A 55-year-old man presented with almost one year history of heat intolerance, mild palpitation and significant weight loss. Free T3 and T4 were elevated with normal TSH. Patient had suboptimal response to carbimazole therapy.
Roshini Claire Anthony spoke with Adjunct Associate Professor Gamaliel Tan, head and senior orthopaedic consultant at Ng Teng Fong Hospital in Singapore, on how GPs can help diagnose and treat lower back pain.
Tension headaches are the most common types of headaches, with more than 70% of the population experiencing them at some point. Tension headaches are often described as a mild, aching pain on both sides of the head, or a tight pain across the forehead, which tends to worsen as the day goes on. The pain can also increase if the person is stressed.
Dementia currently affects around 50,000 people in New Zealand, but due to the country’s ageing population, this figure is predicted to triple by 2050. In 2008, the economic cost of dementia was estimated at NZ$712.9 million.
Clinicians often face the dilemma of overinvestigating headaches caused by benign ailments and overlooking headaches that are manifestations of serious underlying conditions, despite advances in diagnostic techniques.
The overall diagnostic value of neurological tests for detecting disc herniation with suspected radiculopathy is limited and is characterized by poor accuracy, moderate specificity and low sensitivity, reports a new meta-analysis.