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IPCA

International Primary Care Association
 
 
 

Clinical Focus Volume 3 N3

Volume 3 Issue 3 - 2009

The availability of microsuction in a primary care setting is useful, as it allows common conditions such as otitis externa and earwax to be treated. Microsuction had previously been used exclusively in hospital ENT clinics and operating theatres, since the introduction of the operating microscope in the 1950s. However, with microscopes becoming smaller and more affordable, they are now being used in primary care. The microscope provides good visualisation of the ear and with the addition of a suction pump, it allows the ear canal to be safely removed of discharge and wax.

Abstract

Oesophageal adenocarcinoma carries a grave prognosis and has a rapidly increasing incidence in the developed world. Barrett’s Metaplasia is a major risk factor for oesophageal cancer and likewise has an increasing incidence. There is no cure for Barrett’s Metaplasia and current strategies revolve around screening the metaplastic mucosa for dysplastic changes at regular intervals. The finding of high grade dysplasia in a segment of Barrett’s holds a high risk for concurrent adenocarcinoma or the development thereof. Limited treatment options are proven for treatment of this although techniques such as radiofrequency ablation and endomucosal resection are beginning to prove themselves. The increase in incidence of oesophageal adenocarcinoma and Barrett’s metaplasia need further research to limit the future problems that will be posed.

Abstract

Watery eye (also called epiphora) is a common ophthalmic complaint. There is an impression among most of the GPs that watery eyes always means blocked tear ducts. Blocked tear ducts is a main, but by no mean the only cause of watery eyes. Management of this problem depends on the cause and may vary from simple minor procedure to major ophthalmic, and also occasionally nasal, surgery.

 
 

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