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  • South African family practice manual 3/e
  • Mash B, Blitz J (Editors)
  • ISBN: 9780627031236
  • eISBN: 9780627033865
  • ePub ISBN: N/A
  • 644 Pages | Published: 2015

Across the broad spectrum that is the district health system in South Africa today, a wide range of knowledge and expertise is required to perform effectively and professionally. South African family practice manual focuses on practical skills that family physicians should obtain during their training which are required in primary care and general practice as well as at district or rural hospitals.

South African family practice manual is a collaborative enterprise involving family physicians and educators. It draws on their wealth of practical experience to cover the full spectrum of family practice from the newborn to the elderly, including skills in both routine and emergency care. It deals extensively with aspects of clinical examination and common procedures, as well as key skills in the areas of communication, clinical training and teaching, management, research and community-oriented primary care. In this third edition, an entirely new section on anaesthetic skills for the district hospital has been added and there are new chapters on phototherapy, assessment of a drunk driver and facilitating meetings to review morbidity and mortality.

South African family practice manual is aimed at medical officers, general practitioners, interns, medical students and associate clinicians. It is also an essential resource for all registrars in family medicine training programmes and will be particularly useful for those preparing for the national Fellowship examination.

This is the 3rd edition of the South African family practice manual. It is an excellent manual on procedural and clinical skills for both family medicine trainers and trainees. It empowers the trainees with appropriate procedural and clinical skills during their training and adequately prepares them for the objective structured clinical exam (OSCE). A number of family medicine training programmes in Africa recommend the manual as an important resource material and I hope this extends to the whole continent.

Prof. Gboyega A. Ogunbanjo 
President: South African Academy of Family Physicians 
President: College of Family Physicians of South Africa

This manual, already well acclaimed and very widely used, is an important ?keep by your side? guide to the competencies you need to learn in training and keep up to date in many practice settings. And for tutors and trainers, it is an invaluable roadmap to your supervision and assessment of your learners and students.
Amanda Howe MD MEd FRCGP FAcadMED 
President-Elect of WONCA (World Organisation of Family Doctors) 
Professor of Primary Care, Norwich Medical School, University of East Anglia

Chapter 1 How to do a developmental assessment
Chapter 2 How to assess growth and classify malnutrition in children
Chapter 3 How to do childhood immunisation
Chapter 4 How to administer an intramuscular injection to a child
Chapter 5 How to do a suprapubic bladder aspiration in an infant
Chapter 6 How to get intravenous access in a child
Chapter 7 How to establish an intraosseous infusion in a child
Chapter 8 How to perform a lumbar puncture in a child
Chapter 9 How to assess a child?s chest radiograph
Chapter 10 How to do a skin test for tuberculosis in a child
Chapter 11 How to assess and manage child abuse
Chapter 12 How to use the Road to Health booklet
Chapter 13 How to do a well newborn check
Chapter 14 How to assess gestational age at birth
Chapter 15 How to resuscitate a newborn
Chapter 16 How to insert an umbilical vein catheter
Chapter 17 How to establish kangaroo mother care for preterm infants
Chapter 18 How to manage phototherapy

Chapter 19 How to perform a brief, appropriate neurological examination
Chapter 20 How to perform a lumbar puncture in an adult
Chapter 21 How to examine the feet of patients with diabetes
Chapter 22 How to record an electrocardiogram
Chapter 23 How to interpret an electrocardiogram
Chapter 24 How to do an exercise electrocardiogram test
Chapter 25 How to use inhalers and spacers
Chapter 26 How to do office spirometry
Chapter 27 How to use a peak expiratory flow meter
Chapter 28 How to read a chest radiograph
Chapter 29 How to do a pleural tap
Chapter 30 How to do a pleural biopsy
Chapter 31 How to nebulise a patient
Chapter 32 How to take blood samples in adults
Chapter 33 How to give an injection

