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CaseA previously healthy teenager, aged 16 years, presented with a sudden appearance of a slightly itchy rash located on his trunk and extremities. The eruption was characterised by multiple, well-demarcated, discrete, drop-like, salmon-pink papules and plaques, some with a fine scale (Figure 1)....

Management of goutIn their article discussing gout, Drs Robinson and Stamp advise using non‑steroidal anti-inflammatory drugs (NSAIDs) as first-line treatment for acute gout (AFP May 2016).1 I did this for my first 25 years in general practice but for the last 15 years have used nothing but...

CaseA Congolese refugee, 24 years of age, was referred to the emergency department with a random venous glucose of 29 mmol/L. She was noted to have pigmented striae, a buffalo hump, acanthosis nigricans and moon face (Figures 1, 2).Figure 1. Posterior neck showing buffalo hump and acanthosis...

Autism spectrum disorder (ASD) involves persistent deficits in social communication and interaction, as well as restricted, repetitive patterns of behaviour and interests.1 Prevalence of autism in children varies according to the methodology and country of the study. Yet, it is widely accepted...

Mrs MG, 78 years of age, had a squamous cell carcinoma (SCC) excised from the dorsum of her left hand. However, the skin was too fragile to suture with simple, interrupted sutures as the skin tore easily (Figure 1).Figure 1. Dorsal left hand following excisionQuestion 1What are the causes of...

BEACH data collected in 2012–14 were used to investigate the management of unresolved gastrointestinal (GI) symptoms in Australian general practice. This included the characteristics of patients who had unresolved GI symptoms managed, and a comparison with the management of new GI symptoms...

Case 1 – GregorGregor, a builder aged 32 years, presents with 6 months of daily cough. He is overweight and has smoked five cigarettes daily for the past 10 years but is otherwise well. The cough is worse during the day but also occurs in the evenings.Question 1Which of the following features on...

Case 1 – JustinJustin, 8 years of age, presents with a unilateral throbbing headache of 3 days’ duration. He has a history of recurrent headaches that are often associated with emotional stress.Question 1Which one of the following features of his headache history would MOST concern you?Dull...

Persistent, bothersome pain is a very common health issue in residential aged care facilities and a review of the literature also suggests suboptimal use of analgesics in this setting.1 This is unsurprising as risk factors for inadequate pain management include older age2 and the presence of...

Case 1Rochelle is 29 years of age and has type 1 diabetes. She has been maintained for some time on a regimen of multiple daily insulin injections (MDI).Question 1Which of the following would be the most appropriate indication for a change to continuous subcutaneous insulin infusion (CSII)?HbA1c...