Halt the Pain and Progression of Osteoarthritis

Halt the Pain and Progression of Osteoarthritis

Osteoarthritis (OA) is a chronic degenerative joint disease characterised by pain and progressive functional limitation. Viscosupplementation with intra-articular hyaluronic acid (HA) is a treatment option in knee and hip OA and potentially should apply to all synovial joints in order to reduce pain and improve joint lubrication. Exogenous HA can enhance chondrocyte HA synthesis, prevent the degradation of cartilage, reduce the production of proinflammatory mediators and promote its regeneration.

Modern Medicine – Issue 5 2022

Talking about Death Won’t Kill You

Talking about Death Won’t Kill You

When it comes to having an open and honest conversation about someone’s prospects when they’re dying, most people, and their families, expect their doctor to get the ball rolling. But new research shows this isn’t always happening. Talking about death won’t make it happening. Of course, simply talking about death won’t cause it to happen – and not talking about it robs us of choices and moments that will not come again.

Modern Medicine – Issue 5 2022

Issue 4, 2022

The latest edition of Modern Medicine is now available for you to read. We have some great articles featured in this edition:

  • Ethics (CPD) – Trust in Medicine
  • Pulmonology – GINA guidelines for Asthma
  • Proctology – Haemorroidal Disease
  • Allergy (CPD) – Allergic Rhinitis: An overview
  • A Dermatolgy Feature… and many more !

Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online

Allergic Rhinitis: A Clinical and Pathophysiological Overview

Allergic Rhinitis: A Clinical and Pathophysiological Overview

Allergic rhinitis (AR) represents a global health concern where it affects approximately 400 million people worldwide. The prevalence of AR has increased over the years along with increased urbanisation and environmental pollutants thought to be some of the leading causes of the disease. Understanding the pathophysiology of AR is crucial in the development of novel therapies to treat this incurable disease that is often comorbid with other airway diseases. Hence in this mini review, we summarise the well-established yet vital aspects of AR. These include the epidemiology, clinical and laboratory diagnostic criteria, AR in paediatrics, pathophysiology of AR, Th2 responses in the disease, as well as pharmacological and immunomodulating therapies for AR patients.

Modern Medicine – Issue 4 2022

Acute Kidney Injury in the Critically ill

Acute Kidney Injury in the Critically ill

Acute kidney injury (AKI) is associated with acute morbidity and mortality in critically ill patients. There are number of solutions for diagnosis. Clinicians should consider clinical context, such as cardiorenal syndrome, and assess nephrotoxic agents and combinations. Management of fluids and renal perfusion pressure are recommended as preventative measures in the ICU.

Modern Medicine – Issue 4 2022

Identifying Prediabetes to Nip Type 2 Diabetes in the Bud

Identifying Prediabetes to Nip Type 2 Diabetes in the Bud

Diabetes prevalence, as well as that of prediabetes, is rapidly increasing in South Africa. Individuals with pre-diabetes have a high risk of developing type 2 diabetes. Screening asymptomatic adults for prediabetes and type 2 diabetes may allow earlier detection, diagnosis and treatment, with the ultimate goal of improving health outcomes. If left untreated, diabetes can lead to serious health complications.

Modern Medicine – Issue 4 2022

Testicular Cancer: Key issues in diagnosis, treatment and follow up

Testicular Cancer: Key issues in diagnosis, treatment and follow up

Testicular cancer is the most commonly diagnosed malignancy in men aged under 40 years. Men presenting with a testicular lump and a solid intratesticular lesion on ultrasound need an urgent urology referral as most types of testicular cancer are rapidly progressing. Eliciting red flags for metastatic disease and discussing fertility are key issues in the early diagnostic process. Testicular cancer survivors should be monitored for relapse, cardiovascular disease, secondary malignancy and hypogonadism.

Modern Medicine – Issue 4 2022

Treating Teenage Acne Early Builds Better Self-esteem

Treating Teenage Acne Early Builds Better Self-esteem

Acne vulgaris is a common skin condition which affects most adolescents. It has a major impact on quality of life and psychosocial well-being. Azelaic acid is a non-antibiotic topical acne treatment that is available as a 20% cream and a 15% gel, and it is often used as an adjuvant acne treatment. Azelaic acid has comedolytic, antimicrobial and anti – inflammatory properties.

Modern Medicine – Issue 4 2022

Ridding Patients of Discomfort Caused by Fungal Skin Infections

Ridding Patients of Discomfort Caused by Fungal Skin Infections

Superficial fungal infections (SFIs) are among the most common skin diseases worldwide, affecting nearly one billion people annually. Clinical features of the condition include skin irritation, redness, itching, swelling, and blisters around the affected area. These symptoms, particularly skin itching, peeling, and redness are commonly experienced by individuals with SFIs. If left untreated, persistent scratching due to itching may accelerate tissue damage and delay healing, potentially leading to secondary infections.

Modern Medicine – Issue 4 2022

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