Internal Medicine Journal
The Internal Medicine Journal is the official peer-reviewed publication of the College's Adult Medicine Division.
RACP members and staff have full access to Journal articles online, as well as Accepted Articles (unedited but citable articles available before publication in an issue).
Member access
The public can view Internal Medicine Journal abstracts online and have the option to purchase full-text articles from the Wiley Online Library.
Latest Issue
Internal Medicine Journal: Volume 56, Issue 8, August 2026
In this issue:
- Bone health with neuromuscular disorders
- Thirst in critically ill patients
- Neurological paraneoplastic syndromes
- Lung cancer treatment among indigenous and non‐indigenous patients
- Essential medications in palliative care
- Australasian chronic lymphocytic leukaemia consensus
View journal
Editor's choice
Clinical approach to neurological paraneoplastic syndromes
In this issue:
- Neurological paraneoplastic syndromes are rare, immune-mediated disorders that are difficult to diagnose because symptoms usually appear before the underlying malignancy is detected.
- Accurate diagnosis relies on recognising clinical phenotypes associated with a paraneoplastic cause, such as limbic encephalitis, rapidly progressive cerebellar syndrome and Lambert Eaton myasthenic syndrome, alongside detection of an anti-neuronal antibody.
- Anti-neuronal antibody testing is valuable but has limitations, with false negatives possible if only serum or CSF is tested and false positives more likely when pre-test probability is low.
View editor's choice (PDF)
Spotlight
Dr Paul Bridgman
Editor-in-Chief
Paul is from Otago in the south of New Zealand. After training in Edinburgh and Boston he returned to
Aotearoa as a general and echo cardiologist.
Paul is now Clinical Director of Cardiology in
Christchurch. He is highly involved with the Cardiac Society and with the RACP. He has been both Chairman and Treasurer of the Cardiac Society in Aotearoa.
Following the Christchurch
earthquakes, Paul gained extensive media coverage for his research interest in broken heart
syndrome.
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