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AJGP Clinical Challenge September 2018: Neurology

Speciality Classification
General Practice ( GP ) / Family Medicine
2 hrs

This issue of AJGP focuses on neurological conditions, to assist GPs in being better able to recognise symptoms and provide timely management for patients, to ensure optimal care and health outcomes.

Relevance to General Practice

Neurological presentations accounted for 4.3% of general practice consultations in Australia in 2013–14. GP involvement in the management of neurological diseases can range from recognition of symptoms and diagnosis of common conditions, to referral and long-term care for more complex conditions such as motor neurone disease (MND). With an ageing population, the incidence of dementia is on the rise; this condition now affects 74% of patients aged over 75 years. There were 298,000 Australians with dementia in 2011, and approximately 0.5% of GP consultations involved the management of this disease. Dementia was the third leading cause of death in 2010, and it is estimated that the number of patients with dementia will reach 400,000 by 2020. GPs are well placed to initiate early management of these conditions and therefore, education in recognition of symptoms and timely diagnosis and management are essential, to reduce morbidity and mortality associated with these conditions.

Learning outcomes
  • List the available pharmacological therapies for the symptomatic treatment of Alzheimer’s disease
  • Outlines the common symptoms and issues in motor neurone disease, and the latest treatment options that are available
  • Describe a multidisciplinary approach to the management of motor neurone disease
  • Describe the mechanism of action, mode of administration, indications and evidence of benefit for botulinum neurotoxin in the treatment of movement disorders
  • Discuss the use of office-based procedures for assessment for cognitive impairment
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    • Communication with family, carers and others involved in the care of the patient is appropriate and clear

    D2. Applied professional knowledge and skills

    • Diagnosis and management is evidence-based and relevant to the needs of the patient

    D3. Population health and the context of general practice

    • The patterns and prevalence of disease are incorporated into screening and management practices

    D4. Professional and ethical role

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Adult health
    • Care of older people
    • Other
    AJGP Clinical Challenge September 2018: Neurology
    2 hrs
    Start Date
    End Date
    CPD Points
    4 cpd
    Contact Phone
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