October 15, 2016

October 2016

Echo Newsletter

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Diabetes, Obesity and Metabolism Translational Research Unit (DOMTRU)

What is it?

How does assist general practice?

Details coming soon...


Peri-op Management in diabetes

Metformin dose needs to be reduced in renal impairment. It is not uncommon to overlook this in patients as the eGFR gradually deteriorate as the disease progressed (that has happen to me many a time). Volume depletion during bowel preparation and/or use of iv contrast in during the operation may result in further deterioration of renal function. Sulfonylureas are secretogogues and hypoglycaemia may ensue when there is a reduction of oral intake....



24th Nov 2016

TabletsAntibiotic Resistance - a worldwide dilemma

The World Health Organization (WHO) has become quite concerned about the rising levels of resistant bacteria in all areas of the world. To provide some global coordination, WHO issued its Global Strategy for Containment of Antimicrobial Resistance, a document aimed at policy-makers that urges governments to take action to help contain antibiotic resistance.

Developing nations need to focus on eliminating uncontrolled access to antibiotics and prevention measures such as== improving sanitation, cleaning up water supplies and relieving overcrowding.

Tomosynthesis 3D MammographyTomoImage

  • 41% increase in invasive breast cancer detection
  • Reduces false positives, decreasing recall rates by 15-40%
  • 27% increase in cancer detection overall
  • Reduce number of unnecessary biopsies
  • Better detection in women with dense breastsMedicalSpectrumLogo




PCOSRio Tinto P/L and Ovarian Cancer - what is the link?

You may have read recently that Rio Tinto Minerals Inc has been named alongside US healthcare product giant Johnson & Johnson in the cases filed in Louisiana by four cancer sufferers and the husband of a woman who died. What does a mining company have to do with ovarian cancer?

Imaging in Coronary Artery DiCADPerfusionScansease

Assessment of possible CAD through non invasive testing such as myocardial perfusion scan (MPS) and exercise stress testing (EST) can provide useful diagnostic and prognostic information.
Myocardial scanning works by providing both physiological and semi quantitative assessment of perfusion (i.e. the blood flow to the cardiac tissue) and also can provide valuable information for risk factor management.





Low cost podiatry UniClinic

Bronchiolitis Management - what works and what doesn’t?

Respiratory syncytial virus (RSV) remains the most commonly identified virus, detected in 41–83% of patients. Other viruses implicated include rhinovirus, metapneumovirus, coronavirus, human bocavirus, influenza virus, adenovirus, and parainfluenza virus. Up to 30% of children have more than one virus involved. In cases where there is only one virus involved, RSV is associated with more severe disease. The discovery of multiple viruses has led to the suggestion that perhaps, these viruses might be detected because of asymptomatic colonisation, incubation before clinical infection, or prolonged viral shedding post-infection.

Golden Staph - a doctor’s nightmare

MRSA should be considered in nastybugsthe differential diagnosis of skin and soft tissue infections (SSTIs) compatible with S.  aureus infections, especially those that are purulent. A patient’s presenting complaint of “spider bite” should raise suspicion of an S. aureus infection.

Recent data suggest that MRSA as a cause of skin infections in the general community remains at high probability. The spectrum of disease caused by MRSA appears to be similar to that of Staphylococcus aureus in the community. In the community, incision and drainage remains the primary therapy for these purulent skin infections

Latest Healthpathways

stick_figure_eye_exam_pc_400_clr_4797Free Ophthalmologist Eye Checks for Diabetics in South West Sydney

IVAntibioticsDuration of IV AB for Kids - New Guidelines

Few studies are available to inform duration of intravenous antibiotics for children and when it is safe and appropriate to switch to oral antibiotics. Evidence suggests that intravenous to oral switch can occur earlier than previously recommended for some infections. Switching from intravenous (IV) to oral (PO) therapy as soon as patients are clinically stable can reduce the length of hospitalization and lower associated costs.