October 10, 2018
The Daily Dozen - Wednesday, 16th January 2019.
Child 6-13 years Preventive Health CheckAssessment
- Growth velocities including BMI
- School progress
- ‘Lift the lip’ dental check
- Physical activity
- Family functioning
- Behavioural or emotional problems
- Injury prevention
- Sun protection
- Social and emotional wellbeing
Typical facies (temporalis atrophy and frontal balding) + muscle weakness (+/- myotonia) + cataracts
Molly, age 24, presents with visual disturbance. At first she noted a flickering light near the center of her vision, then it expanded outwards. Shortly after this she developed a headache.
Classic migraine. Scintillating scotoma and binocular visual loss, followed usually (but not always) by a headache.
Vertigo + provoked by movement (especially rolling in bed) + Hallpike positive
Benign Paroxysmal Positional Vertigo
Preventing acute kidney injury: which are the key drugs to be avoided on a sick day?
SAD MANS mnemonic: S sulfonylureas A ACE-inhibitors D diuretics M metformin A angiotensin receptor blockers N non-steroidal anti-inflammatory S SGLT2 inhibitors
Vertigo + vomiting + tinnitus + sensorineural deafness
Facies + intellectual disability + large testes
Fragile X syndrome
Judy, age 60, complains of a large sore red swollen lump on the inner corner of her right eye. If she presses on it, some pus-like discharge comes out. Judy has a history of chronic sinusitis.
Dacryocystitis. There is an inflamed swelling over the lacrimal sac and surrounding tissue. This can be due to chronic sinusitis, trauma or cancer blocking the nasolacrimal duct.
Abdominal pain + malar flush + fever +/- URTI
In a child
What does this Audiogram show?
Fever + conjunctivitis + skin changes (cracked red lips, maculopapular rash, erythema of palms / soles, desquamation of fingertips)
Article of the Month
Removal of ear, nose and throat foreign bodies: A review
This is a practical guide to removing different shaped foreign bodies from the ear, nose or throat.
Apart from batteries and vegetable matter that may expand with moisture, most ear foreign bodies do not need to be removed immediately.
AJGP October, 2018
Recently Added Links
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