Towards Earlier Diagnosis in Primary Care

100 per cent abdominal pain absent acute appendicitis AETIOLOGY affected anaemia associated ATTACK RATE babies behaviour blood bronchiectasis bronchitis carcinoma cause cervical cervix chest X-ray cholecystitis chronic Classification CLINICAL POINTERS common COMPLICATIONS confused consecutive cough cyanosis depression develop diagnosis was rarely DIAGNOSTIC RANGE diarrhoea DIFFERENTIAL DIAGNOSIS DIFFERENTIAL DIAGNOSIS Diseases difficult discharge Distinguishing features DURATION dyspnoea dysuria early eczema epidemic examination exudate family doctor FEATURES AND PITFALLS haemorrhage headache hospital investigation indicated infarction infection influenza irritation lesions liable list of similar localised low fever lung meningitis menorrhagia MISLEADING FEATURES myocardial infarction N.H.S. patients nasal normal occasionally occur otitis media peptic ulcer persist pneumonia Practice experience practitioner pregnancy primary problems pulmonary pyuria rarely in doubt rash rectal Recurrences respiratory SEX INCIDENCE signs similar and distinguishing Similar features skin sometimes sudden onset suggests symptoms syndrome tenderness tension tests tion tonsillitis tumours urinary urine usually vaginal virus vomiting