Internal medicine journal
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Internal medicine journal · Aug 2021
Impact of Victoria's first dedicated Endocrine Hypertension Service on the pattern of primary aldosteronism diagnoses.
Primary aldosteronism (PA) accounts for 3.2-12.7% of hypertension in primary care but is often diagnosed late, if at all. A delayed or missed diagnosis leads to poor blood pressure control and greater cardiovascular risk. ⋯ The EHS, with its strong component of general practitioner engagement, led to increased primary care referrals and PA detection earlier in the course of hypertension. Referred patients were on fewer antihypertensives and had less end-organ damage which simplified the diagnostic process, allowing targeted treatment to be commenced earlier and patient outcomes optimised.
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Internal medicine journal · Aug 2021
The impact of an online adult headache guideline on headache referrals to neurology clinic.
Headache is a common problem in primary care and one of the main reasons general practitioners (GP) consult the neurology service. We developed an online adult headache guideline (Supporting Information Appendix S1) for the greater Wellington Region as a resource for GP to guide identification of concerning headaches, initiation of prophylactic medications for migraine and management of analgesic overuse headache. ⋯ The launch of an online headache guideline was associated with a reduction in demand on neurology service. Further education could improve the utilisation of this guideline, to avoid delays in prophylactic treatment and reduce the harm of medication overuse.
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Internal medicine journal · Aug 2021
Letter Case ReportsSARS-CoV-2 infection in autologous stem cell transplantation.