The case report from the NEJM: 60-year-old architect, presents at the urging of his wife since he hasn’t seen a doctor in years. History: completely asymptomatic, no risk factors. Medication: ...
Golden Nuggets Library
Here are some of the most popular “Golden Nuggets“ from my newsletter for family doctors (click here for more info). Don’t miss any future Nuggets – subscribe to the newsletter and stay up to date.
80% of Diagnosis is History Taking. Myth or Fact?
Most physicians accept that 80% of diagnosis is history taking, a statistic traced back to a 50-year-old BMJ study. Surprisingly, subsequent research confirms that medical history leads to the final ...
The Landmark PSA Study is Back: Benefits are Real, but Worth the Harm?
The long-awaited 23-year results of the European Prostate Cancer Screening Study (ERSPC) are finally here. PSA screening saves about 2 lives per 1,000 men but leads to 27 extra diagnoses—highlighting ...
Teach-Back for GPs: An Evidence-Based Communication Tool
The Teach-Back-Method helps Family Doctors to improve patient understanding and recall. It’s a simple communication tool, it’s evidence-based and it’s quick. Here you can read everything you need to know ...
Paracetamol in Pregnancy and Autism Risk: An Evidence-Based Update
Paracetamol has long been considered the safest pain and fever medication during pregnancy. Recently, questions have been raised about a possible link between prenatal paracetamol exposure and neurodevelopmental disorders such ...
What Does “NNT” Mean and Why Should You Care?
An article explaining the essentials related to the Number Needed to Treat (NNT): how it’s calculated, why it’s crucial for clinical decision-making, the key factors influencing its interpretation, and common ...
Monitoring, Surgery, or Radiotherapy for Prostate Cancer
A 15-year RCT found no survival difference between monitoring, surgery, or radiotherapy for localized prostate cancer, but notable trade-offs in disease progression and treatment-related side effects. Careful decision-making and risk ...
Fishhook Removal Techniques for GPs
Discover four essential fishhook removal techniques, when and how to apply them safely, and crucial aftercare tips. Includes expert advice, practical videos, and evidence-based guidance on antibiotic use.
How to Drain a Subungual Hematoma (Evidence-Based)
When should you drain that subungual hematoma? And what’s the best way – needle, hot paperclip, cautery? Get clear indications, step-by-step methods, and essential practical tips right here.
More “Golden Nuggets” are added here in future – but not all. Don’t miss any of them and subscribe to the Newsletter (more information here)! PLUS: New subscribers get the PDF “Top 10 Tools for GPs”.