Drugs, Chemical Vulnerability, Women & Prostitution: What We’re Not Supposed to Know

Women in prostitution face heightened exposure to drugs and chemical vulnerability, which increase health risks and complicate access to care. Many times, prostitution is not a choice at all, but a survival method or a forced necessity.   Primary care physicians often encounter these patients, making early identification and harm reduction crucial. Awareness of the intersection between substance use and sex work enables physicians to…

Case report: Persistent hematuria

First consult in the emergency department (ED), with resolution in Primary Healthcare.Woman, 88 years old was evaluated for intermittent episodes of macroscopic hematuria associated with dysuria, without fever or any other symptoms. On initial assessment in the ED the patient was hemodynamically stable, afebrile and with an unremarkable physical examination. Blood tests revealed no significant…

Development of a care guide for people with hypertension and type 2 diabetes for interprofessional primary health care teams

The demographic transition in many countries is highlighted by the accelerated aging of the population and the high prevalence of hypertension and type 2 diabetes mellitus (DM2). It is necessary that the care be guided by the Chronic Conditions Model (CCM), characterized by: vulnerability and cardiovascular risk stratification, comprehensive care by an interprofessional team, person-centered…

Can we reduce microbial burden in frail patient care by dry fog disinfection?

A general practitioner (GP) who cares for elderly patients discharged from hospital to a home or nursing home faces the challenges of healthcare-associated infections (HAIs). An antimicrobial dry fog disinfection (DFD is a new modality of multimodal infection control strategy.To assess the effectiveness of antimicrobial DFD disinfection in the open healthcare microenvironment of a long-term…

From orbital telemedicine to rural primary care: Ensuring autonomy and equity with space-derived health innovations

Space agencies like NASA and ESA have developed advanced telemedicine tools to support astronaut health. These include autonomous diagnostics, wearable sensors, AI-driven triage, and satellite connectivity. Many of these innovations are now being transferred to civilian health systems and offer solutions to persistent challenges in rural primary care—especially in under-resourced or geographically isolated regions. Yet…

My baby smells like fish – trimetylaminuria: a case report

Trimethylaminuria, also known as fish-odor syndrome, is a rare metabolic disorder characterized by the inability to convert trimethylamine, a strongly odorous compound, into its odorless derivative, trimethylamine N-oxide. The accumulation of trimethylamine in the body leads to a strong fish-like odor. Although clinically benign, the disorder has a significant psychosocial impact, affecting self-esteem, social interactions, and overall quality of…

AIT in a Young Adult with Patent Foramen Ovale (FOP)

Transient neurological events in young adults present a diagnostic challenge in primary care, particularly when vascular risk factors are absent. Although sometimes attributed to benign causes, brief recurrent focal deficits may represent transient ischaemic attacks (TIA). Primary care is essential for early recognition, timely referral, and follow-up.A healthy man in his late twenties consulted after…

The Hidden Danger of Toluene Solvent inhalation : A Case of Acute Neurological and Metabolic Disturbance

Toluene is a solvent often used in paints and industrial cleaning. In closed spaces, inhaling its fumes can quickly cause brain and metabolic problems.An 18-year-old worker was found unconscious in a painted tanker after breathing toluene fumes. He had acid–base disturbance  but improved with oxygen, fluids, and monitoring. He recovered fully without complicationsThis case shows…

High-Risk Antipsychotics and Neuroleptic Malignant Syndrome: Findings From a Five-Year Emergency Department Review

Neuroleptic Malignant Syndrome (NMS) is a severe and potentially life-threatening reaction to neuroleptic medications. Understanding the patterns of neuroleptic use and associated risk factors is crucial for early diagnosis and prevention of extrapyramidal complicationsTo describe the neuroleptic and antiparkinsonian drugs prescribed to patients evaluated for suspected NMS and identify the causative factors associated with different…