Biomedical subjects
J Murtagh
Publications and source records attributed to J Murtagh.
Serial killers and sexual violence. The whys and wherefores.
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Injection for Achilles tendinitis.
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Basic management of myocardial infarction.
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Patient education. Hiatus hernia.
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Hip and buttock pain in adults.
Hip and buttock pains in adults require careful evaluation to determine exactly what anatomical structure the patient is referring to when presenting with 'pain in the hip'. Pain in the posterior hip region and buttocks usually originates from dysfunction of the lumbosacral spine. Osteoarthritis of the hip is an important disorder that can refer pain to the anteromedial aspect of the knee.
Acute chest pain.
Of the many causes of acute chest pain, it is important to delineate the life threatening causes, such as myocardial infarction, dissecting aneurysm and pulmonary embolism. It is important to consider the cause as 'myocardial infarction until proved otherwise'. Common causes in general practice are musculoskeletal disorders and functional problems. A diagnostic strategy is outlined.
Intra-articular injection of a finger.
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Patient education. Schizophrenia.
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The 'crown' excision for facial skin lesions.
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Patient education. Dangerous asthma.
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Dizziness (vertigo).
The presenting problem of dizziness or vertigo can be one of the real brain teasers of general practice. A careful history including drug intake (prescribed drugs or illicit drugs) will help determine whether the problem is true vertigo or pseudovertigo and pinpoint the diagnosis. Important serious causes to keep in mind are cerebral tumours and cardiac dysrhythmias.
Patient education. Anxiety.
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Ruptured Achilles tendon.
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Patient education. Your pregnancy.
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The painful ear.
The painful ear is caused commonly by otitis media, otitis externa and temporomandibular joint dysfunction. Difficulty in visualising the tympanic membrane due to debris in the ear canal can make diagnosis difficult, especially when otitis externa and otitis media co-exist. Another problem is determining the origin of referred pain. Due to the complex innervation of the ear, referred pain can arise from most sites in the head and neck, especially the upper cervical spine, the teeth and the throat.