Aust Fam Physician
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Fever is among the most frequently reported problems in returning travellers. ⋯ The returned traveller may present with fever and it is important to exclude life threatening conditions such as malaria that may be related to the travel. A complete risk assessment should be undertaken, including a complete travel history, examination and further investigations, to help to narrow the differential diagnosis. Common tropical diseases found include malaria, dengue, enteric fever, rickettsial infections and respiratory infections. General practitioners should be alert to the public health implications of travel related diseases.
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Review Meta Analysis
Traveller's 'funny tummy' - reviewing the evidence for complementary medicine.
The gastrointestinal system is sensitive to both the place and means of travel and traveller's diarrhoea and motion sickness are among the most prevalent travel related conditions. There is now evidence to suggest that both of these ailments may be treated with safe and inexpensive complementary medicines.
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Age related macular degeneration (AMD) is a common condition seen in general practice. Over the past few years, new understanding of the condition has seen the rapid development of increasingly effective treatments. ⋯ Increasingly, AMD sufferers independently source information about the latest treatments. Consequently GPs are likely to hear more questions from their patients regarding treatment options. Antivascular endothelial growth factor drugs show exciting potential for an often debilitating condition. However, early referral and treatment is vital to successful outcomes and GPs can play an essential role in this process. As well, they can serve to provide ongoing information and counselling to their patients with AMD.
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As more people travel, and with an expanding aged population, the number of older travellers, including those with significant medical or physical impairment will increase significantly. ⋯ Factors for consideration are: destination and itinerary; the traveller's current medical condition, state of health, mobility (if impaired), medication, preparation necessary, level of fitness; and assessment of precautions or protection needed for temperature and/or weather extremes, altitude and other influencing factors. The trip conditions, both possible and probable, should be assessed and matched with these factors before booking the trip - long before the planned departure. If the vacation is to be enjoyed, the destination and itinerary must be comfortably achievable within these confines for the individual(s) concerned.