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Malaysian Family Physician

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https://www.readbyqxmd.com/read/29527282/recurrent-transient-visual-loss-in-a-middle-aged-woman
#1
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
https://www.readbyqxmd.com/read/29527281/simple-question-towards-diagnosis-did-you-eat-fish
#2
I Mohamad, F W Abdul Manab
No abstract text is available yet for this article.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29527280/varicella-zoster-causing-preseptal-cellulitis-uncommon-but-possible
#3
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
https://www.readbyqxmd.com/read/29527279/xanthogranulomatous-pyelonephritis-with-reno-colic-fistula-a-rare-complication-of-urinary-tract-infection
#4
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
https://www.readbyqxmd.com/read/29527278/facial-nerve-palsy-in-a-child-bell-s-palsy-think-again
#5
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
https://www.readbyqxmd.com/read/29527277/black-tongue
#6
V V Visuvanathan, K C Koh
No abstract text is available yet for this article.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29527276/intra-aural-tick-resulting-in-facial-nerve-paresis
#7
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
https://www.readbyqxmd.com/read/29527275/post-treatment-impact-and-needs-of-prostate-cancer-survivors-in-malaysia-a-qualitative-study
#8
P Y Lee, C J Ng, T A Ong, Y K Lee, A Khatijah Lim, A T Cheong, A R Azad Hassan
Introduction: There are limited studies conducted on the needs of cancer survivors in developing countries like Malaysia. This qualitative study aimed at exploring the post-treatment impact and needs of prostate cancer survivors. Methods: A qualitative study design was used. One in-depth interview and four focus group discussions were conducted with 24 prostate cancer survivors (age range: 58-79 years) from government and private hospitals in Malaysia in 2013. Trained researchers used a topic guide to guide the interviews, which were audio-recorded, transcribed verbatim, checked and managed with Nvivo 10 software...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29527274/self-management-approaches-among-hypertensive-residents-in-nursing-homes-in-malaysia
#9
T M Wei, M S Omar
Introduction: The prevalence of hypertension in Malaysia is increasing and an effective management of hypertension is important to reduce cardiovascular morbidity and mortality. Objective: To determine the knowledge, awareness and perception towards hypertension among residents in nursing homes as well as the roles of caregivers in hypertension management. Methods: A face-to-face survey with 200 hypertensive residents and 30 caregivers from 24 nursing homes in Kuala Lumpur and Selangor, Malaysia was conducted...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29527273/incidence-and-demographical-characteristics-of-patients-with-post-traumatic-stress-disorder-due-to-motor-vehicle-accidents
#10
R Bahari, M N Mohamad Alwi, M R Ahmad, I Mohd Saiboon
Introduction: Motor vehicle accidents (MVAs) are daily occurrences in Malaysia but the extent to which victims are psychologically affected is not well known. The objective of this study is to determine the incidence and demographic characteristics of patients with post-traumatic stress disorder (PTSD) due to MVAs at a university hospital in Malaysia. Methods: Patients presenting to the emergency department from August to October 2014 due to MVA-related injuries were recruited...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29527272/something-old-something-new
#11
EDITORIAL
S M Liew
No abstract text is available yet for this article.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423129/in-the-finger-it-lingers
#12
A W Mohd, I Mohamad, W S Wan Ghazali, K B Johan
No abstract text is available yet for this article.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423128/an-association-of-myasthenia-gravis-with-hashimoto-s-thyroiditis-in-a-patient-with-a-multinodular-goitre
#13
Nsf Mohamed, F Mohd Zin, S S Mohd Yusoff
Introduction: The association of myasthenia gravis (MG) with other autoimmune diseases including autoimmune thyroid disease (ATD) is well recognised, although rare. The occurrence of both diseases can occur in two ways: either disease preceding the other, or concurrently. The presentation of MG in association with ATD can range from ocular to generalised disease. Case Summary: A 26-year-old Malay female with persistent hyperthyroidism secondary to Hashimoto's thyroiditis in multinodular goitre was diagnosed with generalised MG after 2 years...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423127/bezold-s-abscess-a-rare-complication-of-acute-otitis-media
