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International Primary Care Association

Clinical Focus Volume 4 N2

Volume 4 Issue 2 - 2010


The arrival of the aromatase inhibitors (AIs) has increased the options available for the management of postmenopausal women with hormone sensitive breast cancer. Where and when we should use them is however still controversial with the many trials of their use often having raised more questions than they have answered. There is no doubt that they have a role to play but it will be quite some time before we can confidently answer the questions of whether all post menopausal breast cancer patients should get them and if not all, then which patients should get them and for how long.


Facial palsy is a debilitating condition that has many causes. The commonest cause is Bell’s palsy (idiopathic facial nerve palsy) but there is mounting evidence that it may have been over diagnosed. This article draws closer attention to the alternative causes, appropriate examinations and investigations. A consensus for the treatment of Bell’s palsy has been elusive in lieu of well constructed trials. Recently though, good evidence has emerged for the role of steroids and anti-virals in the treatment of Bell’s palsy.


This article is intended to be a guide and to give an overview into some of the common issues and considerations encountered in everyday clinical practice when diagnosing and managing inherited cardiac conditions.


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