Revue medicale suisse最新文献

Cellulitis is a frequent pathology in both outpatient and inpatient clinical practice. This article reviews the pathophysiology of cellulitis, as well as the various complementary examinations useful in its diagnosis. It describes current recommendations for its management. Several differential diagnoses may also be considered, such as stasis dermatitis, lymphedema or deep vein thrombosis. These must be distinguished from cellulitis to avoid unnecessary antibiotic therapy. There are also a number of specific cases of cellulitis (necrotizing fasciitis, bites, diabetic foot) requiring special management. These are also discussed in this article.

Issues such as the Nutri-score is regularly in the media spotlight like those of PFAS and 5G which are discussed in a second article. The model of the physician possessing all medical knowledge is evolving. Patients now come to consultations with information from a variety of sources, some of which are exhaustive, some of which are not. How can we keep our knowledge up to date on recent scientific topics that are regularly in the spotlight and evolving? Where can we, as a healthcare professionals, find reliable, up-to-date information to discuss the subject during the consultation? This article summarizes information from a variety of solid sources, which we hope will serve as a knowledge base for your discussions.

Red eye is a common condition characterized by eye redness, often accompanied by itching, burning, pain, or discharge. This condition can be caused by a multitude of factors, ranging from minor irritations to severe infections. Red eyes are a frequent complaint in outpatient practice. Only a small percentage of patients with red eyes require urgent ophthalmological referral and treatment, while the vast majority can be managed by a general practitioner.

A 90-year-old patient with chronic kidney disease (stage G4) was diagnosed with pneumonia and congestive heart failure. Despite treatment with levofloxacin and furosemide, his condition deteriorated. A CT scan of the chest revealed pericardial effusion, leading to the suspicion of uremic pericarditis. Daily hemodialysis was started, resulting in significant clinical and biological improvement. Uremic pericarditis due to accumulation of uremic toxins resulting in pericardial effusion is common in end-stage renal disease. Diagnosis is guided by clinical and paraclinical findings and a high index of suspicion. Early recognition and treatment remain critical to prevent complications even in pre-end stage renal disease.

Nociplastic pain and associated non-pain symptoms are frequent health issues in primary care. Professionals may feel apprehensive about their management and face challenges due to the complexity and chronicity of the somatopsychic conditions. A thorough understanding of nociplastic mechanisms, associated clinical elements, and the biopsychosocial model are necessary for individualized evaluation, identifying affected patients, selecting dedicated treatments to desensitize the central nervous system, and building a solid partnership between the patient and the clinician.

Issues such as PFAS and 5G are regularly in the media spotlight like this of Nutri-Score which is discussed in a second article. The model of the physician possessing all medical knowledge is evolving. Patients now come to consultations with information from a variety of sources, some of which are exhaustive, some of which are not. How can we keep our knowledge up to date on recent scientific topics that are regularly in the spotlight and evolving? Where can we, as a healthcare professionals, find reliable, up-to-date information to discuss the subject during the consultation? This article summarizes information from a variety of solid sources, which we hope will serve as a knowledge base for your discussions.

Acute abdominal pain (AAP) represents the 9th most common complaint in general practice. The etiologies are multiple: a third are non-specific, but around 10% require hospital treatment. An accurate history enables a correct diagnosis in 76% of cases, and abdominal palpation can detect a possible surgical abdomen. This article summarizes the intra- and extra-abdominal causes of AAP, the diagnostic strategies, and the most appropriate complementary examinations. It lists the most common causes in general practice, as well as their management and reviews the warning signs not to be missed.

The hand is an anatomical site frequently affected by infection due to its central role in all daily activities. It is therefore regularly the site of wounds (contused, penetrating, insect stings, bites, etc.), all of which are potential entry points for infections. Recognition by the general practitioner of the red flags requiring an urgent specialist consultation is therefore essential in order to improve the patient's functional prognosis, determined by the initial management. In this article, we focus on the most frequent situations encountered in primary care.