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Case study: A puzzling case of facial palsy

Dr Shipra Rao discusses an unusual presentation of facial nerve paralysis. This is a common problem ...

Common conditions of the hand

Mr Jeremy Field describes the presentation and management of common hand conditions....

Note the patient’s demeanour and whether she is tense, nervous or reluctant to be examined (Photograph: SPL)

Investigating dyspareunia

How to assess and manage dyspareunia in primary care. By Dr Margaret Denman...

New onset of severe pain, especially at night, may suggest malignancy (Photograph: SPL)

Musculoskeletal investigations - Examination of the spine

A systematic approach is needed when examining the spine....

Arm movement was restricted

Case study - A schoolgirl with muscle weakness

A detailed history will often provide a likely diagnosis, writes Dr Simon Gowda....

Unexplained petechiae could result from quinine use for leg cramps (Photograph: SPL)

MHRA warns over quinine and cramps

Quinine should not be routinely used for nocturnal leg cramps, regulators have warned....

Quinine warning for night leg cramps

Quinine should not be routinely used for nocturnal leg cramps, medicines regulators have warned....

Looking at the bare back will show if there are any signs of muscle spasm, scoliosis or loss of lumbar lordosis (Photograph: SPL)

The Basics - Uncomplicated back pain

Have a systematic approach to this common problem, advises Dr Keith Barnard....

Squint caused by congenital cranial nerve palsy can be corrected (Photograph: SPL)

Therapeutic uses of botulinum toxin

Botox now has a wide range of non-cosmetic uses, write Caroline Dodson and Mr Tim Whittlestone....

Carpal tunnel syndrome

Section 1: Epidemiology and aetiology...

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