“Sir, how are you today?” That is one of the conversation starters used by some doctors in the clinic when meeting their chronic patients who came for follow up treatments. A simple enquiry like that can induce a greater response from the patient, not just focusing on the level of management of their physical illness but also the patient’s em

Endoscopic retrograde cholangiogram pancreatography (ERCP) and biliary stenting is a minimally invasive procedure widely utilised to relieve biliary obstruction. Although not common, it is related with several possible complications. Stent migration causing duodenal perforation is 1 of its rare complications as being described in several previous c

Chest X-ray is valuable in the primary care setting in helping clinicians to confirm the underlying findings of the respiratory and cardiovascular systems. This view also includes the lower cervical vertebrae region which is helpful in elaborating the findings surrounding the neck. However, a single view of the film may sometimes cause confusion re

Introduction: Long waiting time is a common issue complained by diabetic patients that came for an early morning appointment in a health clinic. Therefore, an audit was conducted among diabetic patients in a primary care clinic with the aim to assess the patients’ waiting time and to formulate strategies for improvement. Methods: This audit was c

Number of active smokers in Malaysia is increasing despite availability of stop smoking clinics and smoking cessation medications. Thus, the practice of the healthcare professionals involved in providing smoking cessation intervention using evidence-based guidelines needs to be assessed using validated assessment tool. Newly invented reliable and v

Ramadhan fasting is a religious obligation for every Muslim since the era of Prophet Muhammad (peace upon him). Not only as a symbol of worship and obeying the command of the Creator, but it is also found to provide several health benefits. However, some patients might develop complications while observing Ramadan fasting, especially those with pre

Chest X-ray is valuable in the primary care setting in helping clinicians to confirm the underlying findings of the respiratory and cardiovascular systems. This view also includes the lower cervical vertebrae region which is helpful in elaborating the findings surrounding the neck. However, a single view of the film may sometimes cause confusion re

Essential hypertension in adolescents is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, secondary hypertension is suspected if it occurs at pre-pubertal age or presented with resistant hypertension. We reported a case of 12-year-old adolescent male diagnosed with essential hyp

In primary care, chest X-rays are commonly performed to assess patients presenting with a prolonged cough. However, the extent to which the films are accurately interpreted depends on the skill of the doctors. Doctors with insufficient experience may miss an exact diagnosis when evaluating a film, especially in patients with nonspecific symptoms, s

Background: Older persons with diabetes are the major demographic of diabetic patients followed up in primary health clinics. Despite their increasing age and morbidities, They are still being managed strictly towards good sugar control in order to achieve the ideal HbA1c level without taking their quality of life into consideration. This study aim