scholarly journals Approach to: Red eye

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sangeetha Santhakumaran
Keyword(s):  
Primary Care ◽  
Anterior Segment ◽  
Care Physician ◽  
Treatment Modalities ◽  
Care Practice ◽  
Common Symptom ◽  
Red Eye ◽  
Eye Disorders ◽  
Associated Symptoms ◽  
Respective Treatment

Red eye is a common symptom that presents in primary care practice, and may be accompanied by pain, irritation, or discharge. It is a sign of ocular inflammation, often involving the anterior segment of the eye. Most causes of red eye are benign; however, the primary care physician must identify when urgent referral to an ophthalmologist is required. This may be achieved through targeted questioning regarding the chronicity, intensity of pain, vision changes, and associated symptoms. The following article outlines an approach to identifying the cause of red eye using history and physical exam findings. Common features of red eye disorders and their respective treatment modalities are discussed.

scholarly journals Approach to: Acute vision loss

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sangeetha Santhakumaran
Keyword(s):  
Primary Care ◽  
Visual Acuity ◽  
Vision Loss ◽  
Anterior Segment ◽  
Retinal Disease ◽  
Care Physician ◽  
Temporary Reduction ◽  
Optic Nerve Disease ◽  
Eye Disorders ◽  
Nerve Disease

Acute vision loss is the temporary reduction of visual acuity or visual field, lasting from a few minutes to a few days. The etiologies of acute vision loss may be divided into anterior segment disease, retinal disease, optic nerve disease, or neurovascular disease. It is recommended to refer all presentations of acute vision loss for ophthalmologic consultation; however, the primary care physician plays an important role in determining the urgency of referral. The following article describes an approach to narrowing the differential diagnosis of acute vision loss, using relevant ocular history and physical exam findings. The features of common eye disorders relating to acute vision loss and their treatments are also discussed.

Family Conference In Primary Care Practice

2021 ◽  
Vol 70 (12) ◽  
pp. 243-245
Author(s):  
Retno Asti Werdhani ◽  
Dhanasari Vidiawati Trisna
Keyword(s):  
Primary Care ◽  
Family Environment ◽  
Primary Care Practice ◽  
Care Physician ◽  
Care Practice ◽  
Successful Management ◽  
Inhibiting Factor ◽  
Family Conference ◽  
The Family ◽  
Physician Family

From the Epidemiology Triangle, we can see that a person’s health status is influenced by 3 factors: host, agent, and the environment. The environment plays the biggest role as the cause of health problems, one of which is the family environment. Family can become a supporting factor or inhibiting factor in the successful management of patient’s cases. Therefore, a primary care physician/family physician needs to conduct family meetings to discuss and agree on solutions with the patient’s family by paying attention to inhibiting and supporting factors and find common solutions for the benefit of the patient.

Ideas and innovations: Inclusion of pharmacists in chronic pain management services in a primary care practice

2017 ◽  
Vol 7 (6) ◽  
pp. 484-487
Author(s):  
Robin Moorman Li, PharmD ◽  
Rachel Hrabchak Franks, PharmD ◽  
Steven G. Dimmitt, DO ◽  
George R. Wilson, MD
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Care Physician ◽  
Care Practice ◽  
Chronic Pain Management ◽  
Proper Patient Selection ◽  
Pain Specialist

Nonmalignant chronic pain management involves an ongoing process of complex evaluations including proper patient selection, proper prescribing, and careful monitoring. In the Pain Management Refill Clinic, patients are stabilized on an opioid regimen by either a pain specialist or a primary care physician (PCP). The PCP assumes long-term prescription of the regimen and proper follow-up. The inclusion of pharmacists in the management of patients suffering from chronic pain has allowed the physicians to improve opioid prescribing, documentation, and monitoring in accordance with chronic nonmalignant pain guidelines.

scholarly journals Differential diagnosis of lymphadenopathy

2020 ◽  
Vol 1 (3) ◽  
pp. 101-108
Author(s):  
Nenad Govedarović ◽  
Rade Babić
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Diagnostic Procedure ◽  
Excisional Biopsy ◽  
Needle Aspiration ◽  
Care Physician ◽  
Associated Symptoms ◽  
Primary Care Patients ◽  
Exposure History ◽  
Serious Disease

