Malaysian Family Physician最新文献_第9页

Transformation of medical libraries: Reflections from a 20-year journey. 医学图书馆的转型：20年历程的思考。

Malaysian Family Physician Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI: 10.51866/mol.947

Apichai Wattanapisit

引用次数: 0

A dark umbilical nodule in a postmenopausal woman: What is your diagnosis? 绝经后妇女脐暗结节：你的诊断是什么？

Malaysian Family Physician Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI: 10.51866/tyk.453

Nur Hidayah Mohd Fauzi, Nik Ahmad Zuky Nik Lah, Siti Masitah Hamzah, W Fadhlina W Adnan, Adibah Ibrahim, Noorul Balqis Che Ibrahim, Engku Ismail Engku-Husna

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Garlic burns are not burns. 大蒜烧伤不是烧伤。

Malaysian Family Physician Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI: 10.51866/lte.955

Jazlan Jamaluddin, Siti Nuradliah Jamil, Siti Khamsiah Abd Shukor

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Development of chronic subdural haematoma from mild head injury: A case report and review of current Malaysian guidelines on traumatic brain injury. 轻度头部损伤引起的慢性硬膜下血肿的发展：一个病例报告和对目前马来西亚创伤性脑损伤指南的回顾。

Malaysian Family Physician Pub Date : 2025-07-12 eCollection Date: 2025-01-01 DOI: 10.51866/cr.776

Qingping Joseph Feng, Ian James Long, Su Lone Lim, Ira Siyang Sun, Shiong Wen Low, Chun Peng Goh

{"title":"Development of chronic subdural haematoma from mild head injury: A case report and review of current Malaysian guidelines on traumatic brain injury.","authors":"Qingping Joseph Feng, Ian James Long, Su Lone Lim, Ira Siyang Sun, Shiong Wen Low, Chun Peng Goh","doi":"10.51866/cr.776","DOIUrl":"10.51866/cr.776","url":null,"abstract":"Delayed chronic subdural haematoma (cSDH) is a common but potentially serious complication following traumatic brain injury (TBI). Mild TBIs are commonly managed by primary care providers (PCPs), particularly in large, resource-limited settings such as Malaysia, where access to tertiary neurosurgical services may be delayed. Early identification of red-flag signs and symptoms and timely referrals are crucial to prevent clinical deterioration. We describe the case of a 66-year-old man who sustained mild head injury following a vasovagal syncope. His initial brain CT revealed evidence of a small traumatic subarachnoid haemorrhage over the left precentral sulcus, with resolution on an interval scan 24 hours later. He was discharged home without follow-up. Eleven weeks later, he developed bilateral lower-limb weakness and unsteady gait, which prompted an urgent referral by his general practitioner. Repeat CT revealed bilateral acute-on-chronic subdural haematomas, with mass effect requiring emergency burr-hole drainage. The patient showed excellent post-operative improvement and was discharged home on day 4, with no clinical or radiological recurrence on subsequent follow-up. This case highlights the risk of delayed cSDH in patients following mild TBI, even in those discharged with a normal CT scan. PCPs play a pivotal role in recognising high-risk patients, ensuring structured follow-up and facilitating timely specialist referral. We advocate for updating the Malaysian head injury guidelines to incorporate routine follow-up protocols for at-risk patients, modelled after international standards.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case report of palmoplantar keratoderma in a 3-year-old girl: A structured approach in primary care settings. 1例3岁女童掌跖角化病报告：初级保健机构的结构化方法。

Malaysian Family Physician Pub Date : 2025-07-09 eCollection Date: 2025-01-01 DOI: 10.51866/cr.668

Asma Amirah Mohd Noor, Azwanis Abdul Hadi, Abdul Rahman Che Abdul Rahim

引用次数: 0

Systemic disseminated zoonotic sporotrichosis with multifocal bone involvement: A case report. 伴多病灶骨受累的全身性播散性人畜共患孢子虫病1例报告。

Malaysian Family Physician Pub Date : 2025-07-06 eCollection Date: 2025-01-01 DOI: 10.51866/cr.858

Mohd Hafis Zul Arif Awang, Khasnur Abd Malek, Norliana Dalila Mohamad Ali, Effat Omar

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A forgotten pleasure: A unique case report of a neglected foreign body in a postmenopausal woman with persistent vaginal discharge. 一个被遗忘的快乐：一个独特的病例报告被忽视的异物在绝经后妇女持续阴道分泌物。

Malaysian Family Physician Pub Date : 2025-06-30 eCollection Date: 2025-01-01 DOI: 10.51866/cr.861

