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One in 20 Australian general practice patients suffer from COPD (one in 10 for patients aged 65 years or older). One in 5 are classified at the highest severity level (by the Global Initiative for Chronic Obstructive Lung Disease [GOLD] guidelines). Diagnosis is complex and multiple factors are...

Case discussionThe most likely cause of Deborah’s abnormal LFTs is non-alcoholic fatty liver disease (NAFLD). Non-alcoholic fatty liver disease encompasses a spectrum of pathologic conditions, ranging from steatosis to steato-hepatitis (NASH) and cirrhosis. Mildly elevated alanine transaminases...

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Anaphylaxis is primarily a clinical diagnosis. Recognising anaphylaxis can sometimes be problematic, for example, in the absence of an obvious trigger. In addition, skin and mucosal features can be absent in up to 10–20% of episodes.6 Serial serum tryptase levels can sometimes assist in...

General practitioners see many women who may be on medication for the management of their mental illness before, during, or after a pregnancy.

The literature shows that GPs have low satisfaction in treating patients with chronic pain and only 34% of primary care physicians felt comfortable in managing these patients.2,4 Many GPs feel that they do not have adequate training from their medical school training (82%) or postgraduate general...

In Australia, the percentages of hospital admissions due to adverse drug events range from 5.6% in the general population to 30.4% in the elderly population.1 Studies also show that patient compliance with medication is as low as 50–60%.2 Also, 59% of adults do not reach the minimum level of...

Anxiety and depression in late pregnancy and the postpartum period are common: the beyondblue postnatal depression screening program that looked at women across Australia found it affected around 16% of women.1 The Federal government has introduced routine screening, implemented variably across...

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This content is available in PDF form only