Dr Owen Hibberd

Bacterial meningitis and meningococcal disease are still associated with significant morbidity and mortality despite advances in treatments and primary prevention. This article, based upon a fictional clinical case scenario, highlights the role of primary care in the assessment and initial treatment of suspected bacterial meningitis and meningococcal disease, the management of close contacts, and the ongoing management of long-term sequelae.

Type 1 diabetes with an eating disorder (T1DE) is common, and often unrecognised, in young people with diabetes. In general practice, this can be challenging to identify, and unfortunately patients with T1DE are at a greater risk of serious psychiatric and diabetic complications. A considered and detailed assessment is required to recognise this condition and to provide holistic care for patients and their families. This article, based upon a clinical case scenario, will highlight how the role of primary care is crucial to the early recognition, management, referral, and continuing support of young people with T1DE and their families.