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Health disadvantage and vulnerabilities, including veterans, mental capacity, safeguarding, and communication difficulties

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Consider counselling, side-effects, monitoring requirements, follow-up

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Preschool wheeze

Asthma (children)

Bronchiolitis

Croup

Whooping cough

Childhood vaccinations

Febrile convulsions

Constipation

GORD

CMPA

Developmental delay

Failure to thrive

Nappy rash

Viral exanthems (chickenpox, HFM etc)

Headlice

Threadworm

Molluscum contagiosum

Glandular fever

Kawasaki's syndrome

Neonatal jaundice

Undescended testes

Testicular torsion

Circumcision request

Nocturnal enuresis

Autism

ADHD

Teenage contraception

Urticaria

UTI in children

Meningitis

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SCA Exam Explanation Tool | MRCGP SCA Exam | SCA Revision Cases - MRCGP SCA Exam Revision Cases

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A good, slick and well honed explanation is one way to speed up your SCA consultation, and improve your chances of Passing. To aid candidates, we have generated a random medical condition generator, with handy explanations, that you can use for free to practice your explanations.

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Women's Health

Rhesus status

Antenatal screening

Abnormal smear

Mens' Health

PSA testing

Aneurysm screening

Cardiology

Raised QRISK

Raised cholesterol

Respiratory

CXR results

Spirometry results

Musculoskeletal

X-ray request (Ottawa rules)

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Obstructive sleep apnoea

Chronic rhinosinusitis

Cholesteatoma

Bell's palsy

BPPV

Epley's manoeuvre

Meniere's disease

Vestibular neuronitis

TMJ disorder

Trigeminal neuralgia

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Breast pain

Breast lumps/changes

Breast screening

Cervical screening

Contraception

Emergency contraception

Troublesome bleeding on contraception

Postponing menstruation

Premenstrual syndrome

Dysmenorrhoea & menorrhagia

Intermenstrual & postcoital bleeding

Endometriosis & adenomyosis

Pelvic inflammatory disease

Bacterial vaginosis

Recurrent vaginal candidiasis

Polycystic ovarian syndrome

Ovarian cysts

Infertility

Early menopause

Menopause

HRT

Unscheduled bleeding on HRT

Postmenopausal bleeding

Pelvic organ prolapse

Recurrent UTI

Urinary incontinence

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Inheritance patterns

Haemophilia

Duchenne's muscular dystrophy

Cystic fibrosis

Cerebral palsy

Congenital heart disease

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The NHS.uk website is full of useful and simple explanations of many conditions, investigations and treatments.

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AAA screening, see Abdominal aortic aneurysm screening

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Diagnosis:

'Firstly, I want to reassure you that experiencing bleeding while on HRT is something that can happen, especially as your body is adjusting to the hormones. However, after six months, we would expect these symptoms to have settled down to some extent. Let's talk through what might be happening, and what steps we can take next. Hormone Replacement Therapy is designed to help manage the symptoms of menopause by replacing the hormones that your body is no longer making in sufficient quantities. It's a balance, and sometimes getting that balance right takes a bit of time and adjustment. There are different types of HRT, and bleeding can be a side effect of some of these treatments, especially in the initial stages. Continuous HRT, where both estrogen and progestogen are taken daily without a break, might lead to irregular bleeding or spotting in the first few months. This is usually because your body is adjusting to the hormones. However, by six months, we would expect this to have settled. If it hasn't, we need to consider a few possibilities.'

Management:

'Firstly, it's important to check that the bleeding isn't due to any other underlying conditions. This might involve some tests, like an ultrasound or even an endometrial biopsy, to check the health of your uterine lining. Secondly, we might need to adjust your HRT. This could mean changing the dose, the type of hormones, or how you take them (for example, switching from a pill to a patch or gel). Each method and type of hormone has its own profile of side effects and benefits, and it might be that we just haven't found the perfect match for you yet.'

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RCGP has developed super-condensed RCGP curriculum guides for 2021. These are summaries of the full versions of the curriculum topic guides.

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Atrial fibrillation

Heart failure

Angina

Myocardial infaction

Post-MI advice (driving, sex, work, secondary prevention)

Hypertension

Hypercholesterolaemia

Primary prevention of cardiovascular disease

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Termination of pregnancy

Ectopic pregnancy

Recurrent miscarriage

Hyperemesis

GORD in pregnancy

Pubic symphysis dysfunction

Hypertension in pregnancy

Pre-eclampsia

Postnasal depression

Breastfeeding problems

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Intermittent claudication

Limb ischaemia

Raynaud's syndrome

Varicose veins

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Benign prostatic hyperplasia

Erectile dysfunction

Gynaecomastia

Male infertility

Peyronie’s disease

LUTS in males

UTI in males

Vasectomy request

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Asthma (adults)

COPD

Bronchiectasis

Tuberculosis

Interstitial lung disease (pulmonary fibrosis, sarcoidosis)

Chronic cough

Vaccinations (flu, pneumococcal)

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Sexually transmitted infections

HIV, including PREP/PEEP

Gender dysphoria

LGBT+ fertility options

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Epilepsy (fitness to drive, antiepileptics & contraception)

Parkinson's disease

Multiple sclerosis

Stroke & TIA

Post-stroke advice (driving, sex, work; secondary prevention)

Migraines & prophylaxis

Tension headaches

Medication overuse headache

Essential tremor

Restless leg syndrome

Neuropathies (alcohol, diabetes, B12)

Nerve entrapments (eg. carpal tunnel)

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Pain

Nausea & vomiting

Secretions

Agitation

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Pernicious anaemia

Coeliac disease

Lactose intolerance

Constipation

Diverticular diseae

Peptic ulcer disease

GORD

H Pylori infection

Barrett's oesophagus

Irritable bowel syndrome

Crohn's disease

Ulcerative colitis

Fatty liver diseae

Alcoholic liver disease

Liver cirrhosis

Gallstones

Hepatitis

Chronic pancreatitis