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Interactive quizzes are based on material found in Best Practice Journal and Best Tests. Initially, quizzes are posted out with journals and GPs are invited to submit their answers for CME credits.
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Coeliac disease affects approximately 1 in 100 adults. However, it is often unrecognised as symptoms can be vague and non-specific... View Article
Scabies is a highly contagious skin infestation that can often rapidly spread through households before it is detected. The characteristic... View Article
Primary lactase deficiency, the main cause of lactose intolerance, is estimated to affect 8% of people in New Zealand, with substantially... View Article
Dietary avoidance of cows’ milk is the only management strategy for infants with cows’ milk protein allergy (CMPA). If continued... View Article
The risks and benefits of treatment with inhaled corticosteroids (ICS) are different for individual patients with COPD. There... View Article
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Over the last few editions of Best Tests we have outlined the various sections of the New Zealand Laboratory Schedule. The aim... View Article
Many patients report allergies to antibiotics but often this will be based on vague symptoms or a historical entry in the clinical... View Article
Growing use of azithromycin in New Zealand means that we are in danger of increasing bacterial resistance to macrolide antibiotics,... View Article
Contributed by: Dr Lissa Judd, Occupational Dermatologist, Wellington View Article
Patients with severe immune-mediated inflammatory diseases, e.g. rheumatoid arthritis, Crohn’s disease or psoriasis, often respond... View Article
Wheeze in children aged less than five years has many potential causes. Often it is regarded as the first sign of asthma, however,... View Article
Most cases of “red eye” seen in general practice are likely to be conjunctivitis or a superficial corneal injury, however, red... View Article
Urticaria is a common condition, which is usually non-allergenic, but in the majority of patients a specific cause will not be... View Article
Most patients with suspected allergy can be adequately managed with medicines, appropriate advice and reassurance, without it... View Article
Extensively hydrolysed formula for infants aged under six months and soy formula for infants aged over six months are the first-line... View Article
People with a confirmed diagnosis of coeliac disease must adhere to a life-long gluten-free diet. When first diagnosed, nutritional... View Article
When used and monitored correctly methotrexate can be an effective and safe treatment, however, if an error occurs and it is taken... View Article
Tissue transglutaminase antibodies are the most useful preliminary step for testing people with a clinical picture suggestive... View Article
Clinical assessment of intestinal inflammation can be problematic. Faecal calprotectin can be useful in differentiating between... View Article
The role of laboratory tests in diagnosing lactose intolerance in primary care is limited. In most cases the diagnosis can be... View Article
Rates of HIV infection are increasing in New Zealand, especially among men who have sex with other men. GPs are often the first... View Article
Seasonal allergic rhinitis, more commonly known as hay fever, can have a significant impact on quality of life. Asthma often co-exists... View Article
Tumour necrosis factor (TNF) inhibitors are used in the treatment of rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis,... View Article
Psoriasis is an emotionally and physically debilitating disease which can significantly affect quality of life. Support with psychosocial... View Article
Eczema can have a significant impact on the lives of patients and their families. The aims of treatment are to identify and minimise... View Article
Scabies manifests as an itchy skin rash, as a result of an allergic reaction to the female scabies mite. Infection is easily spread... View Article
Anaphylaxis is a potentially fatal hypersensitivity reaction, characterised by rapid onset of life-threatening respiratory and... View Article
Crohn’s disease and ulcerative colitis are chronic inflammatory bowel diseases. These conditions are usually managed in... View Article
When people are newly diagnosed with coeliac disease, their nutritional status is often compromised, and they may require repletion... View Article
Dr Richard Steele provides some clarification on the issue of which tests are most appropriate for investigating coeliac disease... View Article
Coeliac disease is a common but often unrecognised disorder, affecting about 1 in 100 people. Symptoms of coeliac disease are... View Article
Lactose intolerance affects many adults and children. It is either genetically determined or experienced transiently as a result... View Article
Anti-endomysial (EMA) antibody or anti-tissue transglutaminase (TTG) are the best initial tests for detecting coeliac disease,... View Article