Skip to Main content Skip to Navigation
Master Thesis

Prise en charge des syndromes inflammatoires inexpliqués en médecine générale‎ : enquête pratique auprès de 80 généralistes de Haute-Savoie

Abstract : The inflammation of unknown origin (IUO) is defined by the persistence of serum CRP levels greater than 10 mg / l, for at least 3 weeks, with no clinically identified cause after a thorough interview and clinical examination, and no guidance provided by biological and radiological tests. It seemed important to us to qualitatively study the diagnostic approach of a GP in front of IUO. We wanted to know if their approach follows the recommendations, as found in the bibliography; and how they passe the relay to the specialist. 80 GPs responded to our questionnaire in October 2011. Our study shows that GPs manage few consultations for this reason, and they sometimes feel difficulty in this situation. Two doctors in five spontaneously mention the three major etiological frameworks - infections, systemic diseases, cancers. Almost half of doctors suggest temporal arteritis in patients over 50 years. When the general practitioner researches the cause, he prescribes the laboratory tests advisable: full blood count, the serum protein elestrophoresis, the transaminases, and the creatinine, But he often omits to prescribe the urine culture, and omits systematically the blood cultures. Chest radiography and abdominal ultrasound are almost always prescribed. But chest abdominal and pelvic CAT-scan is done only in 50% of cases. The specialist advice is sought in 100% of cases, but often too late. It seems that the management of these patients, and town-hospital network, could be improved by offering to GPs a decision tree, with the direct call number of the referring internist or specialist from the nearest hospital. This tree could be the subject of a new thesis.
Document type :
Master Thesis
Complete list of metadata

Cited literature [20 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-00740803
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Thursday, October 11, 2012 - 10:03:18 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Friday, December 16, 2016 - 11:34:49 PM

Identifiers

  • HAL Id : dumas-00740803, version 1
  • PPN : 16464864X

Citation

Danièle Chappuis. Prise en charge des syndromes inflammatoires inexpliqués en médecine générale‎ : enquête pratique auprès de 80 généralistes de Haute-Savoie. Médecine humaine et pathologie. 2012. ⟨dumas-00740803⟩

Share

Metrics

Record views

638

Files downloads

9199