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Books reviewed this month are Murtagh’s general practice fifth edition by John Murtagh and A guide to evidence based integrative and complementary medicine by Vicki Kotsirilos, Luis Vitetta & Avni Sali.

What is a Holter monitor?A Holter monitor is a portable way of taking an electrical trace of your heartbeat over a period of time (usually 24 hours) while you go about your normal day-to-day activities. The machine records this trace so that a technician and cardiologist (heart doctor) can review...

Case studyA man, 70 years of age, presented with a history of hyperpigmentation on his lower extremities. The rash was asymptomatic and the patient was uncertain how long it had been present. However, he recalled that it was definitely not present at his last appointment 10 months prior.He had a...

Questions for this month's clinical challenge are based on articles in this issue. The style and scope of questions is in keeping with the multiple choice questions of the RACGP Fellowship exam. The quiz is endorsed by the RACGP Quality Improvement and Continuing Professional Development Program...

Struggling to breathe is one of the most distressing symptoms to have, or to witness. Treating acute shortness of breath is rewarding for both the patient and the doctor. The patient often takes at least the initial dose of medication under your (or your practice nurse’s) supervision. You know it...

There has been a lot of talk in 2010 about the bottom line of health care expenditure in Australia, and how we as a community manage, control and allocate the available health care dollar.

There are times when the unseen becomes seen. Two recent events highlighted this for me. The first was an evening telephone call about a 10 month old with a rash, asking: ’Could be measles?’ The second was a patient asking if I was worried about her blood sugar levels (BSL), which had become...

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