Lower urinary tract symptoms are common among older men and often linked with benign prostatic enlargement. Lifestyle modifications, pharmacological treatments and, when necessary, surgical interventions can help alleviate symptoms and improve quality of life.
Hidradenitis suppurativa remains underdiagnosed and can be misdiagnosed as recurrent infections. Early identification and proactive management in primary care are crucial to prevent complications.
Hamish Fibbins, Scott Teasdale, Rachel Morell, Andrew Watkins, Jackie Curtis
People with severe mental illness have a shorter life expectancy than the general population, predominately because of physical health conditions. The Mindgardens Adult and Adolescent Positive Cardiometabolic Resource and Tobacco Treatment Resource frameworks are practical tools for physical health screening and interventions in people with severe mental illness.
The use of menopausal hormone therapy in women with significant cardiovascular disease is still debated. This article reviews when, how and for whom menopausal hormone therapy is appropriate.
Treatment gaps exist between guideline recommendations for lipid goals and clinical practice, and implementation strategies are needed to optimise lipid management. Novel therapies in clinical trials could expand the options for lipid-modifying treatment in the future.
The diagnosis of large hiatus hernias is difficult owing to the nonspecific symptoms caused by gastric entrapment. Assessment and ongoing care, along with an appropriate referral strategy for these patients, remain the responsibility of the GP.
Conor Larney, Laxmi Iyengar, Nisal Punchihewa, Stephen Shumack, Peter Foley
Topical corticosteroids remain the mainstay of treatment for inflammatory dermatoses because of their efficacy and rapid onset of action. However, appropriate selection of potency, vehicle and duration of use is crucial to minimise complications.