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2013 brings many new things to, and changes for, Australian Family Physician. The first is the significant upgrade to our website (launched toward the end of 2012). The upgraded website has a new look and improved functionality: it adapts to whether you are reading AFP on your desktop, laptop or...

Case 1Alicia MoldovanAlicia, 26 years of age, has been newly diagnosed with hepatitis C. She is 12 weeks pregnant.   Question 1Which of the following is TRUE regarding acute hepatitis C:approximately 30% of patients with acute hepatitis C will progress to chronic infectionintranasal illicit drug...

Figure 1. Clinical appearance of the patientsQuestion 1What is the most likely diagnosis in these patients?Question 2What are the most common culprits for this dermatosis?Question 3How can we make the correct diagnosis of this disease?Question 4What differential diagnoses would you consider...

Case 1: MavisMavis is an office worker aged 58 years who presents with a 2-year history of worsening left knee pain and swelling that are now preventing her from playing golf. Her body-mass index (BMI) is 32 kg/m2 and she has well controlled hypertension and impaired glucose tolerance...

Figure 1. Facial rash on patientQuestion 1Describe the rash shown in Figure 1.Question 2What physical examination would you perform?Question 3What is the differential diagnosis?Question 4What investigations would you perform?Case study continuedThe patient was afebrile and normotensive with a...

Highly sensitive beta-hCG tests and transvaginal ultrasounds have made it much less likely that a woman will present with an undiagnosed pregnancy, or that we will miss the diagnosis. In the United States, the National Quality Forum advised that pregnancy testing of women aged 14–50 years who...

An audiogram is indicated to evaluate any suspected hearing loss, tinnitus, vertigo and other ear symptoms. It is also useful for screening for hearing loss in people regularly exposed to loud noises and for certain patients on ototoxic medications (eg. gentamicin). Although there is widespread...

Urodynamics is the study of lower urinary tract function and how this relates to a patient’s urinary symptoms. The aim is to reproduce the patient’s lower urinary tract symptoms to provide a pathophysiological explanation and to guide treatment. This article, and the accompanying patient...

The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) has been promoted since July 2008. We studied its application rate and the profile of a sample of general practice patients within Central West New South Wales from June to December 2010.

Substance disorders include specific complex conditions such as substance abuse, dependence, or addiction and diagnosis can be a complex process.