For investigations, consider the indications for ordering the test and the key findings for common or critical conditions.
In addition to managing the key diagnoses related to each of the presenting problems above, here are some examples of key management issues to think about.
- Anticoagulation edit
- ATSI immunisations edit
- Cold chain edit
- Meningococcal vaccination edit
- Pneumococcal vaccination edit
- Pre-employment serology edit
- Prescribing with warfarin edit
- Routine childhood immunisations edit
- Shingles vaccination edit
- Travel immunisation edit
For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management. This list is by no means exhaustive, but here are a few assorted diagnoses to consider.
- Acute intermittent porphyria edit
- ALL edit
- Allergy edit
- Anaphylaxis edit
- CLL edit
- CML edit
- Factor V leiden edit
- Folate deficiency edit
- G6PDH deficiency edit
- Haemochromatosis edit
- Haemolytic jaundice edit
- Haemophilia A edit
- Hodgkin lymphoma edit
- Idiopathic thrombocytopenia edit
- Iron deficiency anaemia edit
- Leukaemia edit
- Lymphadenitis edit
- Multiple myeloma edit
- Non Hodgkin lymphoma edit
- Pneumocystis jiroveci pneumonia edit
- Polyarteritis Nodosa edit
- Scurvy edit
- Sickle cell anaemia edit
- Sideroblastic anaemia edit
- Systemic Lupus Erythematosus edit
- Thalassemia edit
- Vitamin B12 deficiency edit
- von Willebrand Disease edit
Foundation topics like anatomy, physiology and embryology are not the main focus of GP fellowship exams. The following are examples of topics that may be useful for quizzing any medical students you are supervising:
Medical students may be more focused on learning basic definitions, aetiology and pathophysiology of specific diagnoses, but registrars need to focus more on clinical problem solving. For each common presenting problem, consider what would be the red flag
features, the most common
differentials, as well as the most dangerous
and most often missed
(see Murtagh for more information on this model). For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management.
Medicine is nebulous with many conditions that arise infrequently in General Practice. These topics are not the main focus of college exams but nonetheless might occasionally appear - just as they can appear in your consultation room on a Friday afternoon. Other topics are so controversial that they are very difficult to examine. Here are some examples of topics that should not be the main focus of your study.
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