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Acne Vulgaris

  

Acne vulgaris (or simply acne)

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Acupuncture

  

Acupuncture is a treatment derived from ancient Chinese medicine.

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Acute Kidney Injury (AKI)

  

AKI is a rapid reduction in kidney function resulting in a failure to maintain fluid, electrolyte and acid-base balance

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Acute Neck Pain

  

Neck pain or a stiff neck is a common problem and generally nothing to worry about.

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Advice & Guidance from Secondary Care and Psychiatry

  

Information about seeking advice & guidance from secondary care to avoid unnecessary referrals and safely obtaining timely and safe management advice. Consultant Connect service. Urgent Connect GP Liaison Service

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Ambulatory Pleural clinic

  

The Ambulatory Pleural clinic at UHCW NHS Trust for lung / respiratory disease

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Anaemia (children)

  

Anaemia is a problem in which the body does not have enough healthy red blood cells.

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Anti-coagulation

  

Atrial fibrillation is the commonest cause for GP referral to anticoagulation services.

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B12 and Folate Testing

  

A diagnosis of vitamin B12 or folate deficiency anaemia can often be made based on symptoms and the results of blood tests.

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Back and Neck Pain

  

These are guidelines for most patients most of the time. Like all guidelines, there are exceptions. Acute back pain is for < 6 weeks, chronic > 6 weeks

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Balanitis (Adults)

  

Balanitis is a skin irritation on the head of the penis

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Bariatrics & obesity

  

Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity.

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Basal Cell Carcinoma

  

A basal cell carcinoma (BCC) is a type of skin cancer.

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BNP Pathway

  

Information on the BNP Pathway

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Bunion – hallux valgus

  

A bunion is a bony deformity of the joint at the base of the big toe. The medical name is hallux valgus.

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Cardiac Rehabilitation

  

Cardiac rehabilitation is a programme of exercise and information sessions following a heart attack, heart surgery or procedure.

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Carotid Artery Disease Asymptomatic

  

A carotid endarterectomy may be needed if one or both of your carotid arteries become narrowed because of a build-up of fatty deposits (plaque).

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Carpal Tunnel Syndrome

  

Carpal tunnel syndrome (CTS) is a relatively common condition that causes a tingling sensation, numbness and sometimes pain in the hand and fingers.

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Chronic Kidney Disease (CKD)

  

Chronic kidney disease (CKD), also known as chronic renal disease, is progressive loss in kidney function over a period of months or years.

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Chronic Obstructive Pulmonary Disease

  

Chronic Obstructive Pulmonary Disease (COPD) includes chronic bronchitis, emphysema and chronic obstructive airways disease.

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Cluster Headaches

  

Cluster headaches are excruciating attacks of pain in one side of the head, often felt around the eye.

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Coeliac disease

  

Coeliac disease is a common digestive condition where a person has an adverse reaction to gluten.

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Community Dermatology Service

  

A community based service for advice, management and education in common skin conditions

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Constipation – adults

  

Constipation is a common condition that affects people of all ages. It can mean that you're not passing stools regularly or you're unable to completely empty your bowel.

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Dementia – Admiral Nurse Service

  

Coventry and Rugby have an Admiral nurse service in conjunction with the NHS Coventry and Rugby CCG, Dementia UK and Coventry University.

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DEXA Scanning

  

A DEXA scan is a special type of X-ray that measures bone mineral density (BMD).

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Diabetes (central resource page)

  

Central resource page for management and referral information for Diabetes mellitus and its complications

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Diabetes Prevention Programme

  

Personalised support to reduce their risk of Type 2 diabetes including education on healthy eating and lifestyle, help to lose weight and physical exercise programmes

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Dietetics

  

This page has information on the role of a dietitian with links to further information.

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Dupuytrens Disease

  

Dupuytren’s contracture (Dupuytren's disease) is a condition that affects the hands and fingers.

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Dyspepsia and GORD

  

Indigestion, also known as dyspepsia, is a condition of impaired digestion

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Ebola Virus

  

Ebola virus disease is a serious illness that originated in Africa, where there is currently an outbreak.

