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This month’s issue spotlights a common movement disorder in general practice – Parkinson’s disease – in addition to discussing assessment of gait and the importance of posture.
Clinical
The general practitioner has a vital role in timely diagnosis, effective communication, referral and treatment, which can have a lasting impact on the patient experience.
Regular assessment and monitoring of non-motor symptoms enable the clinician to support the implementation of effective interventions.
Viewpoint
Reconciling the evidence regarding posture with a patient’s individual context is important to optimally manage presenting patients.
Mobility has a disproportionate impact on independence and function, as walking underpins most other activities of daily living.
Editorial
Parkinson’s disease is now recognised as a whole-body disorder, not a motor disorder with accompanying non-motor features.
Carotid artery stenosis is one of the major causes of acute ischaemic stroke, accounting for approximately 20% of cases.
Case Study
A man aged 55 years presented with a two-week history of an enlarging painful ulcer affecting his right lower leg.
A woman aged 42 years presented to the hospital with a one-week history of a wrist lesion.
A recent resurgence of nitrous oxide abuse among Australian youth has led to marked neurological morbidity.
A man aged 50 years reported a three-year history of an asymptomatic scalp lesion that had persisted after three episodes of cryotherapy for a presumed diagnosis of solar keratoses.
Research
The aim of this study was to determine what underlying factors, if any, impeded onsite COVID-19 testing in general practices for patients during the second wave of the pandemic in Victoria.
Responding to the pandemic, ACCHOs in many locations increased the number and type of services they were delivering via telehealth, particularly for general practice–related services.
Internationally, eConsultant models have been trialled to address demands on healthcare systems without requiring face-to-face specialist input.
Clinical challenge
This clinical challenge is based on this month's Focus articles. To complete this activity, go to the RACGP website.