Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Distinguishing normal from abnormal: Is it a genital ulcer, chancre or something else?
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PRACTICE
Distinguishing normal from abnormal: Is it a genital ulcer, chancre or something else?
Wednesday 8 April 2020, 12:30 AM

Syphilis infection in heterosexual males and females is becoming more common
SEXUAL HEALTH
Infectious disease and sexual health specialist Massimo Giola highlights the importance of preparation and practice for performing genital examinations, particularly since there is a syphilis epidemic here in New Zealand
Key points, It may be appropriate to presumptively treat a genital ulcer as a chancre before a serologic diagnosis of syphilis is made – use intramuscular benzath
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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