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Eczema

  

Eczema is a condition that causes the skin to become itchy, red, dry and cracked. It is a long-term (chronic) condition in most people, although it can improve over time, especially in children.

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Elbow pain

  

Arm pain is common and usually caused by an injury or fall.

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ESR

  

An ESR is often used to help diagnose conditions associated with inflammation.

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Faecal Calprotectin

  

Faecal calprotectin is a substance that is released into the intestines in excess when there is any inflammation there.

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Faecal Occult Blood Testing (FIT)

  

Sensitive Faecal Occult Blood Testing available for lower gastrointestinal symptoms that do not meet immediate 2WW referral criteria

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Falls

  

Anyone can have a fall, but older people are more vulnerable and likely to fall, especially if they have a long-term health condition.

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Ferritin high

  

High ferritin levels may suggest a disorder that has led to an excess accumulation of iron, resulting in iron overload.

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Foot pain

  

Foot pain is a common problem with a wide range of possible causes.

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Ganglion

  

A ganglion cyst is a fluid-filled swelling that usually develops near a joint or tendon.

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Gastro-intestinal blood loss

  

Gastrointestinal bleeding (GI bleed), also known as gastrointestinal hemorrhage, is all forms of bleeding in the gastrointestinal tract.

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Genetic Services

  

Clinical genetics is a specialist regional service based at Birmingham Women’s Hospital.

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Haemoglobinopathy Screening

  

“Opportunistic” haemoglobinopathy screening (not including national antenatal or neonatal screening programmes)

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Heart failure

  

This page is under reconstruction

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Heatwave Management

  

Government advice on management of vulnerable patients in heatwave situations.

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Hereditary Thrombophilia Screening

  

It is suggested that General practitioners DO NOT request Thrombophilia screens without review of this guideline AND discussion with haematology.

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Hirsutism

  

Hirsutism is excessive hair growth in certain areas of the body. It's a problem that mainly affects women.

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Hypertension

  

Stage 1 hypertension: Clinic blood pressure is 140/90 mmHg or higher and subsequent ambulatory blood pressure monitoring (ABPM) daytime average or home blood pressure monitoring (HBPM) average blood pressure is 135/85 mmHg or higher. Stage 2 hypertension: Clinic blood pressure is 160/100 mmHg or higher and subsequent ABPM daytime average or HBPM average blood pressure is 150/95 mmHg or higher. Severe hypertension: Clinic systolic blood pressure is 180 mmHg or higher or clinic diastolic blood pressure is 110 mmHg or higher.

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Infectious Diseases & Tuberculosis (TB)

  

The infectious diseases (ID) UHCW looks after adult patients (over 16) with all types of infection or suspected infection. We are a regional centre for infectious diseases and tropical medicine.

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Inflammatory bowel disease

  

Inflammatory bowel disease (IBD) is a term mainly used to describe two conditions, ulcerative colitis and Crohn's disease.

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Irritable bowel syndrome

  

Irritable bowel syndrome (IBS) is a common, long-term condition of the digestive system.

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Jaundice & Liver Disease

  

Liver disease doesn't usually cause any obvious signs or symptoms until it's fairly advanced and the liver is damaged.

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Knee Arthroscopy

  

An arthroscopy is a type of keyhole surgery used both to diagnose and treat problems with joints.

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Knee instability

  

Information regarding Knee instability

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Lactose intolerance in adults

  

Lactose intolerance is a common digestive problem where the body is unable to digest lactose, a type of sugar mainly found in milk and dairy products.

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Leg ulcers

  

Management of ulcers on legs

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Living Well Project

  

The Living Well Pilot Project is a new service based at Coventry Myton Hospice for adults living with a life limiting illness who are registered with a Coventry GP.

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Lymphoedema

  

Lymphoedema is a chronic (long-term) condition that causes swelling in the body's tissues. It can affect any part of the body, but usually develops in the arms or legs.

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Milk intolerance

  

Lactose intolerance is a common digestive problem where the body is unable to digest lactose, a type of sugar mainly found in milk and dairy products.

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Neurology

  

Neurology is a branch of medicine dealing with disorders of the nervous system.

