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Journal of Family Medicine and Primary Care

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https://www.readbyqxmd.com/read/29915777/eighty-eight-year-old-demented-woman-lives-alone-independently
#1
Koh Iwasaki, Shin Takayama
No abstract text is available yet for this article.
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915776/splenic-granuloma-melioidosis-or-tuberculosis
#2
Fibi Ninan, Ajay Kumar Mishra, Ajoy Oommen John, Ramya Iyadurai
Melioidosis well known as a 'great mimicker' is caused by Burkholderia pseudomallei. Even though majority of the patients present with acute infection, around 18 % can present as chronic infection. These latent foci of infection may reactivate to cause fulminant infection at a later date. Due to lack of clinical suspicion and good laboratory facility latent infections are often misdiagnosed and treated as tuberculosis. Chronic splenic granuloma is a rare manifestation of Melioidosis . Deep seated abscess requires atleast 4 weeks of intensive treatment with intravenous antibiotics...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915775/severe-hypertriglyceridemia-presenting-as-eruptive-xanthomatosis
#3
Sameera S Vangara, Kyle D Klingbeil, Raymond M Fertig, Jason L Radick
Eruptive xanthomatosis is described as the sudden eruption of erythematous yellow papules in the presence of hypertriglyceridemia, often associated with serum triglyceride levels above 2000 mg/dl. Severe hypertriglyceridemia can be caused by primary genetic mutations, secondary chronic diseases, or a combination of both. Uncontrolled diabetes mellitus is a known risk factor. It is imperative for physicians to be aware of eruptive xanthomatosis as a warning sign for severe hypertriglyceridemia due to the underlying risk for the potentially fatal complication of acute pancreatitis...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915774/a-case-report-of-hypohidrotic-ectodermal-dysplasia-a-mini-review-with-latest-updates
#4
Girish Gulab Meshram, Neeraj Kaur, Kanwaljeet Singh Hura
Ectodermal dysplasia (ED) is a rare hereditary disorder involving two or more of the ectodermal structures, which include the skin, hair, nails, teeth, and sweat glands. The two most common forms of the disease are hypohidrotic/anhidrotic ED and hidrotic ED. They are caused by the mutations of several genes. We present a case of a 9-year-old child with hypohidrotic ED, who presented with hypodontia, dyshidrosis, hypotrichosis, and raised body temperature. We treated the raised body temperature symptomatically with cooling techniques and antipyretics...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915773/a-rare-case-of-acute-intermittent-porphyria-with-ichthyosis-vulgaris-in-a-young-boy
#5
Garima Agrawal Varshney, Purti Agrawal Saini, Upendra Ghure
Acute intermittent porphyria (AIP) and ichthyosis vulgaris both are autosomal dominant disorders with incomplete penetrance caused by the deficiency of porphobilinogen deaminase enzyme and filaggrin protein, respectively. We report a rare case of a 9-year-old boy having two genetic diseases with an unclear association. An acute attack of AIP is characterized by gastrointestinal symptoms and neuropsychiatric manifestations. Although rare in the first decade of life, the presence of reddish urine with a typical presentation such as abdominal pain, hypertension, seizure, and paresthesias lead us to the diagnosis of AIP...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915772/quadriceps-tendon-rupture
#6
Subhadra Nori
Acute knee pain is a frequently encountered problem in the clinical settings. In 2003, American Orthopedic Association recorded that 19.4 million people visited a physician because of a knee problem. Knee pain due to injuries is increasing even among the older population, as a greater number of persons are participating in recreational activities. The quadriceps tendon rupture is not a common condition among acute causes of knee pain. However, it can be quite debilitating. The usual clinical presentation includes a middle-aged person presenting with a history of fall accompanied by swelling and inability to extend the knee...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915771/necrotizing-lymphadenitis-if-not-tuberculosis-then-what
#7
Rhea K Punjabi
We present a rare case of Kikuchi disease in a young lady presenting with fever and cervical lymphadenopathy. Clinically, the disease mimics tuberculosis and lymphoma. Lymph node biopsy is diagnostic and treatment is symptomatic. Although tuberculosis is endemic, clinicians should be aware of uncommon conditions as early recognition of the disease will minimize unnecessary evaluation and treatment.
