This article looks at why a substantial number of young women who have been vaccinated with the HPV vaccine will still have Pap test abnormalities. Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: PAP testing in the post HPV vaccine eraDr Stella Heley MBBS FAChSHM is Senior Liaison Physician, Victorian Cytology Service Melbourne. In this podcast Stella talks to Dr Jenni Parsons about the ongoing need for routine PAP screeing in young women, despite the good overall takeup of the quadrivalent HPV vaccine in this cohort.
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Interview: Pandemic influenza Nick Collins, a GP from Leumeah, New South Wales, discusses planning for pandemic flu and the checklists from his article in October AFP, ‘Plan your pandemic- a guide for GPs’ with Dr Jenni Parsons. The discussion focuses on the practical strategies general practices can employ to both prior to and during a flu pandemic. Although the process can seen daunting, simple starting points of good staff and patient education, maintaining good infection control practices, encouraging good ‘c ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Article: Pathology testing in the tired patient - A rational approach Pathology tests are often ordered by general practitioners to investigate patients with nonspecific complaints such as malaise and tiredness.Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: Pathology testing in the tired patient: a rational approach Dr Michael Harrison discusses pathology testing in the tired patient with Dr Kathryn O'Connor. International guidelines on pathology testing in the tired patient vary and all are consensus rather than evidence based. Dr Harrison discusses the incidence of tiredness, the pick up rate of serious disease for pathology testing in the tired patient and other important reasons for decisions about testing in the general practice setting. He explains that, despite the fact that best practice eludes ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Article: Aches, pains and osteoarthritisAches and pains are commonly seen in general practice and osteoarthritis may be an underlying cause. Chronic pain can be very distressing for patients and management may be challenging for the general practitioner. Osteoarthritis is a common cause of chronic pain and disability.Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: Aches and Pains and Osteoarthritis GP Dr Louise Stone discusses assessment and management of osteoarthritis in General Practice with Dr Kathryn O'Connor. Patient history is important; especially duration and severity of pain. Alternative diagnoses should be considered and excluded. Education and patient self management are vital as the management of osteoarthritis happens mainly outside the consulting room. Treatment modalities include exercise, weight loss, topical and oral medications, appliances. Referral to a surgeon may ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Article: 'I've been bleeding from the bowel'Much undifferentiated illness is seen in general practice. Patients with a vague feeling of general unwellness may have multiple unrelated problems, serious underlying pathology, definite but indefinable pathology, and/or illness of psychological origin.Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: I've been bleeding from the bowelsGP Dr Andrew Knight talks to Dr Kathryn O'Connor about his approach to assessment and management of case study "Serge" who presents saying "I've been bleeding from the bowels". Patient history is important and open questions are especially helpful in complex presentations. Serge has multiple problems including tiredness, constipation and rectal bleeding. Causes of tiredness are many and varied and basic pathology can help exclude an organic cause. Screening for a psychogenic cause is import ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Article: IBS or intolerance?Prof Terry Bolin is Conjoint Associate Professor of Medicine at the University of New South Wales and Consultant Emeritus at the Prince of Wales Hospital. In this podcast, he talks to Dr Rachel Lee about the relationship between food and irritable bowel symptoms. Prof Bolin highlights that many of the symptoms of IBS are exacerbated by foods and that dietary review has an important role in managing IBS. Prof Bolin describes the effects of different carbohydrates such as lactose and fructose ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: IBS or intolerance?Prof Terry Bolin is Conjoint Associate Professor of Medicine at the University of New South Wales and Consultant Emeritus at the Prince of Wales Hospital. In this podcast, he talks to Dr Rachel Lee about the relationship between food and irritable bowel symptoms. Prof Bolin highlights that many of the symptoms of IBS are exacerbated by foods and that dietary review has an important role in managing IBS. Prof Bolin describes the effects of different carbohydrates such as lactose and fructose ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Article: Dengue - Clinical and public health ramificationsDengue virus infection is spread by the mosquito vector Aedes aegypti and causes significant morbidity and mortality worldwide. In Australia, it is an important cause of fever in the returned traveller and recent outbreaks have occurred in northern Queensland. A comprehensive understanding of the clinical and public health ramifications of dengue infection is essential for general practitioners.Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: Dengue feverDr Danille Esler is a general practitioner and Senior Public Health Registrar at Cairns Public Health Unit in Cairns, Queensland. In this podcast, she talks to Dr Kathryn O’Connor about what GPs need to know about the clinical and public health ramifications of Dengue. The epidemiology of Dengue fever has changed in recent years and there has been a recent outbreak of the disease in northern Queensland. GPs can find out about recent outbreaks on the websites of the World Health Organisati ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Article: Management of mammalian bitesMammalian bites are a significant public health problem in Australia, with the majority of bites coming from dogs. Complications include tissue damage from the bite itself, infection and post-traumatic stress disorder.Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: Mammalian bites Dr Claire Dendle is an infectious diseases physician in the Department of Infectious Diseases at Southern Health, Melbourne, Victoria. In this podcast, she talks to Dr Kathryn O’Connor about what GPs need to know the assessment and management of mammalian bites. In the setting of a mammalian bite, history and examination is directed at assessing whether the bite has damaged underlying structures or is at high risk of infection. Treatment of mammalian bites involves cleaning and irrigation ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Article: Laparoscopic adjustable gastric bandingThe laparoscopic adjustable gastric band is a useful tool in the treatment of severe obesity. It is a safe and durably effective procedure, however, optimal results depend upon the patient participating in a process of lifelong care.Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: The laparoscopic adjustable gastric band (LAGB) for obesityWendy Brown, MBBS(Hons), PhD, FACS, FRACS is Deputy Director, Centre for Obesity Research and Education and Associate Professor, Department of Surgery, Monash University and Visiting Medical Officer, The Alfred Hospital. She discusses the LAGB procedure and the importance of follow up and a multidisciplinary approach to achieve sustained weight loss and manage problems and complications. Sustained weight loss and improved quality of life following a LAGB procedure depends on a multidiscipl ... Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: Computers can't listenGeneral practice is all about listening to our patients as they tell us the story of their health. Dr Chris Pearce discusses the impact that both computers and evidence-based medicine are having on our ability to practise in this patient centred manner. If we lose the patient's narrative, do we lose the plot?Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: Type 2 diabetesDr Jonathan Cohen presents a timely update on the pharmacotherapy of glycaemic control and other factors that modify cardiovascular risk for people with type 2 diabetes. Metformin is usually the first line, but what comes next?Listen | Listen in your iPhone | Download | View full cache | Visit Website
Interview: Evidence based approach to foot assessment in patients with diabetesCareful foot assessment is an important part of GPs' comprehensive care of people with diabetes.Listen | Listen in your iPhone | Download | View full cache | Visit Website
