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Malaysian Family Physician

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https://www.readbyqxmd.com/read/28503276/do-statins-adversely-affect-the-hba1c-of-diabetic-patients
#1
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
https://www.readbyqxmd.com/read/28503275/an-elderly-man-with-an-air-fluid-level-in-the-middle-ear
#2
S Mohamad, I Mohamad
A 68-year-old Malay man who is a rubber tapper, presented with a large painful right-sided neck swelling for 6 months, which was gradually increasing in size and associated with odynophagia, dysphagia, hoarseness and significant weight loss. He did not complain of any ear symptoms, but on further questioning, he admitted having a 3-week history of occasional tinnitus and reduced hearing on the right ear. Other ear symptoms were negative.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503274/is-it-as-dangerous-as-it-looks
#3
N H Che Ibrahim, N Md Shukri
A common bony protrusion that occurs over the hard palate is sometimes mistaken for a malignancy especially when it is large. This bony growth is a torus palatinus (TP), which is a benign bony prominence over the hard palate. It occurs most commonly in bilateral multiple form, and is often located at the canine to premolar area. A basic knowledge of the assessment and management of TP is important, particularly for the first-line family physician to ensure that the correct information is given to the patient...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503273/bilateral-optic-neuritis-with-maculopathy-a-rare-manifestation-of-dengue-fever
#4
Y L Boo, S Y Lim, P W Chin, F K Hoo
Dengue fever is a common mosquito-borne disease, which is endemic in tropical and subtropical countries. Bilateral optic neuropathy is a relatively unusual dengue-related ocular complication. Here, we present a case of bilateral optic neuritis with maculopathy complicating dengue infection.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503272/von-hippel-lindau-disease
#5
Sna Muhamad Nor, J Haron
Von Hippel-Lindau (VHL) disease is a rare autosomal dominantly inherited multisystem disorder characterised by the development of a variety of benign and malignant tumours. We report a case of VHL disease that was inherited by a daughter from her father, who both presented at a young age with progressive headache and were found to have a posterior fossa haemangioblastoma (HB) on magnetic resonance imaging (MRI). Multiple benign pancreatic and renal cysts were also noted in both patients.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503271/pulled-nursemaid-s-elbow
#6
M F Mohd Miswan, M S Othman, F Muhamad Effendi, M I Ibrahim, K N Rozali
Nursemaid's elbow is a radial head subluxation caused by axial traction on the extended arm while the forearm is pronated, allowing for slippage of the radial head. A 2-year-old boy presented with pain, swelling and reduced range of movement of the right elbow for 4 days. The mother noted that the child was moving the right upper limb less often and there was tenderness over the right elbow. X-ray of the right elbow showed subluxation of the elbow joint with no obvious fracture. A trial of conservative management was decided upon and the patient was placed on a right elbow backslab with the right forearm in a supine position...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503270/early-management-of-head-injury-in-adults-in-primary-care
#7
B S Liew, K Zainab, A Cecilia, Y Zarina, T Clement
Head injury is common and preventable. Assessment of the head injury patient includes airway, cervical spine protection, breathing, circulation, haemorrhage control and the Glasgow Coma Scale. Hypotension, hypoxia, hypocarbia and hypercarbia should be avoided by continuous monitoring of vital signs and hourly head chart to prevent secondary brain injury. This paper aims to assist primary healthcare providers to select the appropriate patient for transfer and imaging for further management of head injury.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503269/an-assessment-of-patient-waiting-and-consultation-time-in-a-primary-healthcare-clinic
#8
B A Ahmad, K Khairatul, A Farnaza
Waiting is a common phenomenon in the doctor's waiting room. The purpose of this audit is to assess patient waiting time and doctor consultation time in a primary healthcare clinic and to formulate strategies for improvement. This audit was conducted at a primary care clinic for 4 weeks using the universal sampling method. All patients who attended the clinic during this period was included in the study except for those who required more time to be seen such as those who were critically ill, aggressive or those who came for repeat medication or procedures only without needing to see the doctor...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503268/the-roles-of-men-in-family-planning-a-study-of-married-men-at-the-ukm-primary-care-clinic
#9
Jes Ling, S F Tong
INTRODUCTION: Traditionally, family planning initiatives were concentrated on women despite it being a family matter. As family dynamics evolved over the years, fathers' involvement in family planning has become crucial in enhancing the family well-being. OBJECTIVES: This study aimed to identify the role played by men in family planning activities and the association of socio-economic characteristics with these roles. METHODOLOGY: This was a cross-sectional study carried out in a university primary care clinic...
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28503267/consultation-not-the-time-for-shortcuts
#10
EDITORIAL
S M Liew
No abstract text is available yet for this article.
