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See Figure Here the immune complexes can cause a local inflammation by activation of the complement system. This type of allergic reaction can occur with penicillin. Some drugs can combine with proteins in the skin to form antigens.

For example instead of having to be referred back to a doctor and having to make another journey, a patient could be managed by the physiotherapist. This could provide timely and appropriate access to treatment for chronic disease management. A community physiotherapist treating a patient in a remote location who is not responding well to medicines prescribed by a consultant could, under a CMP, alter dosages for that patients benefit. Specialist knowledge allows the physiotherapist to explain to patients in these situations how to take their medication for best effect and could help improve compliance. A GP or a consultant, whichever is relevant, would have to be involved in the initial development of a CMP and review process so that physiotherapist could prescribe medication as appropriate for individual patients.
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The consultant podiatrist is a member of a rapid access referral team for the treatment of patients with serious skin ulcers.
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Part of this is a pathway from the substantia nigra in the midbrain to an area called the striatum in the basal nuclei.
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Cortisol has many target tissues and has a variety of metabolic actions: increase in circulating blood glucose due to decrease in uptake by tissues other than the brain and increase in gluconeogenesis; increase protein breakdown, particularly in muscle, making amino acids available for repair and gluconeogenesis; lipolysis providing fatty acids for alternative energy supply.
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