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Clinical Tips

Ways to Remove Molluscum Contagiosum

March 23, 2016

Molluscum contagiosum is a pox virus. Infection of the skin is self-limiting, over weeks to months and occasionally up to a year, and is associated with eczema in susceptible individuals.1  Lesions are easily spread through auto-inoculation via shaving and picking.
Treatment is not necessarily needed and may be associated with scarring …

Different Urine Tests, Different Preparation!

The instructions given to patients regarding urine testing is very important for accuracy of results. However, the inconvenience of delaying a test to obtain good preparation and a reliable report needs to be outweighed by the motivation and compliance of the patient. It is important to educate the patient about …

Screening for Asymptomatic Bacteriuria

March 22, 2016

Asymptomatic bacteriuria occurs when the patient has no symptoms, the urine microscopy is normal (no red cells, no white cells and no nitrites present) and yet the urine culture is positive with a bacterial growth of over 108 colony forming units/L.  It occurs most commonly in the elderly, those with …

The Successful Pap Test

Pap tests are not always comfortable and the successful procedure is partly due to psychology and partly due to good technique. The following are some practical tips to minimise discomfort and to obtain a good quality smear.
Preparation for the Pap test:
1. Explain the procedure. Included in this explanation should be …

10 Tips for your Patients to Improve their Diet

February 04, 2016

A healthy, long-term diet that can be modified for weight loss is easy to explain, and should be reinforced by a written summary and some websites to research. The healthiest diet is no mystery, it is science.
1. Choose foods that are low in glycaemic index (low GI)1,2 and reduce portion sizes …

Thinking of Endometriosis: Atypical Presentations

Endometriosis is a common condition that frequently goes unrecognised. It is due to the endometrial cells being found away from the uterine lining, and the sites the cells are lodged in will determine certain complications, such as infertility and pain.1The symptoms of the condition vary with the individual woman, cultural …

Removing Ticks

Ticks must to be killed prior to attempted removal because if not, they may increase secretion of toxin into the surrounding tissue. This may result in several outcomes:
1. There may be a much more severe local inflammatory reaction. This is often accompanied by locally enlarged and tender lymph glands, headaches, …

Which Medications are Affected by Ethnic Variations in Genotypes?

By Dr Vivienne Miller, GP and Fellow, The Royal Australian College of General Practitioners
Research is ongoing into the ethnic differences in genotypes and how this may affect certain metabolic pathways. It is known that the CYP3A pathway shows genetic variation in people of different ethnic heritage, and that this can …

Consider Eradication Therapy for Chronic Viral Hepatitis

There are new treatments currently available for eradication of chronic Hepatitis C infection. Patients who failed the curative strategies offered several years ago may now be pleasantly surprised to find that the most recent eradication regimen for chronic viral hepatitis is as simple as oral medication, and that this may …

Pre-operative risk: Underestimating Dental Care

September 22, 2015

One tragedy of our first world nation is that many patients suffer from very poor dental care. Whilst we doctors are in the midst of mobilising many older patients with joint replacements and cardiac stenting, there is a real danger that pre-operative dental care is forgotten.
James was a jovial, relatively …

The Use of Internet Images via a Search Engine

All GPs know about the use of websites to facilitate a patient’s understanding regarding their new diagnoses or the management of a condition. However, patients frequently have a poor concept about the anatomy of their problem area, especially when it comes to joints, ligaments and organ positions. This sounds so …

Severe Eczema

Moderate to severe eczema is a miserable condition for sufferers. General Practitioners can reduce this distress by explaining to patients about the need to avoid heat, soap, dryness of the skin, over-immersion, avoidance of irritants and control of itch. Antihistamines and the appropriate use of the correct strength topical steroids …