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915770/frontal-meningioma-with-psychiatric-symptoms
#8
Suria Hussin, Siti Suhaila Mohd Yusoff, Faridah Mohd Zin, Ab Rahman Izaini Ghani
Frontal meningioma is often asymptomatic and patient may present with psychiatric symptoms. We report a case of 45- year-old female patient with no premorbid medical illness presented with 6 months history of depressive symptoms and changes in personality. Her worsening cognitive impairment brought her to psychiatry clinic and led to further investigation with contrast-enhanced computed tomography (CECT) Brain. The result showed well defined markedly enhancing lesion in the frontal region measuring 5.5 cm X5...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915769/rhupus-syndrome-and-chiari-s-network
#9
Gokhan Sargin, Taskin Senturk, Songul Cildag
A 69-year-old female patient was admitted to our clinic with photosensitivity, symmetric erosive polyarthritis, and cutaneous vasculitis of lower extremities. Rhupus syndrome was diagnosed, and Chiari's network in the right atrium and interatrial septum patent foramen ovale was achieved on transthoracic and transesophageal echocardiography. If it is thought that increased prevalence of antiphospholipid antibodies in patients with rhupus, this congenital remnant is important for the thrombosis risk, cardiac event, and stroke...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915768/presentation-of-an-unusual-metallic-foreign-body-in-a-child
#10
Ravikiran Vernekar, Maninder Singh Setia
Ingestion of foreign object is a common problem with children. These foreign bodies (FBs) can be in the respiratory tract of the aerodigestive tract. A 14-month-old male child presented to the emergency department of our hospital at 6.30 pm with irritability and continuous crying. On radiology, we found that the metallic body in the shape of a cycle was lodged in the upper esophagus. We decided to remove the FB endoscopically using an esophagoscope. We used meticulous and gentle manipulation around the edge of the metallic FB and did over a sufficient amount of time so as to dislodge the body from the impacted esophageal mucosa without causing any trauma or bleeding from the adjacent site...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915767/a-novel-surgical-correction-and-innovative-splint-for-swan-neck-deformity-in-hypermobility-syndrome
#11
Karthik Vishwanathan, Deepak Ganjiwale
Splinting is a great domain of occupational therapy profession. Making a splint for the patient would depend on the need or requirement of the problems and deformities. Swan neck deformity is an uncommon condition, and it can be seen in rheumatoid arthritis, cerebral palsy, and after trauma. Conservative treatment of the swan neck deformity is available by different static splints only. There are very few reports of surgical correction of swan-neck deformity in benign hypermobility syndrome. This case report describes the result of novel surgical intervention and an innovative hand splint in a 20-year-old female with a history of cardiovascular stroke with no residual neurological deficit...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915766/comparing-the-effects-of-shallomin-lotion-and-cryotherapy-on-treating-plane-warts
#12
Reza Yaaghubi, Mohammad Hassan Pipelzade, Mansur Amin, Mohammad Ali Shakeri Hosseinabad
Background: Wart is a common transferable skin disease that is caused by human papilloma virus. Choosing the best treatment method can vary based on age, therapeutic goal, complications, and wart place. Due to antibacterial effect of shallomin (hirtifolium Boiss extract) and since its effect has not been studied yet, it was compared to cryotherapy therapeutic methods for treating patients with plane warts. Methods: The present study was a randomized clinical trial that was carried out on 40 patients...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915765/the-experience-of-iranian-entrepreneurial-nurses-on-the-identification-of-entrepreneurial-opportunities-a-qualitative-study
#13
Simin Jahani, Heidarali Abedi, Masoud Fallahi Khoshknab, Nasrin Elahi
Background: To respond to the growing and emerging needs of the people in the health sector, the nurses need to develop their working domain from the hospitals to the community and be prepared to provide entrepreneurial roles at different care levels. Thus, to discover how to identify entrepreneurial opportunities in the field of nursing entrepreneurship, a study was conducted with the aim of describing the experiences of Iranian entrepreneurs on the identification of proper opportunities in entrepreneurship...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915764/an-investigation-into-symptoms-diagnosis-treatment-and-treatment-complications-in-patients-with-retrosternal-goiter
#14
Manouchehr Aghajanzadeh, Mohammad Reza Asgary, Fereshteh Mohammadi, Haniye Darvishi, Yasaman Safarpour
