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Clinical Flowcharts

Refer to Medicine Today’s flowcharts, listed under topic areas, to help guide the diagnosis, investigation and management of various conditions. Flowcharts should be read in context of the article in which they are published. Access the full text pdf of these articles by clicking on the flowchart, or the article link in red.

Click on the topic areas below to access the flowcharts

Adolescent medicine
Managing iron deficiency in adolescent females
Steps in improving chronically unstable type 1 diabetes in adolescents
A staged approach to the detection of young people at risk of psychosis
Management of a patient with tic disorder
Basic investigations for adolescents with heavy menses
Recommended management of an adolescent with clinical depression
An approach to clinical weight management in children and adolescents
Juvenile idiopathic arthritis: diagnosis and early management
Managing a young person with mental ill-health
Juvenile idiopathic arthritis: management
An approach to investigating amenorrhoea
Andrology
Algorithm for managing chronic pelvic pain in men
Management of phosphodiesterase-5 inhibitor nonresponders
An approach to investigating male subfertility
Suggested framework for managing hypoactive sexual desire disorder in men
Interpretation of initial laboratory results for patients with gynaecomastia
Cardiovascular medicine
Suggested stratification and management allocation strategy for adults diagnosed with FH
Investigating hypertension in pregnancy
Coronary artery disease: a strategy to medically manage symptoms and prevent coronary events
Initiation of treatment for hypertension
STEMI and NSTEMI: a guide to management in rural, regional and suburban hospitals
Management of unstable angina
Initial management strategy for patients with pulmonary oedema
Five steps to blood pressure control in diabetes
Diagnostic approach for suspected PE: low clinical suspicion
Investigating the patient with a leg ulcer
An approach to investigating chronic kidney disease
Investigation of suspected coronary artery disease
Diagnostic algorithm for chronic heart failure
Use of omega-3 fatty acids in treatment and prevention of cardiovascular disease
Evaluation of possible stable angina pectoris
When to initiate antihypertensive drug treatment
Assessment of a patient with chronic dyspnoea
Managing hypertension in patients who are otherwise normal
Managing familial hypercholesterolaemia in adults
A suggested approach to anticoagulation therapy in venous thromboembolic disease
Investigating a patient presenting to the emergency department with chest pain of possible cardiac origin
Secondary prevention of TIA or ischaemic stroke
Diagnosing and managing renal artery stenosis
Diagnostic algorithm for suspected heart failure
Management of young patients with heart failure
Choosing a rate-control agent for patients with atrial fibrillation
Management of hypercholesterolaemia: high-risk individuals with elevated LDL-C, normal TG and normal HDL-C levels
Transient ischaemic attack: triage and investigation
Approaches to managing sick day disturbances secondary to diabetes
An approach to investigating episodes of chest pain potentially due to myocardial ischaemia
Exercise precautions in type 2 diabetes: an approach for patients using insulin and/or secretagogues
Steps in interpreting an ambulatory blood pressure recording
A suggested approach to screening for diabetes, the metabolic syndrome and cardiovascular disease in women
Diagnostic approach for suspected PE: intermediate clinical suspicion
Pharmacological treatment algorithm for systolic heart failure
Diagnostic approach for suspected PE: high clinical suspicion
Suggested algorithm for the management of a patient with palpitations
Mechanisms by which obesity augments cardiovascular risk
An approach to diagnosing heart failure with preserved ejection fraction
An approach to initiating lipid-lowering therapy in patients with type 2 diabetes
Diagnosis and assessment of lymphoedema
Managing chronic subdural haemorrhage
1. Investigation and management of a patient with suspected heart failure
2. HFrEF management algorithm
1. Diagnostic work up and management of suspected heart failure
2. Management of HFrEF
1. Diagnosis of pulmonary embolism (PE)
2. Diagnosis of deep vein thrombosis (DVT)
3. Choice of anticoagulant for proximal DVT or PE
4. Duration of anticoagulation for proximal VTE or PE
1. Chronic rate control of atrial fibrillation with rapid ventricular response
2. An approach to stroke prevention in atrial fibrillation
Proposed diagnostic algorithm based on risk stratification for women with troponin-negative chest pain
A suggested algorithm for the diagnostic work-up of patients with pulmonary hypertension
Acute coronary syndromes
STEMI and NSTEMI: a guide to management in rural, regional and suburban hospitals
Investigating a patient presenting to the emergency department with chest pain of possible cardiac origin
An approach to investigating episodes of chest pain potentially due to myocardial ischaemia
Angina and coronary artery diseses
Coronary artery disease: a strategy to medically manage symptoms and prevent coronary events
Management of unstable angina
Investigation of suspected coronary artery disease
Evaluation of possible stable angina pectoris
An approach to investigating episodes of chest pain potentially due to myocardial ischaemia
Proposed diagnostic algorithm based on risk stratification for women with troponin-negative chest pain
Arrhythmias
Choosing a rate-control agent for patients with atrial fibrillation
Suggested algorithm for the management of a patient with palpitations
1. Chronic rate control of atrial fibrillation with rapid ventricular response
2. An approach to stroke prevention in atrial fibrillation
Cardiovascular prevention
Diagnostic algorithm for suspected heart failure
A suggested approach to screening for diabetes, the metabolic syndrome and cardiovascular disease in women
Pharmacological treatment algorithm for systolic heart failure
Heart diseases
Coronary artery disease: a strategy to medically manage symptoms and prevent coronary events
STEMI and NSTEMI: a guide to management in rural, regional and suburban hospitals
Management of unstable angina
Initial management strategy for patients with pulmonary oedema
Investigation of suspected coronary artery disease
Diagnostic algorithm for chronic heart failure
Evaluation of possible stable angina pectoris
Managing familial hypercholesterolaemia in adults
Investigating a patient presenting to the emergency department with chest pain of possible cardiac origin
Diagnostic algorithm for suspected heart failure
Management of young patients with heart failure
Choosing a rate-control agent for patients with atrial fibrillation
An approach to investigating episodes of chest pain potentially due to myocardial ischaemia
Steps in interpreting an ambulatory blood pressure recording
A suggested approach to screening for diabetes, the metabolic syndrome and cardiovascular disease in women
Pharmacological treatment algorithm for systolic heart failure
