The Daily Dozen
Thursday, 22nd March 2018.Note: site undergoing updates. Audiogram/tympanogram quiz now back. KFP / AKT quizzes back soon.
Harry, age 84, complains that both of his eyes are always red and watering and that his lower eyelids have gradually become sagging.
Detecting Depression
2 questions to ask, looking for depression:
  • Over the past 2 weeks, have you felt down, depressed or hopeless?
  • Over the past 2 weeks, have you felt little interest or pleasure in doing things?
Prevention in Pregnancy
How can the following hazardous exposures be avoided for women who are pregnant or planning pregnancy?
  • Toxoplasmosis: avoid cat litter, garden soil, raw/undercooked meat and unpasteurised milk products, and wash all fruit and vegetables
  • CMV / parvo B19: handwashing, wearing gloves when changing nappies (child and healthcare workers)
  • Listeriosis: avoid paté, soft cheeses (feta, brie, blue vein), pre-packaged salads, deli meats and chilled/smoked seafood. Wash all fruit and vegetables before eating.
  • Mercury: limit fish containing high levels of mercury
Transient amaurosis fugax or dysphasia or hemiplegia
Joe, age 31, presents with a painful red right eye. He works as a carpenter and he feels like he might have got something in his eye. Fluorescein examination shows a vertical abrasion on the cornea.
Male child + gait disorder + bulky calves
Kelly, age 23, presents with blurred vision, photophobia and foreign body sensation in her left eye since waking this morning. Kelly wears contact lenses. On examination, there is a hazy, irregular light reflection and fluorescein examination shows an area of ulceration. There is no evidence of foreign body.
Weakness + constipation + polyuria
Tom, age 62, presents with a tender swollen upper eyelid that has gradually developed into a lump. Visual acuity is normal.
Short + facies (broad forehead, ptosis, low set ears etc.) + webbed neck +/- pulmonary stenosis
Mid to low back pain / discomfort + inability to touch toes + kyphosis
Dental Preventive Health
  • ‘Lift the lip’ screening - teach parents to look for signs of tooth decay once a month
  • Dental hygiene - brush twice a day, but no toothpaste under 17 months and only use low fluoride toothpaste up to 5 years
  • Dental visits annually after 12 months
GP trove is an independent Free Open Access Medical education (FOAM) website for GP registrars and other FRACGP candidates in Australia.