It was interesting to note that both authors of the article Initial management of dyspepsia in primary care were secondary care physicians.1 In their otherwise practical approach to managing this common problem, no mention was made of upper gastrointestinal symptoms occasionally being the only early warning of possible ovarian malignancy. Many GPs would now consider arranging a CA125 blood test.
Perhaps it is wrong to generalise too much from this observation, but it does illustrate just how holistic we ‘general’ practitioners have to be.
- © British Journal of General Practice 2013