Examining the Evidence 07 May 2019 Dr Michael Tam

Can inhaling 'alco-wipes' ease acute nausea?

In a discussion of GP tips and tricks on an online GP discussion board, several members enthusiastically supported the use of nasal inhalation of ‘alco-wipes’ (sterile isopropyl alcohol pads) for the relief of acute nausea.
News 06 May 2019 Reuters Health

Surgery helps 75% of chronic cough patients

Laparoscopic antireflux surgery is an effective treatment for chronic cough associated with gastro-oesophageal reflux disease, with three-quarters of patients having complete resolution of symptoms, US researchers report.
Specialist Update 30 April 2019 Antony Scholefield

Coroner says 'unnecessary' hemicolectomy had fatal consequences

A patient with a non-malignant bowel lesion who died after an unnecessary right hemicolectomy did not even realise the surgery had been to remove part of his colon, a coroner says. 
Specialist Update 30 April 2019 Reuters Health

Online or phone CBT improves IBS outcomes

Cognitive behavioral therapy delivered by phone or via the web leads to improvements in patient-reported outcomes in irritable bowel syndrome, according to UK research.
Specialist Update 29 April 2019 Clare Pain

New blood test can predict aggressive IBD

Researchers have developed a blood test to diagnose inflammatory bowel disease that is designed to predict whether patients will develop mild or severe disease.
Case Report 15 April 2019 Emma Armstrong, Jackie O’Connor

Exclusive enteral nutrition for a patient with Crohn's

Becky, a 47-year-old mother of two, has had complex Crohn’s disease for 10 years. She has been treated with immunosuppressive therapy, but this was recently ceased after she developed a terminal ileal perforation and abscess.
Opinion 15 April 2019 Kemal Atlay

Is it safe for hep C patients to be transplant donors?

An estimated 180,000 Australians are living with hepatitis C infection. As we know, direct-acting antivirals have revolutionised treatment, leading to a significant drop in liver failure and liver cancers related to the virus.
News 12 April 2019 Sophie Attwood

History: How this sailor's party trick landed him in deep water

American sailor John Cummings wasn’t the sharpest knife in the galley. “In 1799, he had seen a French juggler perform the trick of assumedly swallowing knives of that kind at a public entertainment,” according to a report in the Chicago Tribune.
Therapy Update 22 March 2019 Associate Professor Vicki Kotsirilos

Consider the scope of IBS treatment options

A woman aged 28 presents with common symptoms of irritable bowel syndrome (IBS) that include abdominal discomfort, pain, bloating and irregular bowel habits. She has work-related stress and rushes meals. What are the management strategies to consider?
Case Report 11 February 2019 Dr Allan Wong

Can tranexamic acid stem this patient's anaemia?

Maggie, a 77-year-old female, has had several episodes of severe iron deficiency anaemia since 2006. At times her haemoglobin (Hb) would drop to 80g/L (normal: 120g/L and above) requiring blood transfusions and iron infusions.