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Neurophysiology: Nerve Conduction Studies (NCS)

  

Accepts NHS E-referrals for nerve conduction testing for carpal tunnel screening and ulnar nerve screening at the elbow or wrist ONLY. This is not an EMG service.

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Oxygen

  

Guidance on home oxygen

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Pain Management Clinic

  

Pain Management Solutions works with each patient to support them in finding the most effective and evidence-based approach to improving their ability to manage their pain on a day-to-day basis.

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Palliative care

  

Palliative care is a multidisciplinary approach to specialized medical care for people with serious illnesses.

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Paraprotein Results

  

A paraprotein can have many causes—some serious but others unlikely ever to cause any problems.

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Parkinsons Disease

  

Parkinson's disease is a condition in which parts of the brain become progressively damaged over many years. It can cause a wide variety of both movement (motor) and non-motor symptoms. Management becomes more complex as the disease progresses.

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Penile Implants

  

A penile implant is a medical device that is custom-fit and surgically placed into a penis.

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Pernicious Anaemia

  

Pernicious anaemia is associated with autoimmune atrophic gastritis which has an increased risk of gastric cancer.

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Physiotherapy services – MSK

  

Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future.

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Podiatry

  

Podiatrists are health care professionals who have been trained to prevent, diagnose, treat and rehabilitate abnormal conditions of the feet and lower limbs.

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Prostate specific antigen

  

Prostate-specific antigen, or PSA, is a protein produced by cells of the prostate gland.

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Prosthetic Limbs

  

After an amputation, you may be able to have a prosthetic limb fitted.

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Psoriasis

  

Psoriasis is a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales.

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Rheumatology

  

Rheumatologists are doctors who investigate, diagnose, manage and rehabilitate patients with inflammatory disorders of the musculoskeletal system.

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Seborrhoeic Dermatitis

  

Seborrhoeic dermatitis is an eczema affecting the eyebrows, anterior scalp, nasolabial folds, ears, axillae and groin.

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Sepsis Guidance

  

Sepsis - overwhelming infection requiring urgent treatment

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Sharps / Needlestick Injury

  

Injury from used needles and syringes found in community settings arouses much concern.

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Shoulder Pain

  

Shoulder pain is a common problem with a number of different causes. It's often a symptom of another problem.

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Skin cancer

  

Skin cancer is one of the most common cancers in the world.

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Sleep Clinic

  

Treatments and services for Sleep Apnoea and related conditions offered at the Sleep Medicine department.

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Spinal injections

  

Back injections may help treat two major back pain with radiculopathy

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Stool Samples Collection

  

The stool sample should be collected in a clean, dry screw-top container.

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Sympathectomy

  

Endoscopic thoracic sympathectomy is not funded for facial blushing or facial sweating.

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Tattoo Removal

  

Information regarding tattoo removal

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The Myton Hospices

  

About local hospice services for enhancing quality of life when cure is no longer an option

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Thyroid Function Testing Protocol

  

An underactive thyroid gland (hypothyroidism) is where your thyroid gland doesn't produce enough hormones.

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Tissue Viability Team

  

The Tissue Viability Nurse Team can help with ulcers and difficult wounds.

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Trigger finger – adults

  

Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the affected finger or thumb.

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Urgent Adult Dermatology Service

  

The main criteria for the service is that GP’s call the UHCW on-call Registrar before referral.

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Urinary Tract Infection (UTI)

  

Urinary tract infections (UTIs) are common infections. In order to avoid misdiagnosis of UTI and the subsequent overtreatment / misuse of antibiotics please adhere to the following principles when using dipsticks.

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Vasectomy

  

Vasectomy is a surgical procedure for male sterilization or permanent contraception.

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Vitamin D

  

Vitamin D helps to regulate the amount of calcium and phosphate in the body.

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Vitamin D Deficiency

  

Vitamin D blood levels should only be tested with symptoms indicative of rickets, osteomalacia or symptomatic hypocalcaemia. If deficiency is found with these symptoms, a course of high dose replacement therapy should be prescribed

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Warts (viral)

  

Warts are viral swellings that often develop on the skin of the hands and feet.

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Wound Swab

  

Guidance on when to request wound swabs, interpretation of results

Results