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Wheeze is a common presentation in young children. About 20% of infants wheeze in infancy and at least 40% of children <6 years of age have at least one wheezing episode.1,2 The presentation of wheeze can be a diagnostic and therapeutic challenge, as differential diagnoses are many and...

Given these challenges it is important to evaluate the quality of care in multimorbidity. However, while many measures assessing quality of care in primary care have been validated for evaluating the care of specific diseases, little work has been done to evaluate the use of these measures in the...

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General practice has always been the cornerstone of Australia’s healthcare system. Almost all Australians (85%) visit a general practitioner (GP) at least once in any given year,1 and GPs act as gatekeepers for access to secondary medical services.We sought to gain a bird’s eye view of major...

What the GP can doGPs are well placed to assess the risk of breast and ovarian cancer for unaffected women with a family history. A systematic family history can be used to estimate risk and determine appropriate referral to family cancer clinics. Generally, a strong family history is...

Recent developments in PTSD diagnosisIn the past 18 months there have been two significant developments in the domain of post-traumatic mental health that have clinical relevance to GPs. The first is the release of the latest edition of the Diagnostic and Statistical Manual of Mental Disorders...

The internet could be an effective additional source of health information for patients. Although there is an abundance of literature about online health information seeking and its benefits, including potential savings in time and money, few studies were representative or focused on general...

When should the test be ordered?Serum immunoglobulin tests are used for the evaluation of antibody (humoral) immunodeficiencies. A low level of immunoglobulin is termed ‘hypogammaglobulinaemia’. The tests should be ordered if a patient has symptoms suggestive of an immunoglobulin deficiency, such...

Hyperhidrosis is a deeply distressing condition for patients: it causes physical discomfort and social awkwardness, negatively impacts on daily activities, impairs performance and productivity of work, and results in higher rates of depression and reduced levels of confidence.2 Despite this, a...

Case studyMr L, an Asian man aged 48 years, presented to his family doctor with a 3 month history of pain and swelling of his left wrist. He described the pain as ‘dull and gnawing’, which escalated to a sharp and shooting sensation radiating to his third and fourth fingers. Pain was worsened by...