Incontinence

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Incontinence

Faecal Incontinence Faecal incontinence implies loss of voluntary control of passage of faeces from the anus. Faecal soiling of the clothes occurs, which is socially embarrassing for the patient. Any…

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Lumps

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Lumps

Breast Lumps A lump in the breast is a common clinical presentation. In every case of a breast lump, in both males and females, carcinoma must be excluded. Causes Discrete…

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Pain

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Pain

Abdominal Pain Abdominal pain is an extremely common presenting symptom. The pain may be acute (sudden onset) or chronic (lasting for more than a few days or presenting intermittently). It…

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Pain

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Pain

Anorectal Pain Anorectal pain is a common problem. The majority of patients have an obvious cause, e.g. fissure-in-ano, perianal abscess or thrombosed haemorrhoids. Causes Acute • Fissure-in-ano • Perianal haematoma • Thrombosed haemorrhoids…

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Dizziness

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Dizziness

Dizziness Spatial disorientation may be expressed by the patient as dizziness, vertigo or feeling ‘light-headed’. True vertigo is not experienced as a sensation of movement but as tilting or sloping…

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Deafness

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Deafness

Deafness Deafness is loss of hearing and may be divided into ‘conductive’ and ‘sensorineural’ to facilitate interpretation of clinical examination. Causes Conductive Deafness Congenital • Atresia of the meatus Acquired • Obstruction…

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Cyanosis

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Cyanosis

Cyanosis Cyanosis is the abnormal blue discoloration of the skin and mucous membranes resulting from the presence of 5 g/dL or more of reduced haemoglobin in the blood. It is not…

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Convulsions

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Convulsions

Convulsions A convulsion is a series of involuntary violent contractions of voluntary muscles. Causes Neurological • Epilepsy • Febrile convulsions Traumatic • Head injuries Metabolic • Hypoxia • Glucose • Electrolyte abnormalities, e.g. calcium, sodium • Uraemia…

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Constipation

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Constipation

Constipation Constipation is a common complaint that results from decreased frequency of abnormally firm motions for a particular patient. It must be related to the patient’s normal bowel habit. Acute…

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Confusion

May 18, 2017 by in GENERAL & FAMILY MEDICINE Comments Off on Confusion

Confusion Confusion is a behavioural state of reduced mental clarity, coherence, comprehension and reasoning. The causes may be organic or psychiatric (the reader is referred to a textbook of psychiatry…

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