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Australian Family Physician is the official journal of The Royal Australian College of General Practitioners. It is a peer reviewed journal publishing original articles and reviews dedicated to meeting the ongoing educational requirements of general pract Australian Family Physician is the official journal of The Royal Australian College of General Practitioners.
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 (4mb)
Wed, 20 Aug 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Mr Sean Mackay discusses with Dr Carolyn O'Shea surgical causes of upper abdominal pain and some of the investigations that can help to make the diagnosis of a surgical cause.
(0mb)
Wed, 20 Aug 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
In Australia, abdominal pain is a common presenting complaint in the general practice setting. Identifying a surgical cause is important and warrants prompt specialist referral.
(3mb)
Thu, 21 Aug 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Associate Professor Paul Pavli talks to AFP audio about the importance of a good history and examination in rationally selecting investigations to assist in assessing upper abdominal pain.
(0mb)
Thu, 21 Aug 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Upper abdominal pain is a common problem with an extraordinary diversity of possible causes. Many patients have no structural disease, and making the correct diagnosis can be a challenge.
(3mb)
Fri, 22 Aug 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Alison Fogarty and Grant Blashki talk about the GreenClinic project and what effect it had on the practices involved.
(1mb)
Fri, 22 Aug 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Don Henry, ACF Executive Director, talks about the importance of projects such as the GreenClinic project.
(0mb)
Fri, 22 Aug 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
GreenClinic was a pilot educational program developed by the Australian Conservation Foundation and Doctors for the Environment Australia.
(5mb)
Fri, 11 Jul 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Jaycen Cruikshank discusses the assessment and management of ventricular tachycardia, supraventricular tachycardia, atrial fibrillation and bradycardia with Dr Kathryn O'Connor. Accurate ECG interpretation is vital and faxing an ECG to a cardiologist or tertiary emergency department can help. The unconscious patient will require rescuscitation as per the Australian Resuscitation Council guidelines and the conscious patient requires IV access, oxygen, continuous cardiac monitoring and definitive treatment depending on the rythmn disturbance.
(1mb)
Fri, 11 Jul 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Diagnosis of acute arrhythmias requires recognition and interpretation of important electrocardiogram (ECG) findings, and knowledge of Australian resuscitation guidelines.
(6mb)
Thu, 10 Jul 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Kathryn Browning Carmo discusses the role of the GP in managing the neonate before transfer to a tertiary centre with Dr Kathryn O'Connor. Early phone contact with the local Neonatal Emergency Transport Service provides GPs with much needed support and allows initiation of retrieval. Priorities include keeping the infant warm, assessment and management of airway, breathing and circulation, basic investigations and fluid and antibiotic therapy as necessary. It is vital to prepare the family for the arrival of the retrieval team.
(0mb)
Thu, 10 Jul 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Rural general practitioners involved in obstetric service delivery may have occasion to support the sick or premature newborn requiring transfer. This should be achievable for short periods of time in most rural hospitals.
(4mb)
Wed, 09 Jul 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Anne Fraser, clinical psychologist from the State child Development Centre in Western Australia discusses oppositional defiant disorder (ODD) with Dr Jenni Parsons. The discussion centres around distinguishing ODD from normal preschool or adolescent behaviour, associations with other behavioural and psychological problems and management strategies.
(0mb)
Wed, 09 Jul 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Oppositional defiant disorder (ODD) is defined as a repetitive and persistent pattern of opposition, defiant, disobedient and disruptive behaviours toward authority figures persisting for at least 6 months.
(4mb)
Thu, 19 Jun 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Jill Sewell discusses the underlying causes, assessment and management of school refusal with Dr Jenni Parsons. School refusal is a heterogeneous and multifactorial problem that may relate to separation anxiety, anxiety-depression, learning difficulties, bullying, family dysfunction or the child needing to 'protect' a parent in situations of family violence or parental mental health problems.
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Thu, 19 Jun 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
School refusal occurs in 1?5% of all school children and has major social, emotional and educational implications for the child.
(4mb)
Wed, 18 Jun 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Michael Harari discusses practical tips to gain a child's confidence in medical consultations with Dr Jenni Parsons. The judicious use of silliness, without acting the fool, can set a child at ease and facilitate assessment, history taking and examination.
(0mb)
Wed, 18 Jun 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Engaging children in a clinical setting is kind to the child and their family, and is a useful clinical tool. Each of us will have our own way of getting through a child's fears and defences. Tomfoolery, distraction and imaginary play can lead to a rewarding clinical interaction.
(4mb)
Fri, 16 May 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Christopher Brown, consultant ENT surgeon, Melbourne Nasal and Sinus Clinic, discusses the management of chronic rhinosinusitis in adults with Dr Jenni Parsons. The discussion focuses on the practicalities of assessment, optimising medical management and surgical options for patients who have failed medical management.
