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Best practice in primary care pathology: review 4

Abstract

This fourth best practice review examines four series of common primary care questions in laboratory medicine are examined in this review: (1) safety monitoring for three common drugs; (2) use of prostate-specific antigen; (3) investigation of vaginal discharge; and (4) investigation of subfertility. The review is presented in question–answer format, referenced for each question series. The recommendations represent a precis of the guidance found using a standardised literature search of national and international guidance notes, consensus statements, health policy documents and evidence-based medicine reviews, supplemented by Medline Embase searches to identify relevant primary research documents. They are not standards but form a guide to be set in the clinical context. Most of them are consensus based rather than evidence based. They will be updated periodically to take account of new information.

  • BNF, British National Formulary
  • DRE, digital rectal examination
  • FSH, follicular stimulating hormone
  • GMS, General Medical Services
  • HVS, high vaginal swab
  • NHS, National Health Service
  • NICE, National Institute of Health and Clinical Excellence
  • PCOS, polycystic ovary syndrome
  • PID, pelvic inflammatory disease
  • PSA, prostate-specific antigen
  • SFA, seminal fluid analysis
  • STI, sexually transmitted infection
  • TFT, thyroid function test
  • TSH, thyroid-stimulating hormone

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