scholarly journals Reticulated, Hyperchromic Rash in a Striated Pattern Mimicking Atopic Dermatitis and Fungal Infection in a 2-Month-Old Female: A Case of Incontinentia Pigmenti

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Nina Poliak ◽  
Alexandre Le ◽  
Anthony Rainey
Keyword(s):  
Primary Care ◽  
Atopic Dermatitis ◽  
Retinal Detachment ◽  
Early Diagnosis ◽  
Fungal Infection ◽  
Primary Care Physicians ◽  
Parental Education ◽  
Incontinentia Pigmenti ◽  
Dental Abnormalities ◽  
Upper And Lower Extremities

We present a 12-month-old Hispanic female with a reticulated, hyperchromic rash in a striated pattern appearing on upper and lower extremities and trunk and back since the age of 6 weeks. Over the next 10 months, the rash persisted. The rash did not respond to treatment with antifungals and steroids. During her 6-month wellness visit, the patient was diagnosed with incontinentia pigmenti (IP), a rare X-linked dominant disorder, fatal to male fetuses in utero. IP can lead to serious neurological and ophthalmologic consequences. Early diagnosis by primary care physicians and parental education about the condition are essential for prevention of retinal detachment, developmental delay, and dental abnormalities.

Survey of the Knowledge, Attitudes and Practices of Primary Care Physician's Towards Dementia Care in Israel

2020 ◽  
Vol 9 (2) ◽  
pp. 70-80
Author(s):  
Rakel Berenbaum ◽  
Julian Dresner ◽  
Bracha Erlich ◽  
Shlomo Vinker ◽  
Chariklia Tziraki
Keyword(s):  
Primary Care ◽  
Early Diagnosis ◽  
Primary Care Physicians ◽  
Local Level ◽  
Community Services ◽  
Screening Tools ◽  
Annual Conference ◽  
Dementia Diagnosis ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Aim: Primary care physicians have an important role in the early diagnosis and management of dementia as a common first point of contact for patients dealing with cognitive decline. Our aim was to explore primary care physicians knowledge, attitudes, and practices regarding care of people with dementia and their families. Methods: A cross sectional study among primary care physicians, attending their annual conference. The self-complete questionnaire included questions measured with a five point Likert scale as well as open-ended questions. Multivariable linear regression models were used to evaluate primary care physicians confidence in their dementia diagnosis and their level of knowledge and training. Results: Questionnaires were returned by 95 primary care physicians, a 24% response rate. The majority of primary care physicians feel it is their role to diagnose dementia (87%), unfortunately, 80% do not feel confident in making this diagnosis and 66% feel they are lacking knowledge or training to do so. They report they need more training on non-pharmacological interventions (86%), pharmacological treatments (92%), and community services (92%). Regression analysis revealed that lack of easily accessible screening tools plays an important role in confidence in dementia diagnosis. Conclusion: Our results may help policy makers plan interventions to meet training and system needs of primary care physicians and translate the national dementia policy guidelines into practice at the local level. Keywords: physicians, primary care, dementia, early diagnosis, adult day care centers

Sudden Airway Obstruction Due to Pedunculated Laryngeal Polyps

1983 ◽  
Vol 92 (4) ◽  
pp. 340-343 ◽  
Author(s):  
Jeffrey N. Hausfeld ◽  
Eiji Yanagisawa ◽  
Myles L. Pensak
Keyword(s):  
Primary Care ◽  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Airway Obstruction ◽  
Primary Care Physicians ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Diagnosis And Treatment ◽  
Respiratory Obstruction

Acute upper airway obstruction from laryngeal polyps is uncommon. However, a large pedunculated laryngeal polyp, when unrecognized, may produce sudden airway obstruction. The importance of an early diagnosis and treatment is stressed. Primary care physicians, endoscopists, anesthesiologists, and otolaryngologists should be aware of this condition and add it to their differential diagnosis of sudden respiratory obstruction.

