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Lower urinary tract symptoms

October 2011

Lower urinary tract symptoms are a common problem in men and the incidence of these symptoms increases with age.

Overweight and obesity

June 2010

Overweight and obesity was responsible for 7.5% of the total burden of disease and injury in Australia in 2003, and was estimated in 2008 to cost the community $58.2 billion. More than half of the adult, and up to a third of the child, population in Australia is now classified as overweight or...

Opioid use in chronic non-cancer pain Part 2

March 2013

Case study 1Just before leaving work one Friday evening, your receptionist informs you that a short-acting oxycodone repeat prescription is required for a female patient, 74 years of age, who sees all the other doctors in the practice (who are absent). The receptionist says that she is a ‘very...

How to measure home blood pressure: Recommendations for healthcare professionals and patients

January-February 2016

Home blood pressure (BP) monitoring, the self-measurement of BP in the home, away from a medical environment, provides a greater number of BP readings that are more reliable for assessment of true underlying BP than clinic BP measurement. While 24-hour ambulatory BP monitoring is the gold...

Epilepsy in pregnancy

March 2014

Preconception careEpilepsy is not a contraindication for pregnancy. More than 95% of pregnant women with epilepsy deliver a healthy baby, even under medical treatment.4 It is important to reassure women about the probability of a good outcome, but it is also crucial to provide preconception...

Opioid use in chronic non-cancer pain Part 1

March 2013

Indications and definitionsThe main indications for prescribing opioids are for the management of opioid dependency, acute pain, terminal pain and for CNCP.Opioid dependency has been treated with long term opioid substitutes for half a century. The risk mitigation strategies of opioid...

Assessment and management of male androgen disorders: an update

May 2014

In contrast to women who experience a sudden drop in oestradiol levels around the time that menses ceases, the age-related drop in testosterone in men is more gradual at 0.5–2.0% per year from early adulthood onwards. As levels of sex hormone binding globulin (SHBG) rise with age by 1–2% per year...

Fatigue – a rational approach to investigation

July 2014

Fatigue as a presenting symptomFatigue is ‘that state … characterised by a lessened capacity or motivation for work ... usually accompanied by a feeling of weariness, sleepiness, irritability or loss of ambition’.1 It is derived from the Latin fatigare, to tire. For the purposes of this review...

Dual antiplatelet therapy

October 2013

An acute coronary syndrome (ACS) is defined as an acute cardiac event due to complete or partial obstruction of a coronary artery. It encompasses ST segment elevation acute coronary syndrome (STEACS), non-ST segment elevation acute coronary syndrome (NSTEACS) and unstable angina pectoris...

General practitioner follow-up in older patients after an emergency department admission

July 2017

It is well known that Australia has an ageing population. Morbidity and mortality rates increase with ageing1 and increase the burden on the healthcare system. In recent years, emergency department (ED) presentations have increased from 5.7 million in 2008–09 to 6.7 million in 2012–13,2 with...

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