Nazri Muhammad Amir, Wan Zainon Wan Mohd Nazlee, Ismail Shaiful Bahari

{"title":"A forgotten pleasure: A unique case report of a neglected foreign body in a postmenopausal woman with persistent vaginal discharge.","authors":"Nazri Muhammad Amir, Wan Zainon Wan Mohd Nazlee, Ismail Shaiful Bahari","doi":"10.51866/cr.861","DOIUrl":"10.51866/cr.861","url":null,"abstract":"Recurrent vaginal discharge is a significant health issue for women globally, often leading to discomfort and a reduced quality of life. While normal vaginal discharge helps maintain vaginal health, changes in its composition can signal underlying conditions requiring prompt assessment and treatment. The causes of recurrent vaginal discharge are diverse, including infections, hormonal changes, and anatomical factors. Common infections like bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis are frequently encountered, with studies estimating that up to 75% of women will experience vulvovaginal candidiasis at least once in their lifetime. Non-infectious causes, such as foreign bodies, vaginal atrophy, and cervical or endometrial anomalies, also contribute but are less commonly addressed. Despite its prevalence, diagnosing recurrent vaginal discharge can be challenging, requiring a thorough approach. Cultural taboos and stigma surrounding vaginal health may discourage women from seeking medical help, potentially delaying diagnosis and treatment. This article reports a case of a vaginal foreign body presenting with persistent discharge and emphasizes the importance of a comprehensive approach to diagnosing and managing vaginal discharge.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"44"},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A retrospective multicentre study on the outcomes of the pharmacist-managed Diabetes Medication Therapy Adherence Clinic programme in primary health clinics across Johor, Malaysia. 对马来西亚柔佛州初级卫生诊所药剂师管理的糖尿病药物治疗依从性诊所项目结果的回顾性多中心研究。

Malaysian Family Physician Pub Date : 2025-06-24 eCollection Date: 2025-01-01 DOI: 10.51866/oa.767

Chia Woon Tai

{"title":"A retrospective multicentre study on the outcomes of the pharmacist-managed Diabetes Medication Therapy Adherence Clinic programme in primary health clinics across Johor, Malaysia.","authors":"Chia Woon Tai","doi":"10.51866/oa.767","DOIUrl":"10.51866/oa.767","url":null,"abstract":"Introduction: The Diabetes Medication Therapy Adherence Clinic (DMTAC) programme is an ambulatory care service provided by trained pharmacists in collaboration with doctors. It supports improved glycaemic control by enhancing patients' understanding and treatment adherence through education.Methods: Patients enrolled in the DMTAC programme in all 84 health clinics in Johor from January 2016 to December 2017 were included. Demographic characteristics, diabetic and medication history, current treatments, comorbidities and therapeutic outcomes (glycosylated haemoglobin A1c [HbAlc] level and lipid profile) were collected and reviewed retrospectively. Baseline HbAlc levels and lipid profiles were taken from patients' medical records during their first visits and post-intervention values from follow-up data, including the most recent information documented during the last DMTAC pharmacist visit before December 2017.Results: A total of 1107 patients (693 women and 414 men) with type 2 diabetes mellitus aged 24-88 years were included. The mean HbA1c level significantly decreased by 0.92±1.94%. The mean total cholesterol (-0.27 mmol/L), low-density lipoprotein (-0.31 mmol/L) and triglyceride levels (-0.14 mmol/L) slightly but significantly decreased. Both systolic and diastolic blood pressures also showed small but significant reductions from 142/81 mmHg pre-intervention to 137/79 mmHg postintervention. The patients' understanding scores improved from 87.94% to 98.55% after their fourth DMTAC pharmacist visit.Conclusion: The DMTAC programme in public health clinics across Johor, Malaysia, significantly improves HbA1c levels, fasting blood glucose levels, lipid profiles, BPs and medication understanding, with DMTAC pharmacists playing a key role in supporting multidisciplinary teams through targeted interventions and counselling.","PeriodicalId":40017,"journal":{"name":"Malaysian Family Physician","volume":"20 ","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variant of Hoffa disease: a case report. 变异Hoffa病1例报告。

Malaysian Family Physician Pub Date : 2025-06-24 eCollection Date: 2025-01-01 DOI: 10.51866/cr.819

Sharifah Nor Amirah Syed Abdul Latiff Alsagoff, Mohd Fairudz Mohd Miswan, Mohd Yusoff Yahaya, Mohamed Faizal Sikkandar, Anis Safura Ramli

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When patients present with bulging eyes: A case series of proptosis. 当患者出现眼球突出时：眼球突出系列1例。

Malaysian Family Physician Pub Date : 2025-06-14 eCollection Date: 2025-01-01 DOI: 10.51866/cr.783

Nur Azuriah Abidin, Ilham Ameera Ismail, Siti Nuradliah Jamil, Norasyikin Mustafa

引用次数: 0