RESUMO
Headache is not typically a presenting symptom of Graves' disease. Only a few studies suggest hyperthyroidism can cause headaches, and the connection remains indeterminable. While some cases report hyperthyroidism presenting as a simple headache, it is not specific to Graves' disease. This report details a middle-aged male patient who visited a primary healthcare center with a two-month history of bilateral temporal headaches. He was initially diagnosed as a query case of temporal arteritis due to his age and affected area and was transferred to the emergency department for a comprehensive evaluation. After discussions with specialists and various laboratory tests and CT scans, he was diagnosed with Graves' disease. Treatment led to fast improvement and relief of his headaches. This case represents a rare instance of Graves' disease where the patient's sole complaint was a simple headache without any other symptoms. We advise doctors to consider diseases related to increased thyroid gland activity when dealing with headaches.
RESUMO
Background As the prevalence of COVID-19 recovery cases increased, patients started to notice new symptoms after being cured of the acute infection. We aimed to study the type of persistent symptoms post-COVID-19 infection, their prevalence, and factors that play a role in developing the post-COVID-19 symptoms among COVID-19 patients at King Abdulaziz Medical City, Jeddah, Saudi Arabia. Methods A cross-sectional study was conducted at King Abdulaziz Medical City, Jeddah, Saudi Arabia, from the period of September 2021 to December 2021. Participants were contacted via a phone interview. Statistical analysis was performed using IBM SPSS Statistics, and p-values of ≤0.05 were considered significant. Results A total of 327 participants completed the study, of which 169 (51.7%) were male. Nearly half of the patients, 161 (49.09%), had persistent symptoms. The most common symptoms were loss of smell, loss of taste, cough, and fatigue (22.6%, 19.2%, 11.6%, and 9.1% respectively). They were followed by an equal percentage of shortness of breath, headache, and hair loss (7.3%). Gender was found to be significant in loss of smell, loss of taste, and hair loss, with p-values of 0.016, 0.018, and <0.001, respectively. Conclusion A large proportion of patients with COVID-19 developed persistent symptoms. The most common symptoms were loss of smell and taste, cough, and fatigue. Some factors played a role in acquiring post-COVID-19 symptoms, including gender and place of treatment. Gender was significantly associated with hair loss. Follow-up after recovery is required to maintain individual well-being.
RESUMO
Background: The postpartum period, also known as the fourth trimester, is defined as the first 12 weeks postpartum. Primary health care (PHC) plays an important role in providing a comprehensive postpartum care to mothers. This study aimed to assess knowledge, attitude, and practice of postpartum care among PHC physicians and obstetrics and gynecology physicians. Materials and Methods: This is a cross-sectional study to assess the knowledge, attitude, and practice of PHC physicians and obstetrics and gynecology physicians in postpartum care services at Western Region, Saudi Arabia. A structured questionnaire was used for data collection. The Statistical Package for the Social Sciences (SPSS; version 27.0) was used for data analysis. Proportions and tables were used to summarize categorical data. Results: A total of 159 responses were analyzed with 65.4% response rate. The median (interquartile range [IQR]) for knowledge score was 15 (13-17). The median (IQR) for attitude was 20 (18-22), while the median (IQR) for practice total scores was 3 (2-4). Knowledge and practice scores showed significant differences between all the groups. On the other hand, attitude only showed significant differences between males and females, favoring a better attitude among females (P = 0.014). Conclusions: There were good levels of KAP associated especially with female physicians and higher physician levels. Minor differences were noticed between different groups in our sample according to age, gender, specialty, and years of experience.
RESUMO
BACKGROUND AND AIMS: We aimed to assess patient perception toward the rapid implementation of virtual phone clinics among Saudi adult patients with type 1 diabetes mellitus (T1DM) during the coronavirus disease (COVID-19) pandemic. METHODS: This cross-sectional, web-based study included Saudi adult patients with T1DM who attended at least one virtual phone visit with the diabetes clinic at King Abdulaziz Medical City, Jeddah, Saudi Arabia, between August 1 and December 31, 2020. Patients anonymously answered a Google form-created Arabic questionnaire. Information about patient characteristics, outcome, and perception of the virtual phone visit were obtained. Data were presented using descriptive statistics, chi-square, one-way ANOVA, independent t-, and Welch's t-tests. RESULTS: The questionnaire was sent to 281 patients, of whom 201 completed it. 59.2% patients were satisfied with their overall virtual phone clinic experience, and 75.6% preferred to continue attending the virtual phone clinics in the future. The average perception value of patients toward virtual phone clinics was 67.76 ± 19.9, suggesting good perception among the majority. Negative or neutral views of current health, asking to be physically seen, and missing a virtual appointment were associated with significantly lower average patient perception value (p < 0.001). CONCLUSIONS: Most Saudi patients with T1DM have adapted to virtual phone consultations, exhibiting good satisfaction and perception, and high preference to continue using this system in the future. The utilization of the service to assist patients with diabetes is highly encouraged, especially during the COVID-19 pandemic. Strategies need to be developed to further enhance the patient experience.