Immediate impact of a music therapy session on the well-being of patients with benign or malignant breast pathology

As part of Breast Cancer Awareness Month, non-drug interventions aim to improve the well-being of patients with benign breast disorders or breast cancer. Music therapy is known to reduce stress and anxiety and to enhance emotional well-being. However, few works explore its immediate effect during group sessions.The aim of this preliminary experience was to explore…

Cardiac alterations following an electric shock

Post-electric shock cardiothoracic symptoms in a 25-year-old female with normal cardiac evaluation.A 25-year-old woman, with no significant medical history, presented to Primary Healthcare following an occupational electric shock two days prior. Since the incident, she has experienced chest oppression, asthenia and bradykinesia. On physical examination, cardiopulmonary auscultation was rhythmic without murmurs or additional sounds; transient tachycardia…

Complicated pneumococcal pneumonia case review

A 28-year-old woman presents with productive cough and left-sided chest pain three days long. Initial chest X-ray is does not show infiltrates, so symptomatic management is started. Three days later, the patient goes to the emergency department with worsening symptoms, as she is found to have markedly elevated CRP (500 mg/L) and procalcitonin (4.8 mg/dL),…

Stoic Philosophy and MindShift: Ancient and Modern Tools to Enhance Existential Health and Sustain Mental Well-Being

Context The World Health Organization (WHO) highlights existential health (EH) as a core dimension of overall human well-being. EH encompasses meaning and purpose in life, inner peace, connectedness, and hope. It also plays an important role in promoting and sustaining mental health. Objectives To map the current status of EH in Sweden through a public…

Unexpected intracranial finding after minor trauma

Incidental findings on neuroimaging performed after mild traumatic brain injury (TBI) are increasingly reported, partly due to the growing availability and use of Computed Tomography (CT) in Emergency Departments (ED). Current evidence indicates that up to 2–3% of neuroimaging studies for this cause reveal unrelated intracranial abnormalities, most of them benign. These findings can create…

Early-Onset Hypersensitivity to Intravenous Iron Isomaltoside: A Case Report of Real- Time Management in Primary Care

Awareness of iron deficiency and its early manifestations has grown in recent years. Although oral iron remains first-line therapy, many patients fail to tolerate or adequately respond to it, leading to broader use of intravenous iron isomaltoside in primary care settings. While IV iron is generally safe, both pseudoallergic and true allergic hypersensitivity reactions can…

From Pruritus to Persistent Cough: Early clues to an underlying Lymphoproliferative Disorder

Early manifestations of lymphoproliferative disorders can be subtle and easily overlooked. Cough and pruritus frequently mimic benign dermatological or respiratory conditions.36 year old lady presenting to the clinic with a 6 week history of worsening cough, white phlegm, no systemic symptoms. Smokes 25 cigartettes daily. Normally fit and well.  She was on anxiolytics which were…

A Lump On The Run – Can We Spot A Sarcoma In The Jungle?

Sarcoma of any variety is notorious for slow and delayed diagnosis.  A missed sarcoma is a patient and GP nightmare. The UK, despite a national effort for earlier diagnosis of cancer, compares dismally with similar European countries. How can the UK improve? Will a new UK Referral Pathway help?A new UK Sarcoma Referral Pathway has…

Point-of-care ultrasound in General Practice. New European Training Guidelines. How do we implement them? And can we?

How to teach general practitioners point-of-care ultrasound (POCUS) and what scanning modalities to include in a curriculum have been a subject of on-going discussion. Recently new guidelines on how to teach POCUS in general practices has been published by the European Federation of Ultrasound in Medicine and Biology (EFSUMB). The newly formed European Family Medicine…

Atypical Presentation of Acute Coronary Syndrome in a Primary Care Setting: A Diagnostic Challenge

Acute coronary syndrome(ACS) classically manifests with chest pain; however, up to one-third of patients present with atypical symptoms such as isolated back pain, nausea, fatigue, or diaphoresis. These presentations pose a significant diagnostic challenge in primary care, where rapid identification and referral are critical to prevent morbidity and mortality. This case illustrates how clinical vigilance,…