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Aggressive and violent behaviour by patients, or their relatives or friends, toward general practice staff is a matter of national concern. Forms of this behaviour include verbal and physical abuse, property damage, theft, stalking, sexual harassment and sexual abuse.

Chronic strongyloidiasis in humans is caused by the remarkably persistent roundworm Strongyloides stercoralis, distinguished by its unique autoinfective lifecycle. General practitioners (GPs) have an important role in diagnosing and treating chronic strongyloidiasis to prevent cases of fatal...

CaseA student of Asian descent, 27 years of age, presented to his general practitioner (GP), reporting a three-day history of erythema, swelling and purpuric rash on his hands and feet. The erythema had appeared suddenly on his palms and subsequently spread and evolved to include purpura on his...

Management of goutI thank Drs Robinson and Stamp for a well-written article about gout and the evolution of its management over the past five years (AFP May 2016).1I’d like to direct attention to the ‘acute flare treatment’ of gout outlined in this article. The authors have put forward a regimen...

Sleep problems in childrenI wish to comment on the recent article by Hannan and Hiscock (AFP December 2015).1 I am grateful that the topic of sleep problems in children has been discussed as, unfortunately, current general practice training programs fail to address this common issue despite the...

A Caucasian woman, 55 years of age, was referred to a general practitioner (GP) after an optometry assessment revealed possible signs of diabetes. Her blood glucose, measured at a community pharmacy, was found to be 28.5 mmol/L. The patient was generally healthy and not on any regular medications...

It is not possible to talk about feeding or starving of fevers and colds without firstly defining what they are and what they do.What is a fever?The normal body temperature is not as clearly defined as we might think. The mean oral temperature of adults is 36.8ºC plus or minus 0.4ºC, but it also...

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Scope of the problemA functional gastrointestinal disorder (FGID) is defined by the Rome III criteria as a variable combination of chronic or recurrent gastrointestinal symptoms, such as diarrhoea, constipation and abdominal pain, which are not explained by structural or biochemical abnormalities...