The Role of Primary Care in Breast Cancer Screening

Breast cancer is the most common malignancy among women worldwide and a leading cause of cancer-related death. Early detection in primary care improves outcomes, highlighting the key role of frontline providers in screening.The aim of our study was to emphasize the pivotal role of primary care in breast cancer screening and to assess its impact…

When is not only a matter of health

46 years-old patient, from Senegal, 10 years living in Spain.  Consults for asthenia, nausea and epigastralgia for three months. Not high fever or infective symptoms.Blood test with a bicytopenia. Anemia with Hemoglobine 4,1 and plaquets 52000.We sent to the hospital for transfusion and further studies. Hematology took care of the patient suspecting a severnot autoimmunne…

Severe acute headache with neurological impairment in a young adult: a Primary Care challenge

Acute neurological symptoms often present first in Primary Care, requiring decisions under uncertainty and with limited tools. This case illustrates how careful anamnesis and a focused neurological exam, coupled with an equity-driven referral strategy, enabled early management of a potentially severe central nervous system (CNS) condition.A 24-year-old man attended Primary Care after waking with a…

Enhancing equity through patient and public involvement in cardiovascular prevention in primary care

Cardiovascular disease remains a leading cause of preventable morbidity, particularly among vulnerable groups with limited access to preventive services. Real-world primary care settings often face barriers related to social, economic, and organizational factors. Vulnerable patients in this context include individuals with increased risk and restricted access to health services due to social, economic, or health-related…

A Purple Finger Seen in the Family Medicine Setting

Sudden finger discoloration can raise concern for vascular, hematologic, or rheumatologic disorders. Achenbach’s syndrome, a benign and self-limiting cause of acute digital ecchymosis, is often unfamiliar to clinicians—particularly in primary care.Acute finger discoloration can be alarming and may suggest vascular, hematologic, or rheumatologic conditions. Achenbach’s syndrome, a benign paroxysmal finger hematoma, is an uncommon but…

Irrational antibiotic therapy for acute bronchitis

A patient with a two‑year history of smoking and occupational exposure to metal dust with no chronic conditions experienced recurrent respiratory symptoms over ten months. This case illustrates the diagnostic and management challenges associated with recurrent bronchitis.On 15 January 2025, the patient complained of fever (39.5 °C) and a cough that progressed from dry to productive,…

Reducing Carbon Footprints in Rural Healthcare: A Comparison of Out-of-Hours Prescription Access via Hospitals vs Automated Collection Lockers

Access to primary care in rural communities presents logistical and environmental challenges. Patients living far from healthcare facilities often rely on out-of-hours teleconsultations, but if medication such as antibiotics is needed, they may need to travel long distances to collect prescriptions. This creates barriers to timely care and contributes to avoidable travel-related carbon emissions. REMEDY…

Honey-Based Dressings in Wound Care: A Cost-Effective and Practical Option in General Practice and Family Medicine in Indonesia

Wound care is a fundamental component of general practice and family medicine, particularly in low-resource settings where clinicians frequently manage chronic wounds, diabetic ulcers, burns, traumatic injuries, and post-operative complications. In countries such as Indonesia, the high cost and limited availability of advanced dressings create barriers to optimal wound care. This highlights the need for…

Could it have been different

71 years old german patient, living in our town for more than 15 years. He's not taken any medications and he has no clinical history. First time in the doctor in Spain. He has never smoked.  He's having a headache that gets better with painkillers. As we talked and asked for any other sympthons in…

BMI gain following smoking cessation is associated with reduced risk of Alzheimer’s dementia

As primary care physicians, we advise patients to quit smoking. However, BMI gain often follows smoking cessation, and managing the potential negative impacts of BMI gain also falls within our clinical responsibilities. Meanwhile, Alzheimer's dementia and vascular dementia are growing disease entities that are major concerns among elderly patients. It has not been clarified whether…