Saturday 28 September 2013

Always something to discover....

What is it?
I would have described myself as a pretty experienced GP, and certainly 33 years in a full-time job would prepare you for anything, and I have seen pretty much every condition in my time, including a lot of rare ones.

I have seen and diagnosed Wegener's granulomatosis, and Hayley-Hayley disease, I have seen all the rare childhood cancers including Wilms' tumour, so I wasn't expecting to be surprised by a condition I had not heard of.

Since retiring, I have started to do quite a bit of walking. It is hard work when you have the physique of a prop forward, and the weight to match (and a bit extra for the added pies), but I am persevering. This means that I am meeting with people who walk, and have come across a condition that is new to me: Golfer's Vasculitis. This is an irritating purpuric rash that occurs in people after they have walked for a while. It seems more common in older people, and in women. It occurs after longer walks, and not in runners.

It is entirely benign, and is diagnosed on the history and examination (tests aren't necessary provided the walker is well), but is a little unsightly, and takes a few days to subside.

You can take the doctor out of medical practice, but can't stop a doctor thinking and analysing like a doctor!

16 comments:

Anonymous said...

You might find this amusing! http://theoccasionalpigeon.blogspot.co.uk/2013/09/new-government-plan-to-beat-obesity.html

WendyCarole said...

I have had this. Two longish walks on the Scottish holiday.

Anonymous said...

"It is hard work when you have the physique of a prop forward, and the weight to match".....I fell off my chair laughing at that comment.

PPLIC said...

Bril­liant! Great talk that was extremely insightful and very enter­taining. It’s given me loads to think about.

Anonymous said...

I had this when I was 18 on a duke of Edinburgh trip... 10 miles into the beacons and it gave the instructors and me a hell of a fright. Funnily enough a retired GP walking the same trail as us saw me sat at a bench with my ailment and offered his diagnosis. I didn't have it again for years until I was 30 walking up and down a very hot cardiac unit on my 4th long day (12 hours) as a Nurse. It was 28*C outside and the hospital didn't get the memo about the Air Con being on. Seeing as it's taboo to open windows.

Anonymous said...

I have just come across this blog for the first time and read to this story. So interesting, I had a chap in during the late summer who had been walking through the high rough in St Andrews and came in to see me with a vasculitic rash on his legs. Not bothering him at all, clinically well and bloods all normal. I reviewed him again a few days later just to check and it had resolved! Now I know the diagnosis! At the time he/we thought it must have been an odd reaction to sprayed chemicals in the grass. Thanks

medical supplies said...

Thanks for posting this article. From your content, I can see the real significance of the phrase satisfied. This content, I believe many individuals are beneficial. Very lucky to discuss this content to your. Look ahead to your up-dates.
If you need any help , please see this link : medical supplies

Saeed Zia said...

Its really a tough job; you figure is capable to support ahead….. its to heavy… I am actually astonished…

ambien cr course

Unknown said...

The concepts of health and disease and their evolution over the centuries, the history of hospitals and health care organization, advances in science and medical research, the changes faced by the medical profession, his relations with the increasing complexity of society contemporary achievements of ethics and bioethics, the comparison with alternative medicine.
http://blogmedicine4you.blogspot.it

Unknown said...

Well i am here first time and found that this amazing site and informative which gives all reader many good

Essential revision notes for MRCP phillip kalara

Unknown said...

very useful blog. I'm sure this will help others

Bentham Science Publisher

Rare Pearls said...

Golfer's vasculitis
Thankyou & please restart blogging .

Jr. William said...

My doctor is a resident, but by his name it still says MD. Whats the difference between a non-resident and resident? Should I expect him to not be my long term dr. since hes still in school? Just out of curiosity, any other details?
doctor recruitment agency

Thuong Nguyen said...

Thông tin cụ thể hơn, ông Đào Anh Tuấn, Tổng giám đốc cong ty van tai Sai Gon cho biết, vận tải hàng hóa của đơn vị phi thue xe tai vẫn chưa đạt kết quả tốt nhưng hành khách thời gian qua tăng khá ấn tượng với mức hơn 10% so với năm 2016. đặc biệt, doanh thu tăng rất cao, nhất là trong tháng 6 vừa qua tăng hơn 50%. Chúng tôi phải áp dụng nhiều giải pháp thue xe tai tai Ha Noi linh hoạt, trong đó ưu tiên tăng cường tàu chạy các chặng ngắn như: Sài Gòn - Phan Thiết, Sài Gòn - Nha Trang. Tháng 5 vừa qua, đưa vào khai thác tuyến mới Nha Trang - Huế và đã đạt 70% hệ số khai thác”, ông Tuấn nói và cho biết, đặc biệt, lần trước tiên đường sắt xây dưng chính sách giá vé linh hoạt, khuyến mãi, giảm lạnh lẽo vé tập thể, công ty du lịch, hòa hợp nâng chất lượng vệ sinh toa xe, tương tác với khách hàng thuê xe tải chở hàng Bình Dương giá rẻ nhiều hơn. “Chính điều này đã hút lượng khách lớn quay trở lại với đường sắt, ông Tuấn lý giải.

yanmaneee said...

coach outlet sale
cheap jordans
coach outlet
hogan outlet online
kyrie 5 shoes
golden goose
ferragamo belts
timberland
fila
curry 4

vantaiconthoi.vn - Vận tải Con thoi said...

Cảm ơn bạn đã chia sẻ, nếu cần gửi hàng đi quảng ninh thì a/c liên hệ bên mình nhé. Hotline: 0903751981