Suggested algorithm for the management of a patient with palpitations
Mechanisms by which obesity augments cardiovascular risk
Proposed diagnostic algorithm based on risk stratification for women with troponin-negative chest pain
Heart failure and cardiomyopathy
Diagnostic algorithm for chronic heart failure
Assessment of a patient with chronic dyspnoea
An approach to diagnosing heart failure with preserved ejection fraction
1. Investigation and management of a patient with suspected heart failure
2. HFrEF management algorithm
1. Diagnostic work up and management of suspected heart failure
2. Management of HFrEF
Hypertension
Investigating hypertension in pregnancy
Initiation of treatment for hypertension
Five steps to blood pressure control in diabetes
An approach to investigating chronic kidney disease
When to initiate antihypertensive drug treatment
Managing hypertension in patients who are otherwise normal
Diagnosing and managing renal artery stenosis
Steps in interpreting an ambulatory blood pressure recording
A suggested algorithm for the diagnostic work-up of patients with pulmonary hypertension
Imaging
Investigation of suspected coronary artery disease
Lipid disorders
Suggested stratification and management allocation strategy for adults diagnosed with FH
Managing familial hypercholesterolaemia in adults
Management of hypercholesterolaemia: high-risk individuals with elevated LDL-C, normal TG and normal HDL-C levels
An approach to initiating lipid-lowering therapy in patients with type 2 diabetes
Sports cardiology
Exercise precautions in type 2 diabetes: an approach for patients using insulin and/or secretagogues
Stroke
Secondary prevention of TIA or ischaemic stroke
Transient ischaemic attack: triage and investigation
Vascular diseases
Coronary artery disease: a strategy to medically manage symptoms and prevent coronary events
Initial management strategy for patients with pulmonary oedema
Diagnostic approach for suspected PE: low clinical suspicion
Investigating the patient with a leg ulcer
Investigation of suspected coronary artery disease
Evaluation of possible stable angina pectoris
When to initiate antihypertensive drug treatment
Managing hypertension in patients who are otherwise normal
Managing familial hypercholesterolaemia in adults
A suggested approach to anticoagulation therapy in venous thromboembolic disease
Investigating a patient presenting to the emergency department with chest pain of possible cardiac origin
Secondary prevention of TIA or ischaemic stroke
Diagnosing and managing renal artery stenosis
A suggested approach to screening for diabetes, the metabolic syndrome and cardiovascular disease in women
Diagnostic approach for suspected PE: intermediate clinical suspicion
Diagnostic approach for suspected PE: high clinical suspicion
Diagnosis and assessment of lymphoedema
Managing chronic subdural haemorrhage
1. Diagnosis of pulmonary embolism (PE)
2. Diagnosis of deep vein thrombosis (DVT)
3. Choice of anticoagulant for proximal DVT or PE
4. Duration of anticoagulation for proximal VTE or PE
Clinical case reviews
An approach to management of a woman with missing intrauterine contraceptive (IUC) threads
An approach to investigating liver lesions
Complementary medicine
Use of omega-3 fatty acids in treatment and prevention of cardiovascular disease
Dermatology
A guide to the differential diagnosis of chronic vulval conditions
Investigating a child with urticaria
Investigating the patient with a leg ulcer
Skin examination in a pregnant woman with itch
An approach to diagnosing hyperhidrosis
Investigating the patient with suspected allergy
Suggested algorithm for screening patients with scleroderma for PAH and ILD
An approach to first-line pharmacotherapy for urticaria
An approach to investigating paediatric atopic dermatitis
Differential diagnosis of vulval disease with a symptomatic rash
Differential diagnosis of vulval disease without a (significant) rash or lesion
An approach to managing palmar hyperhidrosis
An approach to managing axillary hyperhidrosis
An approach to managing plantar hyperhidrosis
A conceptual approach to the causes of itch in pregnant women
A suggested algorithm for management of breastfeeding women with nipple pain
Investigating and managing a patient with vitiligo
A diagnostic approach to pruritus
Eczema, dermatitis and allergies
Skin examination in a pregnant woman with itch
Investigating the patient with suspected allergy
An approach to investigating paediatric atopic dermatitis
Drug and alcohol medicine
Treatment options for patients with opioid dependence
A summary of ethanol metabolism
Smoking cessation strategies for the treatment-resistant smoker
Managing a young person with mental ill-health
Bittoun combination nicotine replacement therapy algorithm
1. NAFLD and alcoholic liver disease: an approach to patient evaluation
2. NAFLD and alcoholic liver disease: an approach to patient management
1. Suggested diagnostic algorithm for FASD in patients aged 6 years or older
2. Suggested diagnostic algorithm for FASD in patients aged under 6 years
Suggested management of patients with regular use of over-the-counter (OTC) codeine
A suggested approach to screening all adult primary care patients for unhealthy alcohol use
Ear, nose and throat medicine
Chronic cough: a guide to diagnosis and treatment
Managing patients with hearing loss
Managing patients with ‘the red ear’ and acute otitis media
An approach to managing allergic rhinitis
Managing the patient with suspected allergic rhinitis
Emergency medicine
STEMI and NSTEMI: a guide to management in rural, regional and suburban hospitals
Triage in a mass casualty situation: using the sieve method for initial assessment of each casualty
Suggested steps for the treatment of PTSD in emergency service workers
Endocrinology and metabolism
Suggested stratification and management allocation strategy for adults diagnosed with FH
Investigating amenorrhoea
Managing iron deficiency in adolescent females
Investigating the child with hyperglycaemia
Case finding for osteoporosis
Screening for and diagnosis of gestational diabetes (26 to 28 weeks)
A guide to investigating secondary amenorrhoea
Suggested clinical pathway for the management of NAFLD
Steps in improving chronically unstable type 1 diabetes in adolescents
Five steps to blood pressure control in diabetes
An approach to the patient with thyroid enlargement
Investigating the patient with a raised serum ALP level
An approach to clinical weight management in children and adolescents
A practical approach to hyperthyroidism
An approach to exercise prescription for middle-aged and older individuals
Types of dietary fats
A summary of ethanol metabolism
Investigation and management of a patient with a thyroid nodule
An approach to titrating insulin
Managing familial hypercholesterolaemia in adults
An approach to managing postmenopausal women with or at risk of a fragility fracture
Management options for patients with BMIs of more than 30
Management of phosphodiesterase-5 inhibitor nonresponders
An approach to titrating insulin
An approach to clinical weight management in children and adolescents
