What’s behind this hairy, brown lesion?
Patrick, a 14-year-old budding basketball player, presents complaining of an expanding brown patch on the back of his left shoulder. Test your clinical know-how by…
Dr Paul Muthiah
Dr Muthiah is a GP on the Central Coast of NSW and medical co-editor of Australian Doctor.
How to look like the most switched-on GP ever
I often wonder whether many of my patients simply consider me a nag, a fly in their ear constantly buzzing about things they need to…
What brought on this crater-like lesion?
Tracey, a 55-year-old truck driver, presents with an ulcerative lesion on her right shin.
The ‘Cover Your Ass’ approach to chest pain
I’ve been fortunate that for much of my life as a doctor, I’ve had nursing staff on standby to perform an ECG when the dreaded…
What’s causing this crop of papules?
Tristan, a 34-year-old optician, presents with a recent onset of a pruritic, yellow and erythematous rash on his left shoulder.
What’s behind this patient’s dry cough?
Jaxon, a 44-year-old police officer, presents with a chronic dry cough, dyspnoea, haemoptysis, left-sided pleuritic chest pain and a recent low-gra…
I’m slashing bulk-billing – what about you?
GPs have the college’s support to charge more patients gap fees, so let's stop whining about Medicare and do it.
Why does this lesion keep coming back?
Ryan, a 60-year-old bus driver, presents asking for a second opinion regarding a recurrent lesion on his chin.
Rapid antigen test chaos rings in the new year
For most of the pandemic Australia has been the benchmark for keeping COVID-19 at bay, with timely testing, high vaccination rates and tight border controls.…
I fear one of my young patients will die tragically
I’ve always taken pride in referring to specialists that I’d gladly see myself, should the unfortunate need ever arise. And, so, it’s really gratifying when a patient returns with glowing reviews of the specialist you sent them…
