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Tremor is the most common movement disorder in the community and is defined as a rhythmic oscillatory movement of a body part. Classification of tremors is helpful for accurate diagnosis, prognosis and treatment. Most tremors can be separated according to the state in which they occur, that...

The present investigation focuses on adherence to prophylactic medicine: it is particularly germane, as patients with frequent or severe symptoms are more adherent than patients whose illnesses are asymptomatic, and many patients take prophylactic medications to prevent symptoms such as high...

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This content is available in PDF form only

This content is available in PDF form only

This content is available in PDF form only

I have been reflecting on the changes in clinical practice over the 30+ years since I graduated from medical school. So many interesting ideas have now become accepted wisdom. For example, as I graduated, the first streptokinase studies into clot lysis for acute myocardial infarction were just...

Case 1 – JoshJosh, 25 years of age, is a carpenter’s apprentice. He presents to your inner city practice at the urging of his mother, who has been concerned about his mood over the past 6 months. You are able to assess Josh over a couple of appointments and determine that he has mild-to-moderate...

To investigate if Hippocrates was onto something, we each undertook a ‘straw poll’ in our respective university departments. While straw polls are not a commonly published methodology, our personal experience would suggest that this is the most common research method used by general practitioners...

Case 1: Archie and BenArchie, aged 76 years, has a history of gastro-oesophageal reflux, but is generally well. He visits your practice regularly and has an up-to-date general practice management plan (GPMP). Today he is booked in for a 75+ health assessment (75+ HA). He has also brought in his 6...