#14
F Nasir, Z A Asha'ari
Otitis media is a common disease encountered in the primary practice. Most cases are successfully treated with antibiotics without any sequelae. Because of these, potential serious complications of otitis media may be overlooked. We report a rare case of Bezold's abscess, as a complication of otitis media and discuss its pathophysiology and management.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423126/a-rare-case-of-a-sharp-foreign-body-on-the-vocal-cord
#15
C I Nor Hisyam, K Misron, I Mohamad
A foreign body (FB) in the upper aerodigestive tract is a common clinical problem that presents as as acute emergency. Sharp FB, such as fish bone or chicken bone, commonly lodges in the tonsil, base of tongue, vallecula or pyriform fossa. Dislodgement of a FB into the laryngopharynx is very rare and specifically onto the vocal cord is extremely uncommon. This case report illustrates a rare case of a sharp FB that was dislodged into the airway and stuck on to the right vocal cord, which was removed under local anaesthesia...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423125/management-of-t1dm-in-children-and-adolescents-in-primary-care
#16
Yhj Hong, N Hassan, Y K Cheah, M Y Jalaludin, Z M Kasim
The Clinical Practice Guidelines on the Management of Type 1 Diabetes Mellitus in Children & Adolescents was developed by a multidisciplinary development group and approved by the Ministry of Health Malaysia in 2015. A systematic review of 15 clinical questions was conducted using the evidence retrieved mainly from MEDLINE and Cochrane databases. Critical appraisal was done using the Critical Appraisal Skills. Recommendations were formulated on the accepted 136 evidences using the principles of Grading Recommendations, Assessment, Development and Evaluation tailored to the local setting...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423124/gestational-diabetes-mellitus-the-prevalence-associated-factors-and-foeto-maternal-outcome-of-women-attending-antenatal-care
#17
S Logakodie, O Azahadi, P Fuziah, Bib Norizzati, S F Tan, Zzr Zienna, M Norliza, J Noraini, M Hazlin, M Z Noraliza, M K Sazidah, O Mimi
Objective: The aim of the study is to determine the prevalence of gestational diabetes mellitus (GDM), its associated risk factors, foeto-maternal outcomes and prevalence of postnatal diabetes mellitus (DM). Methods: This is a cross-sectional study using retrospective data from existing antenatal records of new antenatal women who registered at 72 public health clinics in Selangor in January 2014. Results: A total of 745 antenatal records were reviewed...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423123/self-efficacy-of-foot-care-behaviour-of-elderly-patients-with-diabetes
#18
S K Ahmad Sharoni, M N Mohd Razi, N F Abdul Rashid, Y E Mahmood
Introduction: Elderly patients with diabetes are at a high risk of contracting diabetic foot problems. Self-efficacy is essential to help improve foot care behaviour. Aim: To identify levels of self-efficacy and foot care behaviour and their relationship with demographic characteristics in elderly patients with diabetes. Methods: A cross-sectional study was conducted in two general hospitals in Malaysia from May to June 2015. Diabetes patients aged 60 years with specific inclusion criteria were invited to participate in this study...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/29423122/why-research-in-primary-care-is-important
#19
EDITORIAL
S M Liew
No abstract text is available yet for this article.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503276/do-statins-adversely-affect-the-hba1c-of-diabetic-patients
#20
W D Son, C L Teng
This paper discusses the adverse effect of statins on the HbA1c levels of diabetic patients. Studies have shown that statins may slightly worsen the HbA1c level. The effects vary depending on the type of statins, the dosage and the duration of therapy. However, it has been confirmed that statin use has benefits that outweigh its harms. Therefore, a diabetic patient should be given advice on the need for appropriate lifestyle changes and the importance of continuing the statins.
2017: Malaysian Family Physician
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