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by Mukul Modgil
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Send us Fan Mail In this episode, two GPs sit down for a peer-to-peer discussion on non-cystic fibrosis bronchiectasis—a chronic suppurative lung disease that is increasingly recognized as a major cause of chronic cough and recurrent chest infections in general practice. Up to 45% of patients given a clinician-assigned COPD diagnosis may actually lack airflow obstruction or a consistent smoking history, leading to misdiagnosis and inappropriate treatments. We unpack how to recognize, diagnos...
Send us Fan Mail Cat scratch disease is caused by Bartonella henselae — a bacterium carried by cats and their fleas — and it's far more common in general practice than most GPs realise. The classic presentation of tender regional lymphadenopathy after a kitten scratch is easy enough, but 10–15% of patients develop systemic disease involving the liver, spleen, eyes, or nervous system, and in patients over 60 the picture can look nothing like the textbook: think fever of unknown origin, culture...
Send us Fan Mail Are your patients repeatedly presenting with "recurrent boils" in the axillae or groin that just won't resolve with another course of antibiotics or an incision and drainage? It is time to think about Hidradenitis Suppurativa (HS). In this episode of Synapse, we dive into the management of HS—a chronic, debilitating, and frequently misdiagnosed inflammatory skin disorder affecting roughly 0.67% of the Australian population, primarily women. Join our GP hosts as they unpack wh...
Send us Fan Mail What does a positive ANA result actually mean — and when should you have ordered it in the first place? In this episode, an experienced GP educator and a curious colleague sit down to untangle one of the most commonly misused tests in general practice: the antinuclear antibody test. Drawing on Therapeutic Guidelines, UpToDate, and the RACGP literature, they cut through the confusion around ordering, interpreting, and acting on ANA results — and explain why getting this wrong ...
Send us Fan Mail What does it really mean to help someone die well — and how can GPs lead that journey? In this episode, a seasoned GP and a curious registrar sit down to talk through one of the most human — and most underappreciated — parts of general practice: caring for patients as they approach the end of life. Drawing on the RACGP Silver Book, the Australian Family Physician framework for proactive palliative care, and the Australian Government's End-of-Life Pathway for clinicians, they ...
Send us Fan Mail Think gout is just a lifestyle disease you treat with ibuprofen and send home? Think again. In this episode, we unpack why gout is one of the most undertreated chronic diseases in Australian general practice — and what you can do about it today. We walk through the full clinical picture, from that classic 3am big-toe presentation to the easily-missed older woman with inflamed finger joints on a diuretic. We cover how to nail the diagnosis before committing a patient to lifelo...
Send us Fan Mail When a patient walks in with pain in five or more joints, where do you even start? In this episode, we break down one of general practice's most diagnostically challenging presentations — polyarthralgia. From distinguishing inflammatory from non-inflammatory causes, to navigating the investigations minefield, to knowing when to refer and when to watch and wait — we cover it all in a practical, pearl-packed conversation designed for GPs and registrars in the trenches. We tackl...
Send us Fan Mail It's been 40 years since your patient worked on a farm in rural Southeast Asia. They feel fine. You're about to start them on prednisolone. Should you pause? In this episode of Synapse Clinical, we unpack Strongyloides stercoralis — the soil-transmitted worm with a unique trick: it can complete its entire life cycle inside the human host, persisting silently for decades, then turning lethal the moment immunity drops. We cover everything a GP needs to know: who to screen and w...
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Welcome to Synapse, your dedicated audio companion for navigating the vast landscape of Australian General Practice.Are you a medical student, GP registrar, or a practicing GP who learns best by listening? Do you want to turn your commute, workout, or downtime into a productive study session? This podcast is designed for you.Our goal is to make essential written publications and high-yield study materials more accessible, especially for those who are predominantly audio learners. Each episode delves into a topic relevant to Australian General Practice by summarising key articles from publications like the Australian Journal of General Practice (AJGP) or by sharing curated study notes. We aim to break down complex subjects into clear, concise audio summaries to support your learning and exam preparation.Important Information & Disclaimer:AI-Generated Voice: Please be aware that this podcast is produced using an artifici
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