A 78-Year-Old Man with Tiredness and Weight Gain
A 78-year-old British gentleman presents with tiredness, poor appetite and weight gain. He has noticed that his voice has become hoarse and deep. His hearing has also worsened over recent months. A photo of the patient is shown below: 1. What is the most likely...
A 38-Year-Old Woman Being Treated for a Paracetamol Overdose
A 38-year-old woman is being treated for a paracetamol overdose with acetylcysteine. Shortly after treatment started, she developed nausea, an urticarial rash and mild wheeziness. 1. What has happened? Show Answer She has developed an anaphylactoid reaction to...
A 46-Year-Old Woman with Symptoms of Paroxysmal Flushing
A 46-year-old woman presents with symptoms of paroxysmal flushing that is most marked after drinking alcohol and coffee. She is also experiencing intermittent episodes of explosive watery diarrhoea, abdominal pain and wheezing. On examination of her abdomen, you note...
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...
