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 However, many articles do not significantly go out of date in that time.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. This bi-monthly issue of InnovAiT summarises articles from both November and December 2021.
Antimicrobial resistance: The fundamental role of primary care
Dr Emily Brown
InnovAiT 2021 14(11): 654–660
DOI: 10.1177/17557380211039259
This article reminds us of the importance of antimicrobial stewardship by GPs in combatting one of the top 10 threats to global health. This article explores the challenges facing primary care and considers approaches to better prescribing of antibiotics.
Acne vulgaris
Dr Anjali Pathak and Dr Anusha Dattani
InnovAiT 2021 14(11): 661–668
DOI: 10.1177/17557380211039534
Acne is a multi-factorial chronic inflammatory skin disease encountered very frequently in general practice, accounting for over 3.5 million consultations every year. This article explores key aspects of diagnosis and management with some more challenging scenarios.
Maturity onset diabetes of the young
Dr Muhammad Yassir Yaqub Qurreshi and Dr Rabia Nawaz
InnovAiT 2021 14(11): 669–675
DOI: 10.1177/17557380211039537
GPs are required occasionally to recognise rare disorders. Maturity onset diabetes of the young (MODY) is a rare form of diabetes characterised by monogenic mutation with autosomal-dominant inheritance. This article gives important information to recognise this form of diabetes.
Goitre and thyroid lumps
Dr Tanvi Agarwal and Dr Callum Priest
InnovAiT 2021 14(11): 676–680
DOI: 10.1177/17557380211037369
Thyroid swellings are relatively common and three times more common in females than males. Thyroid cancer is the most common endocrine malignancy and thyroid cancer has increased by 68% over the last decade. This article reviews the anatomy of the thyroid gland and the different causes of thyroid swellings to aid in diagnosis and referral.
Management of erectile dysfunction in primary care
Dr Rajesh Varma and Dr Senthy Sellaturay
InnovAiT 2021 14(11): 682–691
DOI: 10.1177/17557380211037365
Erectile dysfunction (ED) is the persistent inability to attain and maintain an erection to permit satisfactory sexual performance. This article provides guidance to support clinical decisions in the management of ED in primary care. It is important to consider and manage the associated risk factors for cardiovascular disease.
Laryngotracheal stenosis: A more common problem in the COVID era
Mr Sebastian Sheehan, Dr Daniel Warrell, Miss Yasmine Kamhieh and Dr Andrew S Harris
InnovAiT 2021 14(11): 692–695
DOI: 10.1177/17557380211039540
Laryngotracheal stenosis is a rare cause of dyspnoea but more likely to be seen after prolonged intubation in the era of COVID. This article highlights the need for awareness of this condition and timely referral for diagnosis and management.
Leadership in primary care
Professor Amanda Howe
InnovAiT 2021 14(11): 696–700
DOI: 10.1177/17557380211039535
This important article gives facts and background to this important facet of learning. Leadership is here considered to be about influencing others to take action for change. This article provides guidance from one of our profession’s leaders for those of us keen to learn where the opportunities to gain leadership capabilities lie.
Oral manifestations of systemic disease
Dr Rebecca Iles, Dr Melanie Simms and Dr Alistair Ledsam
InnovAiT 2021 14(12): 714–723
DOI: 10.1177/17557380211045102
This article is full of useful images to help identify oral presentations of systemic disease. The article discusses these and aims to improve recognition of these conditions by GPs for appropriate investigation, diagnosis, management and referral.
Specialised dental services and referral pathways
Dr Rebecca Iles and Dr Elizabeth Cheales
InnovAiT 2021 14(12): 724–732
DOI: 10.1177/17557380211045107
This article aims to give an overview of dental services and referral pathways to improve better care of patients between GPs and dentists.
Bell’s palsy
Miss Frith Cull and Miss Holli Coleman
InnovAiT 2021 14(12): 733–741
DOI: 10.1177/17557380211046284
Bell’s palsy is an idiopathic lower motor neurone facial nerve paresis or paralysis and is of rapid onset, unilateral and often associated with facial, retro-auricular pain or otalgia. A GP will encounter this about once every 2 years and early diagnosis and treatment increase the chances of full recovery, over 70% within a year. This article provides guidance on diagnosis and management.
The child with facial nerve palsy
Dr Tiffanie-Marie Borg, Amy Sarah Warwick and Dr Mas Ahmed
InnovAiT 2021 14(12): 742–7748
DOI: 10.1177/17557380211046283
This article summarises the presentation, diagnosis and management of facial nerve palsy in children. Family history is important as illustrated by two case histories.
The transgender patient in primary care
Dr Charles Holden and Dr Duncan Shrewsbury
InnovAiT 2021 14(12): 750–756
DOI: 10.1177/17557380211045104
The number of people identifying as transgender or non-binary in the UK is increasing. The RCGP has identified that many GPs lack experience in the assessment, referral and management of patients with gender dysphoria. This article covers the key topics relating to care of patients for safer, more compassionate care.
Acute gastrointestinal bleeding
Dr Victoria Evans and Dr Helen King
InnovAiT 2021 14(12): 757–765
DOI: 10.1177/17557380211046972
This article covers diagnosis, risk stratification and management of this emergency caused by a range of diverse pathologies.
Artificial intelligence: Current and future impact on general practice
Dr Adedji Majekodunmi
InnovAiT 2021 14(12): 766–768
DOI: 10.1177/17557380211045101
This quite short feature article describes the current and future scope of artificial intelligence in primary care.