The eye of the surgeon

We chat to Dr Suran Ramphal, Head of Urogynaecology and the Advanced Endoscopy Unit at the University of KwaZulu-Natal and the Inkosi Albert Luthuli Central Hospital (IALCH) about the future of gynaecological surgery.

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Conditions associated with decreased vision

Although red eye is a common condition, great care should be taken before deciding on a treatment regimen, because prescribing the wrong drug can cause permanent damage to the eye.

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Psoriasis can cause psychological stress

Psoriasis is a common, chronic inflammatory skin condition. It is thought to be immune-mediated; however, genetic and environmental factors are aetiological contributors.

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7 dietary interventions in IBD

This article is based on an inflammatory bowel disease presentation by Prof Kevin Whelan of the Department of Dietetics at King’s College (United Kingdom).

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Fracture risk prediction, prevention and treatment

SPECIALIST FORUM NOVEMBER CPD 2 of 2: How effective are fracture risk tools? When should treatment be started in patients with osteoporosis? What treatment strategies are recommended and what is the role of supplementation?

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What is a circadian rhythm sleep disorder?

SPECIALIST FORUM NOVEMBER CPD 1 of 2: This article is based on a presentation about circadian rhythm sleep disorders by Dr Alison Bentley at the SASOP congress held in Tshwane from 21-24 September.

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Specialist Forum November CPDs

These are the Specialist Forum’s November CPDs. Click on the questionnaire below to start the CPD quiz.

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CPD POINTS: 3

Should patients take supplements during chemo?

MEDICAL CHRONICLE NOVEMBER CPD 1 of 3: There is compelling evidence for the importance of supplementation during cancer treatment. Vitamin D, zinc and magnesium supplementation appears to be particularly beneficial.

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Management of post-radical prostatectomy ED

MEDICAL CHRONICLE NOVEMBER 2 of 3: Radical prostatectomy is a commonly performed procedure for the treatment of localised prostate cancer. One of the long-term complications is erectile dysfunction (ED).

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Osteoarthritis pain, joint function and QoL

MEDICAL CHRONICLE NOVEMBER CPD 3 of 3: Chronic diseases of the musculoskeletal system are among the most prevalent health hazards in the world’s population.

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Medical Chronicle November CPDs

Below are all of the CPDs produced for the November 2018 issue of Medical Chronicle. You need to read all 3, then complete a questionnaire for a combined total of 3 CPD points.

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CPD POINTS: 3

Prostate cancer: Salvage options for failure post-primary radiotherapy

Radiotherapy for localised prostate cancer is a standard option, but unfortunately a significant number of patients will experience prostate-specific antigen failure after treatment.

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Lower back pain relief

Recent studies show that the most frequently assessed complaint in emergency departments (ED) is non-traumatic musculoskeletal. Low back pain (LBP) is the most common, reaching a prevalence of around 15%.

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Psychotropics in the elderly

Psychotropic drugs are commonly administered to elderly clients to manage behaviour and psychiatric symptoms. However, dosages need to be adapted to suit the patient’s profile.

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Airway management in the critically ill patient

The younger child has markedly reduced physiological reserves and so has potential for rapid deterioration towards decompensated cardiopulmonary failure and cardiac arrest, unless timeous and effective support occurs.

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Fungating wounds always a challenge

A patient presenting with a fungating wound is always a challenge for wound care practitioners. The management of these wounds is rarely straightforward and requires a great deal of sensitivity and flexibility.

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Painful intercourse

Dyspareunia, an important but neglected area of female health, is characterised by persistent or recurrent pain with attempted or complete vaginal entry or penile-vaginal intercourse.

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The acute treatment of major depression

The prevalence of major depression (MD) between 2002 and 2004, according to the South African General Household Survey, is 9.7%.

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Ventilation: Lessons from ARDS

Daily, thousands of patients with respiratory failure are kept alive by mechanical ventilation (MV). Simultaneously, MV with positive pressure is unphysiological, and can traumatise lungs.

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The impact of chronic stress on gut health

Gastrointestinal functioning is particularly influenced by stress. Up to 80% of IBS patients experience comorbid behavioural disorders, such as stress, anxiety or depression.

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