{"title":"Psychotic depression","authors":"Sythra Razaq, Dr Shazad Amin","doi":"10.1177/17557380241265622","DOIUrl":"https://doi.org/10.1177/17557380241265622","url":null,"abstract":"Major depressive disorder (MDD) stands as the third leading cause of disease burden worldwide, a position projected to escalate to the top spot by 2030, according to the World Health Organization. In the UK, depression ranks as the third most common reason for consulting with a GP. This article focuses on one of the most severe manifestations of depression/psychotic depression, also known as MDD with psychotic features which represents the extreme end of the depressive spectrum, characterised by the co-occurrence of psychosis in the context of severe depression. However, despite its clinical severity, it is often underdiagnosed and undertreated. This article aims to guide assessment and diagnosis of patients in primary care, covering key aspects including aetiology, clinical presentation, referral pathways, management strategies, and prognosis.","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"31 49","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141924517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blepharitis and tear duct problems","authors":"Haider Ali","doi":"10.1177/17557380241261007","DOIUrl":"https://doi.org/10.1177/17557380241261007","url":null,"abstract":"Ophthalmological problems make up approximately 2% of all consultations in primary care. The majority of problems are minor, encompassing ailments such as conjunctivitis, foreign bodies, blepharitis, subconjunctival hemorrhage, corneal abrasions, chalazions, and ectropions. However, more complex presentations, including ptosis and cataracts require accurate diagnosis, and may need referral to secondary care. General practitioners and members of the broader practice team, including advanced nurse practitioners and GP registrars, are likely to encounter such cases at least once every week. This article considers blepharitis and associated tear duct problems, providing a review of the simple and more complex presentations and their management. It will cover assessment in primary care, triggers, pathogenesis, epidemiology, typical presentations, clinical features, differential diagnoses, prevention, management strategies, and when referral to secondary care is necessary.","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141796820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blistering skin conditions","authors":"Khalid Mohammed","doi":"10.1177/17557380241263835","DOIUrl":"https://doi.org/10.1177/17557380241263835","url":null,"abstract":"Blistering skin conditions encompass a broad spectrum of disorders, ranging from life-threatening emergencies requiring immediate attention to chronic conditions needing secondary care referral. There are also more simple conditions that can be managed with self-care or over-the-counter medication.","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"14 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141803610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AKT answer relating to orthostatic hypotension","authors":"","doi":"10.1177/17557380241252259e","DOIUrl":"https://doi.org/10.1177/17557380241252259e","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"40 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AKT answer relating to causes of syncope","authors":"","doi":"10.1177/17557380241252259k","DOIUrl":"https://doi.org/10.1177/17557380241252259k","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AKT answer relating to genital lesions","authors":"","doi":"10.1177/17557380241252259i","DOIUrl":"https://doi.org/10.1177/17557380241252259i","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"1 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141700460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AKT answer relating to first fit and driving","authors":"","doi":"10.1177/17557380241252259m","DOIUrl":"https://doi.org/10.1177/17557380241252259m","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"11 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AKT question relating to postural orthostatic tachycardia syndrome","authors":"A. Kotecha","doi":"10.1177/17557380241252259","DOIUrl":"https://doi.org/10.1177/17557380241252259","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"241 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AKT question relating to causes of primary adrenal insufficiency","authors":"Yasser Abdel Kerim","doi":"10.1177/17557380241252259p","DOIUrl":"https://doi.org/10.1177/17557380241252259p","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"63 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AKT question relating to genital lesions","authors":"A. Kotecha","doi":"10.1177/17557380241252259h","DOIUrl":"https://doi.org/10.1177/17557380241252259h","url":null,"abstract":"","PeriodicalId":438901,"journal":{"name":"InnovAiT: Education and inspiration for general practice","volume":"6 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}