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GROWING PAINS

Mr. Addo, a sixty four year old man who loves to play tennis, has had right knee pain for 3 years. He does not complain of any other joint pains except for two of his left fingers. He has noticed stiffness in the knee in the morning and hears crackling sounds when he moves the joint. There is no swelling or warmth of the knee. After some laboratory tests were done all results were normal. X-rays indicated t ...

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LATE DIAGNOSIS: THE PATIENT FACTOR

One of the most frustrating and stressful aspects of medical practice in the Tropics (and indeed in any part of the world) is when treatable disease conditions lead to death. Such a situation may arise as a result of what Doctors call “late presentations” of disease. In nine out of ten cases, this is due to the “Patient Factor”. The “Patient Factor” is simply a set of events or actions imputable to the pati ...

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DO I HAVE PEPTIC ULCER DISEASE?

A friend of mine, Mandy, had been experiencing severe abdominal pains after taking a diclofenac tablet prescribed by her doctor. She called him up and was advised to take an antacid, which she subsequently did. Within fifteen minutes of taking the antacid she had relief. Mandy was eventually diagnosed with peptic ulcer disease, also commonly known as a stomach sore, a condition that occurs when hydrochloric ...

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