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Gastroenteritis (Infectious Diarrhoea)

Overview Gastroenteritis continues to cause significant morbidity in developed and developing countries. The most common cause are viral and bacterial including: Norovirus Enteric adenoviruses E-coli Salmonella spp. and Shigella spp. Campylobater jejuni Diarrhoea:  Loose, water like stools that occur with increased frequency and an increased volume of >200g per day Gastroenteritis:  >3 or more loose…

Alzheimer's Disease

Overview Alzheimer disease is characterised by an insidious onset of symptoms with initial forgetfulness progressing over time to profound memory impairment with accompanying dysphasia, dyspraxia and personality change. Dementia: Clinical syndrome that is characterised by a progressive deterioration in cognition with resulting decline in function. Alzheimer disease:  Characterised by an insidious onset of symptoms with initial…

Scaphoid Fracture

Overview Scaphoid fracture is the most common carpal bone fracture , accounting for ~60–70% of all carpal fractures. It occurs most frequently in young adults (15–40 years) following a fall on the outstretched hand (FOOSH). The scaphoid’s tenuous blood supply predisposes to non-union and avascular necrosis, especially in proximal fractures. Early recognition is essential as…

Nephrotic Syndrome

Overview Nephrotic syndrome is a relatively rare but important manifestation of kidney disease.Nephrotic syndrome classically presents with heavy proteinuria , minimal hematuria, hypoalbuminemia, hypercholesterolemia, edema , and hypertension. In general, all patients with hypercholesterolemia secondary to nephrotic syndrome should be treated with lipid-lowering agents because they are at increased risk for cardiovascular disease. Nephrotic syndrome…

Anorectal Disease

Overview Anorectal conditions are a common presentation in the primary care setting. A history and physical examination usually will determine the etiology. Physical examination includes visual inspection, digital rectal examination, and anoscopy Anal Fissure More info on   Anal fissures Anal Abscess More info on  Anal Abscess Haemorrhoids More info on  Haemorrhoids Other anorectal disease…

Aortic Regurgitation (incompetence)

Overview Aortic regurgitation (AR) is backward flow of blood from the aorta into the left ventricle during diastole because the aortic valve does not close completely. AR may result from disease of the valve leaflets, dilatation of the aortic root or both. Chronic AR causes progressive left-ventricular volume overload and dilatation, whereas acute severe AR…

Lung Cancer

Overview Lung cancer is the leading cause of cancer deaths in men and women. Lung cancer can be divided into small cell and non-small cell carcinoma. Small cell lung carcinoma presents late stage and has poorer prognosis.  A solitary pulmonary nodule measuring 8 mm or less can be followed radiographically. For larger lesions, a biopsy, whether…

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