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GEM - Curriculum statement 15.9 Rheumatology problems including trauma

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Knowledge Base for the nMRCGP

Curriculum Statement 15.9 Rheumatology problems including trauma

Symptoms:

Common and/or important conditions:

Investigation:

  • Indications for plain radiography, ultrasound, CT and MR scan including the use of tools such as the -Ottawa Rules'
  • General rules of X-ray interpretation
  • Implications of 'Misses' on X-rays, common errors
  • Indications for additional investigations, for example blood tests.

Treatment:

  • Understand the principles of treatment for common conditions managed largely in primary care including the use and monitoring of NSAIDs and disease-modifying drugs
  • Knowledge of when joint injections and aspirations are appropriate in general practice and the ability to perform when appropriate, e.g. shoulder and knee joints and injections for tennis and golfer's elbow
  • Understand the roles of allied health professionals (nursing, physiotherapy, chiropody, podiatry, occupational therapy, counselling and psychological services)
  • Chronic disease management including systems of care, multidisciplinary teamwork and shared-care arrangements.

Emergency care:

  • The initial management of the patient who has been burnt
  • To be aware of the safety of the patient, the scene of the incident and medical staff
  • To be aware of how to summon help in an emergency
  • Be competent in basic life support (adult and paediatric), the use of simple airway adjuncts (for example oropharyngeal airway and pocket mask) and the safe use of a defibrillator
  • Be competent in stopping haemorrhage
  • Be competent in reducing pain by the use of analgesia or other methods
  • Be aware of the principles of major incident management
  • Recognise referrals requiring emergency action to save life or prevent serious long-term sequelae
  • GPnotebook section relevant to all trauma topics

Prevention:

  • Advise regarding appropriate levels of exercise
  • Heath promotion regarding accident prevention

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