Diagnostic approach for women with PCOS
An approach to the management of restless legs syndrome (RLS)
An approach to investigating a patient with osteoporosis
An approach to insulin therapy
Approaches to managing sick day disturbances secondary to diabetes
Management of hypercholesterolaemia: high-risk individuals with elevated LDL-C, normal TG and normal HDL-C levels
Transient ischaemic attack: triage and investigation
A simplified management algorithm for patients with hyponatraemia
Approaches to managing sick day disturbances secondary to diabetes
Potential effects of increased BMI on fertility in men
An approach to investigating male subfertility
Interpretation of initial laboratory results for patients with gynaecomastia
Exercise precautions in type 2 diabetes: an approach for patients using insulin and/or secretagogues
A suggested approach to screening for diabetes, the metabolic syndrome and cardiovascular disease in women
Monitoring after gestational diabetes
Management of PCOS
Mechanisms by which obesity augments cardiovascular risk
An approach to investigating amenorrhoea
An approach to the investigation and management of pancreatic ductal adenocarcinoma
An approach to secondary fracture prevention
An approach to initiating lipid-lowering therapy in patients with type 2 diabetes
Suggested algorithm for the investigation and management of patients with pancreatic cystic lesions
Algorithm for thyroid hormone replacement in adults with subclinical hypothyroidism due to Hashimoto's thyroiditis
An algorithm for the identification and management of adults with iron deficiency
Management algorithm for osteoporosis risk in older people
2. Workup for suspected hypothyroidism in men and nonpregnant women
1. Management algorithm for diagnosis/evaluation of premature ovarian insufficiency (POI)
2. Management algorithm for premature ovarian insufficiency (POI)
Adrenal gland disorders
A simplified management algorithm for patients with hyponatraemia
Bone and mineral metabolism disorders
Case finding for osteoporosis
An approach to exercise prescription for middle-aged and older individuals
An approach to managing postmenopausal women with or at risk of a fragility fracture
An approach to investigating a patient with osteoporosis
An approach to secondary fracture prevention
Management algorithm for osteoporosis risk in older people
Diabetes
Investigating the child with hyperglycaemia
Screening for and diagnosis of gestational diabetes (26 to 28 weeks)
Suggested clinical pathway for the management of NAFLD
Steps in improving chronically unstable type 1 diabetes in adolescents
Five steps to blood pressure control in diabetes
Types of dietary fats
A summary of ethanol metabolism
An approach to titrating insulin
An approach to titrating insulin
An approach to insulin therapy
Approaches to managing sick day disturbances secondary to diabetes
Transient ischaemic attack: triage and investigation
Approaches to managing sick day disturbances secondary to diabetes
Exercise precautions in type 2 diabetes: an approach for patients using insulin and/or secretagogues
A suggested approach to screening for diabetes, the metabolic syndrome and cardiovascular disease in women
Monitoring after gestational diabetes
An approach to initiating lipid-lowering therapy in patients with type 2 diabetes
Lipid metabolism disorders
Suggested stratification and management allocation strategy for adults diagnosed with FH
Managing familial hypercholesterolaemia in adults
Management of hypercholesterolaemia: high-risk individuals with elevated LDL-C, normal TG and normal HDL-C levels
An approach to initiating lipid-lowering therapy in patients with type 2 diabetes
Neuroendocrinology
Investigating amenorrhoea
A guide to investigating secondary amenorrhoea
Transient ischaemic attack: triage and investigation
Obesity
Suggested clinical pathway for the management of NAFLD
An approach to clinical weight management in children and adolescents
Management options for patients with BMIs of more than 30
An approach to clinical weight management in children and adolescents
Potential effects of increased BMI on fertility in men
Mechanisms by which obesity augments cardiovascular risk
Reproductive endocrinology
Investigating amenorrhoea
A guide to investigating secondary amenorrhoea
Diagnostic approach for women with PCOS
Potential effects of increased BMI on fertility in men
An approach to investigating male subfertility
Interpretation of initial laboratory results for patients with gynaecomastia
Management of PCOS
1. Workup for suspected hyperthyroidism in men and nonpregnant women
1. Management algorithm for diagnosis/evaluation of premature ovarian insufficiency (POI)
Thyroid gland disorders
An approach to the patient with thyroid enlargement
A practical approach to hyperthyroidism
Investigation and management of a patient with a thyroid nodule
Algorithm for thyroid hormone replacement in adults with subclinical hypothyroidism due to Hashimoto's thyroiditis
1. Workup for suspected hyperthyroidism in men and nonpregnant women
2. Workup for suspected hypothyroidism in men and nonpregnant women
Gastroenterology
Evaluating abnormal liver tests
Investigation of chronic liver disease
Suggested clinical pathway for the management of NAFLD
An approach to managing functional dyspepsia
A guide to the management of GORD (step down approach)
An approach to recurrent nausea or vomiting
Investigating a patient with acute hepatitis who has HBsAg
Screening for bowel cancer – a practical approach
Management of acute hepatitis
Management strategies for chronic hepatitis B based on stage of infection
Bowel cancer screening pathway
Diagnosis and management of patients with functional bowel disorders
An approach to managing constipation in the elderly
Difficulty swallowing: determining the likely anatomical location of the problem
An algorithm for management of patients with gallstone symptoms
An approach to the dietary management of irritable bowel syndrome
Simplified surveillance guidelines for Barrett’s oesophagus
An approach to diagnosing hereditary colorectal cancer syndromes
Management of acute diverticulitis
Genetic screening for hereditary haemochromatosis
Investigation of a patient with chronic hepatitis B
Management of chronic hepatitis
Differentiating among the oesophageal disorders
An approach to the investigation and management of pancreatic ductal adenocarcinoma
An approach to investigating elevated serum ferritin levels and potential causes
An approach to investigating patients with faecal incontinence
1. Assessment and management of nausea and vomiting in pregnancy
2. Management of gastro-oesophageal reflux in pregnancy
An algorithm for the identification and management of adults with iron deficiency
Management of gallbladder polyps
1. Simplified investigation and treatment algorithm for colonic adenocarcinoma
2. Simplified investigation and treatment algorithm for rectal adenocarcinoma
A suggested approach to diagnosing abdominal pain in a child
An approach to diagnosis, treatment and monitoring of eosinophilic oesophagitis (EoE)
