Murtagh's Triads

Malaise + painful shoulder girdle + morning stiffness (>50 years)
Finger discomfort + arthralgia + reflux (+/- skin tightness)
Recurrent oral & genital ulcers + uveitis + arthritis
Weakness + joint & muscle pain + violaceous facial rash
Study Topic Ideas

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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.
  • Acute analgesia edit
  • Backslab edit
  • Chronic pain management edit
  • Dislocated finger reduction edit
  • Fitness to drive edit
  • Joint injection edit
  • Prescribing in elite athletes edit
  • Referral for joint replacement edit
  • Removal of plaster edit
  • Splints edit
  • Strapping a sprain edit
  • Workcover 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.
  • Achilles tendon xanthomata edit
  • Ankylosing spondylitis edit
  • Anterior Cruciate Ligament Injury edit
  • Behcet syndrome edit
  • Benign Acute Childhood Myositis edit
  • Bone tumours edit
  • Carpal tunnel syndrome edit
  • Cauda equina syndrome edit
  • Cervical dysfunction edit
  • Chondromalacia edit
  • Chronic fatigue syndrome edit
  • Churg-Strauss vasculitis edit
  • De Quervain’s tenosynovitis edit
  • Dermatomyositis edit
  • Duchenne Muscular Dystrophy edit
  • Fibromyalgia edit
  • Friedreich ataxia edit
  • Ganglion edit
  • Gout edit
  • Haemochromatosis edit
  • Henoch-Schonlein Purpura edit
  • Intercostal muscle strain edit
  • Lateral collateral injury edit
  • Lateral epicondylitis edit
  • Lumbar disc bulge edit
  • Medial collateral injury edit
  • Medial epicondylitis edit
  • Meniscal tear edit
  • Osgood Schlatter disorder edit
  • Osteoarthritis edit
  • Osteochondritis dissecans edit
  • Osteomalacia edit
  • Osteoporosis edit
  • Osteosarcoma edit
  • Paget disease edit
  • Patellofemoral pain syndrome edit
  • Perthes disease edit
  • Polyarteritis Nodosa edit
  • Polymyalgia rheumatica edit
  • Pott’s disease edit
  • Pseudogout edit
  • Psoriatic arthritis edit
  • Raynaud syndrome edit
  • Reiter syndrome (Reactive arthritis) edit
  • Rhabdomyolysis edit
  • Rheumatoid arthritis edit
  • Rib fracture edit
  • Sarcoma edit
  • Scheuermann disorder edit
  • Scleroderma edit
  • Septic arthritis edit
  • Shin splints edit
  • Sjogren’s syndrome edit
  • Slipped Capital Femoral Epiphysis edit
  • Spondylolisthesis edit
  • Sub-periosteal haematoma edit
  • Systemic Lupus Erythematosus edit
  • Systemic sclerosis edit
  • Transient synovitis 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:
  • Lower limb anatomy edit
  • Spinal anatomy edit
  • Upper limb anatomy edit
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.
  • Benign Acute Childhood Myositis edit

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