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Best practice in primary care pathology: review 7


This seventh best-practice review examines four series of common primary care questions in laboratory medicine: (1) blood count abnormalities 2; (2) cardiac troponins; (3) high-density lipoprotein cholesterol; and (4) viral diseases 2. The review is presented in a question–answer format, with authorship attributed for each question series. The recommendations are a précis of 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. The recommendations are not standards, but form a guide to be set in the clinical context. Most are consensus based rather than evidence based. They will be updated periodically to take account of new information.

  • ACS, acute coronary syndrome
  • CHD, coronary heart disease
  • CLL, chronic lymphocytic leukaemia
  • CMV, cytomegalovirus
  • EBV, Epstein–Barr virus
  • FBC, full blood count
  • GMS, General Medical Services
  • HDL-C, high-density lipoprotein cholesterol
  • LDL-C, low-density lipoprotein cholesterol

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