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Follow-up care of patients after hepatitis C treatment with direct-acting antivirals
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Assessing patients with chronic diarrhoea
Genetics
Suggested stratification and management allocation strategy for adults diagnosed with FH
Geriatrics
Management of giant cell arteritis
Pharmacological therapy for Alzheimer’s disease
Assessing and managing insomnia in the elderly
Management of asthma in the elderly
Investigating the patient with a leg ulcer
Investigating delirium
Managing patients with knee or hip osteoarthritis
An approach to exercise prescription for middle-aged and older individuals
An approach to managing postmenopausal women with or at risk of a fragility fracture
Early diagnosis and management of dementia in general practice
A diagnostic approach to hallucinations, illusions, delusions affecting older people
An approach to managing constipation in the elderly
Suggested pathway for investigaton of a patient with confusion
Managing psychological and behavioural symptoms
Suggested pathway for management of a patient with delirum
Management of giant cell arteritis
An approach to postherpetic neuralgia treatment
An approach to secondary fracture prevention
Managing chronic subdural haemorrhage
Suggested algorithm for managing patients with neuropsychiatric symptoms associated with dementia
Management algorithm for osteoporosis risk in older people
Haematology
Investigating the patient with a raised haemoglobin level
Investigating thrombocytosis
An approach to investigating the causes of macrocytosis
Investigating the patient with a raised serum ALP level
An approach to the investigation of vitamin B12 deficiency when folate status is normal
Investigating the causes of normocytic normochromic anaemia
A diagnostic algorithm for patients with cervical lymphadenopathy
A suggested approach to anticoagulation therapy in venous thromboembolic disease
Investigating the patient with a raised haemoglobin level
Diagnosing the cause of thrombocytopenia
Perioperative assessment of iron deficiency in the primary care setting
An approach to investigating elevated serum ferritin levels and potential causes
An algorithm for the identification and management of adults with iron deficiency
Hepatology
Evaluating abnormal liver tests
Investigation of chronic liver disease
Assessment of a child with jaundice
Investigating a patient with acute hepatitis who has HBsAg
Investigating the patient with a raised serum ALP level
Management of acute hepatitis
Management strategies for chronic hepatitis B based on stage of infection
An algorithm for management of patients with gallstone symptoms
Genetic screening for hereditary haemochromatosis
Investigation of a patient with chronic hepatitis B
Management of chronic hepatitis
1. NAFLD and alcoholic liver disease: an approach to patient evaluation
2. NAFLD and alcoholic liver disease: an approach to patient management
1. Chronic hepatitis B and C: an approach to patient evaluation
2. Chronic hepatitis B and C: an approach to patient management
An approach to investigating liver lesions
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Follow-up care of patients after hepatitis C treatment with direct-acting antivirals
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Immunology and allergy
Investigating a child with urticaria
Steps in improving chronically unstable type 1 diabetes in adolescents
Diagnostic algorithm for Sjögren syndrome
An approach to managing allergic rhinitis
An approach to rheumatoid arthritis in general practice
Investigating the patient with suspected allergy
Managing the patient with suspected allergic rhinitis
Managing needlestick injuries from an unknown source
Managing radiocontrast media hypersensitivity
Suggested algorithm for screening patients with scleroderma for PAH and ILD
Laboratory investigations to use in the diagnosis of pertussis
Suggested approach to diagnosis of adverse reactions to foods
An approach to first-line pharmacotherapy for urticaria
An approach to bladder problems in patients with multiple sclerosis
Approaches to managing sick day disturbances secondary to diabetes
An approach to investigating paediatric atopic dermatitis
Suggested diagnostic and treatment algorithm for polymyalgia rheumatica
Managing needlestick injuries from a known source
Management of giant cell arteritis
Allergic diseases
An approach to managing allergic rhinitis
Investigating the patient with suspected allergy
Managing the patient with suspected allergic rhinitis
Managing radiocontrast media hypersensitivity
Suggested approach to diagnosis of adverse reactions to foods
An approach to investigating paediatric atopic dermatitis
Autoimmune diseases
Steps in improving chronically unstable type 1 diabetes in adolescents
Diagnostic algorithm for Sjögren syndrome
An approach to rheumatoid arthritis in general practice
Suggested algorithm for screening patients with scleroderma for PAH and ILD
An approach to bladder problems in patients with multiple sclerosis
Approaches to managing sick day disturbances secondary to diabetes
Suggested diagnostic and treatment algorithm for polymyalgia rheumatica
Management of giant cell arteritis
Algorithm for thyroid hormone replacement in adults with subclinical hypothyroidism due to Hashimoto's thyroiditis
Infectious diseases
Managing patients with ‘the red ear’ and acute otitis media
Suggested early management of immunocompetent patients with shingles
Investigating urinary tract infections in children
Investigating a patient with acute hepatitis who has HBsAg
An approach to investigating recurrent pneumonia in children
Identifying patients in Pneumonia Severity Index (PSI) class 1
Management strategies for chronic hepatitis B based on stage of infection
Managing needlestick injuries from an unknown source
Classification of conjunctivitis by ocular findings
Laboratory investigations to use in the diagnosis of pertussis
An approach to investigating female urinary incontinence
Outcomes of Coxiella burnetii infection
Vaccine and HRIG use after potential exposure to Australian bat lyssavirus
Investigation of a patient with chronic hepatitis B
Managing needlestick injuries from a known source
Suggested management algorithm for patients with acute Q fever
An approach to postherpetic neuralgia treatment
Assessing pregnant women returning from Zika virus endemic areas
1. Chronic hepatitis B and C: an approach to patient evaluation
2. Chronic hepatitis B and C: an approach to patient management
Assessment and management of lactating women presenting with breast pain and possible mastitis
Three questions to consider when urethral symptoms persist or return
An approach to antibiotic treatment of acute uncomplicated bacterial cystitis in women
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Follow-up care of patients after hepatitis C treatment with direct-acting antivirals
1. Current postsplenectomy vaccination recommendations for adults with asplenia/hyposplenia not previously vaccinated
2. Current vaccination recommendations for patients after splenic artery embolisation
