Australian Journal of General Practice
Formerly Australian Family Physician (AFP)
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People presenting with undifferentiated symptoms and signs require both linear and lateral thinking for accurate diagnosis and hence correctly targeted treatment.
Case Study
A man aged 80 years presented with a one-day history of widespread tender skin lesions and malaise.
Clinical
Patients have described a preference for dietary modifications over medications for management of symptoms, reporting that they felt this was a more holistic approach.
A woman aged 36 years presented to her general practitioner because of an episode of sudden-onset vertigo, left ear tinnitus, right arm numbness and weakness, difficulty speaking and headache.
Dosage and administration of adrenaline for anaphylaxis is the same in pregnant and non-pregnant patients.
Optimising the quality of life for people with syndromic hypermobility begins with the early identification of their signs and symptoms.
Editorial
A girl aged 11 years had multiple visits to the general practitioner and emergency department with unusual episodes of sudden-onset respiratory distress associated with stridor.
A boy aged 11 years presented to his general practitioner with a two-day history of severe right groin pain and difficulty weight bearing.
A woman aged 24 years with no past pregnancies presented with a nine-month history of bilateral nipple discharge and occasional severe headaches during the week after her period.
Partner management is key to reducing transmission and a cornerstone of best practice chlamydia management.
An infant male, aged six months, presented with changes to a lesion on the scalp that had been present since birth.
A man aged 36 years with a history of hypertension presented to discuss his recent blood test results.
Research
Participants indicated that WMG-E could empower clinicians and parents by enhancing health literacy about child developmental issues, but that it could also be disempowering if not used carefully.
Depot buprenorphine supported more than half of patients to remain in treatment, while allowing some flexibility in dose interval.
The relatively infrequent selection of the higher sensitivity tests for investigation of suspected Cushing’s syndrome signifies a risk of delayed or missed diagnosis.
Given the issue’s frequency and complexity, more needs to be done to help general practitioners in decision making and communication surrounding this sensitive topic.
Clinical challenge
This clinical challenge is based on this month's Focus articles. To complete this activity, go to the RACGP website.