Introduction: Retrosternal goiter refers to any thyroid enlargement in which over 50% of the thyroid permanently located under the thoracic inlet or the lower pole of thyroid is not palpable with the neck in hyperextended position. Due to the increasing number of surgical procedures of retrosternal goiter, the present study was carried out to examine the symptoms, diagnosis, treatment, and treatment complications in retrosternal goiter patients. Materials and Methods: Data related to demographic data (age and gender), clinical symptoms (dyspnea, dysphagia, dysphonia, lumps in neck, and hoarseness), methods of diagnosis (computed tomography [CT], chest X-ray [CXR], ultrasonography, and magnetic resonance imaging), and postoperative complications (bleeding, early and late dysphonia, early and late dyspnea, transient and permanent hypocalcemia, transient, and permanent recurrent laryngeal nerve paralysis) were collected...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915763/the-prevalence-of-posttraumatic-stress-disorder-during-pregnancy-and-postpartum-period
#15
Rozita Khoramroudi
Introduction and Objective: The majority of formerly conducted studies have focused on the prevalence of posttraumatic stress disorder merely during pregnancy period; however, pregnancy period is by itself accompanied with the stress of getting pregnant again; therefore, the present study was conducted to evaluate the prevalence of posttraumatic stress disorder (PTSD) during pregnancy and postpartum period. Methods: A total of 3475 articles were found by searching keywords of PTSD, pregnancy, stress, and birth, through various research databases, including PubMed, Google Scholar, and Science Direct; 37 papers turned out to be completely relevant, 18 of which had provided through examination of the prevalence of intended disorder...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915762/investigating-the-relationship-between-the-quality-of-life-and-religious-coping-in-mothers-of-children-with-recurrence-leukemia
#16
Sedigheh Khanjari, Marjan Damghanifar, Hamid Haqqani
Background: Leukemia is a life-threatening chronic disease for children. The recurrence of the disease causes tension and reduces the quality of life for the family, especially for mothers. Religion is an important humanitarian aspect of holistic care that can be very effective in determining the health level of the patient and the family members. The present study aims at investigating the role of religious coping (RCOPE) in the quality of life for mothers of children with recurrent leukemia...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915761/the-ultrasound-identification-of-fetal-gender-at-the-gestational-age-of-11-12-weeks
#17
Farideh Gharekhanloo
Introduction: The early prenatal identification of fetal gender is of great importance. Accurate prenatal identification is currently only possible through invasive procedures. The present study was conducted to determine the accuracy and sensitivity of ultrasound fetal gender identification. Materials and Methods: The present cross-sectional study was conducted on 150 women in their 11th and 12th weeks of pregnancy in Hamadan in 2014. Ultrasound imaging performed in the 11th and 12th weeks of pregnancy for fetal gender identification identified the fetus either as a girl, a boy, or as a "gender not assigned...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915760/family-medicine-perception-and-attitudes-among-indian-medical-students
#18
Ilhaam Ashraf, Wendy W T Chan, Ramakrishna Prasad, Mohan Kubendra, D Hemavathy, Shailendra Prasad
Context: Currently, family medicine is not taught as a part of the undergraduate medical curriculum in India. In this context, the perceptions and attitudes of Indian medical students regarding family medicine as a career choice were studied. Aims: This study aims to study the perceptions and attitudes prevalent among Indian medical students regarding family medicine as a career choice and discuss its future implications. Settings and Design: Cross-sectional survey study design...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915759/adverse-eating-behavior-and-its-association-with-obesity-in-indian-adolescents-evidence-from-a-nonmetropolitan-city-in-india
#19
Nafis Faizi, Mohammad Salman Shah, Anees Ahmad, Mohammad Athar Ansari, Ali Amir, Najam Khalique
Introduction: With the so-called modernization, the epidemiological and sociocultural context of adolescents in developing countries is rapidly changing and is affecting their eating behavior and dietary choices. The objective of our study is twofold. First, our study seeks to find whether there is a prevalence of the adverse eating behaviors among the adolescents. Second, our study seeks to examine whether the prevalence of the adverse eating behavior is related to obesity and quantifies their association of with body mass index (BMI) status...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915758/adult-onset-seizures-clinical-etiological-and-radiological-profile
#20
Sarabjot Kaur, Ravinder Garg, Simmi Aggarwal, Sumit Pal Singh Chawla, Ranabir Pal
Introduction: Adult onset seizure disorder is a major public health concern in terms of burden of disease, nature of illness, and its impact on individual, family, and community. This study was done to assess the clinical profile and etiology of adult onset seizures and correlates of clinical and radiological pattern. Materials and Methods: This was a prospective cross-sectional hospital-based study conducted on 100 cases presenting with adult onset seizures. Results: Adult onset seizures were most prevalent in the young and middle-aged adults than elderly; generalized seizures were more common than focal seizures...
January 2018: Journal of Family Medicine and Primary Care
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