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Approach to influenza vaccination in patients with a history of Guillain-Barré syndrome
Vaccination
1. Current postsplenectomy vaccination recommendations for adults with asplenia/hyposplenia not previously vaccinated
2. Current vaccination recommendations for patients after splenic artery embolisation
Approach to influenza vaccination in patients with a history of Guillain-Barré syndrome
Insect and marine animal bites and stings
First aid treatment of tropical jellyfish stings
First aid treatment of marine envenomation
Men’s health
Management of urinary symptoms
Initial management of suspected urethritis in men
An approach to PSA screening
Algorithm for managing chronic pelvic pain in men
Management of phosphodiesterase-5 inhibitor nonresponders
An approach to diagnosing and treating premature ejaculation
LUTS in men: an approach to assessment and management
Treatment of patients with Peyronie’s disease
An approach to the management of men having difficulty ejaculating
Potential effects of increased BMI on fertility in men
A proposed algorithm for the use of MRI in biopsy decision-making
An approach to investigating male subfertility
Suggested framework for managing hypoactive sexual desire disorder in men
Interpretation of initial laboratory results for patients with gynaecomastia
Three questions to consider when urethral symptoms persist or return
Neurology
Pharmacological therapy for Alzheimer’s disease
Sudden bilateral leg weakness: a clinical pathway to diagnosis
Investigating delirium
An approach to managing general deterioration in stroke survivors
Basic investigations to consider in adult patients presenting with muscle weakness
General practice management of blackouts due to syncope or seizure
Early diagnosis and management of dementia in general practice
A diagnostic approach to hallucinations, illusions, delusions affecting older people
Management of a patient with tic disorder
A possible approach to the management of fibromyalgia
Secondary prevention of TIA or ischaemic stroke
Acute treatment of migraine
Transient ischaemic attack: triage and investigation
An approach to bladder problems in patients with multiple sclerosis
Diagnosing the patient with persistent headache
Diagnostic approach to unusual primary headaches
Suggested pathway for investigaton of a patient with confusion
Managing psychological and behavioural symptoms
Suggested pathway for management of a patient with delirum
An approach to postherpetic neuralgia treatment
Access to medicinal cannabis
Managing chronic subdural haemorrhage
Management algorithm for fibromyalgia in primary care
Suggested algorithm for managing patients with neuropsychiatric symptoms associated with dementia
Nutrition
Managing iron deficiency in adolescent females
A guide to managing vegetarian children and adolescents
Suggested clinical pathway for the management of NAFLD
Use of omega-3 fatty acids in treatment and prevention of cardiovascular disease
Types of dietary fats
A summary of ethanol metabolism
Managing hypertension in patients who are otherwise normal
Management options for patients with BMIs of more than 30
An approach to clinical weight management in children and adolescents
Diagnosis and management of patients with functional bowel disorders
Suggested approach to diagnosis of adverse reactions to foods
An approach to managing constipation in the elderly
An approach to the dietary management of irritable bowel syndrome
An algorithm for the identification and management of adults with iron deficiency
Obstetrics and gynaecology
An approach to managing women with overactive bladder
Investigating amenorrhoea
A guide to the differential diagnosis of chronic vulval conditions
Investigating first-trimester bleeding
Simplistic bedside assessment of normal and abnormal vaginal discharges
Screening for and diagnosis of gestational diabetes (26 to 28 weeks)
Investigating hypertension in pregnancy
A guide to investigating secondary amenorrhoea
Skin examination in a pregnant woman with itch
Suggested management of a woman with suspected ectopic pregnancy
Basic investigations for adolescents with heavy menses
Guidelines: rationalising the number of occasions when emergency contraception needs to be considered in women taking combined oral contraceptives
Management of a women using an IUD with strings not visible
Diagnostic approach for women with PCOS
Management for possible or definite LSIL
Potential effects of increased BMI on fertility in men
Missed combined oral contraceptive pill
Management of a woman with missing IUD threads
Differential diagnosis of vulval disease with a symptomatic rash
Differential diagnosis of vulval disease without a (significant) rash or lesion
An approach to the diagnosis and treatment of vulvovaginal pain
Monitoring after gestational diabetes
Management of PCOS
Missed progestogen-only contraceptive pill
Changes in vaginal flora after the menopause
An approach to investigating amenorrhoea
Management of a woman with missing IUC threads
Assessing pregnant women returning from Zika virus endemic areas
A conceptual approach to the causes of itch in pregnant women
A suggested algorithm for management of breastfeeding women with nipple pain
1. Assessment and management of nausea and vomiting in pregnancy
2. Management of gastro-oesophageal reflux in pregnancy
1. Suggested diagnostic algorithm for FASD in patients aged 6 years or older
2. Suggested diagnostic algorithm for FASD in patients aged under 6 years
An approach to management of a woman with missing intrauterine contraceptive (IUC) threads
Missed pill rules
Assessment and management of lactating women presenting with breast pain and possible mastitis
An approach to antibiotic treatment of acute uncomplicated bacterial cystitis in women
A suggested algorithm for selecting menopausal hormone therapy for postmenopausal women
1. Missed combined oral contraceptive pill
2. Missed progestogen-only contraceptive pill
Management of a woman with missing IUD threads
1. Management algorithm for diagnosis/evaluation of premature ovarian insufficiency (POI)
2. Management algorithm for premature ovarian insufficiency (POI)
A guide to contraceptive use for women aged 50 years and over
Contraception
Guidelines: rationalising the number of occasions when emergency contraception needs to be considered in women taking combined oral contraceptives
Management of a women using an IUD with strings not visible
Missed combined oral contraceptive pill
Management of a woman with missing IUD threads
Missed progestogen-only contraceptive pill
Management of a woman with missing IUC threads
An approach to management of a woman with missing intrauterine contraceptive (IUC) threads
Missed pill rules
1. Missed combined oral contraceptive pill
2. Missed progestogen-only contraceptive pill
Management of a woman with missing IUD threads
A guide to contraceptive use for women aged 50 years and over
Menopause
A suggested algorithm for selecting menopausal hormone therapy for postmenopausal women
1. Management algorithm for diagnosis/evaluation of premature ovarian insufficiency (POI)
2. Management algorithm for premature ovarian insufficiency (POI)
