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Primary Care Referral Guidelines 13.04.2014compile Version - Mastura
Primary Care Referral Guidelines 13.04.2014compile Version - Mastura
Disclaimer
The clinical advice, referral criteria and the organizational details contained in this book refer to
the Malaysian setting, unless otherwise stated. The book is intended for use by primary care
practitioners and not for patients.
While efforts have been made to ensure the accuracy of the information in this book, it is the
responsibility of the doctor who is caring for the patient(s) to make his or her own judgment on
the best treatment for the patient at that time. Although efforts are made to maintain accuracy of
the information, some of the information may be outdated by the time of printing.
The authors, editors and publishers cannot accept liability for information that is subsequently
shown to be wrong.
List of Editors
Dr Mastura Ismail
Family Medicine Specialist
Seremban 2 Health Clinic
Negeri Sembilan
Dr Adina Abdullah
Senior Lecturer
Department of Primary Care
Faculty of Medicine, University Malaya
Dr Mimi Omar
Family Medicine Specialist
Kelana Jaya Health Clinic
Selangor
Table of Contents
Foreword
Preface
How to use the guideline
Acknowledgements
List of abbreviations
List of tables
Content
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
7.1
7.2
7.3
Chapter 8
8.1
8.2
8.2.1
8.2.2
8.2.3
8.3
8.4
Chapter 9
9.1
9.2
Chapter 10
10.1
10.2
10.3
Chapter 11
11.1
11.2
Chapter 12
12.1
12.2
Chapter 13
Introduction
Aims & Objectives
Methodology
Good referral practices
Medicolegal implications
Implementation of referral guideline
Paediatric
Febrile convulsion
Neonatal jaundice
Acute gastroenteritis
Cardiology
Atrial fibrillation
Coronary heart disease
Angina
Acute myocardial infarction
Unstable angina/Non ST Elevation MI (NSTEMI)
Heart failure
Hypertension
Nephrology
Chronic kidney disease
Nephrotic syndrome
Endocrinology
Diabetes mellitus
Obesity
Thyroid disorders
Gastroenterology
Dyspepsia
Jaundice in adult
Ophthalmology
Acute visual loss
Red eye
Ear, Nose & Throat
4
13.1
13.2
13.3
Chapter 14
14.1
14.2
Chapter 15
15.1
15.2
15.3
Chapter 16
16.1
16.2
16.3
Chapter 17
17.1
17.2
17.3
Chapter 18
18.1
18.2
Chapter 19
19.1
19.2
Chapter 20
20.1
20.2
Chapter 21
Dysphagia
Obstructive sleep apnoea
Vertigo
Orthopaedic
Back pain
Knee and hip pain (degenerative)
Psychiatry
Anxiety
Depression
Substance abuse
Urology
Haematuria
Lower urinary tract symptoms
Urinary calculi
Haematology
Anaemia
Haemoglobinopathies
Lymphadenopathy
Neurology
Headaches
Cerebrovascular accident
Obstetric
Gestational diabetes in pregnancy
Hypertensive disorder in pregnancy
Respiratory
Chronic cough
Pulmonary tuberculosis
Rheumatology
21.1
21.2
Chapter 22
22.1
22.2
22.3
Chapter 23
23.1
23.2
23.3
23.4
Chapter 24
24.1
24.2
Chapter 25
25.1
25.2
Osteoporosis
Gout
Gynaecology
Menorrhagia
Subfertility
Vaginal discharge
Infectious disease
Dengue
Hepatitis B
Hepatitis C
Human Immunodeficiency Virus
Surgery
Acute abdomen
Thyroid nodule
Dermatology
Acne
Psoariasis
5
Chapter 26
26.1
26.2
Child psychiatry
Autism
Learning disabilities
Appendices
List of contributors
Foreword