Cardiovascular medicine

Heart failure with preserved ejection fraction – an exclusive diagnosis

David J. Holland, Penni L. Blazak, John J. Atherton, Sandhir Prasad

Heart failure with preserved ejection fraction presents with nonspecific symptoms such as exertional dyspnoea and fatigue, and is challenging to diagnose. GPs can help facilitate early diagnosis and exclude alternative causes for symptoms.

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Gastroenterology clinic

Dysphagia – an updated guide to investigation

Emily Andrew, May Wong

Dysphagia, or difficulty swallowing, is a common presentation with a number of underlying causes. Distinguishing true dysphagia from other aetiologies is key to guiding further investigations, specialist referral and management.

An 18-year-old man with facial papules and pustules.

A 64-year-old man with bilateral erythematous plaques on the lower legs.

A 56-year-old man presents with pink plaques in his axillae.