GP Voice

voice of general practice

Internal Medicine

Fournier’s gangrene & SGLT2i – how rare is it?

23rd March 2019, Dr Chee L Khoo You may remember receiving warnings recently from the Therapeutics Goods Administration (TGA) about a serious “rare” infection, called necrotising fasciitis of the perineum, also referred to as Fournier’s gangrene (FG). FG is reported to be associated with the…

Posted in Diabetes, Obesity & Metabolism, Internal Medicine, Surgery | Tagged , , , , , | Comments Off on Fournier’s gangrene & SGLT2i – how rare is it?

Haemorrhagic stroke – is that cerebral amyloid angiopathy?

10th March 2019, Dr Chee L Khoo About 10% of all strokes are haemorrhagic strokes. In about 10% of cases of primary intracerebral haemorrhage (ICH), cerebral amyloid angiopathy (CAA) is regarded as a possible cause. The recurrence rate of ICH is significantly higher in patients…

Posted in Internal Medicine | Tagged , , , , , | Comments Off on Haemorrhagic stroke – is that cerebral amyloid angiopathy?

Can Vitamin C reduce plasma glucose?

22nd February 2019, Dr Chee L Khoo Increased oxidative stress appears to be a significant factor leading to insulin resistance, dyslipidaemia, β-cell dysfunction, impaired glucose tolerance and ultimately leading to type 2 diabetes (T2D). Ascorbic acid (AA) is a water soluble anti-oxidant that reduces oxidative…

Posted in Diabetes, Obesity & Metabolism, Internal Medicine | Tagged , , , , , | Comments Off on Can Vitamin C reduce plasma glucose?

Losing weight: Different diets for different patients – are we there yet?

13th February 2019, Dr Chee L Khoo It’s all too confusing. It used to be low fat diet. It’s now low carbohydrate (carb) diet. Some studies show that low carb diet loses more weight than low fat diet while others show the opposite. Yet, other…

Posted in Diabetes, Obesity & Metabolism, Internal Medicine | Tagged , , , , | Comments Off on Losing weight: Different diets for different patients – are we there yet?

Case Study – man with increasing neck pain for one month

44-year-old male with 1 month of increasing neck pain was referred for a cervical spine injection. A CT scan of the cervical spine two weeks prior (Figure A), revealed foraminal narrowing at the C5-6 level. There was a significant difference between the new scan and…

Posted in Internal Medicine, Spectrum, Surgery | Tagged , , | Comments Off on Case Study – man with increasing neck pain for one month

The adipocyte – a very busy cell

27th January 2019, Dr Chee L Khoo Energy consumption, regulation and storage vital for the survival of the organism. We have specialised cells that manages the above but often, the cells do a bit of each depending on the energy needs of the organism at…

Posted in Diabetes, Obesity & Metabolism, Internal Medicine | Tagged , , , | Comments Off on The adipocyte – a very busy cell

Do all fat kids develop diabetes? If not, who does?

27th January 2019, Dr Chee L Khoo As GPs we often see little kids already carrying extra weight and we know that many of these will go on to become overweight or obese adults. Many overweight kids and overweight adults will go on to develop…

Posted in Diabetes, Obesity & Metabolism, Internal Medicine | Tagged , , , , , | Comments Off on Do all fat kids develop diabetes? If not, who does?

Fasting glucose – is it still relevant when managing patients with T2D?

27th January 2019, Dr Chee L Khoo It’s tempting to rely too much on HbA1c when managing our patients with type 2 diabetes (T2D). It is not uncommon to come across patients with pretty optimal HbA1c (under 6.5-7.0%) and we pat them on the back…

Posted in Diabetes, Obesity & Metabolism, Internal Medicine | Tagged , , , | Comments Off on Fasting glucose – is it still relevant when managing patients with T2D?

Is there a doctor on the plane?

9th January 2019, Dr John Goswell According to a recent article in JAMA, in flight emergencies occur in about 1:600 flights. This comforting statistic should allow doctors to relax and enjoy their holidays. Not so for me. I have answered the call “Is there a…

Posted in GP Support, Internal Medicine | Tagged , , | Comments Off on Is there a doctor on the plane?

Investigating ischaemic stroke in a young patient

5th January, 2019, Dr Chee L Khoo The incidence of ischaemic strokes in young adults is on the increase. Worldwide,  it has risen up to 40% over the past decades.  This contrasts with the decreasing incidence of stroke in older adults. It’s never a good…

Posted in Internal Medicine | Tagged , , , | Comments Off on Investigating ischaemic stroke in a young patient

Cholecystokinin (CCK) – more than just a gallbladder hormone

4th January 2019, Dr Chee L Khoo When you treat a medical condition with an agent with known intended effects, it is not uncommon that we come across some of the unintended effects of the agent. Glucagon-like peptide 1 receptor antagonists (GLP1-RAs) are very useful…

Posted in Diabetes, Obesity & Metabolism, Internal Medicine | Tagged , , , , , , , , , , | Comments Off on Cholecystokinin (CCK) – more than just a gallbladder hormone

Management of Huntington’s Disease – where are we at?

4th January 2019, Dr Chee L Khoo Huntington Disease (HD) was first described in 1872 by George Huntington, MD, in his paper “On Chorea”. HD is an autosomal-dominant, neurodegenerative disorder that is caused by expansion of a cytosine-adenine-guanine (CAG) triplet repeat in the huntingtin gene…

Posted in Internal Medicine | Tagged , , , , | Comments Off on Management of Huntington’s Disease – where are we at?

Medical Imaging Campbelltown

GPs wanted

Healthpathways seeking GP Editors. Click here for more details

Spectrum Radiology

Articles by Categories

Copyright © 2019 GP Voice