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September 2017

Echo Newsletter

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stick_figure_ruins_400_clr_6697Stones, Bones, Groans, Moans, and Psychiatric Overtones - what is it?


Everyone knows the mnemonic for symptoms for hypercalcaemia, There are numerous causes. These include: sarcoidosis, vitamin D toxicity, disorders associated with rapid bone turnover such as Paget’s disease and medications e.g. thiazide diuretics. However 90% of cases are due to hyperparathyroidism and malignancy.


knee_pain_400_clr_2143Intra-articular knee injections - which one works better?

We all have younger patients with advanced OA of the knee but they are too “young” to have a knee replacement. They are in pain and as time grinds along, the knee gets weaker and stiffer and other co-morbidities like hypertension, dyslipidaemia, diabetes deteriorate.

What options do we have?

Next month

  • SSRI/SNRI in kids & adolescents - how efficaious and safe are they?
  • The latest from the European Association for the Study of Diabetes (EASD) meeting in Lisbon, Portugal

figure_running_scared_syringe_400_clr_13701Gardasil - is 9 better than 4?

We all know how successful Gardasil has been in significantly reducing HPV infections and the incidence of cervical and anogenital cancers. What can be better than Gardasil? Gardasil 9 is the new human papillomavirus (HPV) vaccine and as the name suggests, targets nine HPV types. It became available early in 2015.


MICMRISIJointsSacro-iliitis - an imaging approach

The sacroiliac (SI) joints are frequent sites of lower lumbar pain in clinical practice. Sacroiliitis, a non-infectious inflammatory process is by far the most frequent cause in the younger age group. In the older age demographic degenerative change is a common cause. The SI joints are a commonly overlooked cause of lower backache. The SI joint is compound joint with the lower 2/3 synovial in nature and the upper 1/3 fibrous.  Sacroiliitis affects the synovial component. Non-infectious sacroiliitis is a bilateral process. They can be divided into 2 catagories:

stick_figure_eye_exam_pc_400_clr_4797Free Ophthalmologist

Eye Checks for Diabetics in South West Sydney

Low cost podiatry UniClinic

Contraception after venous thromboembolism - how well do you know your options?

After a patient have a DVT or pulmonary emboli, the choice of contraception becomes a challenge. How well do you know your options? Oestrogen containing oral contraceptive is definitely out. What about progestins only contraceptives (POC).

Diabetes and Hypertension - what target?blood_taking_pressure_400_clr_19835

Hypertension is defined as a sustained blood pressure > 140/90 mmHg. What about patients with diabetes? Do we aim for a different target? The last few years have seen many authorities coming out with conflicting guidelines with ranging from 120/80 to 160/90. The RACGP in the 2016-2017 Diabetes Management Guidelines stuck to what we were all taught – 140/90 as the target.


All new pathways here


Sedentary Time will slow you down - the danger of physical inactivity

It’s no surprise that there’s figure_changing_channel_with_remote_400_clr_14360an abundance of studies concerned with the health of adults and older adults. A recent report from the Australian Institute of Health and Welfare found that physical inactivity was the prevailing risk factor contributing to cardiovascular diseases, high cholesterol and high blood pressure (Bennie et al 2016).

PregnanciesWhat is TOBOGM?

There is evidence that even mild increases in maternal blood sugar are associated with adverse pregnancy outcomes – both maternal and foetal and that reducing blood sugar improves outcomes.




The views expressed are views of the authors and do not necessarily represent the views of the board of SSW GP Link

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