Australian Journal of General Practice
Advertising
The Focus articles in this month's issue explore a range of endocrine diseases that can be difficult to diagnose due to the oftentimes-vague symptoms.
Clinical
Diseases of the adrenal gland occur rather more frequently than is appreciated and provide a series of challenges for the treating practitioner.
Rational investigation of thyroid disease requires careful avoidance of over-investigation of minor abnormalities balanced with prompt diagnosis of serious health conditions.
The clinical presentation, diagnosis and management of patients with Paget’s disease of bone are described in this article.
There is a broad range of pathologies that may present as a sellar or parasellar mass.
Long-term management requires an understanding of the range of causes and benefits from a shared decision-making approach, with discussion about potential risks and benefits of therapy.
Editorial
The identification of hidden illnesses that present with vague symptoms remains an ongoing challenge for all clinicians.
Letters
Readers express their opinions on published articles and topics of interest.
Complex regimens are challenging to administer and have been linked to non-adherence, medication errors and hospital admissions.
There is now global recognition of the importance of enhanced chlamydia case management to reduce the risk of repeat infection and minimise harms of pelvic inflammatory disease.
Case Study
A woman aged 40 years presented for a cervical screening test, during which whitish discolouration of the vulva, involving both labia majora and minora, and clitoris with distorted anatomy was noted.
A boy aged 3.5 years presented to the paediatric clinic of a metropolitan teaching hospital with a 14-month history of pica and behavioural problems.
When reported adequately and interpreted correctly, placental histopathology provides useful information that may explain adverse pregnancy outcomes and guides further management.
A woman aged 30 years presented with a six-month history of an expanding plaque on the right superior shin.
A boy aged five years presented with a new recurrent headache over the past month, associated with nausea and occasional vomiting, as well as photophobia, phonophobia and pallor.
Research
Evidence supports some beneficial effects of antibiotics prescribed to patients with a sore throat and proven presence of group A streptococci.
Collective efforts worldwide have focused on the identification of people at highest risk of poor outcomes if they contract COVID-19.
Viewpoint
The telehealth consult can be as clinically satisfying as the traditional face-to-face primary care consult.
Clinical challenge
This clinical challenge is based on this month’s Focus articles. To complete this activity, go to the RACGP website.