A 60-year-old Man with Dizziness and Palpitations

A 60-year-old Man with Dizziness and Palpitations

A 60-year-old man presents with dizziness and palpitations. Whilst in the Emergency Department the following rhythm strip is recorded:   1. What does the rhythm strip show? Show Answer The rhythm strip in this case shows torsades de pointes. 2. Which underlying...
A Patient with Syndrome of Inappropriate ADH Secretion

A Patient with Syndrome of Inappropriate ADH Secretion

A 74-year-old man, who is a lifelong smoker, is diagnosed with a small cell carcinoma of the lung. Following further investigation, it is discovered that he has developed the syndrome of inappropriate ADH secretion (SIADH) as a consequence of this. 1. What typical...
A 15-Year-Old Boy with a Sore Throat and a Fever

A 15-Year-Old Boy with a Sore Throat and a Fever

A 15-year-old boy presents with a 7-day history of a sore throat, low-grade fever, and malaise. He states that a week ago he had a fine rash over his body that faded quickly. On examination, you note the presence of mild splenomegaly. He is eating and drinking well,...
A 30-Year-Old Man with Recurrent Migraines

A 30-Year-Old Man with Recurrent Migraines

A 30-year-old accountant presents to your afternoon surgery to discuss the management of his migraines. He has been under quite a lot of stress at work and his migraines are occurring 4-5 times per month. His last attack was quite disabling and lasted 3 days. He...
A 24-Year-Old Woman with Conjunctivitis

A 24-Year-Old Woman with Conjunctivitis

A 24-year-old woman presents with a sudden onset of left-sided acute follicular conjunctivitis. She complains of severe pain in the eye, and she has blurred vision with copious watery discharge evident. On examination, you note the presence of pseudomembrane formation...
A 60-Year-Old with Weight Loss and Yellow Skin

A 60-Year-Old with Weight Loss and Yellow Skin

A 60-year-old woman presents with a history of weight loss, poor appetite and intermittent diarrhoea. She also complains of recurrent oral ulcers. Her only past medical history of note is vitiligo, and she takes no regular medications. On examination, you note that...

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