Pregnancy
Investigating first-trimester bleeding
Screening for and diagnosis of gestational diabetes (26 to 28 weeks)
Investigating hypertension in pregnancy
Skin examination in a pregnant woman with itch
Suggested management of a woman with suspected ectopic pregnancy
Monitoring after gestational diabetes
Assessing pregnant women returning from Zika virus endemic areas
A conceptual approach to the causes of itch in pregnant women
A suggested algorithm for management of breastfeeding women with nipple pain
1. Assessment and management of nausea and vomiting in pregnancy
2. Management of gastro-oesophageal reflux in pregnancy
1. Suggested diagnostic algorithm for FASD in patients aged 6 years or older
2. Suggested diagnostic algorithm for FASD in patients aged under 6 years
Assessment and management of lactating women presenting with breast pain and possible mastitis
Reproductive medicine
Potential effects of increased BMI on fertility in men
2. Management algorithm for premature ovarian insufficiency (POI)
Occupational health
Managing needlestick injuries from an unknown source
Managing needlestick injuries from a known source
Oncology
Investigating a woman with a breast lump
Screening for bowel cancer – a practical approach
Investigating the patient with a raised serum ALP level
Managing early breast cancer: decisions to be made
An approach to PSA screening
Management of locally advanced breast cancer
Bladder cancer: summary of management
The investigation of a new breast symptom (other than nipple discharge)
Investigation and management of a patient with a thyroid nodule
Bowel cancer screening pathway
Management for possible or definite LSIL
Hormonal therapy options for metastatic breast cancer
A proposed algorithm for the use of MRI in biopsy decision-making
Simplified surveillance guidelines for Barrett’s oesophagus
An approach to diagnosing hereditary colorectal cancer syndromes
Management of locoregional recurrence breast cancer
The investigation of a new nipple discharge
Management of metastatic breast cancer
An approach to the investigation and management of pancreatic ductal adenocarcinoma
Diagnosis and assessment of lymphoedema
1. Simplified investigation and treatment algorithm for colonic adenocarcinoma
2. Simplified investigation and treatment algorithm for rectal adenocarcinoma
Ophthalmology
Management of giant cell arteritis
Diagnosing retinal detachment
Assessment and management of the watery eye
Classification of conjunctivitis by ocular findings
Mechanisms of dry eye syndrome
Mechanisms of dry eye syndrome
Management of giant cell arteritis
Orthopaedics
Guidelines for treating osteoarthritis of the knee
An approach to evaluating the patient with a painful joint
Investigating the patient with a raised serum ALP level
An approach to managing postmenopausal women with or at risk of a fragility fracture
An approach to managing low back pain
An approach to managing patients with knee osteoarthritis
Paediatrics
Managing acute asthma in children ('Australian Asthma Handbook')
Flowchart of preventive treatment for childhood asthma
Investigating the child with proteinuria
Investigating the child with hyperglycaemia
The investigation of a children with recurrent UTIs
Lactational amenorrhoea method of contraception
Investigating a child with urticaria
A guide to managing vegetarian children and adolescents
Assessment of a child with jaundice
A GP’s guide to diagnosing and managing snotty-nosed kids
Managing patients with ‘the red ear’ and acute otitis media
Investigating urinary tract infections in children
An approach to investigating recurrent pneumonia in children
An approach to managing the child who snores
A treatment algorithm for JIA
An approach to clinical weight management in children and adolescents
Assessing an unsettled infant
Management of children with wetting problems
Management of a patient with tic disorder
An approach to clinical weight management in children and adolescents
Juvenile idiopathic arthritis: diagnosis and early management
Preventer therapy in children
An approach to investigating paediatric atopic dermatitis
Suggested steps in the diagnosis of asthma in children
Juvenile idiopathic arthritis: management
1. Suggested diagnostic algorithm for FASD in patients aged 6 years or older
2. Suggested diagnostic algorithm for FASD in patients aged under 6 years
Assessment and management of lactating women presenting with breast pain and possible mastitis
A suggested approach to diagnosing abdominal pain in a child
Classification of the type and severity of nocturnal enuresis
Pain medicine
Treatment options for patients with opioid dependence
Investigating monoarticular or oligoarticular symptoms
An approach to evaluating the patient with a painful joint
Diagnostic approach for suspected PE: low clinical suspicion
Evaluation of possible stable angina pectoris
A possible approach to the management of fibromyalgia
Investigating a patient presenting to the emergency department with chest pain of possible cardiac origin
Acute treatment of migraine
Recommended therapeutic approach to hip and knee osteoarthritis
An approach to diagnosing shoulder problems
An approach to managing low back pain
Diagnosing the patient with persistent headache
Diagnostic approach to unusual primary headaches
An approach to investigating episodes of chest pain potentially due to myocardial ischaemia
An approach to the diagnosis and treatment of vulvovaginal pain
Investigating polyarticular symptoms
Diagnostic approach for suspected PE: intermediate clinical suspicion
Diagnostic approach for suspected PE: high clinical suspicion
An approach to postherpetic neuralgia treatment
An approach to long-term NSAID therapy for musculoskeletal pain
Management of acute and chronic low back pain
Suggested management of patients with regular use of over-the-counter (OTC) codeine
Management algorithm for fibromyalgia in primary care
A suggested approach to diagnosing abdominal pain in a child
Acute pain
An approach to long-term NSAID therapy for musculoskeletal pain
Suggested management of patients with regular use of over-the-counter (OTC) codeine
Addiction and dependence
Treatment options for patients with opioid dependence
Suggested management of patients with regular use of over-the-counter (OTC) codeine
Chronic noncancer pain
Management algorithm for fibromyalgia in primary care
Headache and migraine
Diagnosing the patient with persistent headache
Diagnostic approach to unusual primary headaches
An approach to the diagnostic work up for aneurysmal subarachnoid haemorrhage as a cause of thunderclap headache
Neuropathic pain
An approach to postherpetic neuralgia treatment
Paediatric pain management
A suggested approach to diagnosing abdominal pain in a child
Pain medication
An approach to long-term NSAID therapy for musculoskeletal pain
Management of acute and chronic low back pain
Suggested management of patients with regular use of over-the-counter (OTC) codeine
Pharmacology and therapeutics
Treatment options for patients with opioid dependence
Use of omega-3 fatty acids in treatment and prevention of cardiovascular disease
