Advanced Parkinson’s disease involves significant motor and nonmotor symptoms that often have conflicting treatment requirements. Management requires a multifaceted and individualised approach, which may include lifestyle, pharmacological and neurosurgical interventions. Input from a multidisciplinary team provides the gold standard for assessment and subsequent optimal management of the condition.
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.
GPs are well placed to recognise the relevant symptoms of retinal detachment, including flashing lights, visual floaters and a shadow in the peripheral visual field, and initiate early referral for diagnosis.
Bronwyn D. Power, William D. Renton, Georgina Tiller
Prompt recognition of the key features of childhood-onset systemic lupus erythematosus by a GP enables early diagnosis and treatment by a paediatric rheumatologist.
Elizabeth Emma Palmer, Nicole Millis, Michelle Farrar, Yvonne Zurynski, Gareth Baynam, Adam Jaffe
People living with a rare disease face common challenges, including diagnostic delay, a lack of clinical knowledge and treatment and fragmented care. New resources and toolkits are available to help GPs provide improved care for patients with a rare disease and their families.
In BriefClinical news with comment from local experts
