primary care
Clinical teaching and practical ideas for your next study session.
Lewy Body Dementia in Family Medicine: When Two Core Features Matter
When a patient with progressive cognitive decline develops recurrent visual hallucinations and spontaneous fluctuations in attention or alertness, learn how to apply DLB criteria, assess for delirium, and avoid medication-related harm.
When an Enlarged Prostate Does Not Explain Male LUTS
A smooth, enlarged prostate can support benign enlargement, but it cannot prove that prostate obstruction is causing a patient’s urinary symptoms. Learn how to assess male LUTS beyond DRE.
Acute COPD Exacerbation: When Does Primary Care Need an Antibiotic?
An acute COPD flare is not automatically a bacterial infection. Learn how new sputum purulence, prior cultures, illness severity, and reliable follow-up shape a primary-care antibiotic decision.
Giant Cell Arteritis With Normal ESR and CRP: What Should Primary Care Do?
Normal ESR and CRP lower the likelihood of giant cell arteritis, but they do not close the case when the symptom pattern remains concerning. A primary-care approach to probability, urgency, and confirmatory testing.
HFpEF in Primary Care: Why a Normal EF Does Not Settle Dyspnea
A preserved ejection fraction and a familiar risk profile can suggest HFpEF, but neither establishes it. Learn how to assess filling pressures, interpret resting tests, and decide what to do when results disagree.
Necrotizing Otitis Externa: Pseudomonas Is Likely; Escalation Is the Skill
Pseudomonas aeruginosa is the most commonly isolated organism in necrotizing otitis externa, but naming it does not prevent delayed diagnosis. Learn primary-care red flags and when persistent ear-canal infection needs urgent escalation.