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PsychosisDear EditorI refer to the article by Lee and Jureidini, ‘Emerging psychosis in adolescents’ (AFP September 2013).Early symptoms of adolescent psychotic illness can be very subtle and thus a missed diagnosis during the early stages of the illness is common. It is often not until the...

Figure 1. Bilateral hairy elbowsQuestion 1What is a primary nevoid hypertrichosis?Question 2Do you need to perform any tests to diagnose it?Question 3What is an appropriate therapeutic approach to this condition?Answer 1Nevoid hypertrichosis is a localised type of hypertrichosis characterised by...

The conditionAbout 85% of patients with depression have significant anxiety. Cognitive behaviour therapy (CBT) is the main psychological treatment approach for depression and anxiety.The interventionCBT is available as internet-based (iCBT) or computerised (CCBT), programs. iCBT engages patients...

Heart diseaseDear EditorWe read with interest the article authored by Lee et al on myocardial perfusion scans (MPS; AFP August 2013)1 and were surprised that the significant radiation dose associated with these tests was not highlighted. Recent large studies in Australia and the United Kingdom...

Figure 1. Area of skin on the lower abdomen with ill-defined, indurated, whitish papulesQuestion 1What is the diagnosis?Question 2What is the differential diagnosis?Question 3What tests are indicated?Question 4What empirical treatment can be used for this condition?Question 5Which types of...

Lifestyle Medicine 2nd editionEdited by James M RippeUnited States of America: CRC Press ISBN 978 1 4398 4542 4, $176.00This 3.5 kg tome is a textbook of lifestyle medicine now in its second edition. The author, James M Rippe, is a Harvard-educated cardiologist with a special interest in...

Reproductive and Sexual Health – An Australian Clinical Practice Handbook, 2nd editionFamily Planning NSWAustralia: Family Planning NSW, 2011 ISBN 978 1877 026 218, $65.00The foreword of this handbook states that its purpose is 'to facilitate good clinical practice in the delivery of reproductive...

On reflection, my approach and these small challenges are not so different from our broader societal approach to injury prevention and occupational health and safety. Injuries are still a serious problem in Australia, with approximately 9924 deaths annually.1 As a nation we have been world...

Figure 1. Papules on the tattooed skin of the patientQuestion 1What is the most likely diagnosis?Question 2What differential diagnoses would you consider?Question 3What is the mechanism of transmission in this case?Question 4What are the most frequently observed infections transmitted by...

A Collaborative Approach to Eating DisordersJane Alexander Janet TreasureGreat Britain: Routledge, 2012 ISBN 978 0415 581 462, $57.00This book is an essential clinical resource for general practitioners. It is a well written, true collaboration by an impressive international panel of leading...