Fever and rashes are among the common symptoms in primary care. The characters of the fever and onset of rashes would be the important clues in making a diagnosis [1].  Varicella Zoster virus infection in children is generally a mild disease in which they tend to be afebrile within few days of illness. Therefore, other concomitant illness need t

Umum mengetahui penyakit kaki tangan dan mulut (HFMD) seringkali terjadi di kalangan kanak-kanak yang mana kebanyakannya akan sembuh dengan sendirinya berserta rawatan sokongan di rumah. Namun baru-baru ini, negara kita digemparkan dengan peningkatan kes tersebut sehingga ke peringkat wabak yang merbahaya. Mengapa ini boleh terjadi? Apakah kita jug

Endometrial carcinoma is a primary tumor of the uterus that usually presented with abnormal uterine bleeding commonly in post-menopausal woman. However, it can also manifests as abnormal cervical cytology even in a pre-menopausal age group which should be confirmed by endometrial biopsy.[1,2] There is no evidence to support mass screening for endom

Do you realise, that all of us are “Smokers”? What should we do? Do you feel that the number of smokers in the world, in general, and specifically in Malaysia, is shrinking? Are you confident that the world community is becoming more aware of the dangers of smoking? Are you sure the struggle to prevent smoking is effective? Do you feel that sta

 Lung carcinoma typically presents with haemoptysis and constitutional symptoms on a background history of chronic cigarette smoking.  A chest X-ray can pick up these lesions in view of its radio-opacity and nodular appearances that are manifested in more than 90% of cases.1  However it can be mistakenly interpreted as normal if it is obsc

Essential hypertension in adolescence is increasing in trend worldwide in view of increasing prevalence of childhood obesity and sedentary lifestyle. Generally, the younger the onset of the hypertension, the more likelihood of secondary causes is suspected. It is a dilemma among primary care providers to decide which case should be assessed further

Essential thrombocythemia is one of the myeloproliferative neoplasms. Palpable purpura is a rare manifestation that may delay diagnosis and treatment. We report a case of essential thrombocythemia in a 50-year-old man, who presented with recurrent thigh pain for the past one year with nonspecific localized purpura. His full blood count revealed iso

Essential thrombocythemia (ET) is one of the myeloproliferative neoplasms which typically presents with thrombotic vasomotor symptoms or bleeding tendencies. Papular rash is a rare manifestation of ET and may cause delay in making the diagnosis and hence institution of the treatment. We report a case of ET in a 50- year-old gentleman, who presented

 Patient satisfaction is of increasing importance and recognized as an important indicator for quality of care. It is influenced by the patients, physicians and practice's characteristics. 1,2  The literature on diabetes has increasingly focused on the quality of care and its measurement. Long waiting time is a common issue brought up by

Prevalence of active smokers in Malaysia remains high despite the availability of stop-smoking services. Rather than focusing on patients’demotivating factors, possible poor performance from providers should be evaluated. Thus, knowledge, attitude and practice of the healthcare professional on smoking cessation intervention needs to be assessed,