Category archives for all Case Studies

Student self-assessment versus preceptor assessment at the midpoint of a family medicine clerkship

student

Authors: Huang, William; Grigoryan, Larissa Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 65-70(6) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0105 Objective: To study how student self-assessment compared with the faculty’s assessment on our family medicine clerkship and to explore the effect of demographic factors on the ratings. Methods: Students and their faculty preceptors assessed the students’ achievement of clerkship objectives […]

Temporal trends in colorectal cancer incidence among Asian American populations in the United States, 1994‐2013

cancer research

Authors: Wang, Haijun; Mejia de Grubb, Maria C.; Gonzalez, Sandra J.; Sidani, Mohamad; Ma, Jianping; Zoorob, Roger J. Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 56-64(9) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0103 Objective: To investigate the incidence and trends in colorectal cancer (CRC) among Asian American populations in the United States. Methods: CRC incidence data from 1994 through 2013 were obtained from 13 […]

Smoking, depression, and hospital costs of respiratory cancers: Examining race and sex variation

smoking and hospital costs

Authors: Husaini, Baqar A.1; Levine, Robert S.2; Lammers, Phillip3; Hull, Pam4; Novotny, Meggan5; Moonis, Majaz6 Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 29-42(14) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0109 Objective: To investigate the effect of smoking and depression on hospital costs for lung cancer (LC). Methods: We extracted data on depression, smoking history, demographics, and hospital charges for patients with respiratory cancers (ICD-9 […]

Socioeconomic, environmental, and geographic factors and US lung cancer mortality, 1999‐2009

lung cancer

Authors: de Grubb, Maria C. Mejia1; Kilbourne, Barbara2; Kilbourne, Katy3; Langston, Michael4; Gittner, Lisa5; Zoorob, Roger J.1; Levine, Robert1 Source: Family Medicine and Community Health, Volume 5, Number 1, 1 May 2017, pp. 3-12(10) Publisher: Compuscript DOI: https://doi.org/10.15212/FMCH.2017.0108 Background: The American Cancer Society estimates that about 25% of all US cancer deaths will be due to lung cancer ‐ more than from cancers of the colon, breast, […]

Survival in men older than 75 years with low- and intermediate-grade prostate cancer

Survival in men older than 75 years with low- and intermediate-grade prostate cancer

Authors: Kou, Tzuyung D.; Koroukian, Siran M.; Fu, Pingfu; Raghavan, Derek; Cooper, Gregory S; Li, Li Objective: Recent studies have reported the underuse of active surveillance or watchful waiting for low-risk prostate cancer in the United States. This study examined prostate cancer‐specific and all-cause death in elderly patients older than 75 years with low-risk tumors managed with active treatment versus […]

Effectiveness of a Smoking Cessation Assistance Program in China

Effectiveness of an employment-based smoking cessation assistance program in China

Effectiveness of a Smoking Cessation Assistance Program in China Authors: Li, Peizhong; Larrison, Christopher; Lennox, Richard; Mollenhauer, Matt; Sharar, David A. Objective: The objective of this study was to adapt an evidence-based smoking cessation intervention initially developed in the United States to the Chinese context and evaluate the effectiveness of this intervention in China. Method: A smoking cessation program […]

Female Student with Fevers, Weakness and Dysphagia

An 18-year-old female student with fevers, weakness, and dysphagia

An 18-year-old female student with fevers, weakness, and dysphagia Author: Murtagh, John An 18-year-old female sought evaluation of lethargy and weakness of 3 days duration. She also complained of fevers with sweating, headaches, nasal blockage, anorexia with two episodes of emesis, and a very sore throat with dysphagia.  She had felt ill for the preceding 2 […]

Increasing Physical and Mental Lethargy and Weight Gain

A 66-year-old woman with increasing physical and mental lethargy and weight gain

A 66-year-old woman with increasing physical and mental lethargy and weight gain Author: Murtagh, John Case History A 66-year-old woman presented with a 10-month history of gradually increasing fatigue, lethargy, weight gain, constipation, and difficulty coping with the cold winter. She feels like sitting by the fire and doing nothing. She tends to sleep excessively. […]

Child with Cough and Respiratory Distress

Prof John Murtagh

A 2-year-old child with cough and respiratory distress Author: Murtagh, John A 2-year-old girl was brought to the hospital for evaluation of a harsh cough and difficulty breathing. She developed a cold with a runny nose 3 days ago and has been feeling ill. Her mother said she was awake most of the previous night with […]

