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Question 1What is the diagnosis?Question 2What is the differential diagnosis of pelvic pain in early pregnancy?Question 3What are the risk factors for this diagnosis?Question 4What diagnostic tools are helpful in assessing this presentation?Question 5What is the management of this condition...

Extending the prescriber list has some potential benefits, including improved patient convenience and the potential for Medicare savings (although it is not clear how nonmedical prescribers will be remunerated or what governance processes are proposed to determine the scope of prescription...

Several prominent doctors have published collections of their aphorisms. The collection of Hippocrates and Sir William Osler are two famous examples. More recent examples include collections by Clifton Meador1 and Oscar London.2 While doctors base many clinical decisions on these golden rules, I...

Thomson Reuters calculates a journal’s impact factor by dividing ‘the number of citations in the Journal Citation Reports (JCR) year by the total number of articles published in the two previous years’.1 This year, AFP’s impact factor is 0.729. This means that for every hundred articles published...

Research from around the world shows that the majority of doctors self diagnose, self investigate, self treat and self prescribe; behaviour advised as foolish by Osler, frowned upon by most professional medical organisations, and even legislated against in the state of Victoria.2 Such statutory...

Case 1Anna BeluseAnna, 33 years of age, is a new patient in your practice. Anna reports that she has suffered from cold intolerance, heavy menses and mild depression for a year. She shows you several investigation results showing normal TSH and T4 results, but positive antithyroid peroxidise...

As Dr August Bier (1861–1949) put it, ‘a smart mother often makes a better diagnosis than a poor doctor’. (Bier is known for developing the ‘Bier’s block’ for regional anaesthesia). So what evidence do we have that Bier’s thoughts about a mother’s intuition are correct? How much can parental...

‘BDSM’ is an abbreviation that refers to a broad range of consensual activities and/or lifestyles that may involve bondage and discipline, dominance and submission, and/or sadomasochism. Activities may include spanking, whipping, caning, restraints, sensory stimulation or deprivation, piercings...

Figure 1. Finger nodules on presentation A) and 1 week later B) and C)Question 1What is the most likely diagnosis?Question 2What is the aetiology of this condition?Question 3What population is at risk for this condition?Question 4What would be the most frequent complications expected in this...

Listening without interrupting the patient sounds like a recipe for running late. But the research provides some surprises: patients don’t generally speak for very long and not interrupting initially does not lengthen the consultation. Without good training in listening skills, clinicians tend to...