CME : Your SA Journal of CPD - Volume 29, Issue 8, 2011
Volume 29, Issue 8, 2011
Source: CME : Your SA Journal of CPD 29 (2011)More Less
A couple of weeks ago the British Medical Journal carried a study that suggested that there was no change in the mortality from breast cancer in European countries who offered regular screening mammography and those who didn't offer the same service. At the same time, I saw an article in The Guardian Online by a British cancer surgeon saying that, in his opinion, screening mammography was not cost-effective and threw up a number of cases of ductal carcinoma in situ - many of which will not progress and do not need treatment. However, when this condition is found on mammography, women will be treated -and treatment for cancer is not without side-effects.
Source: CME : Your SA Journal of CPD 29, pp 309 –310 (2011)More Less
This edition of CME is devoted to rheumatology, the medical discipline concerned with acute and chronic pain involving the musculoskeletal system. The topics were selected to provide a simple and practical approach to the wide spectrum of disorders encountered by the general practitioner, but will also be useful to medical students as well as general physicians. It is hoped that the reader will appreciate the importance of careful clinical examination and logical interpretation of symptoms and signs in arriving at a diagnosis and planning treatment.
Source: CME : Your SA Journal of CPD 29, pp 316 –317 (2011)More Less
Source: CME : Your SA Journal of CPD 29, pp 318 –322 (2011)More Less
Source: CME : Your SA Journal of CPD 29, pp 327 –329 (2011)More Less
Many health professionals are uncomfortable about the examination of the musculoskeletal system. The source of their discomfort is a result of the paucity of time devoted to rheumatology in the medical curriculum at undergraduate and postgraduate levels of instruction. Most general physicians become competent in the cardiopulmonary examination and are happy to teach these examination techniques during ward rounds and tutorials around the bedside. The same confidence is acquired in relation to the abdominal and gastrointestinal examination. However, patients with rheumatic (or neurological) complaints are referred to rheumatologists (or neurologists) without an attempt to assess the underlying source of the symptoms or signs.
Author N. Du ToitSource: CME : Your SA Journal of CPD 29, pp 330 –331 (2011)More Less
Rheumatoid arthritis (RA) is a systemic inflammatory disease associated with a number of extra-articular organ manifestations. Eye involvement is a frequent finding in patients with RA. Ocular conditions that occur because of RA are keratoconjunctivitis sicca (KCS), episcleritis, scleritis, corneal pathology and retinal vasculitis (Table I). Optic nerve involvement in the form of neuritis or ischaemic neuropathy has been reported and tenosynovitis of the superior oblique muscle sheath (Brown's syndrome) is also an occasional manifestation. It should be borne in mind that the eye may also be affected by the treatment of RA with drugs such as chloroquine, which can cause loss of vision as a result of maculopathy.
Source: CME : Your SA Journal of CPD 29, pp 331 –332 (2011)More Less
Author Elsa Van DuurenSource: CME : Your SA Journal of CPD 29, pp 334 –336 (2011)More Less
In a large number of rheumatic diseases the disease process is driven by the immune system. In the past few decades, there have been great advances in our understanding of the immunopathology and pathogenesis of the rheumatic diseases. At the same time, there have been similar advances in the development of drugs, particularly in the field of biopharmaceutical drugs that can target specific components of the immune response central to these diseases. Biological drugs can be monoclonal antibodies or proteins produced by living cells that bind with receptors on various cells to block formation or action of various cytokines or cell mediators, or in other ways change cell function.
Source: CME : Your SA Journal of CPD 29, pp 338 –339 (2011)More Less
Lower limb pain is a common presenting complaint in primary care with aetiological factors such as trauma, repetitive strain injury and systemic inflammatory disorders. This review focuses on some commonly encountered problems when dealing with patients who present with lower limb pathology.
Author Ismail S. KallaSource: CME : Your SA Journal of CPD 29, pp 339 –341 (2011)More Less
There are many different approaches to the evaluation of the lungs in patients with collagen vascular diseases. Many books have been published about the evaluation of the lungs in patients with rheumatic diseases (connective tissue diseases (CTDs) and rheumatoid arthritis (RA)). Unfortunately, it still remains a challenging task - even for a pulmonologist. As with all medical conditions, there is no substitute for a thorough history and careful examination of the patient. Although significant heterogeneity exists among the different collagen vascular diseases, they share one aspect that is common to their pathogenesis: circulating auto-antibodies and immune-mediated organ dysfunction.
Author Chris BatemanSource: CME : Your SA Journal of CPD 29, pp 343 –344 (2011)More Less
Smoking after heart attack ups risk
SA doctors in Somalia treat 200 patients on the first day
30 new Gauteng ambulances
Gauteng government spends a fraction of health budget
Council warns of 'substandard eye tests'
Council set to regulate alternative medicines
Eastern Cape 'corpse' wakes up, scares off morgue staff
Drugs body questions government company
Co-trimoxazole in HIV-exposed but uninfected infants may undermine benefits of breastfeeding - trial needed, say paediatricians : Aids briefAuthor Carole Leach-LemensSource: CME : Your SA Journal of CPD 29 (2011)More Less