Chapter 34 How to examine the eye
Chapter 35 How to treat the eye
Chapter 36 How to remove a foreign body from the nose
Chapter 37 How to remove a foreign body from the ear canal
Chapter 38 How to examine and treat the ear
Chapter 39 How to examine the mouth and throat
Chapter 40 How to do a tonsillectomy
Chapter 41 How to drain a peritonsillar abscess or quinsy
Chapter 42 How to manage epistaxis, or a nose bleed
Chapter 43 How to evaluate nasal trauma
Chapter 44 How to conduct skin prick testing
Chapter 45 How to do a skin biopsy, cryotherapy and electrotherapy
Chapter 46 How to excise a sebaceous cyst
Chapter 47 How to apply a compression bandage for chronic venous ulcers
Chapter 48 How to remove an ingrowing toenail
Chapter 49 How to treat warts

Chapter 50 How to manage a patient under the Mental Health Care Act
Chapter 51 How to do a mini mental-state examination
Chapter 52 How to screen for mental problems
Chapter 53 How to screen for an alcohol drinking problem

Chapter 54 How to use the antenatal growth chart
Chapter 55 How to examine a pregnant woman
Chapter 56 How to do a single screening ultrasound in pregnancy
Chapter 57 How to assess foetal wellbeing through its movements
Chapter 58 How to assess foetal wellbeing during labour
Chapter 59 How to use a partogram and assess progress of labour
Chapter 60 How to conduct a normal vaginal delivery
 Chapter 61 How to conduct an assisted vaginal delivery
Chapter 62 How to do a Caesarean section
Chapter 63 How to do and suture an episiotomy
Chapter 64 How to repair a third-degree tear
Chapter 65 How to remove the placenta manually
Chapter 66 How to do cervical cancer screening
Chapter 67 How to insert an intrauterine contraceptive device
Chapter 68 How to do a mini-laparotomy tubal ligation
Chapter 69 How to do a laparoscopic tubal ligation
Chapter 70 How to do a medical termination of pregnancy
Chapter 71 How to do a manual vacuum aspiration
Chapter 72 How to do a laparotomy for ectopic pregnancy
Chapter 73 How to do culdocentesis
Chapter 74 How to treat a Bartholin's cyst or abscess
Chapter 75 How to do an endometrial biopsy
Chapter 76 How to do a paracervical block
Chapter 77 How to take care of a sexually assaulted woman

Chapter 78 How to intubate a patient and manage the airway
Chapter 79 How to do a cricothyroidotomy
Chapter 80 How to insert an intercostal drain
Chapter 81 How to relieve a tension pneumothorax
Chapter 82 How to insert a peripheral line
Chapter 83 How to relieve a cardiac tamponade
Chapter 84 How to do a primary survey
Chapter 85 How to do a secondary survey
Chapter 86 How to insert a nasogastric tube
Chapter 87 How to give a blood transfusion
Chapter 88 How to measure the Glasgow Coma Scale
Chapter 89 How to insert a central venous line
Chapter 90 How to interpret X-rays in a trauma patient
Chapter 91 How to calculate the percentage of burn
Chapter 92 How to manage poisoning or toxic exposure
Chapter 93 Algorithms for emergencies
Chapter 94 How to immobilise the spine
Chapter 95 How to transport a critically ill patient from primary to secondary care
Chapter 96 How to remove percutaneous foreign bodies
Chapter 97 How to suture a laceration
Chapter 98 How to establish an intraosseous infusion in an adult
Chapter 99 How to cleanse and irrigate wounds

