Metabolic syndrome in patients with primary aldosteronism: a retrospective study with implications for primary care

Primary aldosteronism (PA) is an underdiagnosed cause of secondary hypertension in primary care settings. Beyond increased blood pressure, patients with PA often exhibit metabolic disturbances including obesity, dyslipidaemia, and impaired glucose regulation. These abnormalities aggregate as metabolic syndrome (MetS), a significant contributor to cardiovascular morbidity and mortality. For ordinary care physicians, identifying metabolic patterns in…

A Study on General Practitioners’ Knowledge, Awareness and Current Management Status of Mild Cognitive Impairment

To investigate the knowledge and current management status of Mild Cognitive Impairment (MCI) among general practitioners (GPs) in primary care.A questionnaire survey was conducted among GPs in primary care. The electronic questionnaire was distributed via the Fengtai District Community Health Service Administration Center from January 2024 to May 4, 2025, and completed by the participating…

“A LONG ROAD TO RECOVERY” – A family case presentation on multi-drug resistant tuberculosis infection

This case examines a household in the launching stage of the family life cycle, a period when children transition toward independence. Ordinarily, this stage requires parents to redefine roles and cope with the “empty nest” experience. However, the father’s diagnosis of multidrug-resistant tuberculosis (MDR-TB) complicates this transition, creating overlapping stressors for both patient and family.…

It’s Time! To Be Tested: Strengthening Local Tuberculosis Detection Through Community-Oriented Primary Care

Tuberculosis remains a major public health challenge in the Philippines, which ranks among the highest TB-burden countries globally. Despite effective treatment, substantial gaps in case detection persist, particularly in rural and underserved communities. In San Manuel, Isabela, TB case detection rates consistently fell below provincial targets, contributing to delayed diagnosis, continued transmission, and preventable morbidity.…

Postpartum Headache in a Family Health Center: Delayed Preeclampsia Recognized at First Contact

Headache is common after childbirth and may be attributed to sleep deprivation. Yet postpartum hypertension and delayed preeclampsia can emerge after discharge and require rapid recognition in first-contact primary care.A 32-year-old woman, 10 days after an uncomplicated vaginal delivery, attended a FHC with sudden severe frontal headache and blurred vision since the previous night. She…

Serendipity in Medicine: Cultivating Curiosity for Unexpected Discoveries in General Practice

Serendipity—the art of finding what one is not seeking—has played a pivotal role in many medical breakthroughs, from Fleming’s discovery of penicillin to Pepys’ work on C-reactive protein and amyloidosis. This workshop explores how serendipity can be actively embedded within the EBM process to enhance creativity and innovation in general practice.1. Define serendipity and its…

Between Patient, Planet and System: Rethinking the Bedrock of Family Medicine

One Health, Planetary Health, and Sustainability are increasingly described as the bedrock of modern family medicine, particularly within the WONCA framework. These approaches aim to address complex global challenges by integrating human, animal, environmental, and system-level perspectives. However, as these principles gain prominence, an important question emerges regarding how consistently these global health frameworks enhance patient safety…

Designing Community-Based Women’s Health Hubs: Transferable Principles for Improving Access and Equity

Across many countries, women face barriers to timely, person-centred gynaecological care, including long waits, centralised services, cultural stigma, and limited specialist provision. Community-based Women’s Health Hubs provide a flexible, locally adaptable model that brings care closer to women’s everyday settings, strengthens continuity, supports earlier intervention and improves equity. Drawing on experience from a multi-site programme,…