP’s provide to patients w URTI’s?
Reassurance and advice/info about illness
What are some of the common presenting symptoms of LRTi’s in GP settings?
Cough, dyspnoea, feel unwell, appetite reduced, low energy, haemoptysis but not common.
What is the treatment for LRTI’s?
Send Sputum sample, treat with antibiotics +/- admission,
What is the GP version of CURB 65?
CRB 65 as don’t have access to same day bloods.
What can GP’s provide patients who have LRTI’s with?
Follow up recovery, sick lines if required, general support around convalescence
What role does a GP play in terms of asthma?
Diagnosis, optimising treatment, managing exacerbations, admitting if required, following up and further optimisation of treatment.
What are some triggers of acute asthma?
Viral infection, allergy
What do patient’s have in order to have acute asthma?
Increase in asthmatic symptoms or decrease in PEF or both.
What do patients have in order to be considered to have an acute exacerbation of COPD?
Increase in volume or purulence of sputum, increased shortness of breath.
Why is lung disease often diagnosed late?
Variable presentation
