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Cardiovascular

Abdominal pain in kids

Abnormal/Dysfunctional Uterine Bleeding (AUB/DUB)

Acanthosis Nigricans

Actinic Cheilitis

Acute Kidney Injury (AKI)

Acute Swollen Joint with Fever

Acute Vision Loss

Acute and Progressive Vision Loss

Adjustment Disorder and Anxiety

Adjustment Disorder with Depressed Mood

Age related macular degeneration

Alcohol Cessation

Allergic rhinitis

Angular Cheilitis

Ankylosing Spondylitis (AS)

Anorexia Nervosa

Anticholinergics and TCAs

Antidepressants

Antimetabolite drugs

Antiphospholipid syndrome

Anxiety Disorders

Aortic Dissection

Atrial Fibrillation

Behavioural / learning disorders

Behavioural disturbances

Bell’s palsy and Ramsey Hunt syndrome

Beta-Human Chorionic Gonadotropin (β-hCG)

Biologic agents

Bipolar Disorder

Bleeding disorders

Bronchiectasis (Updated)

CA-125 (Cancer Antigen 125)

CVD Risk Assessment

Calluses and Corns

Candida (Candidiasis as an STI)

Carpal tunnel syndrome and de quervains tenosynovitis

Cervical spondylosis

Chickenpox (Varicella)

Chronic Cough in Children

Chronic Fatigue Syndrome (CFS)

Chronic Kidney Disease (CKD)

Chronic Rhinosinusitis

Chronic Stridor

Clavicular fracture

Colorectal Cancer Screening Recommendations

Congestive Cardiac Failure

Connective Tissue Diseases

Contact Dermatitis

Cutaneous Drug Eruptions

Dacrocystitis, dacyrostenosis, dacyrocystocoele

Deep Vein Thrombosis (DVT)

Depression and Delirium

Dermal melanocystosis (mongolian spot)

Developmental Dysplasia of the Hip (DDH)

Diabetes Insipidus (DI) vs Primary Polydipsia

Diabetic Neuropathy

Dizziness / syncope

Duchenne muscular dystrophy

Dupuytrens / trigger finger

Dyspnoea (Shortness of Breath)

Complex Regional Pain Syndrome (CRPS)

History

Post-injury or surgery (even minor trauma)
Severe distal limb pain, disproportionate to event
Early signs of disuse, functional decline

Diagnosis (Budapest Criteria)

Requires symptoms in ≥3 of 4 categories & signs in ≥1 category:

Sensory: Spontaneous pain, burning, hyperalgesia, allodynia
Vasomotor: Temperature asymmetry, skin colour changes (red, blue, pale)
Sudomotor/Oedema: Oedema, asymmetrical sweating
Motor/Trophic: Weakness, tremors, ↓ movement, hair/skin/nail changes

Additional Findings: ↓ ROM, pain with light touch

Management

Early physiotherapy (graded exercise, functional restoration)
Psychological support (CBT) for pain-related distress
Neuropathic pain management: Pregabalin/Gabapentin
Pain clinic referral (consider sympathetic nerve blocks)
Patient education: Early mobilisation, trigger avoidance
Adjuncts (less evidence): Opioids, corticosteroids, carbamazepine
Regular follow-up (monitor & adjust treatment)
Refractory cases: Mirror therapy

Complex Regional Pain Syndrome (CRPS)

History

Typically arises after an injury or surgery, often minor.
Patients report severe distal limb pain disproportionate to the inciting event.
Early signs can include limb disuse and functional decline.

Diagnosis (Budapest Criteria)

Diagnosis requires symptoms in ≥3 of the 4 categories and signs in ≥1 category:

Category	Examples
Sensory	Spontaneous pain, burning sensations, hyperalgesia, allodynia
Vasomotor	Temperature asymmetry, changes in skin colour (red, blue, pale)
Sudomotor/Oedema	Oedema, asymmetrical sweating
Motor/Trophic	Weakness, tremor, decreased movement, changes in hair/skin/nails

Additional findings can include reduced range of motion and pain with light touch.

Management

Early physiotherapy focusing on graded exercise and functional restoration
Psychological support such as cognitive behavioural therapy (CBT) to address pain-related distress
Neuropathic pain management (e.g. pregabalin or gabapentin)
Referral to a pain clinic for possible sympathetic nerve blocks
Emphasise patient education on early mobilisation and avoiding triggers
Adjuncts (with less evidence) include opioids, corticosteroids, carbamazepine
Regular follow-up to monitor and adjust treatment as needed
Refractory cases may benefit from mirror therapy

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