Gurubhaskar Shivakumar, Bianca Cannon, Phoebe Holdenson Kimura, Anthony Harris
The first episode of psychosis marks the first time a person meets the criteria for a psychotic disorder. GPs can empower these patients on their journey towards recovery by understanding the complexities of psychosis and the schizophrenia spectrum, addressing stigma and applying effective engagement and assessment techniques.
Achieving optimal LDL-cholesterol levels after acute coronary syndrome remains a challenge. Current and emerging lipid-lowering therapies include statins, ezetimibe, icosapent ethyl, bempedoic acid and PCSK9 inhibitors. Early and aggressive intervention leads to a greater reduction in cardiovascular disease risk.
Metabolic dysfunction-associated fatty liver disease is increasingly prevalent, and the associated deaths are estimated to increase by 85% in Australia over the next decade. Management and appropriate referral to a specialist are guided by noninvasive liver fibrosis testing and screening for comorbidities.
Fertility returns quickly after pregnancy, increasing the risk of unintended conception. Guidelines support safe contraceptive prescribing after any pregnancy outcome, with clear, nondirective counselling essential for informed choice.
With up to 30% of people in Australia aged over 60 years travelling overseas annually, GPs play a crucial role in assessing fitness to travel, managing chronic diseases, reviewing medications, checking vaccinations are up to date and providing tailored preventive advice.
Melioidosis, an emerging tropical infectious disease caused by soil-dwelling bacteria, kills 10% of Australians who develop symptoms. It primarily affects individuals with predisposing comorbidities, most commonly diabetes. Early recognition and prompt specialist care are essential for survival.
