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Master Thesis

Le phénomène de Raynaud en médecine générale : enquête auprès des médecins généralistes bordelais

Abstract : Introduction: raynaud's phenomenon is a vasomotor disorder characterized by paroxysmal ischemia of the extremities, classically triggered during exposure to cold. The primary Raynaud’s phenomenon, isolated and uncomplicated, is distinguished from secondary Raynaud’s phenomenon which is associated with another pathology, and it is necessary to carry out complementary examinations to differentiate the two entities. The objective of this study was to identify the obstacles to the diagnosis and the realization of complementary examinations in the management of Raynaud's phenomenon in general medicine, by making an inventory of the opinions and the practices of the general practitioners concerning this subject. Method: a qualitative study using semi-structured interviews was conducted with general practitioners (GP) from Bordeaux agglomeration between December 2017 and August 2018. Results: 10 interviews were conducted. The main limiting factors in the diagnosis and completion of further examinations were that patients did not consult for Raynaud's phenomenon, or it was not the main reason for consultation. Patients and practitioners considered this pathology as a benign. Doctors complained about the difficulty of access to capillaroscopy and specialists. Practitioners felt that their knowledge of the subject was not sufficiently up to date and there was confusion between primary and secondary Raynaud’s phenomenon. Conclusion: the Raynaud’s phenomenon is a frequent affection in the general population, but it is rarely a subject of consultation with the general practitioner. We should inform the patients that they need to consult their GP in the face of these symptoms, inform practitioners about the additional tests to be performed systematically, and improve coordination between general practitioners and the specialists concerned.
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Master Thesis
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Submitted on : Thursday, March 5, 2020 - 12:58:49 PM
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Pierre-Henry Adjavuvu. Le phénomène de Raynaud en médecine générale : enquête auprès des médecins généralistes bordelais. Médecine humaine et pathologie. 2019. ⟨dumas-02499546⟩



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