A man aged 46 years presented to a multidisciplinary team (plastic surgery, radiation oncology, dermatology) with a year-long history of a lentigo maligna on the right ear lobe.

Most viral exanthems can be distinguished initially on the basis of age, distribution and morphology of the rash without requiring investigations.

A female patient aged 75 years had undergone bilateral mastectomy and reconstruction with silicone implants following breast cancer seven years ago.

Early use of these inexpensive and readily available tools can significantly affect important clinical outcomes for these young patients.

Strategies to delay progression of chronic kidney disease include lifestyle advice, prevention of acute kidney injury, control of blood pressure and albuminuria, and disease-specific interventions.

Medication cessation or dose reduction may be required for patients with chronic kidney disease to prevent medication accumulation, adverse medication events and kidney injury.

Patients with advanced age, significant comorbidities and poor functional status may not gain a survival benefit with dialysis when compared with being managed conservatively.

The Focus articles in this issue explore various aspects of chronic kidney disease, as well as cystitis symptoms in women.

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

Readers express their opinions on published articles and topics of interest.

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

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

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.

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.

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).