Thumb swelling as the first manifestation of lung cancer – a case report

Acrometastases are defined as metastatic lesions sited distally to the elbow or knee.A 45-year-old man sought consultation at this health center in May/2025. Background: Alcohol-induced cardiomyopathy; Atrial fibrillation; COPD; Former drinker and smoker (85,5 pack-years); Two episodes of pneumonia in the previous year. While awaiting a public cardiology consultation, he had irregular follow-ups with a…

Analysis of Artificial Intelligence-Related Theses in Turkey: Clinical Trends and the Family Medicine Perspective

Artificial intelligence (AI) is rapidly gaining importance in healthcare by contributing to diagnosis, decision support, risk prediction, image analysis, and training processes. The growing number of academic studies on AI-based applications in medicine and health sciences indicates that the integration of this technology into clinical practice is strengthening.Examining AI-focused theses in Türkiye both quantitatively and…

Effectiveness of ayurvedic dietary counselling (ahara chikitsa) for managing functional gastrointestinal disorders in young adults

Functional gastrointestinal disorders (FGIDs), including irritable bowel syndrome (IBS) and functional dyspepsia, are common in primary care and significantly affect daily functioning. Dietary patterns are central to symptom fluctuation. Ayurvedic dietary regulation (ahara chikitsa) emphasizes individualized guidance on food quality, timing, combinations, and digestive support, offering a potentially low-cost, non-pharmacological adjunct to routine care.To evaluate…

Honey-Based Dressings as a Practical, Evidence-Informed, and Cost-Effective Approach to Wound Care in Primary Care

Wound care is a common task in family medicine, covering chronic ulcers, injuries, burns, and post-surgical wounds. In many primary-care settings, the high cost and limited supply of advanced dressings slow healing and widen care gaps. Honey, with its antimicrobial and healing properties, offers a practical alternative that fits these real-world constraints. However, primary-care experience…

Implementing Long-Acting Buprenorphine in General Practice: Lessons from a Primary Care Setting Facing Emerging Fentanyl Use

The increasing availability of synthetic opioids such as fentanyl poses new challenges for primary care–based opioid substitution treatment (OST). Traditional supervised dosing models can be resource-intensive and may create barriers for younger patients with emerging opioid use disorder (OUD). Long-acting buprenorphine depot formulations offer a promising alternative for a safe provision and low barrier access…

Hemoglobin 5.6: when autonomy clashes with medical urgency – a reflection on trust, equity and negotiated care.

Severe anemia in young women is a significant public health concern but is often approached solely through a biomedical lens.  This practice-based reflection examines challenges of equity, patient autonomy, and humanism encountered while managing a young woman whose severe anemia was critically shaped by financial stress, family dynamics, and mistrust of the healthcare system.A 22-year-old psychology student from a low socioeconomic background presented to…

Trans-ancestry genome-wide association study reveals pleiotropic mechanisms linking viral susceptibility to post-acute neurological sequelae in a multi-ethnic Asian cohort

Current genetic risk scores for COVID-19 are derived mainly from European populations, creating a "health equity gap" for Asian patients in primary care. Furthermore, the biological basis of "Long COVID"—particularly the "brain fog" and fatigue frequently managed by General Practitioners (GPs)—remains poorly defined, limiting targeted management strategies.To identify population-specific genetic risk factors for COVID-19 severity…

Diagnostic accuracy of oscillometry to detect airway obstruction in ambulatory care

Oscillometry is becoming increasingly widespread because it allows lung function tests to be performed independently of patient cooperation. This procedure could enormously improve diagnostic decision making in primary care. However, the diagnostic accuracy with which asthma, COPD and, more generally, airway obstruction can be predicted remains unclear up to now.The aim was to determine the…

Evidence-based suturing techniques for primary and emergency care

Laceration repair is a frequent procedure in primary care and emergency settings, yet significant variability exists in technique selection, infection-prevention practices, and wound management skills. Evidence shows that outcomes depend more on preparation, irrigation, and tension control than on the specific closure material used. However, many clinicians receive limited structured training after medical school, leading…

Paresthetic Notalgia: A Case Report

POSTER TITLE: PARESTHETIC NEURALGIA Reason for Consultation: A 51-year-old woman presents with localized itching on her back that has been evolving over time, with a brownish skin lesion. Physical Examination: Smooth hyperpigmented area on the right scapular region with excoriation due to scratching. Altered sensation (hyperesthesia). Diagnostic Orientation: Dorsal sensory neuropathy caused by compression or…