2017: Malaysian Family Physician
https://www.readbyqxmd.com/read/28491243/choledochal-cyst-in-pregnancy
#11
K S Koh, I Bickle, V V Mathew, V H Chong
INTRODUCTION: Biliary diseases during pregnancy are not uncommon and are frequently due to cholelithiasis. Choledochal cyst during pregnancy is rare. The management of biliary pathologies during pregnancy poses a challenge as the window of opportunity to carry out any interventions with minimal risk is small. CASE REPORT: We report the case of a lady who was diagnosed with a large type I choledochal cyst during the second trimester of pregnancy. Due to increasing symptoms and recurrent cholangitis, she was managed with antibiotics and surgical resection...
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28491242/moving-forward
#12
EDITORIAL
S M Liew
No abstract text is available yet for this article.
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461860/rash-in-a-foreign-worker
#13
M I Nurjahan, P Tevaraj
Hookworm-related cutaneous larva migrans (HrCLM) is a zoonosis which is endemic in many sub-tropic and tropical countries including Malaysia. We report a case of a 40-year old plantation worker who presented with a pruritic rash on his abdomen. It is important for clinicians to diagnose and treat HrCLM promptly as this condition results in considerable morbidity when treatment is delayed.
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461859/head-and-neck-tuberculosis-the-great-mimic
#14
I Mohamad, Nfh Nik Hassan, N A Nik Othman
No abstract text is available yet for this article.
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461858/glottic-cancer-in-a-non-smoking-patient-with-laryngopharyngeal-reflux
#15
N Zainuddin, N K Mohd Kornain
The onset of carcinoma of the larynx, especially of the glottis, is heralded mainly by a change of voice. It has a male preponderance and is almost exclusively common to smokers and patients with heavy alcohol consumption. We report a case of glottic carcinoma in a non-smoker female patient. The only possible risk factor for her is a history of laryngopharyngeal reflux.
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461857/leech-in-the-nose-an-unusual-cause-of-epistaxis
#16
N Zainuddin, P Nair, F Razali
Leech is an uncommon nasal foreign body, which can cause epistaxis. It is an aquatic segmental worm living in fresh water most commonly in tropical areas. Once it is attached in the nose, it will secrete an anticoagulant enzyme named hirudin, and that will result in continuous bleeding more than from a normal wound even after it is removed. We present a case of a live leech in the nose that caused unilateral epistaxis in a patient with a recent history of jungle trekking.
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461856/congenital-cholesteatoma-different-clinical-presentation-in-two-cases
#17
S Abdul Jalil, M K Md Daud
INTRODUCTION: Congenital cholesteatoma (CC) of the middle ear is a rare entity that may be undiagnosed for years. The lesion can grow undetected until it produces symptoms such as reduced hearing or otalgia. METHOD: Case report. RESULTS: We report two cases of young ladies with CC who presented with different otological symptoms. The first case complained of recurrent unilateral ear pain while the second case presented with unilateral reduced hearing...
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461855/catamenial-epilepsy-a-missed-cause-of-refractory-seizure-in-young-women
#18
J Kandeepan, J Shaaban
Catamenial epilepsy refers to changes in the frequency of seizures over the course of the menstrual cycle. A thorough history and detailed review of the patient's seizure diary are imperative to classify the seizures accurately and select the most appropriate antiepileptic treatment. As catamenial epilepsy rarely responds to antiepileptic medications, the physician should regularly revise the treatment plan of the women with epilepsy that is refractory to the current treatment. We describe the case of a 34-year-old single woman who presented with refractory seizures...
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461854/chronic-heel-pain-it-could-be-tuberculosis
#19
F Muhamad Effendi, M I Ibrahim, K N Rozali, M F Miswan
INTRODUCTION: Heel pain is a common presentation at a primary care setting. The majority of these cases are benign and self limiting in nature. Common differential diagnoses include plantar fasciitis and peroneal muscle sprains. However, certain conditions-if undetected early-may cause significant morbidity to the patient. A high index of suspicion and early referral for further investigations are needed to prevent long-term morbidities. METHODS: A clinical review of a patient with chronic left heel pain was performed...
2016: Malaysian Family Physician
https://www.readbyqxmd.com/read/28461853/management-of-neonatal-jaundice-in-primary-care
#20
Asl Wan, S Mat Daud, S H Teh, Y M Choo, F M Kutty
The Clinical Practice Guidelines on Management of Neonatal Jaundice 2003 was updated by a multidisciplinary development group and approved by the Ministry of Health Malaysia in 2014. A systematic review of 13 clinical questions was conducted using evidence retrieved mainly from Medline and Cochrane databases. Critical appraisal was done using the Critical Appraisal Skills Programme checklist. Recommendations were formulated based on the accepted 103 evidences and tailored to local setting as stated below. Neonatal jaundice (NNJ) is a common condition seen in primary care...
2016: Malaysian Family Physician
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