Nasal Dorsum Non-Healing Wound: A Case of Basal Cell Carcinoma

Basal cell carcinoma (BCC) is the most common skin cancer, typically arising in sun-exposed areas. It rarely metastasizes but may cause substantial tissue destruction through local invasion. Family physicians play a key role in recognizing non-healing skin lesions early and referring patients in a timely manner instead of prolonging unnecessary topical treatments. E.N., a 73-year-old…

Development of machine learning-based mortality prediction models in older adults using routine primary care data: Comparing overall performance with a dementia subgroup

Mortality prediction models may support medical decision-making in older individuals. However, these models often involve manual scoring, are hindered by methodological issues, and their performance in persons with dementia is unknown.This study aims to leverage machine learning techniques in a large routine care database to automate identification of those with high mortality risks.We utilized routine…

May-Thurner syndrome with iliac vein compression, deep vein thrombosis, and pulmonary embolism; rapid diagnosis is essential. A case report.

May-Thurner syndrome (MTS) is an uncommon clinical entity that requires treatment to prevent complications.A 45-year-old man presented to the emergency department with a one-week history of pain in the quadriceps muscle of the left lower limb, which had worsened over the previous 24 hours, accompanied by swelling and violaceous discoloration. He reported a 12-hour car-…

Effect of a Patient Education Brochure on Dietary Adherence in Primary Care: A Prospective Interventional Study

Nutritional education is a key lever for health promotion. In France, the National Nutrition Health Program provides specific recommendations to support general practitioners in promoting healthy dietary habits. However, patient adherence to these recommendations remains variable and depends on the quality of the informational tools available to them. The brochure “50 petites astuces pour manger…

Lymphangioleiomyomatosis ( LAM) : A Clinical Case with Joint Pain

Lymph-oleiomyomatosis (LAM) is a rare and chronic disease that mainly affects women of childbearing age. It is characterized by the abnormal proliferation of smooth muscle cells in the lungs, which can lead to the formation of cysts and the destruction of lung tissue.DescripcionThe patient presented with joint pain for no apparent cause. After diagnostic tests,…

Improvised inhalation chamber for managing recurrent bronchospasm in a resource-limited indigenous primary care setting

Chronic exposure to biomass smoke is a major contributor to obstructive respiratory disease in rural and resource-limited settings. In southern Costa Rica, many Indigenous Ngöbe-Buglé households rely on indoor wood-burning cooking fire, with minimal access to diagnostic tools or standard inhalation devices. This case illustrates how structural and environmental determinants shape the clinical management of…

Escape room in person-centered anamnesis for suspected pregnancy in adolescent primary care

Person-centered anamnesis is vital for adolescent care in Primary Health Care, especially when pregnancy is suspected. Adolescents face stigma and limited confidential support, so empathetic communication is crucial. This reflection introduces an escape-room educational strategy to enhance person-centered communication and structured anamnesis skills in suspected pregnancy situations.an escape room scenario was implemented in a PHC…

Enhancing Insulin Injection Timing and Glycemic Outcomes Using a Connected Insulin Cap: A Multicenter Primary Care–Endocrinology Collaboration Study

Matching insulin injection timing with meals remains a challenge for individuals with insulin-treated diabetes (ITD) using multiple daily injections (MDI). Suboptimal timing may worsen postprandial glucose dynamics. Digital insulin-support devices such as connected insulin pen caps may enhance adherence and timing accuracy. This collaborative study between Primary Care and Endocrinology evaluated the clinical impact of…

Debureaucratization in Primary Care Consultations

Introducció: Una burocràcia excessiva en l'atenció primària pot provocar insatisfacció entre pacients i professionals sanitaris, reduint l'eficiència i la qualitat de l'atenció. Aquest estudi avalua l'impacte d'una intervenció de desburocratització en l'atenció primària.L'objectiu principal de l'estudi és avaluar l'impacte d'una intervenció de desburocratització en l'atenció primària en l'eficiència i la qualitat de l'atenció. Objectius específics:…