(0mb)
Fri, 16 May 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Chronic rhinosinusitis (CRS) is a common condition in the community, with significant morbidity and financial implications.
(5mb)
Thu, 15 May 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Professor Robert Berkowitz discusses the management of ear, nose and throat problems in children with Dr Jenni Parsons. The focus is on when to refer to an otolaryngologist for recurrent otitis media, adenotonsillar disease, suppurative complications of common infections and nasal injuries.
(0mb)
Thu, 15 May 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
This article provides a general approach in determining when to refer a child to an otolaryngologist.
(4mb)
Tue, 13 May 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Professor Stephen O'Leary discusses technological advances in treatment of hearing impairment including digital technology in hearing aids, cochlear implantation and the bone anchored hearing aid (BAHA).
(0mb)
Tue, 13 May 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
The treatment of hearing impairment is rapidly evolving. Despite this, a significant number of adults with hearing impairment receive inadequate treatment or rehabilitation, resulting in functional impairment and social isolation.
(5mb)
Tue, 15 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Meredith Makeham author of the series of articles in AFP on the Threats to Australian Patient Safety (TAPS) study discusses the TAPS study and some of the findings relating to errors, harm and avoidance of errors.
(0mb)
Tue, 15 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
The Threats to Australian Patient Safety (TAPS) Study collected 648 anonymous reports about threats to patient safety from a representative random sample of Australian general practitioners.
(5mb)
Mon, 14 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Maintaining an INR in the therapeutic range is an important area of patient management and safety. Kate Hodge talks about a program and evaluation to assist in a rural region.
(0mb)
Mon, 14 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Oral anticoagulation management is difficult in rural settings because of reduced patient access to pathology testing and medical management.
(3mb)
Mon, 07 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Associate Professor Jo Douglass outlines issues for GPs and patients in diagnosing and managing food allergy in adults.
(0mb)
Mon, 07 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
There is a marked increase in the prevalence of food allergies. Food allergy can cause fatal anaphylaxis and the victims are most often adolescents and young adults.
(4mb)
Fri, 04 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Marnie Robinson talk to AFP audio about 2 of the April theme articles on Allergy. She discusses paediatric allergy, including allergy tests, and the latest in allergy prevention recommendations.
(0mb)
Fri, 04 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
The prevalence of allergic disease has increased considerably in recent decades and Australia has one of the highest rates of allergic disease in the world.
(0mb)
Fri, 04 Apr 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Allergic diseases (asthma, atopic dermatitis, allergic rhinitis and food allergy) are the commonest chronic diseases of childhood.
(3mb)
Fri, 07 Mar 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Karen McKertich discusses procedural and surgical treatments for urinary incontinence in women.
(0mb)
Fri, 07 Mar 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
A range of surgical treatment options is available for women suffering from stress and urge urinary incontinence refractory to conservative and medical management.
(3mb)
Thu, 06 Mar 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Karen McKertich discusses assessment of urinary incontinence in women.
(0mb)
Thu, 06 Mar 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
The aims of assessing urinary incontinence in women are to define the diagnosis, exclude other pathology and guide management. Treatment can be initiated when urinary incontinence is categorised as stress, urge or mixed incontinence.
(0mb)
Wed, 05 Mar 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Patricia Neumann discusses physiotherapy for urinary incontinence
(0mb)
Wed, 05 Mar 2008 09:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
International guidelines recommend treatment for urinary incontinence by a health professional such as a pelvic floor or continence physiotherapist with specialised training in the management of pelvic floor disorders.
(3mb)
Sun, 12 Aug 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Overweight and obese adolescents face significant problems with their physical and emotional health. Professor Kate Steinbeck outlines the GP?s role in advocating for these kids and helping them reach realistic goals.
(0mb)
Sat, 11 Aug 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
The prevalence of overweight and obesity continues to increase in adolescents. Community level management is necessary as specialist services are limited.
(3mb)
Fri, 10 Aug 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Melissa Kang has a special interest in the sexual health of young people. In this interview, she observes changing patterns in youth sexual activity and some basic principles of safe sexual behaviour.
(3mb)
Thu, 09 Aug 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
In this podcast, Melissa Kang attempts to enlighten Steve Trumble on successful communication with young people about their sexuality and sexual risks.
(0mb)
Wed, 08 Aug 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Young Australian people aged 12?25 years are sexually active at a younger age and have more sexual partners compared to previous generations. Pregnancy and sexually transmitted infection (STI) rates are high in this age group. Sexual violence, discrimination against same sex attracted youth, and associated health risk behaviours such as alcohol and drug use are also important sexual health issues for adolescents.
(3mb)
Tue, 07 Aug 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Graham Fleming is a GP in rural South Australia who saw a problem with youth suicide in his area and went ahead and fixed it. He talks about practical approaches to adolescent mental health.
