GP3 themes
Year 3 Core clinical conditions - GP specific presentations highlighted
Cardiovascular Presentations
Blackouts and faints
Breathlessness
Cardiorespiratory arrest
Chest pain
Cold, painful, pale, pulseless leg/foot
Cough
Cyanosis
Dizziness
Heart murmurs
High blood pressure
Limb claudication
Limb weakness
Low blood pressure
Pain on inspiration
Painful swollen leg
Palpitations
Peripheral oedema and ankle swelling
Skin ulcers
Respiratory Presentations
Allergies
Breathlessness
Cardio-respiratory arrest
Chest pain
Cough
Cyanosis
Fever
Haemoptysis
Hoarseness
Pain on inspiration
Snoring
Stridor
Wheeze
Haematology Presentations
Bruising
Epistaxis
Fever
Jaundice
Lump in groin
Lymphadenopathy
Massive haemorrhage
Neck lump
Pallor
Petechial rash
Purpura
Splenomegaly
Endocrine and Metabolism Presentations
Amenorrhoea
Bone pain
Confusion
Decreased/loss of consciousness
Electrolyte abnormalities
Fatigue
Galactorrhoea
Gradual change in or loss of vision
Gynaecomastia
High blood pressure
Hoarseness and voice change
Hypercalcaemia
Hyperkalaemia
Hyponatraemia
Impotence
Nausea
Palpitations
Polydipsia (thirst)
Urinary symptoms
Weight gain
Weight loss
Renal and Urology Presentations
Acute renal failure
Anuria
Chronic renal failure
Electrolyte disturbance
Erectile dysfunction
Haematuria
Oliguria
Peripheral oedema and ankle swelling
Scrotal/testicular pain and/or lump/swelling
Urinary symptoms
Breast Presentations
Nipple discharge
Breast lump
Breast tenderness
Gastroenterology and Surgery Presentations
Abdominal distension
Abdominal mass
Acute abdominal pain
Acute and chronic pain management
Ascites
Bleeding from lower GI tract
Bleeding from upper GI tract
Change in bowel habit
Change in stool colour
Chronic abdominal pain
Constipation
Death and dying
Decreased appetite
Deteriorating patient
Diarrhoea
End of life care/symptoms of terminal illness
Faecal incontinence
Food intolerance
Jaundice
Loin pain
Lump in groin
Massive haemorrhage
Melaena
Minor trauma
Misplaced nasogastric tube
Multiple trauma
Painful swollen leg
Pallor
Patient needing pain control
Perianal symptoms
Peri-operative pain
Pruritus
Rectal prolapse
Shock
Soft tissue injury/other trauma
Splenomegaly
Swallowing problems
GP3 Specific Presentations
You can use the GP3 core clinical resources below to understand more about the following conditions and presentations e.g. patient.co.uk, gpnotebook and CKS.
Acute infection e.g. COVID, URTI, UTI
Chronic disease e.g. hypertension, DM,
Possible stress-related symptoms e.g. IBS, headache (tension, migraine), indigestion
Skin presentations e.g. eczema (see dermatology websites below), shingles, fungal infections
Suspected cancer & 2ww referral : https://cks.nice.org.uk/specialities/cancer/ (helpful red flag symptoms for each condition)
GP3 Data interpretation
This year there will be GP based data interpretation questions in your year 3 exams. Please take all opportunities to review blood test results, ECGs, lung function tests (e.g. spirometry). Learn to link patient symptoms and signs with data e.g. ECG showing atrial fibrillation.
Core clinical resources
NICE guidance For latest guidance on all conditions check here e.g.
www.patient.co.uk Really helpful clinician and patient information, GPs use this a lot.
www.gpnotebook.co.uk Helpful for GP information on diagnosis and managment, you need to make an account.
https://cks.nice.org.uk/ Primary care, best practice scenarios
https://www.pcds.org.uk/general-dermatology-table#general-dermatology-diagnostic-table useful dermatology website
https://dermnetnz.org/ useful dermatology website
https://speakingclinically.co.uk/ Video archive of patients describing their symptoms
https://www.healthtalk.org/ To hear the patient lived experience
https://auth.medicalschoolscouncil.org.uk/users/sign_in Virtual primary care (VPC) - real patient whole consultations. 7 have been allocated to GP3. Click for links to specific VPC consultations
https://learn.capsule.ac.uk/cases There are 38 GP cases to explore and support your learning in primary care
GP3 Vertical threads - assessed with end of placement presentation
1) Wider/social determinants of health
the understanding that peoples health is affected by povery, lifestyle, opportunities, choices available etc
5) Compassion and person-centred care
Compassion (Group based assessment)
https://www.hellomynameis.org.uk/ The importance of introducing ourselves by name
https://www.pointofcarefoundation.org.uk/our-programmes/schwartz-rounds/about-schwartz-rounds/ Schwartz rounds - staff lived experience is explored from social and emotional (rather than clinical) point of view - see table below
https://www.nhsggc.org.uk/patients-and-visitors/information-for-patients/what-matters-to-you/wmty-information-for-staff/ What matters to you rather than what is the matter with you!
https://www.nhsfife.org/news-updates/latest-news/2021/06/what-matters-to-you-day-2021/ What matters to you rather than what is the matter with you!
