Murtagh's Triads

Male with dysuria + fever + perineal pain
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.
  • Circumcision referral 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 prostatitis edit
  • Balanitis edit
  • Benign prostatic hypertrophy edit
  • Chancroid edit
  • Chlamydia edit
  • Donovanosis edit
  • Epididymitis edit
  • Klinefelter syndrome edit
  • Prostate Cancer edit
  • Testicular torsion edit
  • Torsion of the appendix testis edit
  • UTI – complicated 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:
  • Reproductive 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.
  • Breast lump edit
  • Domestic violence edit
  • Genital injury edit
  • Genital ulcers edit
  • Low Urinary Tract Symptoms edit
  • Paraphimosis edit
  • Phimosis edit
  • Priapism edit
  • Testicular / scrotal lumps edit
  • Testicular / scrotal pain edit
  • Undescended testes edit
  • Urethral discharge edit
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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