(0mb)
Mon, 06 Aug 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
About 15% of the adolescent population suffers a mental health problem. Although a large percentage of these adolescents present to their general practitioner at least once a year, often their mental health problems are not presented or are somatised. Unfortunately, without intervention many of these mental health problems progress into adulthood where they are often more difficult to solve.
(2mb)
Fri, 13 Jul 2007 16:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Cardiac pacemakers have come a long way in the 50 years since the first model needed its batteries changed after 3 hours. Dr Geoff Toogood discusses the indications for cardiac pacing.
(1mb)
Thu, 12 Jul 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Since the first cardiac pacemaker was inserted in 1958 vast changes have occurred in both the technology of the devices and their indications.
(3mb)
Wed, 11 Jul 2007 16:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Peter Kistler talks with Steve Trumble in the first of three podcasts on the management of cardiac arrhythmias. This interview focuses on his article in the pharmacological treatment of supraventricular and ventricular tachycardias.
(0mb)
Tue, 10 Jul 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Cardiac arrhythmias may present with palpitations, chest pain, shortness of breath, dizziness and syncope. Diagnosis may be complicated by an inability to document the arrhythmia particularly when symptoms are infrequent and short lived.
(3mb)
Mon, 09 Jul 2007 16:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Atrial fibrillation is becoming increasingly common, especially in older people. In this podcast, Dr Peter Kistler discusses the control of rate and rhythm in atrial fibrillation.
(0mb)
Sun, 08 Jul 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Atrial fibrillation affects a significant proportion of the Australian population, affecting approximately 5% of people over 65 years of age.
(1mb)
Sat, 07 Jul 2007 16:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
In the final of his three podcasts, Dr Peter Kistler looks at the use of cardiac catheters in the management of arrhythmias.
(0mb)
Fri, 06 Jul 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Pharmacological management of arrythmias is not curative, is sometimes difficult, and may be associated with significant morbidity.
(4mb)
Tue, 05 Jun 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Your first day in general practice can be a mixture of excitement and terror. Victorian registrar Dr Emily Walsh explains how she survived her first training term, and felt like a real doctor at last.
(0mb)
Mon, 04 Jun 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
After trying a couple of other disciplines in medicine I have finally found the career that suits me. If you, like me, are interested in most things, enjoy meeting people and can?t stand the smell of the average hospital ward, then general practice may really appeal.
(0mb)
Sat, 12 May 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Malaria is more than an inconvenience for Australian travellers; it is a serious disease that kills and injures millions of people each year. Dr Trish Batchelor talks with Steve Trumble about appropriate prevention and prophylaxis.
(0mb)
Fri, 11 May 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Malaria remains endemic in over 100 countries worldwide. Travellers to these countries may be at risk of contracting disease. Assessing risk on an individual basis can be challenging.
(2mb)
Thu, 10 May 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Tony Gherardin discusses the approach to the intending traveller. What do they need to know and what does their GP need to tell them?
(0mb)
Wed, 09 May 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Australians are great travellers and the need for travel health advice can be a common presentation in general practice. General practitioners should be an important source of accurate and up-to-date information and provide appropriate travel medicine services.
(4mb)
Tue, 08 May 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Many Australian travellers baulk at the idea of paying for vaccines before they set off on their great adventures. But, as Dr Sonny Lau explains to Steve Trumble, GPs can help even those on a tight budget to invest wisely in the right vaccines.
(0mb)
Mon, 07 May 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Immunisation is very cost effective. It provides high level immunity against a range of general and travel specific pathogens. There are more vaccines available as research and development of vaccines progresses. Some vaccines require multiple doses to induce long lasting protective immunity, and some will only induce protective immunity for a limited period of time.
(3mb)
Thu, 12 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Louise Stone looks at what's going on with some of our most challenging patients: those who somatise their problems. Are we helping by proving to them that there's "nothing wrong" when there clearly is?
(0mb)
Wed, 11 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Somatising disorders are a common, complex and disabling cluster of disorders. Research suggests that general practitioners find this group of patients challenging. The disorders are complicated by the fact that doctors play a role in both their aetiology and maintenance. The interaction between the illness worry of the patient and the disease worry of the doctor can lead to escalating disability and the risk of iatrogenic disease.
(3mb)
Tue, 10 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Cognitive Behavioural Therapy is revolutionising the way GPs treat patients with anxiety and depression. Dr Sarah Edelman talks about what types of CBT work best in the general practice setting.
(0mb)
Mon, 09 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
It is well established that some individuals have an inherent disposition toward experiencing anxiety more readily than others. These individuals are prone to high levels of autonomic arousal, exaggerated threat perception and dysfunctional coping strategies.
