A 50-Year-Old man with a Painful, Swollen Leg

A 50-Year-Old man with a Painful, Swollen Leg

A 50-year-old man presents with a painful, red, swollen lower left leg that started a few days after he suffered a small abrasion to his ankle working in his garage. The area is warm to the touch, and he currently has a temperature of 38.2°C. He has no other past...
Seizures in Pregnancy

Seizures in Pregnancy

A 24-year-old woman who is 37-weeks pregnant is brought to the Emergency Department because she is experiencing severe headaches, visual disturbance and abdominal pain. Shortly after arriving, she collapsed and has a seizure. Her husband states she has been treated...
A 56-Year-Old Smoker with Haematuria

A 56-Year-Old Smoker with Haematuria

A 56-year-old male smoker comes in to see you with his wife. He is worried as he has noticed bright red blood when he passes urine. He used to work in a rubber factory. His wife also thinks that he has been more tired than usual over the last couple of months. He has...
A 32-Year-Old Woman with Leg Weakness

A 32-Year-Old Woman with Leg Weakness

A 32-year-old woman has noticed increasing weakness and numbness in her legs over the past few days, and she is feeling short of breath when she walks. Three weeks ago, she had diarrhoea whilst on holiday, and stool culture confirmed infection with Campylobacter...
A 55-Year-Old Woman with Tiredness and Depression

A 55-Year-Old Woman with Tiredness and Depression

You review a 55-year-old woman with a 6-month history of feeling tired and depressed. She has been constipated for the past 3-months, for which she is taking 15 ml of lactulose twice daily. She is otherwise fit and well and has no past medical history of note. You...
A 9-Month-Old Baby with Failure to Thrive

A 9-Month-Old Baby with Failure to Thrive

A 9-month-old baby boy is brought to your surgery by his mum, who is concerned about his weight gain. His red book measurements have dropped from above the 50th centile to below the 25th centile over the past 4 months. He has had several chest infections, and mum...

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