The majority of patients presenting with peripheral lymphadenopathy have easily identifiable causes that are benign or self-limited. Among primary care patients presenting with lymphadenopathy, the prevalence of malignancy has been estimated to be as low as 1.1 %. The critical challenge for the primary care physician is to identify which cases are secondary to malignancies or other serious conditions. Key risk factors for malignancy include older age, firm, fixed nodal character, duration of greater than two weeks, and supraclavicular location. Knowledge of these risk factors is critical to determining the management of unexplained lymphadenopathy. In addition, a complete exposure history, review of associated symptoms, and a thorough regional examination help determine whether lymphadenopathy is of benign or malignant origin. Unexplained lymphadenopathy without signs or symptoms of serious disease or malignancy can be observed for one month, after which specific testing or biopsy should be performed. While modern hematopathologic technologies have improved the diagnostic yields of fine-needle aspiration, excisional biopsy remains the initial diagnostic procedure of choice.

scholarly journals Promoting Physical Activity in a Primary Care Practice: Overcoming the Barriers

2019 ◽  
pp. 155982761986769 ◽  
Author(s):  
Mitul Jones ◽  
Philippa Bright ◽  
Lucia Hansen ◽  
Olga Ihnatsenka ◽  
Peter J. Carek
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Effective Means ◽  
Cost Effective ◽  
Care Physician ◽  
Regular Physical Activity ◽  
Care Practice ◽  
Physical Activity Counseling ◽  
Activity Counseling ◽  
Clinical Benefits

Along with proper diet and avoidance of tobacco use, physical activity is extremely important to maintain and improve overall health of the individual and population. Despite evidence for the cost-effectiveness of physical activity counseling in primary care, only one-third of patients report that they received physical activity counseling by their primary care physician (PCP). Both PCPs and patients face numerous barriers to addressing insufficient physical activity. To assist patients in overcoming their barriers to regular physical activity, the PCP should assess and address the patient’s specific barriers to physical activity and counsel patients about the most common general barriers, such as lack of time, knowledge, and motivation. Numerous benefits and barriers are present, and the PCP should understand them and use the information to better counsel patients regarding the benefit of and need for regular physical activity. Brief counseling is an efficient, effective, and cost-effective means to increase physical activity and to bring considerable clinical benefits to various patient populations.

scholarly journals Primary care physician satisfaction with patients diagnosed with depression: International Depression Project results from Colombia

2006 ◽  
Vol 28 (4) ◽  
pp. 283-289 ◽  
Author(s):  
Carlos Gómez-Restrepo ◽  
Adriana Bohórquez Peñaranda ◽  
Mayumi Okuda Benavides ◽  
Jacky Fabian Gil Laverde ◽  
Natalia Sanchez Díaz
Keyword(s):  
Primary Care ◽  
Total Duration ◽  
Clinical Encounter ◽  
Care Physician ◽  
Physician Satisfaction ◽  
Care Practice ◽  
Physical Problems ◽  
Before And After ◽  
Degree Of Satisfaction ◽  
The Impact

OBJECTIVE: To characterize physician satisfaction with doctor-patient encounters, distinguishing between those involving patients diagnosed with depression and those involving patients without depression, as well as to determine the impact of an educational intervention aimed at improving the recognition and management of depression in primary care practice, in Bogotá, Columbia. METHOD: Physician satisfaction when treating outpatients in primary care centers was assesed by means of a questionnaire applied before and after the intervention. RESULTS: The intervention was given to 18 physicians and 5 nurses. A total of 1650 questionnaires related to visits were collected in the first phase, and 1832 were collected in the second one. The percentage of patients diagnosed with depression increased from 5.9% (95% CI: 4.8-7.1%) before the intervention to 10.6% (95% CI: 9.2-12.06%) after. The total duration of the clinical encounter did not change significantly. The percentage of time spent on the physical problems/concerns of the patients decreased in both types of visits. CONCLUSIONS: Health professional satisfaction was the greatest when dealing with the physical problems of the patient. However, in both types of visits, the degree of satisfaction when dealing with the psychological aspects increased after the intervention.

Perspectives

2014 ◽  
Vol 4 (3) ◽  
pp. 1-6
Author(s):  
P. Ravi Shankar
Keyword(s):  
United States ◽  
Primary Care ◽  
Medical Education ◽  
Primary Care Physician ◽  
United States Of America ◽  
Primary Care Practice ◽  
Care Physician ◽  
Care Practice ◽  
Modern Medical Practice ◽  
Special Relevance

Dr. David Loxterkamp has been practicing as a primary care physician for over thirty years in Belfast, Maine, United States of America. He is a frequent writer on issues related to primary care and has recently published a book titled ‘What matters in medicine; Lessons from a life in primary care'. Towards the middle of the book he puts forward fourteen aphorisms for physicians with special relevance for primary care practice. In this manuscript the author briefly examines these aphorisms and describes their profound possible influence on modern medical practice, healthcare and medical education. The author is of the opinion that Dr Loxterkamp's observations and concepts born from and honed by over thirty years of practice as primary care physician in Belfast, Maine, United States should be read by all physicians and especially by medical students in training.

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