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This issue focuses on rheumatology and includes articles on acute rheumatic fever, rheumatoid arthritis and the role of exercise in management of rheumatological disease.
Clinical
Primary prevention is the prompt antibiotic treatment of Strep A infection, and it can reduce the risk of developing acute rheumatic fever and rheumatic heart disease.
International rheumatology bodies now recommend multiple forms of exercise as part of the management of both osteoarthritis and the more classically inflammatory rheumatic disorders.
Research
Results from this study suggest that general practitioner management actions align with current national guidelines and, in the main, do not differ by rurality.
Case Study
A man aged 23 years presented to a new general practitioner requesting treatment for gout.
Editorial
Successful implementation of evidence-based medicine requires framing within the cultural and structural barriers Aboriginal and Torres Strait Islander people experience.
Letters
Readers express their opinions on published articles and topics of interest.
Brief behavioural therapy for insomnia distils the most effective behavioural treatment components into several brief in-person/telehealth sessions.
A Caucasian female, aged 40 years, previously healthy, presented with an eight-week history of a pruritic erythematous skin lesion affecting the inframammary creases.
Guidelines on assessing and managing lipid disorders are evolving as new knowledge and treatments emerge to help health professionals and patients decide the best course of disease management.
A man aged 29 years presented to a general practitioner with mild central chest pain and non-bloody diarrhoea.
Beliefs about the usefulness of initiatives to reduce opioid prescribing in clinical practice and autonomy in prescribing may be important considerations in driving compliance.
The study demonstrates the strong correlation between the Flinders University Rural Clinical School Program in South Australia and long-term rural medical workforce outcomes.
The isolation period affects individuals’ physical activity levels, with results indicating minimal activity levels in the general population.
Professional
Australia’s new national health priority of Quality Use of Medicine and Medicine Safety should stimulate all stakeholders including consumers to work together to address off-label medicine use.
Viewpoint
Personality disorder traits should receive particular attention as they point to greater suicide risks.
Clinical challenge
This clinical challenge is based on this month’s Focus articles. To complete this activity, go to the RACGP website.