Clinical utility of (99m Tc)-TRODAT-1 scans to differentiate Parkinsonian syndromes: case studies and commentary.

abstract：:A case of metformin encephalopathy is presented in a patient on haemodialysis for end-stage diabetic renal failure. The patient presented with frequent falls and clinical signs of Parkinsonism, on a background of recent anorexia and significant weight loss. Magnetic resonance imaging showed bilateral, symmetrical abno...

journal_title：Internal medicine journal

authors： McGarvey C,Franconi C,Prentice D,Bynevelt M

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND:Pulmonary embolism (PE) is associated with significant morbidity and mortality. PE is a heterogeneous entity that causes a wide variety of clinical presentations, making it imperative to establish which clinical symptoms, signs and biomarkers can influence the pretest probability of PE to aid clinicians and ...

journal_title：Internal medicine journal

authors： Sethwala A,Wang X,Sturm EE,Collins KL,O'Donnabhain R,Friedman ND

更新日期：2018-01-01 00:00:00

abstract：:The enthusiasm for evidence-based medicine (EBM) has not been accompanied by the same success in bridging the gap between theory and practice. This paper advances the hypothesis that the phenomenon psychologists call hypocognition may hinder the development of EBM. People tend to respond to frames rather than to facts...

journal_title：Internal medicine journal

authors： Mariotto A

更新日期：2010-01-01 00:00:00

abstract：:A 75-year-old man of Fijian-Indian extraction complained of a 3-year history of progressive right knee pain and stiffness which were limiting his mobility. On examination, multiple hard nodules were palpable in the popliteal fossa and along the path of the quadriceps tendon. The joint line was not tender, knee flexion...

journal_title：Internal medicine journal

authors： Langguth DM,Klestov A,Denaro C

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:Our previous work identified deficiencies in stroke care practices at regional hospitals in comparison to standards suggested by published stroke care guidelines. These deficiencies might be improved by the implementation of clinical pathways. The aim of this study was to assess changes in acute stroke care ...

journal_title：Internal medicine journal

authors： Read SJ,Levy J

更新日期：2006-10-01 00:00:00

abstract：:A cross-sectional survey of 265 adult patients with haematological malignancy, haemoglobinopathy or human immunodeficiency virus was performed to determine the potential risk of infection from animal exposures. One hundred and thirty-seven (52%) owned an animal; the majority were dogs (74%) and cats (39%), but 14% own...

journal_title：Internal medicine journal

authors： Gurry GA,Campion V,Premawardena C,Woolley I,Shortt J,Bowden DK,Kaplan Z,Dendle C

更新日期：2017-03-01 00:00:00

abstract：:Undiagnosed pheochromocytoma in pregnancy is associated with significant maternal and foetal mortality. Herein we reviewed five cases of pheochromocytoma in pregnancy occurring during late pregnancy. The mean age at presentation was 30.6 years, and the gestational age ranged from 26 to 36 weeks. All patients had eleva...

journal_title：Internal medicine journal

authors： Song Y,Liu J,Li H,Zeng Z,Bian X,Wang S

更新日期：2013-05-01 00:00:00

abstract：:Mechanical ventilation as a resource is limited and may lead to poor outcomes in at-risk populations. Critical care supports may not be preferred by those at risk of deterioration in the COVID-19 setting. Patient-centred communication and shared decision-making should continue to remain central to clinical practice. ...

journal_title：Internal medicine journal

authors： Simpson N,Milnes S,Steinfort D

更新日期：2020-06-01 00:00:00

abstract：:Despite the increasing use and costs associated with external management consultancy for healthcare improvement, there is a paucity of formal evaluations examining impact. This paper aims to: (i) discuss the potential benefits and disadvantages of external consultancies in addressing complex healthcare challenges and ...

journal_title：Internal medicine journal

authors： Skouteris H,Kirkpatrick I,Currie G,Braithwaite J,Teede H

更新日期：2019-11-01 00:00:00

abstract：:This study aimed to identify the incidence of perioperative acute upper gastrointestinal bleeding (UGIB) in our hip fracture patients; to evaluate the characteristics, management and clinical outcomes of these patients; and to explore risk factors and protective factors. Of the 1691 consecutive patients admitted for s...

