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Despite these potentially embarrassing problems being relatively common, polite society historically delegated problems with wind, sweat, body odour and male genitals to the outer. Although we now live in a seemingly relaxed society where private and intimate medical problems are routinely...

In BEACH (Bettering the Evaluation and Care of Health), between April 2007 and March 2012, PE was managed at only 28 per 100 000 encounters with adult male patients. In December 2008 to January 2009 we conducted a sub-study4 of the BEACH program to measure the prevalence of PE among male general...

The conditionNasal foreign bodiesChildren aged 2–5 years have the highest incidence of nasal foreign bodies, with some studies suggesting a greater incidence in males.It presents most commonly with a history of a foreign body being inserted into the nose and no symptoms. Less common presentations...

Case studyA child, 3 years of age, presented to a district hospital emergency department with a 4 day history of loss of appetite and a 2 day history of passing, with apparent difficulty, pale, thick, pasty faeces.Examination revealed a tired looking child, normal vital signs, moist mucous...

The conditionBluebottle stingsThe bluebottle (Physalia spp.)  – or Portuguese man o’ war – is not a true jellyfish, but a colony of individual organisms. Bluebottles are most common in non-tropical areas and may be seen washed up on beaches during high tide (Figure 1). There are around 10 000...

This combination of perceived crisis and need has resulted in many individuals and groups trying to define, promote and strengthen the generalist approach. The Australian Medical Association issued a position statement in 2012 calling for clearly defined generalist training programs and pathways,...

How to assess doctors and health professionalsMike Davis, Judy McKimm, Kirsty ForrestUnited Kingdom: Wiley Blackwell, 2013 ISBN 978 1444 330 564, $47.95The ‘How to…’ series of books are concise guides that are accessible to the novice in any field. They focus on the non-clinical areas that can...

The conditionOne of the common causes of procedural pain in infants up to 12 months of age is immunisations. Other painful procedures in infants include blood tests, suture removal, dressings and adhesive tape removal.The interventionA sweet solution given directly to the tongue causes an orally...

Memoirs of a medical editor: The rise and rise of AFPDear EditorI wonder how many of my fellow general practitioners (GPs) are aware of the origins of that prestigious journal, AFP, or, more to the point, its British counterpart.Having occupied the editorial chair in both countries, it is...

The patient-centered medical home is a model that has been adopted by many organisations worldwide. It describes an approach to the delivery of primary care that is family-centered, accessible, continuous, comprehensive, coordinated, compassionate and culturally effective.2For a general practice...