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Approach to Fever – History & Examination
Fever in adults is defined as a temperature higher than 38.3 C (100.9 F) that lasts for more than three weeks with no obvious source despite appropriate investigation. The four categories of potential etiology of Fever are classic, nosocomial, immune deficient, and human immunodeficiency virus–related. The four subgroups of the differential diagnosis of Fever are infections, malignancies, autoimmune conditions, and miscellaneous. A thorough history, physical examination, and standard laboratory testing remain the basis of the initial evaluation of the patient with Fever.
About the Speaker
Dr. Raman Kumar
President of Academy of Family Physicians of India (AFPI), President of World Association of Family Physicians of the South Asia Region
Community Medicine and Clinical Practice: Benefits
Community medicine graduates bring a valuable public health perspective to clinical healthcare settings. Their training in epidemiology, preventive medicine, and population health equips them to understand the broader determinants of health, identify trends, and develop strategies for disease prevention and health promotion. This collaboration between community medicine graduates and clinical graduates fosters a more holistic and evidence-based approach to patient care. They work together to implement preventive measures, manage outbreaks, and create patient-centered healthcare plans that not only treat illness but also address the social and environmental factors that impact health, ultimately leading to more comprehensive and effective patient care.
HIV Prevention in Family Medicine
In family medicine, HIV prevention is a vital aspect of comprehensive healthcare. Family physicians play a crucial role in promoting awareness and providing education about HIV transmission and risk factors to individuals and families. They offer counseling and support for safer sexual practices, including the use of condoms and pre-exposure prophylaxis (PrEP), as well as encourage regular HIV testing and screenings for those at risk. Family medicine practitioners also advocate for vaccination against HIV-related infections like hepatitis B, and they engage in the early detection and management of HIV cases, aiming to reduce transmission rates and improve the overall health of their patients.
Myths on Electronic Cigarettes: Tobacco Cessation
Myths surrounding electronic cigarettes (e-cigarettes) and their role in tobacco cessation can mislead individuals attempting to quit smoking. One common myth is that e-cigarettes produce harmless water vapor. In reality, they emit aerosols containing harmful chemicals and fine particles. E-cigarettes are not entirely safe. While they may be less harmful than traditional cigarettes, they are not risk-free. Some believe that e-cigarettes are as effective as FDA-approved smoking cessation aids like nicotine replacement therapy or prescription medications. Research suggests mixed outcomes. Concerns persist that e-cigarettes may serve as a gateway to traditional smoking, particularly among youth. Not all e-cigarettes are nicotine-free. Many contain nicotine, which is highly addictive. E-cigarettes may aid in smoking reduction, but evidence on their effectiveness in helping people quit smoking altogether is inconclusive. E-cigarette aerosol is not harmless, and exposure can still pose risks, especially to vulnerable populations like children and pregnant women. Using nicotine-containing e-cigarettes can lead to dependence, making it harder to quit nicotine altogether.
Importance of understanding conjunctivitis
Conjunctivitis is a widespread eye condition affecting people of all ages, necessitating awareness for early detection and appropriate treatment. Awareness about its contagious nature helps prevent its spread, particularly in schools, workplaces, and other communal settings. Different forms of conjunctivitis exist, such as viral, bacterial, and allergic, requiring distinct treatments. Understanding the cause is vital for effective management. Recognizing symptoms like redness, itching, discharge, and tearing assists in differentiating conjunctivitis from other eye conditions, facilitating prompt intervention. Knowledge about conjunctivitis aids in preventing outbreaks and public health concerns, particularly in densely populated areas. Proper hygiene practices like handwashing and avoiding eye contact can minimize the risk of infection transmission. Understanding when to seek medical attention ensures timely treatment, reducing discomfort and the potential for complications. Left untreated, conjunctivitis can lead to severe eye complications, including corneal damage, which might result in vision impairment. Educating caregivers about conjunctivitis safeguards vulnerable groups such as infants, elderly individuals, and those with compromised immune systems.
Tobacco cessation: Coping & Withdrawal Mechanism
Tobacco cessation is a challenging journey, but with effective coping mechanisms, dealing with cravings and withdrawal symptoms becomes more manageable. Identifying triggers and avoiding them can help overcome intense cravings, while distractions like hobbies and activities divert attention from the urge to smoke. Seeking support from loved ones and engaging in regular exercise are essential for maintaining motivation and reducing stress during this process. Professional counseling and nicotine replacement therapy can also aid in addressing withdrawal symptoms. Staying mindful, setting achievable goals, and visualizing a healthier, smoke-free future reinforce commitment to quitting. With patience and resilience, one can successfully navigate through the cessation process and embrace a tobacco-free life.