journal_title：Internal medicine journal

authors： Liu J,Gupta R,Hay K,Pulle C,Rahman T,Pandy S

更新日期：2018-06-01 00:00:00

abstract：:Echocardiography is the mainstay of cardiovascular diagnostics, and is the most performed test for the evaluation of cardiac function. Critical and costly management decisions are based on quantification of left ventricular volumes and ejection fraction. Recent advances in echocardiography, such as microsphere contras...

journal_title：Internal medicine journal

authors： Hudaverdi M,Hamilton-Craig C,Platts D,Chan J,Burstow DJ

更新日期：2010-07-01 00:00:00

abstract：:Prior randomised studies of immunoglobulin replacement therapy have studied mixed populations with or without a history of infections. Immunoglobulin therapy is expensive and in limited supply suggesting that optimising patient selection is of value. In this retrospective study, infection history identified high-risk ...

journal_title：Internal medicine journal

authors： Paxton L,Hawkins C,Crispin P

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:Informed consent is a mainstay of clinical practice, with both moral and legal forces. Material disclosure about extreme treatments, however, is unlikely to convey the full impact of the experience of treatment. Informed consent may be flawed under such circumstances. The aims of this study were to compare e...

journal_title：Internal medicine journal

authors： Little M,Jordens CF,McGrath C,Montgomery K,Lipworth W,Kerridge I

更新日期：2008-08-01 00:00:00

abstract：:The author, a physician in late middle age reflects on his own medical career, the aging of those who have taught him and also of those whom he has taught. He describes the sense of ennui and déjà vu. The things that seemed important as a younger doctor seem less important. He has adopted a different paradigm and has ...

journal_title：Internal medicine journal

authors： Allen RK

更新日期：2006-12-01 00:00:00

abstract：AIMS:The aim of this study was to provide the first population-based descriptions of typical sleep duration and the prevalence of chronic sleep restriction and chronic sleepiness in community-dwelling Australian adults. METHODS:Ten thousand subjects randomly selected from the New South Wales electoral roll, half aged ...

journal_title：Internal medicine journal

authors： Bartlett DJ,Marshall NS,Williams A,Grunstein RR

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Since 1995 patients with relapsed aggressive non-Hodgkin lymphoma have been treated with high-dose chemotherapy (HDC) instead of standard dose chemotherapy (SC) because of superior survival shown in the 'Parma study'. As HDC involves hospital admission and intensive supportive care, the cost of HDC would be ...

journal_title：Internal medicine journal

authors： Prajogo J,Neil A,Duke J,Zhang H,Stokes B,Rowlings P

更新日期：2009-08-01 00:00:00

abstract：BACKGROUND:Effective clinical handover has always been integral to delivering safe, high-quality care in medical wards. AIM:As handover activity increases in importance we wanted to explore the experience of physicians and trainee doctors. There is little research on internal medicine handover with even less based on ...

journal_title：Internal medicine journal

authors： Donnelly S,Dinesh D,Dew K,Stubbe M

更新日期：2019-05-01 00:00:00

abstract：:Neuroimaging in dementia has focused on documenting any burden of vascular disease or excluding any reversible intracranial pathology. We review the use of computed tomography to examine for medial temporal lobe atrophy in dementia and compare this with a case series of such measurements from our memory clinic. Measur...

journal_title：Internal medicine journal

authors： Rose M,Scharf S

更新日期：2008-02-01 00:00:00

abstract：:Risk factors for venous thromboembolism in cancer vary between tumours. Leucocytosis, thrombocytosis, tumour histology and vascular compression may drive thrombosis in ovarian cancer. Thrombosis developed in 13.4% of our patients. Higher median leucocyte, neutrophil and monocyte counts were related to thrombosis. Thro...

journal_title：Internal medicine journal

authors： López-Salazar J,Ramírez-Tirado LA,Gómez-Contreras N,Pacheco-Bravo I,Cortés E,Gallardo D,Arrieta O,Cesarman-Maus G

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Guidelines recommend screening for strongyloidiasis prior to immunosuppression in those at epidemiological risk, as hyperinfection following immunosuppression is often fatal. The uptake of this recommendation is unknown, and we aimed to explore this in our setting. AIMS:Determine the proportion of adult pat...

