What’s the Treatment? (Game)

For each of the following conditions, outline the treatment/management in primary care. Consider RAPRIO (Reassure, Advise, Prescribe, Refer, Investigate, Observe & Review) Wherever possible , think of options that you can offer the patient. Think primary care and do not go into too much detail (if any) about secondary care management

 Gastroenteritis  Tinnitus  Back pain  Trigeminal neuralgia  Campylobacter food poisoning  Hay fever  Constipation in children  Primary oral herpes infection  Otitis media  Vincent’s angina  Osteoporosis  Otitis externa  Menopausal symptoms  Snoring  Erectile dysfunction  Blepharirtis  Balanitis  Dacryocystitis  External piles  Stye and chalazion  Ano-genital warts  Dry eye syndrome  Conjunctivitis  Anterior uveitis  Anxiety  Amaurosis fugax  Insomnia  Gout  Depression  Hyperthyroidism  Earwax  Hypothyroidism  GORD  Type 2 diabetes(initial diagnosis)  Constipation in adults  Tension headache  Menorrhagia  Migraine  Endometriosis  Essential tremor  Genital herpes  Temporal arteritis  Vaginal thrush  Trigeminal neuralgia  Chlamydia infection  Neuropathic pain  Urinary tract infection in men  Restless leg syndrome  LUTS  Asthma (new diagnosis)  Erectile dysfunction  chronic cough  Emergency contraception  COPD (new diagnosis)  Anxiety  Early osteoarthritis of the knee  Insomnia  Polymyalgia rheumatica  Depression  Inflammatory polyarthritis  Panic attack/hyperventilation  Fibromyalgia  Intermittent claudication  Impetigo  Angina  Acne  Hypertension  Acne rosacea  Raised cholesterol  Eczema  Gastroenteritis (viral)  Scabies  Constipation in adults  Head lice  GORD  Psoriasis  IBS  Fungal nail infection  Alcohol misuse  Intetrigo  Croup  Tinea cruris  Ear wax  Erysipelas  Epistaxis  Herpes zoster  Bell’s palsy  Urticaria  Sore throat  Angioedema

You can also use this list for role play – the “patient” can have a preferred management option and a reason for this choice. The “patient” may accept the “doctor’s” preferred management option if this is well explained. The idea is to practice the negotiation of a management plan.