Smoking cessation strategies for the treatment-resistant smoker
An approach to titrating insulin
Management of phosphodiesterase-5 inhibitor nonresponders
An approach to titrating insulin
Guidelines: rationalising the number of occasions when emergency contraception needs to be considered in women taking combined oral contraceptives
An approach to insulin therapy
Management of hypercholesterolaemia: high-risk individuals with elevated LDL-C, normal TG and normal HDL-C levels
Approaches to managing sick day disturbances secondary to diabetes
Bittoun combination nicotine replacement therapy algorithm
An approach to long-term NSAID therapy for musculoskeletal pain
Access to medicinal cannabis
Management of acute and chronic low back pain
A suggested algorithm for selecting menopausal hormone therapy for postmenopausal women
Suggested management of patients with regular use of over-the-counter (OTC) codeine
Management of a woman with missing IUD threads
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Follow-up care of patients after hepatitis C treatment with direct-acting antivirals
1. Current postsplenectomy vaccination recommendations for adults with asplenia/hyposplenia not previously vaccinated
2. Current vaccination recommendations for patients after splenic artery embolisation
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Psychiatry and psychology
Assessing and managing insomnia in the elderly
Managing patients with mixed depression and anxiety
Investigating delirium
An approach to choosing a psychotherapy for depression
A management guide to insomnia
A staged approach to the detection of young people at risk of psychosis
A stepwise exclusion of disorders to find the cause of psychosis
Early diagnosis and management of dementia in general practice
A diagnostic approach to hallucinations, illusions, delusions affecting older people
Management of a patient with tic disorder
Proposed step-care model for a patient with an anxiety disorder
Recommended management of an adolescent with clinical depression
Assessing and managing social anxiety disorder
Assessment of a patient with insomnia
Managing a young person with mental ill-health
An approach to the pharmacological treatment of schizophrenia
An approach for considering initial treatment in a patient with depression
Suggested pathway for investigaton of a patient with confusion
Suggested pathway for management of a patient with delirum
Managing patients with mixed depression and anxiety
Prominent cognitive–behavioural model of hoarding disorder
Suggested algorithm for managing patients with neuropsychiatric symptoms associated with dementia
Suggested steps for the treatment of PTSD in emergency service workers
1. Holistic assessment protocol used in interpersonal psychotherapy
2. Interpersonal therapy as modular therapy
Anxiety
Managing patients with mixed depression and anxiety
Proposed step-care model for a patient with an anxiety disorder
Assessing and managing social anxiety disorder
Managing a young person with mental ill-health
Managing patients with mixed depression and anxiety
Bipolar disorder
An approach for considering initial treatment in a patient with depression
Dementia
Early diagnosis and management of dementia in general practice
A diagnostic approach to hallucinations, illusions, delusions affecting older people
Suggested algorithm for managing patients with neuropsychiatric symptoms associated with dementia
Depression
Managing patients with mixed depression and anxiety
An approach to choosing a psychotherapy for depression
Recommended management of an adolescent with clinical depression
Managing a young person with mental ill-health
Managing patients with mixed depression and anxiety
1. Holistic assessment protocol used in interpersonal psychotherapy
2. Interpersonal therapy as modular therapy
Psychotic disorders
An approach to the pharmacological treatment of schizophrenia
Public and environmental health
Triage in a mass casualty situation: using the sieve method for initial assessment of each casualty
Managing needlestick injuries from an unknown source
Outcomes of Coxiella burnetii infection
Managing needlestick injuries from a known source
Suggested management algorithm for patients with acute Q fever
Prominent cognitive–behavioural model of hoarding disorder
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Follow-up care of patients after hepatitis C treatment with direct-acting antivirals
Pathways to liver fibrosis assessment in primary care for patients with hepatitis C
Radiology
Investigation of suspected coronary artery disease
Managing radiocontrast media hypersensitivity
Rehabilitation medicine
An approach to managing general deterioration in stroke survivors
An approach to secondary fracture prevention
Renal medicine
Investigating the child with proteinuria
Risk-based management of renal impairment
Investigating pyuria
An approach to investigating chronic kidney disease
Investigating patients with urinary stones
Diagnosing and managing renal artery stenosis
A simplified management algorithm for patients with hyponatraemia
Steps in interpreting an ambulatory blood pressure recording
Respiratory medicine
Managing acute asthma in children ('Australian Asthma Handbook')
Flowchart of preventive treatment for childhood asthma
Chronic cough: a guide to diagnosis and treatment
Assessing and managing insomnia in the elderly
Management of asthma in the elderly
A GP’s guide to diagnosing and managing snotty-nosed kids
Diagnostic approach for suspected PE: low clinical suspicion
An approach to investigating recurrent pneumonia in children
An approach to managing the child who snores
Identifying patients in Pneumonia Severity Index (PSI) class 1
An approach to managing allergic rhinitis
Assessment of a patient with chronic dyspnoea
A management guide to insomnia
Managing the patient with suspected allergic rhinitis
Laboratory investigations to use in the diagnosis of pertussis
Assessment of a patient with insomnia
Preventer therapy in children
Management of young patients with heart failure
Suggested management pathway for patients with acute cough
Suggested management of patients presenting in general practice with asthma exacerbations
Suggested pathway for investigation of the snoring patient
Suggested steps in the diagnosis of asthma in children
Diagnostic approach for suspected PE: intermediate clinical suspicion
Suggested management pathway for patients with chronic cough
Diagnostic approach for suspected PE: high clinical suspicion
Sleep investigations in patients scheduled for elective surgery
A suggested algorithm for the diagnostic work-up of patients with pulmonary hypertension
Asthma
Managing acute asthma in children ('Australian Asthma Handbook')
Flowchart of preventive treatment for childhood asthma
Management of asthma in the elderly
Preventer therapy in children
Suggested management pathway for patients with acute cough
Suggested management of patients presenting in general practice with asthma exacerbations
Suggested steps in the diagnosis of asthma in children
Suggested management pathway for patients with chronic cough
COPD
