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Case 1: Emily GutenbergEmily is 28 years of age and is 30 weeks pregnant. This is her first pregnancy. She has a past history of depression but is not currently on any medication. Emily was reluctant to attend today but has been brought in by her brother, who is concerned about her behaviour...

Case 1: Loretta ValanceLoretta Valance, aged 34 years is seeing you for a Pap smear. You take the opportunity to update her history, including her alcohol intake. She tells you she drinks 2–3 glasses (about 150 mL each) of red wine most weeknights and usually about one bottle (750 mL) of wine on...

CaseA man aged 42 years, who works as a police officer, experienced an acute episode of severe lower back pain after spending the previous day helping his brother to move house. He had difficulty ambulating and most movements caused pain. Despite physiotherapy and osteopathy treatment he...

The Australian College of Rural and Remote Medicine (ACRRM) describes telehealth as ‘a broad term encompassing the use of communication and information technology to provide patient care – this includes (but is not limited to) real-time video conferencing’.1 Telehealth has existed since the...

Case 1Jemima StewartJemima, 36 years of age, suffers with chronic lower back pain following a motor vehicle accident at the age of 32. The pain severely limits her activity and she has not been able to work since the accident. She is also suffering from depression and struggling to care for her 6...

CT and MRI in tuberculosisDear EditorAndrew McLaughlin and his colleague in their case series1 (AFP April 2013), have recommended the use of computed tomography (CT) for the diagnosis of spinal tuberculosis (TB). However, scientific evidence shows that magnetic resonance imaging (MRI) is superior...

Case 1George NikolaidisGeorge, aged 67 years, has an asymptomatic 5.2 cm abdominal aortic aneurysm.Question 1Regarding aneurysms, which of the following is CORRECT:AAAs of this size generally expand by an average of 5–6 mm per yearaneurysms are arteries that have enlarged to greater than twice...

Barriers to the use of warfarin in AF include advancing age, patient reluctance or refusal, inconvenience of regular blood tests for the International Normalised Ratio (INR) of prothrombin time, dose adjustments and regimen complexity, risk of falls and risk of bleeding.6,11,12In a Canadian...

Guidelines provided by the Society of Nuclear Medicine1 and the American College of Radiology2 are exhaustive with regard to indications and medicines/substances to avoid with thyroid scans. This article attempts to highlight the key information mentioned in those documents in a manner relevant...

Prior to the commencement of the service outlined in this article, access to primary healthcare, let alone specialists, was very limited in the Cape York Peninsula region. As a consequence, the capacity to manage both acute illness and chronic disease in children in this area was extremely...