September 2020

Peer Reviewed Feature Articles
Obstetrics and gynaecology

Recurrent urinary tract infections. Management in women

Payam Nikpoor, Peter L. Dwyer

For various anatomical and physiological reasons, urinary tract infections (UTIs) are more common in women, with 50% experiencing at least one UTI during their lifetime and 20% having recurrent UTIs.

CPD
Complete 1.5 CPD hours
Pharmacology and therapeutics

Opioid prescribing: what do the 2020 PBS changes mean for GPs?

Hester H.k. Wilson, Fergal Armstrong, Ian G. Thong

TGA and PBS changes that aim to reduce opioid- related harm came into effect on 1 June 2020. Implications for GPs prescribing opioids and treating patients with pain are illustrated by case studies.

CPD
Complete 1.5 CPD hours
Dermatology

Metastatic melanoma: an update on treatment therapies

Fiona Paxton-hall, Victoria Atkinson

Therapies for metastatic melanoma have rapidly evolved over the past decade and include targeted molecular therapies and immunotherapies. However, they have unique toxicity profiles and the treating oncologist, in discussion with the patient and their GP, is best placed to manage these.

Peer Reviewed Regular Series
© ersin tekkol/shutterstock models uded for illustrative purposes only
Clinical case review

A woman with worsening fatigue and menorrhagia

Yu-fang Wu, Arushi Madan, Bernard Champion

With a broad range of potential presenting features and causes, lethargy can pose diagnostic challenges. It is important that GPs investigate and refer appropriately.