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CaseFigure 1. Urticarial rash Image courtesy of DermNet NZ. Published online at www.dermnetnz.orgA woman, 50 years of age, presents to her general practitioner (GP) with a relapsing rash, assessed as hives and welts. Her symptoms began a few months ago, but intensified in the past four weeks. The...

Case 1Adam, 19 years of age, sees you to request a referral to a plastic surgeon. You have looked after Adam for many years and are somewhat surprised by this request. Adam reveals that he is very unhappy with his nose. He spends 1–2 hours per day worrying about it and thinking of ways to hide...

Table 1. Definitions of overactive bladder syndromeDetrusor overactivityA urodynamic observation characterised by involuntary spontaneous or provoked detrusor contractions during the filling phase2,12Nocturnal polyuriaAn excess (>20–30%) proportion of urine excretion at night2Polyuria>40 mL...

Difficult decision: Office or ambulatory BP measurementAlthough hypertension causes cardiovascular disease, clinic blood pressures poorly predict cardiovascular outcomes for individual patients.1 As O’Brien noted, ‘Blood pressure measurement is one of the few areas of medical practice where...

Age-related GFR decline or chronic kidney disease?After the age of 30 years, glomerular filtration rate (GFR) progressively declines at an average rate of 8 mL/min/1.73 m² per decade.4 The Australian Diabetes, Obesity and Lifestyle (AusDiab) study suggests that over one-third of people over the...

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Liver function tests (LFTs) are a panel of blood markers (Table 1) used to assess and monitor several diseases. However, they are not all true tests of liver function and abnormalities may not reflect liver disease.

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