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The recent 2009–2010 National Prescribing Service (NPS) Evaluation Report1 used Pharmaceutical Benefits Scheme (PBS) prescribing data to examine antidepressant prescribing. The report stated that general practitioner antidepressant prescribing in 2007–2009 was lower than expected due to NPS...

What are nerve conduction studies?Nerve conduction studies investigate how the nerves in your arms and legs are working. Nerves allow messages to pass as electrical impulses between your brain and the rest of your body. Sensory nerves are the ones that take messages from the skin, muscles and...

Case studyA man, 44 years of age, presented with a 4 hour history of dizziness, blurred vision, dry mouth and dilated pupils. He was previously well and on no medications and there was no history of recent drug use, head injury or focal neurological symptoms. On questioning, the patient said that...

Books reviewed this month are Pitfalls in Prescribing and How to Avoid Them by Hugh McGavock and The Art of General Practice by John Murtagh.

The most common perianal problem managed by general practitioners was haemorrhoids, which accounted for 43% of these problems. Rectal bleeding made up 24% and anal fissure/perianal abscess accounted for 19% (Table 1). The management rate of perianal problems was significantly higher for male...

Books reviewed this month are Practical Child and Adolescent Psychiatry for Pediatrics and Primary Care by Harsh K. Trivedi and Jeryl D. Kershner and When to Really Worry by Michael Carr-Gregg.

Management of carpal tunnel syndrome (CTS) was rare in patients aged <25 years, who accounted for only 2.4% of patients at these encounters, and was most commonly recorded for patients aged 45–64 years (45.5% of patients). The problem was managed at a significantly higher rate for females (2.2...

CaseDuring a routine consultation, Samantha (one of your regular patients) says ‘My mother’s GP unexpectedly retired because of illness. Would you be able to take her on?’. You have known Samantha for a number of years but had never met her mother. Samantha’s mother, Donna, books an appointment...

Therapeutic drug monitoring is utilised in a variety of clinical contexts (such as antimicrobial monitoring or in the setting of drug overdose) for a wide range of drugs in the hospital environment. However, this article will focus on drugs commonly encountered by general practitioners in the...

What is the MetSy and why is it important?The MetSy is a cluster of risk factors comprising:excess abdominal weightlipid abnormalitieshypertensionelevated glucose levels.It is not only an epidemiological clustering of risk factors, but also has a common underlying pathophysiological cause...