GP Voice

voice of general practice

Women’s Health

Abbreviated breast MRI – what is it?

22nd June 2019, Spectrum Medical Imaging Dynamic contrast enhanced breast – MRI must contain a minimal number of MRI sequences that is necessary to detect small enhancing breast lesions. What if we cut down the number of sequences but yet have enough accuracy to detect…

Posted in Spectrum, Surgery, Women's Health | Tagged , , | Comments Off on Abbreviated breast MRI – what is it?

Ramadan is here – do we need to do anything different with patients with diabetes?

13th May 2019, Dr Chee L Khoo Ramadan is the holy month for Muslims, falling in the ninth lunar month in the Islamic calendar year. Because the timing of Ramadan is linked to the sighting of the new moon, the timing of this month varies….

Posted in Diabetes, Obesity & Metabolism, Women's Health | Tagged , , , | Comments Off on Ramadan is here – do we need to do anything different with patients with diabetes?

Low birth weight and future cardiovascular risk – how are they connected?

13th April 2019, Dr Chee L Khoo We know that overweight children have higher future risk of cardiovascular disease and diabetes.  Ironically, babies who are small at birth or during infancy also have increased rates of cardiovascular disease and diabetes as adults. It is thought…

Posted in Diabetes, Obesity & Metabolism, Paediatric, Women's Health | Tagged , , , , , , | Comments Off on Low birth weight and future cardiovascular risk – how are they connected?

Can drugs and supplements improve sperm quality?

12th March 2019, Dr Chee L Khoo When couples present for investigations of infertility, semen analysis is one of the earliest investigations we order. Every so often, the results come back with reduced sperm numbers, motility or normal forms. It is frustrating as a GP…

Posted in Women's Health | Tagged , , , , | Comments Off on Can drugs and supplements improve sperm quality?

The role of breast MRI in breast cancer detection

Many countries now recommend annual MRI screening in conjunction with mammography for high risk groups. The only problem is that different countries define high risk differently. Medicare item 63464 can be used for the surveillance and diagnosis of women under 50 years of age at high…

Posted in Spectrum, Women's Health | Tagged , , | Comments Off on The role of breast MRI in breast cancer detection

Metformin in Pregnancy – first do no harm?

27th February 2019, Dr Chee L Khoo Primum non nocere (first do no harm) is quite an appropriate term when is comes to managing pregnant women who either have dysglycaemia or are at risk of dysglycaemia. While there is no question that hyperglycaemia during pregnancy…

Posted in Diabetes, Obesity & Metabolism, Women's Health | Comments Off on Metformin in Pregnancy – first do no harm?

Undiagnosed pelvic pain – is it pelvic congestion syndrome?

22nd December 2018, Dr Chee L Khoo Endometriosis is the most frequently diagnosed condition in women with chronic pelvic pain. What if they can’t find endometriosis on laparoscopy? In 60% of women with chronic pelvic pain, the cause remained unknown. A significant proportion of these…

Posted in Spectrum, Women's Health | Tagged , , , | Comments Off on Undiagnosed pelvic pain – is it pelvic congestion syndrome?

Anti-phospholipid antibodies – how much do you know?

27th November 2018, Dr Chee L Khoo I recently saw a young lady whose mother had anti-phospholipid syndrome (APL) . She is now worried whether she has the same problem and request some blood tests. She is otherwise fit and healthy. Sure, among other things,…

Posted in Internal Medicine, Women's Health | Tagged , , , , , , , | Comments Off on Anti-phospholipid antibodies – how much do you know?

GDM Diagnosis & Management – SWS leading the way

8th November 2018, Dr Chee L Khoo When there is so much talk about gestational diabetes (GDM), you can’t help but think that just about every pregnant woman has GDM in south west Sydney (SWS). After all, if you look at the “high risk” group…

Posted in Diabetes, Obesity & Metabolism, Useful GP Resources, Women's Health | Tagged , , , , , , , | Comments Off on GDM Diagnosis & Management – SWS leading the way

PCOS diagnosis – an end to the dog breakfast?

11th October, 2018, Dr Chee L Khoo The original diagnostic criteria for polycystic ovary syndrome (PCOS) put forward after the first international conference on PCOS in 1990 was oligo-anovulation and hyperandrogenism or hyperandrogenaemia in the absence of all other endocrinopathies. This was based on expert…

Posted in Diabetes, Obesity & Metabolism, Women's Health | Tagged , , , , | Comments Off on PCOS diagnosis – an end to the dog breakfast?

Prenatal programming – can it affect offspring mental outcomes?

11th October 2018, Dr Chee L Khoo Epigenetics is the modification of the DNA that changes a gene’s expression without altering the nucleotide sequence. DNA methylation and histone modifications are the most commonly studied epigenetic mechanisms by which cell structure and function can be altered…

Posted in Mental Health, Women's Health | Tagged , , , , | Comments Off on Prenatal programming – can it affect offspring mental outcomes?

3D Mammogram – is there a role in clinical practice?

30th September, 2018, Dr Chee L Khoo There is no question that screening mammograms have led to a decline in late stage breast cancers. There have been a gradual decrease in breast cancer mortality, at least partly, due to the introduction of screening mammograms over…

Posted in Spectrum, Women's Health | Tagged , , , , , | Comments Off on 3D Mammogram – is there a role in clinical practice?

Medical Imaging Campbelltown

GPs wanted

Healthpathways seeking GP Editors. Click here for more details

Spectrum Radiology

Articles by Categories

Copyright © 2019 GP Voice