Author: Allison Hempenstall

Rheumatic ❤️ Disease

‡ Yesterday I saw a four-year-old boy with school sores. The day before my colleague saw a 16-year-old girl with a fever and knee pain. Last week our visiting paediatric cardiologist saw an eight-year-old girl with a new cardiac murmur. Last month our clinic health worker saw a 25-year-old male receiving...

Ring, ring, why don’t you give me a call?

The phone rings. I wake from a deep sleep slightly panic stricken. It takes me a minute to comprehend that I’m in bed and on the phone to a nurse from an outer island. They run through their patient’s story, requesting advice. It takes me another minute to realise...

Deadly App

Here is a list of apps that we use in our day to day rural and remote medical practice. This is a follow on from our list of online resources we can’t live without! You can check them out here. What apps would you add to the list?  ...

Helpful Resources

Here we’ve complied a list of our favourite online resources. Do you have any you’d add to the list? Primary Health Northern Territory Remote Primary Health Care Manuals Queensland Primary Clinical Care Manual 9th Edition Queensland Chronic Conditions Manual 1st Edition RACGP Redbook Guidelines for preventive activities Chronic Disease Management...

Preventative Medicine: Healthy Kai Kai & Deadly Exercise

As primary healthcare doctors we have the privilege of educating and promoting good health amongst our patients. We know that preventive medicine is essential in reducing the morbidity and mortality of chronic disease including the most commonly seen here in Torres Strait Islanders: cardiovascular disease, diabetes and chronic kidney disease....

The Pressure Is On: Will Australia Adopt New Hypertension Guidelines?

The Evidence: A randomised trial of intensive versus standard blood-pressure control The Summary: The SPRINT trial was a randomised, controlled trial comparing the safety and efficacy of intensive lowering of systolic blood pressure (SBP) to less than 120mmHg, compared with standard management to less than 140mmHg. The study included...

A 7-year-old boy with Omnipresent Oedema

This case has been inspired by events in the Torres Straits and details have been changed to ensure patient anonymity. History A 7-year-old boy presented to the Primary Healthcare Centre one afternoon after school with his grandmother. She was concerned that his eyes had become quite puffy over the...

Two 20-year-old Males with Impending Sense of Doom

  This case has been inspired by events in the Torres Straits and details have been changed to ensure patient anonymity. History It was a quiet afternoon in the Emergency Department when a call came from the Ambulance Office informing us of 000 call from a boat out on...

A 62-year-old Male with Dreadful Dysuria

This case has been inspired by events in the Torres Straits and details have been changed to ensure patient anonymity. History A 62-year-old Male trudged into the Emergency Department on a Friday night. There was a downpour of rain outside as the wind was whistling through the windows and...

Week 6.1 – Sepsis

What is it? Sepsis is defined as life-threatening organ dysfunction secondary to an infection. Early recognition and early management of sepsis is critical. Sepsis kills more than breast or prostate cancer here in Australia. Have a look at this great summary video from JAMA on defining sepsis and septic...