(5mb)
Sun, 08 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Medication has no place in the management of mild depression, and only a limited role in moderate depression. Severe depression usually requires drug treatment and Dr Steve Ellen discusses some golden rules for prescribing.
(0mb)
Sat, 07 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Depression and anxiety are common presentations in general practice and medications are one of the key treatment strategies.
(3mb)
Fri, 06 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
GPs occupy a unique position in being able to help people who are going through major life events. Professor David Clarke talks about the various coping strategies people use, and how we can help them cope more effectively.
(0mb)
Thu, 05 Apr 2007 15:00:00 +1000 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
General practitioners often see patients who are struggling with a change in their life circumstances. When this change involves illness, the GP is well placed to provide support and practical assistance. However, research in this area has tended to concentrate on the patient who is overwhelmed and unable to cope, focusing on the negative consequences of anxiety and depression.
(3mb)
Mon, 12 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Postmenopausal bleeding is always a cause for concern. An obvious, benign cause could be obscuring a carcinoma. Gynaecological oncologist Dr Alison Brand talks to Steve Trumble about how GPs should respond.
(0mb)
Sun, 11 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Postmenopausal bleeding is a common complaint from women seen in general practice.
(4mb)
Sat, 10 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Why do we do routine clinical breast and pelvic examinations in asymptomatic women? Is there any evidence that it increases the detection of breast or gynaecological malignancies? Associate Professor Jill Thistlethwaite and Dr Rebecca Stewart used an RACGP Silagy Scholarship to find out.
(0mb)
Fri, 09 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Clinical breast examination (CBE) is often offered as a component of the well woman check or carried out at the request of an asymptomatic woman. In these cases the examination is a screening procedure, as opposed to a diagnostic CBE in a symptomatic woman.
(4mb)
Thu, 08 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
The launch of Australia's new vaccine for preventing certain strains of Human Papilloma Virus holds great promise in reducing the incidence of cervical cancer. But do we run the risk of missing tumors by slackening off on cervical cytology screening? Dr Stella Heley provides an update on Pap tests in this brave new world.
(0mb)
Wed, 07 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
2006 was an eventful year in the area of screening to prevent cervical cancer. New screening guidelines were introduced nationally in July, and in November the Australian Government agreed to fund one of the human papillomavirus (HPV) vaccines, Gardasil, under the National Immunisation Program.
(2mb)
Tue, 06 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Ovarian cancer is difficult to diagnose and hence it is often not detected before it is well advanced. Associate Professor Margaret Davey talks about some of the patient factors that should raise a GP's index of suspicion.
(0mb)
Mon, 05 Mar 2007 14:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Epithelial ovarian cancer presents most often as late stage disease due to a lack of effective screening tests and vagueness of symptoms.
(2mb)
Tue, 12 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Work related upper limb disorders are common, expensive and difficult to treat. Rheumatologist and occupational physician Dr Michael Shanahan talks to Steve Trumble about effective management approaches, and answers the question: 'where has all the RSI gone?'.
(0mb)
Mon, 11 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Work related upper limb disorders (WRULDs) are among the most common workers' compensation claims. Their management is a challenge for medical practitioners for a range of reasons.
(4mb)
Sun, 10 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Berny Trifiletti shares her acronym for helping injured workers get back on the job.
(0mb)
Sat, 09 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Achieving best outcomes in occupational injury management requires an emphasis upon identifying and managing those factors which ? in addition to the medical condition ? lead to progression to chronicity. The most studied common musculoskeletal workplace injury is low back pain.
(3mb)
Fri, 08 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Dr Peter Cotton is an organisational psychologist who believes that the "morale" in a workplace - and in the workers - plays a very significant part in determining health outcomes. In this interview he explains how two workers confronted with the same injury may respond differently depending on their emotional resilience.
(0mb)
Thu, 07 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Although most injured workers return to work with minimal intervention, approximately 20% show levels of distress and disability beyond that expected for the injury. The level of morale in a workplace seems to play a major role in this.
(2mb)
Wed, 06 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
The management of acute low back pain is quite a challenging problem in general practice, especially when it is work-related and there are other issues at play. Dr John Low is an occupational physician from Subiaco, WA. He discusses the modern approach to getting back-injured workers back to work.
(0mb)
Tue, 05 Dec 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Back problems are the seventh most common reason for seeking care in general practice in Australia. Despite medical advances, chronic disability from back pain is a major contributor to the burden of disease in society today.
(2mb)
Sat, 04 Nov 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Endometriosis is a difficult condition to diagnose clinically; it also has major consequences for women in terms of pain, disablement and possible infertility. Dr David O'Callaghan gives Steve Trumble an update.
(0mb)
Fri, 03 Nov 2006 15:00:00 +1100 Author: web.admin@racgp.org.au (The Royal Australian College Of General Practitioners)
Endometriosis is one of the major causes of pelvic pain and subfertility in women.
(2mb)
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