Perspectives

Thyroid hormone replacement therapy in hypothyroidism

Luisa Rosi, Duncan Topliss

Hypothyroidism is a common condition that often requires lifelong thyroid hormone replacement therapy. This treatment is simple, highly effective and safe, but there are many factors to consider to achieve the best outcome.

Thyroid gland disorders

Thyroid nodules: benign or potentially malignant?

Ray Wang, Rosemary Wong

Patients with thyroid nodules are common in clinical practice, but most nodules are benign. The key is avoiding over-investigation of benign nodules while correctly identifying the few that may be thyroid cancer.

Bone and mineral metabolism disorders

Metabolic bone disease in people with chronic kidney disease

Henry Guo, Matthew Damasiewicz, Jasna Aleksova

Fractures in people with chronic kidney disease are common and are associated with high morbidity and mortality. Management includes nonpharmacological strategies, correction of the underlying biochemical disturbances and use of antiosteoporosis therapies.

Obstetrics and gynaecology

Menopausal hormone therapy: tips and pitfalls

Kath Whitton, Rodney Baber

Menopausal hormone therapy is the most effective treatment for bothersome menopausal symptoms experienced by many women at midlife, with few risks and compelling evidence for short- and long-term physical and psychological health benefits.

Perspectives

CT coronary angiography for assessing chest pain

Nick S.R. Lan, Abdul Rahman Ihdayhid, Christian Hamilton-craig
CT coronary angiography is a noninvasive diagnostic modality that has advantages over stress testing for detecting or ruling out coronary artery disease in patients with stable chest pain.
Genetics

New guidelines for cardiovascular genetic testing: what the GP needs to know

Belinda Gray, Christopher Semsarian

Cardiac genetic testing has evolved rapidly, is increasingly available and is becoming part of standard clinical cardiology practice. Important practical considerations are needed before embarking on cardiac genetic testing, and interpretation of results is complex, requiring multidisciplinary input.