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Diagnosis of tendon injuries is usually relatively clear on history and examination. Radiological investigations can be used judiciously for either acute injuries or recalcitrant cases. While this article outlines the principles of diagnosis and management, detail on all the specific tendon...

Traditional models of careCurrent Australian guidelines4 recommend all patients with CHF, where appropriate, be offered enrolment into a multidisciplinary disease management program. The dominant model of care of the 64 disease management programs for CHF (CHF-DMPs) in Australia involve hospital...

The prevalence of SLE can vary greatly depending on race, disease definition and method of validation, but is generally accepted as a rare disease, affecting less than 0.1% of the population.2–4 In Australia, SLE is more common and more severe in Indigenous Australians and descendants from South...

Recognition‘Our patients all believe that their thoughts are odd or crazy; they are embarrassed by their habits and teased by their friends. They keep their ideas and actions secret; indeed some become brilliant actors at hiding their thoughts or rituals.’ (Dr Judith Rapoport, The Boy Who Couldn...

It cannot be assumed that the side effects of SSRIs in adolescents will be the same as in adults. Adolescents have developmentally different pharmacodynamics and pharmacokinetics to adults. For example, tricyclic antidepressants are efficacious in adult depression, but do not work for adolescent...

In REM sleep behaviour disorder (RBD), there is a loss of this muscle atonia where patients are able to act out their dreams, which can result in serious injury to the patient and their bed partner.  In addition, the emergence of RBD in people over the age of 50 years has been flagged as an early...

Commercial DETs exist, but, like EHRs, they are largely proprietary ‘black-box’ solutions with intellectual property protection preventing adequate assessment of any design or execution errors or quality of data extracted. Effective assessment and management of data quality (DQ) requires analysis...

MethodOur study setting was an inner-west Melbourne general practice of four full-time equivalent GPs using electronic clinical records. Incoming paper correspondence was manually date-stamped on receipt, checked by a GP, then scanned into the ‘Correspondence In’ section of the record.We built an...

Thyroid physiology and pregnancyThe fetus is dependent on transplacental transfer of maternal thyroxine (T4). Deiodination of maternal T4 by the fetus results in local fetal production of liothyronine (T3), which is particularly important for neurological development.3,4 Maternal T3 does not...

Excessive daytime sleepiness (EDS) is a common presentation to general practitioners and sleep physicians. Excessive daytime sleepiness can adversely affect quality of life and also impair mood, personal relationships and functional status. Although a common presentation, EDS may be under...