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This book has been written primarily for general practitioners; The aim of the book is to help the doctor manage these problems, both through his own interventions and by involving or referring the patient on to other agencies.

This series of books is designed to help general practitioners. they are written by specialists working at district general hospitals. Within the series much practical and useful advice is to be found with which the general practitioner can compare his existing performance and build in new ideas and improved techniques.

In writing this short monograph on 'Problems in Peripheral Vascular Disease', I have tried to steer a course between a simplistic dogmatic approach more appropriate to an under graduate text, and a detailed specialist treatise of interest only to vascular surgeons.

Part one of the book presents the gastrointestinal problems that commonly face the general practitioner. It was possible to deal with common oesophageal diseases under the heading of oeso phageal problems in Part 1.

Over several years working in a district general hospital as a physician with a cardiological interest, the common problems in this field are clearer. It may prove of value to those medical students and nurses who wish to consider medical problems in a practical way, that is from the ways that cardiac problems present in practice.

The topics chosen for discussion represent the most common problems referred by family doctors to chest clinics. A similar change of attitude to the management of chronic bronchitis brought many new patients to the chest clinics in place of the vanishing tuberculous population.

Ageing processes affect every major organ system in the body and the impairment of physiological perfor mance resulting from these affects the elderly individual's response to infections, disease and environmental changes in complex ways that are not seen in younger people.

This series of books is designed to help general practitioners. they are written by specialists working at district general hospitals. Within the series much practical and useful advice is to be found with which the general practitioner can compare his existing performance and build in new ideas and improved techniques.

The aim of this book is to give a short and practical account of the problems related to the ear, nose and throat. Padman Ratnesar Farn boro ugh, 1984 7 Series Foreword This series of books is designed to help general practitioners. they are written by specialists working at district general hospitals.