Assessment of a patient with chronic dyspnoea
Rheumatology
Management of giant cell arteritis
Guidelines for treating osteoarthritis of the knee
Case finding for osteoporosis
Investigating monoarticular or oligoarticular symptoms
An approach to evaluating the patient with a painful joint
Managing patients with knee or hip osteoarthritis
Diagnostic algorithm for Sjögren syndrome
A treatment algorithm for JIA
An approach to rheumatoid arthritis in general practice
An approach to exercise prescription for middle-aged and older individuals
An approach to managing postmenopausal women with or at risk of a fragility fracture
A possible approach to the management of fibromyalgia
Juvenile idiopathic arthritis: diagnosis and early management
Suggested algorithm for screening patients with scleroderma for PAH and ILD
An approach to investigating a patient with osteoporosis
Recommended therapeutic approach to hip and knee osteoarthritis
An approach to diagnosing shoulder problems
An approach to managing low back pain
Suggested algorithm for screening patients with scleroderma for PAH and ILD
Suggested diagnostic and treatment algorithm for polymyalgia rheumatica
Investigating polyarticular symptoms
Juvenile idiopathic arthritis: management
Management of giant cell arteritis
An approach to managing patients with knee osteoarthritis
An approach to the use of urate-lowering drug therapy
An approach to long-term NSAID therapy for musculoskeletal pain
Management of acute and chronic low back pain
Management algorithm for fibromyalgia in primary care
Management algorithm for osteoporosis risk in older people
Arthritis
Guidelines for treating osteoarthritis of the knee
Investigating monoarticular or oligoarticular symptoms
Managing patients with knee or hip osteoarthritis
A treatment algorithm for JIA
An approach to rheumatoid arthritis in general practice
Juvenile idiopathic arthritis: diagnosis and early management
Recommended therapeutic approach to hip and knee osteoarthritis
Investigating polyarticular symptoms
Juvenile idiopathic arthritis: management
An approach to managing patients with knee osteoarthritis
An approach to the use of urate-lowering drug therapy
Sexual health
Management of phosphodiesterase-5 inhibitor nonresponders
An approach to diagnosing and treating premature ejaculation
An approach to the management of men having difficulty ejaculating
Potential effects of increased BMI on fertility in men
Suggested framework for managing hypoactive sexual desire disorder in men
An approach to the diagnosis and treatment of vulvovaginal pain
Three questions to consider when urethral symptoms persist or return
Sports medicine
Assessment of a patient with chronic dyspnoea
Exercise precautions in type 2 diabetes: an approach for patients using insulin and/or secretagogues
Toxicology
First aid treatment of tropical jellyfish stings
First aid treatment of marine envenomation
Travel medicine
First aid treatment of tropical jellyfish stings
First aid treatment of marine envenomation
Assessing pregnant women returning from Zika virus endemic areas
Urology
An approach to managing women with overactive bladder
Management of urinary symptoms
The investigation of a children with recurrent UTIs
Initial management of suspected urethritis in men
Investigating pyuria
Investigating urinary tract infections in children
Bladder cancer: summary of management
Algorithm for managing chronic pelvic pain in men
Management of children with wetting problems
Investigating patients with urinary stones
LUTS in men: an approach to assessment and management
Treatment of patients with Peyronie’s disease
An approach to the management of men having difficulty ejaculating
An approach to investigating female urinary incontinence
An approach to investigating male subfertility
Three questions to consider when urethral symptoms persist or return
An approach to antibiotic treatment of acute uncomplicated bacterial cystitis in women
Classification of the type and severity of nocturnal enuresis
Women’s health
An approach to managing women with overactive bladder
Investigating amenorrhoea
A guide to the differential diagnosis of chronic vulval conditions
Investigating a woman with a breast lump
Lactational amenorrhoea method of contraception
Investigating first-trimester bleeding
Low back pain: a diagnostic triage
Simplistic bedside assessment of normal and abnormal vaginal discharges
A guide to investigating secondary amenorrhoea
Managing early breast cancer: decisions to be made
Management of locally advanced breast cancer
The investigation of a new breast symptom (other than nipple discharge)
Skin examination in a pregnant woman with itch
Suggested management of a woman with suspected ectopic pregnancy
An approach to managing postmenopausal women with or at risk of a fragility fracture
Basic investigations for adolescents with heavy menses
Guidelines: rationalising the number of occasions when emergency contraception needs to be considered in women taking combined oral contraceptives
Management of a women using an IUD with strings not visible
Diagnostic approach for women with PCOS
Management for possible or definite LSIL
An approach to investigating female urinary incontinence
Hormonal therapy options for metastatic breast cancer
Missed combined oral contraceptive pill
Management of a woman with missing IUD threads
Differential diagnosis of vulval disease with a symptomatic rash
Differential diagnosis of vulval disease without a (significant) rash or lesion
A suggested approach to screening for diabetes, the metabolic syndrome and cardiovascular disease in women
An approach to the diagnosis and treatment of vulvovaginal pain
Management of locoregional recurrence breast cancer
The investigation of a new nipple discharge
Management of PCOS
Missed progestogen-only contraceptive pill
Management of metastatic breast cancer
Changes in vaginal flora after the menopause
An approach to investigating amenorrhoea
Management of a woman with missing IUC threads
Assessing pregnant women returning from Zika virus endemic areas
A conceptual approach to the causes of itch in pregnant women
A suggested algorithm for management of breastfeeding women with nipple pain
1. Assessment and management of nausea and vomiting in pregnancy
2. Management of gastro-oesophageal reflux in pregnancy
An approach to management of a woman with missing intrauterine contraceptive (IUC) threads
Missed pill rules
Assessment and management of lactating women presenting with breast pain and possible mastitis
An approach to antibiotic treatment of acute uncomplicated bacterial cystitis in women
A suggested algorithm for selecting menopausal hormone therapy for postmenopausal women
1. Missed combined oral contraceptive pill
2. Missed progestogen-only contraceptive pill
Management of a woman with missing IUD threads
1. Management algorithm for diagnosis/evaluation of premature ovarian insufficiency (POI)
2. Management algorithm for premature ovarian insufficiency (POI)
Proposed diagnostic algorithm based on risk stratification for women with troponin-negative chest pain
A guide to contraceptive use for women aged 50 years and over