Intense Itching in Pregnancy
A 30-year-old woman presents at 27 weeks gestation with intense itching on her abdomen, hands and feet. The itching is localised to the palms and soles, and you can see no associated rash. On examination, you note scleral icterus but no other abnormalities. Her...
Chickenpox Exposure in Pregnancy
You review a 31-year-old patient who is 14 weeks pregnant. She is worried as she was exposed to chickenpox two days ago. She cannot remember whether she had chickenpox as a child. 1. How should this patient be managed? Show Answer Any pregnant woman who has not had...
A 78-Year-Old Woman with Worsening Shortness of Breath
A 78-year-old woman presents with worsening shortness of breath. She has been a heavy smoker for most of her life and has had a couple of episodes of haemoptysis over the last week. On examination, you note that her face appears oedematous and that she has dilated...
A 37-Year-Old Man with Chronic Diarrhoea
A 37-year-old man presents with a 6-month history of general malaise and intermittent diarrhoea. His stools have varied between watery and occasionally more solid but foul-smelling and difficult to flush. He also frequently experiences abdominal distension and pain....
