Case of the Month
A 4-Year-Old Child With Recurrent Chest Pain
A 4-year-old child is brought to the GP with a history of recurrent chest pain and offensive-smelling stools. On physical examination, finger clubbing is noted. The child’s growth appears slightly below average for age, and the mother mentions that he has frequent...
A 63-Year-Old Woman With Progressive Dysphagia
A 63-year-old woman presents with a history of progressive difficulty swallowing and pain when swallowing. She notes that the symptoms occur with both solids and liquids. The dysphagia has gradually worsened over time. A barium swallow study is performed, which...
A 67-Year-Old Man With Painless Haematuria
A 67-year-old man presents with painless haematuria that has persisted for several weeks. He denies any associated symptoms such as dysuria, fever, or flank pain. He reports a mild increase in urinary frequency but no urgency or nocturia. He has a past medical history...
A 60-Year-Old Woman with a History of Weight Loss
A 60-year-old woman has a history of weight loss, poor appetite and intermittent diarrhoea. What is the most likely diagnosis?
A 42-Year-Old Man With a Longstanding History of Alcohol Abuse
A 42-year-old man with a longstanding history of alcohol abuse presents with tiredness, shortness of breath and marked abdominal distension. A photo of his abdomen is shown below: 1. What is the most likely cause of the abdominal distension in this case? This patient...
A 14-Year-Old Boy with Hip Pain
A 14-year-old boy presents with a 3-day history of pain in his anterior right thigh and anterior pelvic region that is worse on walking. The pain started in a football match. The pain started after a sudden change of direction whilst sprinting for the ball in the...
A 5-Year-Old Boy Who Has Taken His Grandmother’s Tablets
A 5-year-old boy is brought into the Emergency Department by his grandmother, who is very concerned because he swallowed two of the tablets that she takes for her rheumatoid arthritis. She shows you the packet, and you can see that he has ingested two...
Testicular Pain in a Young Man
An 18-year-old man presents with acute, severe testicular pain, abdominal pain, and vomiting. On examination, his testis is too tender to touch. He tells you that he had a brief episode of testicular pain three weeks ago, but it resolved spontaneously after about 30...
An Unexpected Delivery
A 27-year-old woman who is full-term pregnant is rushed to the Emergency Department by her husband with abdominal pain. She is taken to a cubicle, and you are asked to assess her. Upon entering the cubicle, you discover that she has given birth to a baby girl, who is...
A 30-Year-Old Man With a Neck Mass
A 30-year-old man presents with a 4 cm mass on the left side of his neck. He mentions that the swelling has been present for several months and was previously treated with antibiotics for what was thought to be an infection, but the mass has persisted. There is no...
