This clinical challenge is based on this month’s Focus articles. To complete this activity, go to the RACGP website.

A man aged 62 years who worked as school cleaner presented with concerns of a blue-grey colouration to all his nails.

A woman aged 55 years presented to her general practitioner with intermittent episodes of dizziness, sweating and shakiness for the past four months.

There has been some concern about potential side effects of oral, topical or inhaled steroids, including reduction in growth, weight gain, behavioural changes and immunosuppression.

Transient vision loss can imply serious underlying pathology; therefore, accurate history-taking and astute observation are paramount.

Understanding common presentation and physical examination findings is the first step in diagnosing and, ultimately, managing symptomatic rotational abnormalities in children and adolescents.

It is reasonable to consider including exercise-based services in the care team to enable patients with non-specific chronic low back pain to transition to self-management.

A calculation of absolute fracture risk is commonly provided with bone mineral density reports in Australia, usually using either FRAX (Australia) or Garvan Fracture Risk Calculator (Garvan).

When detected early, nine in 10 Australians with bowel cancer can be successfully treated, yet participation in the National Bowel Cancer Screening Program remains low.

The enhanced Residential Medication Management Review program will address barriers and support general practitioners to make medication changes for older Australians.

Neurodiversity, which refers to variations between human minds occurring naturally within a population, is the focus of this month's issue.

It is necessary to be up to date with knowledge and language about autism, as society’s understanding of autism is continuingly being refined and informed by the Autistic community.

With studies showing a reduced life expectancy and poor physical and mental health, it is important that healthcare professionals strive towards improving the lives of Autistic people.

Children with developmental or behavioural differences may present to a general practitioner in various ways.

General practitioners are well placed to support their neurodivergent patients once recognised, with or without a formal diagnosis.