Abstract
InnovAiT is produced on a 3-year cycle. However, many articles do not significantly go out of date in that time. This section of InnovAiT summarises articles from the previous cycle of InnovAiT that GPs and GPs in training might still find useful today. The December 2019 issue included short articles on standing desks, passing the CSA and general practice in Denmark. Crammer’s Corner considered reflective practice.
Urinary incontinence in women
Dr Keren E Wales and Mr Thomas Gray
InnovAiT 2019 12(12): 690–696
Urinary incontinence is the involuntary loss of urine and affects 50% of women at some point in their lives. Assessment is important for GPs to advise on causes, management and referral. This article guides diagnosis and management, including medication, lifestyle modification and indications for referral.
Recurrent urinary tract infection in women
Dr Keren E Wales, Dr Lauren Mecia and Mr Thomas Gray
InnovAiT 2019 12(12): 697–702
Recurrent urinary tract infection (UTI), two or more UTIs within 6 months, accounts for 3% of GP appointments every year and disproportionately affects post-menopausal women. This article outlines prophylaxis and management options, including indications for referral. Patients with recurrent UTI over age 60 years or with persistent haematuria should have urgent ultrasound and cystoscopy.
Non-hormonal treatments of menopausal symptoms
Dr Abi Taylor
InnovAiT 2019 12(12): 703–705
Some patients presenting with menopausal symptoms may wish to avoid hormone replacement therapy (HRT) despite the safety and effectiveness of HRT. This article outlines some options.
Support for people with dementia
Dr Anish Kotecha and Kerry Phelps
InnovAiT 2019 12(12): 706–712
Dementia costs the UK economy over £26.3 billion every year. People can survive for many years with dementia. This article outlines the problems this causes and the sources of support for patients and their families.
Restless legs syndrome
Dr Robert West
InnovAiT 2019 12(12): 714–719
Restless legs syndrome (RLS) is common and under-recognised. This article covers recognition, pathophysiology and management of RLS. RLS can be managed well in primary care. Validated questionnaires can help to assess the severity of symptoms. It is idiopathic but can be associated with iron deficiency, uraemia and medication.
Retinal detachment
Dr Lois Holiday and Dr Caroline Wilde
InnovAiT 2019 12(12): 720–724
It is estimated that 50% of sight loss could be prevented by earlier diagnosis and improved eye care. This article outlines causes of retinal detachment (RD). Presentation and management of RD with an emphasis on risk factors and clinical features that facilitate early diagnosis and prompt referral. Refer all patients with a new history of flashers and floaters for same day assessment by ophthalmology.
Health protection
Dr Emily Stanton and Dr Anita Bell
InnovAiT 2019 12(12): 725–730
Health protection is a key function of Public Health England. This article highlights knowledge for GPs on infectious diseases. Little did we know what was to follow, quite soon after publication.