#24 Chlorhexidine versus Iodine – The Battle of the Antiseptics

By Dr. Daniel Aronov Daniel is available for talks, workshops or seminars Before any sort of surgery, its routine to clean the skin with antiseptic. The point is to kill the microorganisms on the skin and so hopefully reduce the chance of infection. The two most common preoperative skin antiseptics are povidone-iodine and chlorhexidine.  Both… Continue reading #24 Chlorhexidine versus Iodine – The Battle of the Antiseptics

#23 Dust mite avoidance for asthma

Dr. Daniel Aronov Does dust mite avoidance improve asthma?  Asthmatics are commonly advised to do things to reduce dust mites in their environment: vacuum regularly, wash the curtains, avoid soft toys, wash bed linen regularly, etc. This is because there is a strong association between asthma and house dust mite allergy: Around 65% of asthmatics… Continue reading #23 Dust mite avoidance for asthma

#22 Subclinical hypothyroidism in pregnancy

Dr. Daniel Aronov A pregnant woman has come to you for her first antenatal appointment. She’s perfectly healthy with no signs or symptoms of thyroid disease. You arrange the gamut of blood tests: full blood exam, blood group, HIV, etc., but do you also check her Thyroid Stimulating Hormone levels (TSH) to screen for thyroid… Continue reading #22 Subclinical hypothyroidism in pregnancy

#21 Steroids for acute urticaria

By Dr. Daniel Aronov A patient presents with acute urticaria (hives) and after your comprehensive assessment, you decide to give them an antihistamine. But do you also give them a corticosteroid? Maybe some prednisolone to speed up the recovery from their hives? It’s a pretty common practice, in a study of one emergency department in Italy,… Continue reading #21 Steroids for acute urticaria

#20 Evidence Based Pearls for Respiratory Tract Infections

Dr. Daniel Aronov This episode is a live broadcast from a lecture given at the Royal Australian College of General Practitioners conference. It is a collection of my favourite evidence-based clinical pearls for the most common presentation in primary care: respiratory tract infections. We’ll cover antibiotics for otitis media, sore throat and bronchitis, steroids for… Continue reading #20 Evidence Based Pearls for Respiratory Tract Infections

#19 Does high cholesterol CAUSE cardiovascular disease?

This episode takes a deep dive into the evidence for and against the lipid hypothesis. The lipid hypothesis states that abnormal blood cholesterol levels cause cardiovascular disease. But is this true? Does high LDL (“bad cholesterol”) and/or low HDL (“good cholesterol”) actually CAUSE cardiovascular disease or is it just an association? This episode was recorded… Continue reading #19 Does high cholesterol CAUSE cardiovascular disease?

#18 Which antihypertensive is best? The ALLHAT trial

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The ALL-HAT trial is by far the most important clinical trial ever done in the management of hypertension. It answers the question: Which class of antihypertensive medication is the best for reducing cardiovascular disease? And it is the definitive source for the answer. They randomised a whopping 42,000 patients to get one of the four antihypertensive… Continue reading #18 Which antihypertensive is best? The ALLHAT trial

#17 Honey for cough

Honeycombs with spoon

By Dr. Daniel Aronov On average, children get about 8 upper respiratory tract infections per year. Most of which involve a cough which can be a nuisance. It can ruin the child’s sleep and the parents sleep and it can also be very distressing for the parents. A survey found that one of the common… Continue reading #17 Honey for cough

#16 The best way to quit smoking according to science

Human fist breaking cigarettes on white background

By Dr. Daniel Aronov 14.5% of Australian adults smoke cigarettes – this is down from 22.4% at the turn of the century. The rates are similar in the US but much higher across Europe – with an average closer to 30%. There’s pretty much nothing we can do for a smoking patient that would improve… Continue reading #16 The best way to quit smoking according to science

#15 Preventing allergies – the LEAP study

There’s no doubting that allergies are on the rise. We know it because when we were in school it was pretty rare, but for kids in school nowadays its all too common. The United States, who have been collecting data on the rates of peanut allergy over time, found that in 1997, 0.4% of people… Continue reading #15 Preventing allergies – the LEAP study