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Case 1Clarke is attending for his general practice registrar orientation session today at your medical practice, which is located in a low socioeconomic status (SES) suburb. An important component of his orientation will be to outline the impact of SES on the range of presentations he is likely...

As the deputy medical editor of Australian Family Physician (AFP) from 1989 to 1996, I wrote an editorial in 1991 that discussed some of the challenges faced in general practice when managing asthma.1 I was delighted when, as part of AFP’s retrospective of clinical conditions over the past 25...

Case 1Chris is a general practitioner (GP) working in a large private group practice that employs several registrars. Chris is involved in registrar supervision and provides feedback to the registrars as part of his role in supporting their education. Prior to meeting one of his registrars, Chris...

Case 1The Plarracort Medical Centre sees a large number of patients who are veterans; that is, they were previously in the Australian Defence Force (ADF). Donal, who supervises the general practice registrars in the practice, will be interviewing potential trainees for the next intake later this...

Schizophrenia is a mental health disorder that affects around 30,000 adult Australians,1 with a median lifetime risk of 7.2 per 1000 in the population.2 Worldwide, schizophrenia is responsible for 1% of the global burden of disease.3Chronic schizophrenia is an enduring syndrome of delusions...

Inpatient electronic handover notes as a relevant interim discharge information package for general practitionersHospital discharge is a high-risk period for adverse events.1–3 Written discharge summaries are the most important method for handover of care back to the general practitioner (GP),4...

Epistaxis is a challenging and common condition. The lifetime incidence of epistaxis is difficult to determine, but has been reported to be as high as 60%. However, only a very small proportion requires specialist management.1 Many patients self-manage this condition as it is often spontaneous...

Case studyA Mediterranean woman aged 70 years, presented with a 2 year history of continuous itch over the left scapula and upper back. She denied application of any topical product. She was otherwise healthy and not taking any medications.Physical examination revealed a brownish, non-infiltrated...

The major determinants of obesity are multifaceted, surprisingly poorly understood and extend well beyond simplistic explanations about high energy Western diets and obligatory reductions in human movement.5 The interplay between humans and the environment, influenced by genes, epigenetic default...

‘Binge’ drinking is defined as episodic excessive drinking, but there is no worldwide consensus on how many drinks constitute a ‘binge’. BEACH (Bettering the Evaluation and Care of Health) used three questions from the World Health Organization’s Alcohol Use Disorders Identification Test (AUDIT)1...