Collapse in the supermarket

Longitudinal study of a community hospital integrated model for diabetes management in the Beijing Jinsong community

Collapse in the supermarket Author: Murtagh, John The story One morning I received an urgent call from the manager of the local supermarket, which was  only about 50 meters from my clinic. “Would you please come because the ambulance may take about 30 or more minutes”? The manager said that a young man who had been shopping was found unconscious […]

Bystander Resuscitation of a Near-Drowning Child

The challenge of chronic non-communicable disease and the opportunity for transforming health care through primary care based population health management

Bystander resuscitation of a near-drowning child in a rural south China township Authors: Wu, Zhixin; He, Mingfeng; Guo, Qihong; Kuang, Minhua We report resuscitation of a near-drowning child by a bystander in a rural south China township. Resuscitation was performed on a 6-year-old, otherwise healthy boy who was witnessed drowning in a river, with submersion for approximately 12 […]

Physical-mental Treatment of Cardiovascular Disease Co-Morbid with Mental Disorders

The ‘physical-mental’ treatment of cardiovascular disease co-morbid with mental disorders

The ‘physical-mental’ treatment of cardiovascular disease co-morbid with mental disorders Authors: Ren, Yanping; Yang, Hui; Browning, Colette; Thomas, Shane A 47-year-old woman complained of sudden chest tightness, shortness of breath, palpitations and a severe headache. Her highest blood pressure had reached 200/120 mmHg before and was diagnosed as hypertension. One month ago, the results of her cranial CT […]

Sudden Loss of Unilateral Vision

Sudden loss of unilateral vision

Sudden Loss of Unilateral Vision Author: Murtagh, John Abstract: A 65-year-old shopkeeper presents for evaluation of a loss of vision in his left eye approximately 6 h previously. The visual loss lasted for approximately 5 min, and was followed by complete recovery. He described the event as though “a curtain came down from above and […]

Depression and Malignancy

managing depression

Case studies in mental health in general practice: depression and malignancy Authors: Fehily, Sasha; Blashki, Grant; Judd, Fiona; Piterman, Leon; Yang, Hui We reported a case of a 58-year-old single mother, who was diagnosed with a grade 3 invasive ductal carcinoma with a total Nottingham score of eight. The patient is struggling with overwhelming thoughts […]

Head injury in a 62-year-old man affected by alcohol

Head injury in a 62-year-old man affected by alcohol

Head injury in a 62-year-old man affected by alcohol Author: Murtagh, John A 62-year-old man was brought to the emergency room by his friends because he was intoxicated from alcohol and had sustained injuries from a fall on the footpath. Prior to this, he had been argumentative and had a fight with two younger men. According […]

Two cases of a super mimic

super mimic

Two cases of a super mimic Author: Murtagh, John Case 1 History: Ching, a 38 year old school teacher, presented with a 14 day history of tiredness, weakness, anorexia and mouth ulcers. She said that for the past 12 months her health had been poor and that she had struggled to inject much energy into her work. […]

Pulmonary tuberculosis manifesting as ‘tree-in-bud’ opacities on chest radiography

An 18-year-old female student with fevers, weakness, and dysphagia

Pulmonary tuberculosis manifesting as ‘tree-in-bud’ opacities on chest radiography Authors: Khajotia, Rumi R.; Poovaneswaran, Sangeetha. Background: The ‘tree-in-bud’ pattern is an appearance typically seen on HRCT or thin-section computed tomography (CT) chest scan. It is characterized by small centrilobular nodules of soft-tissue attenuation connected to multiple branching linear structures of similar caliber which originate from a single stalk.  Initially described in cases of endobronchial spread […]

Case history: a student in China with depression

Chinese student with depression

Case history: a student in China with depression Author: Murphy, Enda Zhang Nan was a 22-year-old man who was referred to me at my clinic in Shen Yang City, Liaoning Province. He was a college student who lived with his parents and grandparents in their 3 bedroom apartment. Zhang reported that he was finding college increasingly difficult to cope with. Last year […]

Abdominal pain beyond belief ‐ the case of Billy ‘Munchausen’

abdominal-pain

Abdominal pain beyond belief ‐ the case of Billy ‘Munchausen Author: Murtagh, John Billy was one of those patients who haunts every practice. Completely self-indulgent and doctor-dependent, he was reliant on every drug that would help blot out reality: alcohol, pethidine, morphine, amphetamines and (in those days) Relaxa Tabs. His medical records carried the somewhat elitist […]