Issue 1, 2025

The latest edition of Modern Medicine is now available for you to read. We have some great articles featured in this edition:

  • Ethics (CPD) – A prescription with a difference: Gratitude
  • Infectious Diseases – Managing Invasive Fungal Infections in the Immunocompromised patients
  • Dermatology (CPD)– Evaluation & Management of Nail Diseases
  • Cardillo (CPD) – Pulmonary Hypertension: What’s New in diagnosis & Treatment
  • A RoundUp Section & many more….

Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online.

Interstitial Lung Disease: From Initial Investigations to Treatments, Shared Care and Beyond

Interstitial Lung Disease: From Initial Investigations to Treatments, Shared Care and Beyond

Interstitial lung disease (ILD) is characterised by progressive scarring of the lungs, leading to respiratory failure and a high symptom burden. High resolution CT of the chest with prone views is the investigation of choice when assessing for ILD. A low threshold should be applied for investigating patients presenting with persistent cough or dyspnoea with risk factors for ILD including connective tissue disease, occupational exposure, certain drug therapies and a family history. Antifibrotic therapy (nintedanib) for any patients with ILD who exhibit progressive fibrosing features offers an opportunity for improved patient outcomes with early disease identification and access to respiratory services. Blood monitoring is required lifelong for patients taking antifibrotics or steroid-sparing ILD treatments.

Modern Medicine – Issue 1, 2025

Evaluation and Management of Nail Diseases

Evaluation and Management of Nail Diseases

Nail disease is a common presentation in general practice. The most frequent conditions presenting to general practice include onychomycosis, psoriasis, trauma and melanonychia. Recognising the clinical features of the various nail diseases can ensure that patient referrals to a dermatologist are prompt and that diagnosis and treatment are not delayed. Nail disease can be difficult to treat given the anatomy and associated poor penetrance of treatments, and results may take time to occur; thus, having realistic expectations of treatment outcomes and knowing when to refer in treatment failure is important. Patients with longitudinal melanonychia and other features demonstrating dystrophy in the absence of trauma should be promptly referred to a dermatology service.

Modern Medicine – Issue 1, 2025

Managing Invasive Fungal Infections in the Immunocompromised Patient

Managing Invasive Fungal Infections in the Immunocompromised Patient

Invasive fungal infections are a growing problem, particularly in immunocompromised patients, and are associated with increased morbidity and mortality. Most of them are due to Candida species, especially Candida albicans. Invasive candidiasis includes candidaemia, disseminated candidiasis with deep organ involvement and chronic disseminated candidiasis. During the last decades rare pathogenic fungi, such as Aspergillus species, Zygomycetes, Fusarium species and Scedosporium have also emerged. Timely diagnosis and proper treatment are of paramount importance for a favourable outcome. Echinocandins offer a rapid resolution of symptoms with fewer complications and a favourable therapeutic and safety profile.

Modern Medicine – Issue 1, 2025

Pulmonary Hypertension: What’s New in Diagnosis and Treatment?

Pulmonary Hypertension: What’s New in Diagnosis and Treatment?

Pulmonary hypertension (abnormally elevated pulmonary artery pressure; PH) is often identified during investigation of shortness of breath. Most often it is a result of underlying cardiac and chronic respiratory diseases. Diagnostic criteria for PH have changed recently, with a lower mean pulmonary artery pressure of 20mmHg now used to define PH. Although most commonly due to left heart disease, sometimes it is due to chronic pulmonary arterial disease (WHO Group 1 PH), for which targeted pulmonary vasodilators are efficacious. A systematic diagnostic approach is needed to determine the underlying diagnosis, leading to the optimal treatment, often in partnership with an expert PH centre.

Modern Medicine – Issue 1, 2025

A Prescription with a Difference: Gratitude

A Prescription with a Difference: Gratitude

Gratitude is a powerful human emotion. It is derived from the Latin word gratia, meaning gratefulness or thankfulness. In its simplest form, gratitude refers to a ‘state of thankfulness’ or a ‘state of being grateful. Gratitude is quite difficult to define. It is an emotion, attitude, moral virtue, habit, personality trait and coping response. Gratitude creates positive feelings that have been linked to greater resilience and well-being and has been used therapeutically for treating anxiety and depression.

Modern Medicine – Issue 1, 2025

Issue 6, 2024

The latest edition of Modern Medicine is now available for you to read. We have some great articles featured in this edition:

  • Ethics (CPD) – The healing power of relationships
  • Technology – Supercharge your medical practice for efficiency and proitability
  • Orthopaedics (CPD)– Maxillo Fractures in General Practice
  • Endocrinology (CPD) – Skeletal Fragility in Type 2 Diabetes :Assessment and Management
  • A RoundUp Section & many more….

Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online.

RSV: Understanding the Silent Threat and the Power of Prevention

RSV: Understanding the Silent Threat and the Power of Prevention

Respiratory syncytial virus (RSV) is a major yet often overlooked cause of respiratory illness worldwide, especially dangerous to infants, young children and other vulnerable populations. RSV remains a significant contributor to seasonal respiratory infections and severe complications, particularly among high-risk groups. Despite the seemingly mild symptoms, RSV can lead to severe illness and even hospitalisation. The emergence of RSV vaccines promises a substantial advancement in preventive healthcare, highlighting the essential role of vaccination and other preventive measures in reducing RSV’s health impact.

Modern Medicine – Issue 6 2024.

Maxillofacial Fractures in General Practice

Maxillofacial Fractures in General Practice

Maxillofacial fractures are a common presentation within general practice, particularly fractures associated with low-impact trauma, and in rural and remote settings. Recognising the key clinical features of different types of maxillofacial fractures and red flags for urgent referral can help GPs investigate and manage patients with these injuries

Modern Medicine – Issue 6 2024.

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