A Patient with Suspected Irritable Bowel Syndrome

A Patient with Suspected Irritable Bowel Syndrome

A 26-year-old woman presents with symptoms of intermittent abdominal pain, bloating and looser stools for the past few months. You consider a diagnosis of irritable bowel syndrome (IBS), but plan to organise some investigations first to exclude more serious pathology....
A 45-Year-Old Woman with Palpitations

A 45-Year-Old Woman with Palpitations

A 45-year-old woman presents to her GP surgery with palpitations. On examination, her heart rate is 156 bpm with an irregularly irregular rhythm. She denies chest pain or dizziness and her BP is 110/75 mmHg. She is otherwise well and has no past medical history of...
A Patient with Troublesome Acne

A Patient with Troublesome Acne

You review a patient with moderately severe acne that has been treated with a variety of topical agents over the past 6 months. There has been a poor response treatment and you consider switching to an oral antibiotic. You are aware that there is an increasing issue...
A 57-Year-Old Man with Difficult to Control Diabetes

A 57-Year-Old Man with Difficult to Control Diabetes

You review a 57-year-old man that is currently taking a combination of standard-release metformin, gliclazide and pioglitazone for the management of his type 2 diabetes. His most recent HbA1c was 65 mmol/mol. He is tolerating the drugs well.  He frequently has...
A 67-Year-Old Woman with Anxiety and Confusion

A 67-Year-Old Woman with Anxiety and Confusion

A 67-year-old lady presents anxious, confused and agitated. She has also vomited several times. She has recently been started on a course of amoxicillin for a presumed chest infection by one of your colleagues. You are unable to take a coherent history from her but...
A 66-Year-Old Man with a Pigmented Skin Lesion

A 66-Year-Old Man with a Pigmented Skin Lesion

A 66-year-old Australian man presents with a pigmented lesion on his upper back that has recently increased in size. The lesion has a symmetrical circular shape and the colour of the lesion is uniform. The largest diameter of the lesion is 8 mm. There is no...

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