Thyreotoxicosis masked as essential tremor in a young woman

Thyreotoxicosis means that there is too much thyroid hormone in the body. Tremor in young patients is a common neurologic complaint. Essential tremor and psychogenic causes are frequently suspected. Tremor may be the presenting sign of endocrine disorders, which can remain undiagnosed for months.34 years old  woman presented to GP in September. She complained about…

Looking Beyond The Patient: Household Risk In Herpes Zoster Management

Herpes zoster is a common presentation in general practice and usually managed with antiviral therapy. However, potential implications for household members, including transmission risk and preventive counselling may be underestimated during consultations. A family-centred perspective is essential to address overlooked aspects in primary care.A 55-year-old woman with type 2 diabetes mellitus presented with a painful…

Prescribing connection in the digital age: AI companionship as treatment or risk factor for undesired loneliness

Undesired loneliness remains under-addressed in primary care, yet family physicians are seeing more patients who use AI applications for companionship and emotional support. Millions of patients worldwide now form relationships with AI chatbots and virtual companions, often without telling their healthcare providers. This raises critical questions: Are patients replacing human connection with AI relationships? Should…

Reducing Documentation Burden and Strengthening Workforce Sustainability Through Ambient Voice Technology: A Practical Framework for Global Primary Care

Across the world, primary care clinicians face overwhelming documentation requirements. In many systems, clinicians spend as much time—or more—writing notes as they do in direct patient care. This administrative load contributes to burnout, reduces patient-facing time, undermines continuity and threatens workforce retention. Ambient Voice Technology (AVT) offers a transformative opportunity: accurate, real-time consultation notes produced…

Ambient Voice Technology to Improve Documentation and Clinician Wellbeing in Primary Care

Clinical documentation has become a major source of workload and stress in primary care. Many clinicians routinely spent time after clinic completing notes, and occasional concerns around documentation quality created additional supervisory burden. A supportive, unobtrusive method of producing accurate notes during consultations was sought to improve clinician experience, reinforce safety and reduce administrative pressure.Ambient…

Persistent hoarseness as an initial presentation of laryngeal cancer: A case report

Laryngeal cancer is a common head and neck malignancy, strongly associated with tobacco use. Early symptoms may be subtle and are frequently first encountered in primary care. Persistent hoarseness lasting longer than three weeks—particularly in high-risk individuals—should prompt urgent evaluation. Family physicians play a critical role in recognizing red-flag symptoms and initiating timely referral.A 62-year-old…

Falls in an older adult revealing medication-related orthostatic hypotension: A case report

Falls in older adults are a common presentation in primary care and often reflect multifactorial etiologies. Polypharmacy—particularly the use of centrally acting medications—significantly increases the risk of orthostatic hypotension, dizziness, and recurrent falls. Family physicians are well positioned to identify medication-related adverse effects early and implement deprescribing strategies to prevent morbidity and unnecessary hospital referrals.A…

Primary membranous glomerulonephritis presenting with nephrotic syndrome in a young woman: a case report

Nephrotic syndrome, characterized by heavy proteinuria, hypoalbuminemia, edema, and hypertension, represents a potentially serious renal condition that may first be encountered in primary care. Membranous glomerulonephritis (MGN) is one of the most common causes of nephrotic syndrome in adults and can present without overt systemic symptoms. Early recognition in family medicine is essential to prevent…

Implementing Intelligent Automation in Primary Care: Transferable Principles for Reducing Administrative Burden

Primary care teams worldwide face increasing administrative pressure alongside growing demand and workforce shortages. Intelligent automation—often referred to as Robotic Process Automation (RPA)—can streamline routine, rule-based tasks and release time for patient care. This workshop introduces system-neutral, transferable principles for adopting automation safely and effectively in diverse international settings. Across many countries, clinicians and administrative…

Working With Women in Situations of Vulnerability Based on the Trajectory of Malala Yousafzai

Born in 1997, Malala Yousafzai was encouraged from childhood by her father to value education as a fundamental right. Her trajectory demonstrates how education can be a powerful tool for social transformation.Experience report of health education and empowerment actions using the life of Malala Yousafzai.The mapping of Malala’s steps and actions aimed at overcoming prejudice and…