Beyond lumbar pain: identifying a case of Forestier syndrome

Forestier syndrome, also known as Diffuse Idiopathic Skeletal Hyperostosis (DISH), is a rheumatological disorder characterized by ectopic calcification and excessive bone formation in the ligaments and tendons, particularly along the spine. Due to its subtle clinical manifestations and overlap with degenerative spinal diseases, the condition is often underdiagnosed in primary care. Early recognition is crucial…

Rheumatoid Arthritis Follow-Up in Primary Care: Identifying Potential Barriers to Reduce Morbidity

Primary care plays a vital role in continuity, patient-centred follow-up, and long-term disease monitoring. NICE provides guidelines on a comprehensive annual review, including an assessment of functional ability, comorbidity risk and complications. General practitioners (GPs) are well-equipped to deliver personalised care by addressing the patient’s unique needs, concerns, and preferences. By engaging in patient education…

Research workshop on multi-professional consensus methods

Research in primary care has been on the rise in recent years, and specific calls for projects are encouraging primary care caregivers to set up and run ambitious projects. The scientific approach in primary care is often based on qualitative studies, which benefit from integrating the notion of multi-professionality. The applicability of results requires the…

Chronic Diarrhea as a Paraneoplastic Manifestation of Papillary Renal Cell Carcinoma in a Patient with Type 1 Diabetes

Papillary renal cell carcinoma (PRCC) is a malignant tumour arising from the renal tubular epithelium, representing 10–15% of renal cell carcinomas, with a male predominance. It may present with paraneoplastic symptoms, including constitutional syndrome in one-third of patients, typically fever, weight loss, and nausea. These manifestations are mediated by cytokines such as IL‑1, interferons, and…

Elevation of Liver Enzymes in a Patient with Obesity and Dyslipidemia on Statin Therapy: Importance of the Differential Diagnosis Between PBC and Drug-Induced HepatitisJHJ

Liver enzyme abnormalities are frequently detected in routine primary care testing. In patients with obesity and dyslipidemia, these abnormalities are often attributed to metabolic causes. However, when autoantibodies are present, the differential diagnosis must be broadened to include autoimmune liver disease and drug-induced liver injury. Statins, although safe, can rarely trigger immune-mediated hepatitis.A 52-year-old woman…

Relationship between cardiovascular risk and daily step counts for community health workers in a family health center

Cardiovascular risk (CR) is a major epidemiological marker associated with clinical conditions of high epidemiological impact which require long-term vigilance and adhesion to treatment. In XXX, community health workers (CHW) are a pillar of primary care, and are professionals with a high demand for long daily walks in order to perform their basic tasks inside…

Occult Tibia Fracture: clinicoradiological dissociation

Occult fractures are real fractures not initially visible on standard X-rays, but are later identified through advanced imaging such as CT scans or MRIs. They are often clinically suspected based on disproportionate pain, localized tenderness, swelling, or functional limitations. Although less common than visible fractures, they hold significant clinical importance.A 58-year-old man presented with persistent, localized pain…

Leadership: Identifying stressors with a focus on self-competency assessment and resilience

Aims: (1) Determine physician stressors (2) Define issues related to gender (3) Delineate gaps in personal leadership and resilience competencies (4) Compare evidence based techniques, tools, and resources to create a personal action plan for personal professional development to enhance leadership skills and counter burnoutMethods: Interactive discussion provides a framework of the current literature with…

A Look at Neglected Populations: Health Education in the Context of Migration and People in Situations of Vulnerability

Brazil’s Migration Law represents progress in humanitarian reception and has advanced through the Solidarity Resettlement Program, prioritizing vulnerable groups in partnership with civil society. Nevertheless, refugees continue to encounter discrimination and limited access to autonomy-building opportunities. This work reports the experience of a health-care student in a teaching-and-extension project under family medicine tutoring, examining how…

Learning About Integrated, Person-Centered Care in Primary Health Care: Dialogues with Family Medicine

According to the World Health Organization, the preferred model for organizing health systems is People-Centred Integrated Care (PCIC), in which Primary Health Care (PHC) plays a central role. In Brazil, the Ministry of Health identifies the Family Health Strategy (FHS) as the preferred model for delivering PCIC. However, multiprofessional and transdisciplinary undergraduate education within high-quality…