journal_title：Internal medicine journal

authors： Muhi S,Ko DK,McGuinness SL,Biggs BA,Mahanty S,Delany C

更新日期：2020-07-20 00:00:00

abstract：BACKGROUND:Medical school and resident training programmes offer different learning opportunities and outcomes. The aim of the study was to assess medical student and intern experience in common clinical procedures. METHODS:Interns employed in a metropolitan teaching hospital from 2000 to 2004 completed a survey of ex...

journal_title：Internal medicine journal

authors： Boots RJ,Egerton W,McKeering H,Winter H

更新日期：2009-04-01 00:00:00

abstract：:There is accumulating evidence that point-of-care delivery of clinical information such as evidence-based medicine, practice guidelines and drug information can streamline clinical practice and reduce preventable errors. In Australia, hospital-based physicians have -generally been slow to fully use these resources to ...

journal_title：Internal medicine journal

authors： Wilcox RA,Whitham EM

更新日期：2003-11-01 00:00:00

abstract：:This paper uses a case example to review the current legal status of advance directives, as well as their ethical rationale. We draw attention to ongoing efforts to institutionalize advance directives, and to some of the tractable and intractable reasons why advance directives are ineffective. We then introduce the co...

journal_title：Internal medicine journal

authors： Jordens C,Little M,Kerridge I,McPhee J

更新日期：2005-09-01 00:00:00

abstract：:Over the last 20 years, clinical medicine has witnessed rapid expansion in its underlying evidence base, greater demand for accountability in clinicians' use of limited resources and increasing societal expectation for health care that confers proven benefit at reasonable cost to all eligible recipients. Health servic...

journal_title：Internal medicine journal

authors： Scott I,Campbell D

更新日期：2002-03-01 00:00:00

abstract：:Sodium-glucose co-transporter 2 inhibitors (SGLT2i) are an increasingly prescribed class of medication for type 2 diabetes mellitus. Euglycaemic diabetic ketoacidosis (euDKA) has been reported in association with SGLT2i use. Clinicians need to understand how to recognise and treat this complication. We describe three ...

journal_title：Internal medicine journal

authors： Isaacs M,Tonks KT,Greenfield JR

更新日期：2017-06-01 00:00:00

abstract：:5-aminosalicylates (5-ASA) remain an important strategy in the induction and maintenance of remission of inflammatory bowel diseases especially in ulcerative colitis. The prototypical drug of this class, sulfasalazine is generally well tolerated with severe hypersensitivity reactions and hepatotoxicity also described ...

journal_title：Internal medicine journal

authors： Kong LM,Fok KC,Tsui A,Qian C,Fisher L

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:There is a high risk of developing venous thromboembolism (VTE) following total knee arthroplasty (TKA). Conventional thromboprophylactic agents have limitations, such as route of administration, the need for monitoring, narrow therapeutic windows and interactions. Apixaban is a new oral anticoagulant with t...

journal_title：Internal medicine journal

authors： King DA,Pow RE,Dickison DM,Vale PR

更新日期：2016-09-01 00:00:00

abstract：BACKGROUND:There is little research and no clear guidelines for clinicians to follow when instructing patients with advanced disease about driving. AIMS:To investigate current practice in providing advice to patients with advanced disease and identify areas of consensus or variation with the Australian driving guideli...

journal_title：Internal medicine journal

authors： Weir N,Fischer A,Good P

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Poor lung function is a predictor of future all-cause mortality. In Australia, respiratory diseases are particularly prevalent among the indigenous population, especially in remote communities. However, there are little published pulmonary function tests' (PFT) data of remote-based adult indigenous patients....

journal_title：Internal medicine journal

authors： Schubert J,Kruavit A,Mehra S,Wasgewatta S,Chang AB,Heraganahally SS

更新日期：2019-02-01 00:00:00

abstract：BACKGROUND:Management of adrenal incidentalomas (AI) is becoming more conservative, based on international data showing a low incidence of functional or malignant lesions. The clinical characteristics of AI in New Zealand are unknown. Therefore, whether the AI guidelines apply to the New Zealand population is also unkn...

journal_title：Internal medicine journal

authors： Goh Z,Phillips I,Hunt PJ,Soule S,Cawood TJ

更新日期：2018-02-01 00:00:00