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The outlook for patients with chronic lymphocytic leukaemia (CLL) has changed drastically over the past decade. These changes come primarily from the advent of new monoclonal antibodies and novel therapies applied to an ageing population with increasing comorbidities.CLL is a lymphoproliferative...

Nasal obstruction can be defined as a subjective sensation of insufficient airflow through the nasal cavity and can be anatomical, physiological or of combined aetiology. Similarly to respiratory mucosa, the nasal mucosa is affected by local and systemic mediators.Normal nasal anatomyThe nasal...

Epilepsy is a common neurological disease that is defined by the international peak body, the International League Against Epilepsy (ILAE), as ‘at least two or more unprovoked (or reflex) seizures occurring more than 24 hours apart, or one unprovoked (or reflex) seizure with the probability of...

The International Continence Society defines urinary incontinence as ‘the complaint of any involuntary leakage of urine’, which stands alongside an older definition of ‘involuntary loss of urine that is a social or hygienic problem’.1 There are three subtypes of urinary incontinence – urge...

Vertigo is a common, distressing presentation in general practice and constitutes approximately 54% of cases of dizziness.1 Classically, vertigo presents as a sensation of movement of the environment around the patient.2 Often patients describe a ‘spinning’ sensation of either their body or their...

Upper gastrointestinal (GI) disease is common in Australia. In Sydney, the prevalence of gastro-oesophageal reflux disease (GORD) symptoms is 12%.1 Worldwide, there is a rapidly increasing prevalence of GORD1 and Barrett’s oesophagus.2 Newly described pathologies are emerging, including...

Pharmacists in Australia can dispense some prescription medication (statins and oral contraceptives only) without a valid prescription and without consultation with a patient’s GP (‘continued dispensing’).6,7 While this has the potential to alleviate some demand for face-to-face...

The ageing population (>85 years population forecast to increase from 365 000 to 1 800 000 over next 40 years)2, the reduction in workforce (noted by the average age of an RDNS nurse currently being 45 years and increasing) and increasing chronic health conditions3 have led RDNS to trial the...

In this study, we assessed how accurately one of the most commonly used audit tools extracted data from patient record systems. The study forms part of the Treatment Of cardiovascular Risk in Primary care using Electronic Decision SuppOrt (TORPEDO) study. TORPEDO is a cluster randomised...

When should HbA1c be ordered?HbA1c reflects average glycaemia over the preceding 6–8 weeks. The test is subsidised by Medicare up to four times in a 12 month period.1 In some patients, HbA1c may be measured more frequently than 3 monthly to closely monitor glycaemic control (eg. in pregnancy when...