Chapter 100 How to do a rapid musculoskeletal screening examination
Chapter 101 How to examine for and inject a painful shoulder
Chapter 102 How to examine for and inject tennis elbow and golfer's elbow
Chapter 103 How to examine for and inject De Quervain's tenosynovitis
Chapter 104 How to examine for and inject carpal tunnel syndrome
Chapter 105 How to examine and assess low back pain
Chapter 106 How to measure shortening of the legs
Chapter 107 How to diagnose and inject trochanteric bursitis
Chapter 108 How to examine, aspirate and inject an inflamed knee
Chapter 109 How to assess an injured ankle
Chapter 110 How to interpret radiographs of arthritic joints
Chapter 111 How to apply plaster casts and splints
Chapter 112 How to apply traction
Chapter 113 How to do closed reduction of common limb fractures
Chapter 114 How to reduce dislocations of the shoulder, elbow and hip
Chapter 115 How to aspirate or excise ganglia

Chapter 116 How to do a vasectomy
Chapter 117 How to do a circumcision
Chapter 118 How to manage haemorrhoids and perianal haematomas
Chapter 119 How to read an abdominal radiograph
Chapter 120 How to approach the care of acute and chronic wounds
Chapter 121 How to do fine-needle aspiration biopsy, a core needle biopsy and excision biopsy
Chapter 122 How to insert a urinary catheter
Chapter 123 How to do proctoscopy and sigmoidoscopy
Chapter 124 How to reduce a paraphimosis
Chapter 125 How to perform a ring block of the penis
Chapter 126 How to debride a wound
Chapter 127 How to incise and drain an abscess
Chapter 128 How to drain or remove a hydrocoele

Chapter 129 How to do a pre-anaesthetic assessment
Chapter 130 How to administer oxygen
Chapter 131 How to check the anaesthetic machine
Chapter 132 How to administer general anaesthesia
Chapter 133 How to do inhalational induction
Chapter 134 How to monitor a patient during anaesthesia
Chapter 135 How to monitor a patient recovering from anaesthesia
Chapter 136 How to administer and reverse muscle relaxants
Chapter 137 How to administer regional anaesthesia and local blocks
Chapter 138 How to administer a spinal anaesthetic
Chapter 139 How to administer procedural sedation and analgesia
Chapter 140 How to decontaminate anaesthetic equipment

Chapter 141 How to communicate effectively in the consultation
Chapter 142 How to do a paediatric consultation
Chapter 143 How to do brief behaviour change counselling
Chapter 144 How to break bad news
Chapter 145 How to develop a counselling style
Chapter 146 How to work with an interpreter
Chapter 147 How to manage the difficult patient
Chapter 148 How to assess family structure and resources
Chapter 149 How to assess family function
Chapter 150 How to hold a family conference

Chapter 151 How to do a home visit
Chapter 152 How to make a community diagnosis and prioritise health issues
Chapter 153 How to promote health in communities
Chapter 154 How to work with ward-based primary health care outreach teams

Chapter 155 How to notify a death
Chapter 156 How to fill in a sick leave certificate
Chapter 157 How to assess a patient requesting a disability grant
Chapter 158 How to notify a medical condition
Chapter 159 How to refer a patient
Chapter 160 How to assess fitness for driving at work
Chapter 161 How to claim compensation for work-related injuries or diseases
Chapter 162 How to complete a J88 form for an assault case and prepare for an appearance in court
Chapter 163 How to assess drunk driving and the responsibilities of the doctor

Chapter 164 How to audit or improve the quality of your service
Chapter 165 How to take on leadership roles and initiate teamwork
Chapter 166 How to organise and run morbidity and mortality meetings
Chapter 167 How to deal with a medical mistake
Chapter 168 How to manage the impaired health practitioner or colleague
Chapter 169 How to cope with stress and avoid burnout

Chapter 170 How to write a research proposal
Chapter 171 How to write an article for publication
Chapter 172 How to develop clinical guidelines
Chapter 173 How to obtain informed consent

Chapter 174 How to plan and implement a teaching activity or a continuing professional development meeting Chapter 175 How to use a portfolio of learning
Chapter 176 How to mentor a colleague
Chapter 177 How to facilitate small-group learning
Chapter 178 How to prepare a presentation

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