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The Pharmaceutical Journal
Vol 273 No 7330 p885
18/25 December 2004

Books

Timely book provides a well structured guide to differential diagnosis

Community pharmacy symptoms, diagnosis and treatment’, by Paul Rutter. Pp xiii+257. Price £29.95. Edinburgh: Churchill Livingstone; 2004. ISBN 0 4430 7362 7


Community pharmacy symptoms, diagnosis and treatmentMinor ailments schemes are likely to be a major feature of the new pharmacy contracts in all four UK jurisdictions. This will require the modern community pharmacist’s skill mix to include an enhanced ability to respond to symptoms. Pharmacists should be able to identify and treat common ailments effectively and to distinguish them from more serious conditions that need referral.

Paul Rutter’s timely book provides a well structured guide to making differential diagnoses of symptoms commonly presented by clients in community pharmacies. The comprehensive text is easy to read and there are many excellent illustrations. Prescribing advice is also provided, with the aid of charts listing appropriate doses and potential adverse reactions and interactions. None of the material in the book is directly referenced but there is plenty of suggested further reading. Self assessment questions and case studies assist in the learning process.

The 10 chapters cover a mixture of body systems (central nervous system, respiratory system), particular organs (dermatology, gastroenterology, musculoskeletal conditions, ophthalmology and otic conditions) and populations (paediatrics and women’s health). A final chapter entitled “Specific product requests” covers emergency hormonal contraception, malaria prophylaxis and motion sickness. I “test-drove” the book in my pharmacy for a month and once I had sorted out the chapter content (for example dermatitis appears under dermatology while atopic dermatitis appears under paediatrics) it proved to be a valuable addition to my bookshelf. All community pharmacists — whatever their experience — will find this book an excellent continuing professional development resource. I recommend it.


Steven Kayne

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Steven Kayne is a community pharmacist in Glasgow


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