scholarly journals The Role of the Primary Care Physician in Alzheimer’s Disease

2011 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Hélène Villars ◽  
Bruno Vellas ◽  
◽  
Keyword(s):  
Alzheimer’S Disease ◽  
Primary Care ◽  
Alzheimer's Disease ◽  
Early Diagnosis ◽  
Primary Care Physicians ◽  
Psychological Symptoms ◽  
Primary Care Providers ◽  
Care Physician ◽  
Care Providers ◽  
Her Family

The increased incidence of Alzheimer’s disease (AD) and related dementias in European and other northern countries is creating a real challenge for primary care providers. Primary care physicians (PCPs) must follow the general objectives of identifying dementia and allowing early diagnosis, disclosing diagnosis to both the patient and his or her family, preventing and treating, if possible, the complications of AD (falls, malnutrition and behavioural and psychological symptoms) and implementing a follow-up plan. It is essential for PCPs to develop interactions with specialist physicians and community professionals who intervene in the management of AD patients. The need for better education and training programmes for PCPs has been demonstrated in the literature in both the early diagnosis and management of AD. Clear guidelines specifically addressed to PCPs are needed.

scholarly journals Early Diagnosis Of Inflammatory Arthritis By Primary Care Physicians Following Training By A Rheumatologist

2019 ◽  
Vol Volume 11 ◽  
pp. 315-321
Author(s):  
Rami Magliah ◽  
Waleed Hafiz ◽  
Ziad Abdulaziz Alahmadi ◽  
Muhammad Irfanullah Siddiqui ◽  
Haytham Mohamed Ahmed ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Diagnosis ◽  
Primary Care Physicians ◽  
Inflammatory Arthritis

scholarly journals Translating knowledge into practice at the local level: evaluation of a Pilot CME for primary care physicians on dementia early diagnosis and management

2019 ◽  
Vol 32 (12) ◽  
pp. 1469-1470 ◽  
Author(s):  
Rakel Berenbaum ◽  
Julian Dresner ◽  
Yoram Maaravi ◽  
Bracha Erlich ◽  
Nechama Pivko ◽  
...  
Keyword(s):  
Primary Care ◽  
Early Diagnosis ◽  
Primary Care Physicians ◽  
Local Level ◽  
Diagnosis And Management

scholarly journals The Evolving Role of Ophthalmology Clinics in Screening for Early Alzheimer’s Disease: A Review

Vision ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 46
Author(s):  
Paris Dickens ◽  
Kanna Ramaesh
Keyword(s):  
Risk Factors ◽  
Alzheimer’S Disease ◽  
Primary Care ◽  
Alzheimer's Disease ◽  
Early Diagnosis ◽  
Primary Care Physicians ◽  
Early Recognition ◽  
Early Stage ◽  
Health Concern ◽  
Memory Problems

Alzheimer’s disease (AD) is the leading cause of dementia, which is a growing public health concern. Although there is no curative treatment for established AD, early recognition and modification of the known risk factors can reduce both severity and the rate of progression. Currently, an early diagnosis of AD is rarely achieved, as there is no screening for AD. The cognitive decline in AD is gradual and often goes unnoticed by patients and caregivers, resulting in patients presenting at later stages of the disease. Primary care physicians (general practitioners in the UK) can administer a battery of tests for patients presenting with memory problems and cognitive impairment, however final diagnosis of AD is usually made by specialised tertiary level clinics. Recent studies suggest that in AD, visuospatial difficulties develop prior to the development of memory problems and screening for visuospatial difficulties may offer a tool to screen for early stage AD. AD and cataracts share common risk and predisposing factors, and the stage of cataract presentation for intervention has shifted dramatically with early cataract referral and surgical intervention becoming the norm. This presentation offers an ideal opportunity to administer a screening test for AD, and visuospatial tools can be administered at post-operative visits by eye clinics. Abnormal findings can be communicated to primary care physicians for further follow up and assessment, or possible interventions which modify risk factors such as diabetes, hypertension and obesity can be undertaken. We propose that eye clinics and ophthalmology facilities have a role to play in the early diagnosis of AD and reducing the burdens arising from severe dementia.

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