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Malaysian Family Physician

I Mohamad, I S Mohamad, Nfh Nik Hassan
No abstract text is available yet for this article.
2018: Malaysian Family Physician
V R Appannan, I Mohamad, R R Ramli, K B Johan
No abstract text is available yet for this article.
2018: Malaysian Family Physician
N A Jamani, J K Puteri Shanaz, A H Azwanis
No abstract text is available yet for this article.
2018: Malaysian Family Physician
K A Malek, W W Kamal
No abstract text is available yet for this article.
2018: Malaysian Family Physician
V R Appannan, M K Md Daud
Glomus tympanicum is a tumour classified under the group glomus tumours, and is also known as paragangliomas. It is thought to commonly occur in women in the fifth to sixth decades of life. Here, we report a case of a 77-year-old lady with multiple co-morbids and a diagnosis of glomus tympanicum presenting to us. Her symptoms included pulsatile tinnitus, and reduced hearing, and the management of the case was done with consideration for her underlying multiple co-morbidities. This paper also describes the best modality of treatment for this patient with regard to her background history...
2018: Malaysian Family Physician
C Boon, W E Wan Mohamad, I Mohamad
Peritonsillar abscess, or quinsy, is a rare complication of acute tonsillitis. It usually presents with odynophagia, trismus, and muffled voice, reflecting the space-occupying lesion in the oral cavity. Examination reveals a unilateral swelling on either side of the soft palate, which drains thick pus after an incision is made. It is regarded as an emergency as an upper airway obstruction can develop. Bilateral peritonsillar abscess is a rare presentation and results in catastrophic sequelae. We present a case of bilateral peritonsillar abscess that was initially referred by a primary care centre facing a dilemma in diagnosis...
2018: Malaysian Family Physician
C Y Vincent Ngu, J Rohaizam, Y H Jong
Lemierre's syndrome is a systemic complication commonly caused by oropharyngeal infection by Fusobacterium species, which manifests itself as an internal jugular vein thrombosis formation. It is a rare occurrence nowadays with the availability of broad spectrum antibiotics for treatment. Most cases in the literature presented with a life-threatening condition. We are reporting a case of Lemierre's syndrome that presented with persistent neck pain and swelling, initially diagnosed as cervical lymphadenitis.
2018: Malaysian Family Physician
K S Vong, I Mohamad, R Salim
Introduction: A foreign body (FB) in the upper aerodigestive tract is a fairly common encounter. Fish bones are the commonest FB seen in adults. The commonest presentation is odynophagia. Usually, the patient will point at the level of FB on the neck to indicate the location. Methods: Clinical report. Results: This case report describes a large FB in an adult with underlying infantile cerebral palsy. Besides dysphagia, it was associated with drooling of saliva and pain in the throat region...
2018: Malaysian Family Physician
S Husain, H H Amilia, M N Rosli, F D Zahedi, I S Sachlin
Rhinosinusitis is a common health problem encountered in primary care. It is due to mucosal inflammation of the nose and paranasal sinuses. Less than 2% of the cases are associated with bacterial infections. Diagnosis is based on clinical symptoms and supported by nasal endoscopy and imaging studies. Intranasal corticosteroids and normal saline irrigation are important treatments. Antibiotics are seldom indicated.
2018: Malaysian Family Physician
S S Hani, S M Liew
Background: Chronic low back pain (CLBP) is a common and often difficult to treat condition in the primary care setting. Research involving in-depth exploration on the views and experiences faced by primary care doctors in managing patients with CLBP in Malaysia is limited. Objective: To explore the primary care practitioners' views and experiences in managing patients with CLBP. Study design: A qualitative approach was employed using focus group discussions (FGD) at an academic primary care clinic in Kuala Lumpur, Malaysia...
2018: Malaysian Family Physician
N A Yunus, H Mohamed Yusoff, N Draman
Introduction: Cervical cancer ranks as the second most frequent cancer among women in Malaysia. Although a cervical screening program has been introduced since 1960s and is provided free of charge in all government health facilities, the coverage and adherence rate to recommendation among Malaysian women remains low. Objectives: To determine the proportion of non-adherence to Pap smear screening guidelines and its associated factors among women attending a health clinic in Malaysia...
2018: Malaysian Family Physician
W L Cheah, J Majorie Ensayan, H Helmy, C T Chang
Introduction: The present study aimed to determine the prevalence of hypertension and its association with nutritional status (body mass index, body fat percentage, and visceral fat) among students in a public university in Sarawak, Malaysia. Methods: This was a cross-sectional study among undergraduate students aged 18 years old and above. Anthropometric measurements, such as weight, height, body composition, and blood pressure measurements, were collected. Hypertension was defined as equal or more than 140/90 mmHg...
2018: Malaysian Family Physician
S M Liew
No abstract text is available yet for this article.
2018: Malaysian Family Physician
S Y Chow, N Draman, W M Teh, Y Azhany
Visual loss is a common presenting complaint in primary care. We present a case of recurrent transient visual loss in a middle aged woman. Her funduscopy showed bilateral optic disc swelling. We have highlighted the differentiation of bilateral optic disc swelling at the primary care level as the management differs according to the diagnosis.
2017: Malaysian Family Physician
I Mohamad, F W Abdul Manab
No abstract text is available yet for this article.
2017: Malaysian Family Physician
N H Qualickuz Zanan, F D Zahedi, S Husain
Background: Varicella has been known to be a harmless childhood disease. However, it has been reported that severe complications have taken place following Varicella infection, in both immunocompetent, as well as immunocompromised, individuals. Cutaneous complications of Varicella may manifest as preseptal cellulitis, albeit rarely. Report: We present a case of a 4-year-old boy who presented with symptoms and signs of preseptal cellulitis following Varicella infection...
2017: Malaysian Family Physician
L V Onn, I Bickle, H B Chua, P U Telisinghe, C F Chong, V H Chong
Urinary tract infection (UTI) is one of the most common presentations in general practice and, in most instances, occurs in a single episode and is easily treated with a course of anti-microbial therapy. In the case of recurrent urinary tract infections, it is important to consider evaluation for any underlying causes. We report the case of a 32 year old female who had recurrent UTIs; this was a case of recurrent UTI secondary to xanthogranulomatous pyelonephritis from renal stones with resultant reno-colic fistula formation...
2017: Malaysian Family Physician
J E Sam, S Priya, A W Nasser
Introduction: Half of facial paralysis in children is idiopathic at origin. However, dismissing facial paralysis as being idiopathic without a thorough history and meticulous examination could be disastrous as illustrated by this case. Case report: We report a case of sphenoid wing meningioma in a 4-year-old girl. She first presented with only facial asymmetry that was noticed by her mother. Examination suggested a left upper motor neuron facial nerve palsy. A sphenoid wing meningioma was found on magnetic resonance imaging (MRI) of her brain...
2017: Malaysian Family Physician
V V Visuvanathan, K C Koh
No abstract text is available yet for this article.
2017: Malaysian Family Physician
S Rajinder, N O Nik Adilah
The presence of a tick in the ear is an uncommon problem encountered by the department of otorhinolaryngology. A tick infestation in the ear can be a traumatising experience for the patient. Here, we report a case of a woman who presented with left facial weakness due to the presence of a tick in the external auditory canal.
2017: Malaysian Family Physician
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