A 24-year-old man presents complaining of recurrent episodes of abdominal pain and passing dark brown urine first thing in the morning. On examination, he has raised, painful, red nodules on the skin covering his entire back. You organise a set of blood tests, which...
A 36-year-old man presents to his GP with dysuria, fevers, rigors and left-sided loin pain. On examination he is tender over the left renal angle and he has a temperature of 38.6°C. What is the most likely diagnosis? Show Answer This patient has symptoms and signs...
A 30-year-old man presents with symptoms of persistent heartburn, dysphagia and intermittent food bolus obstruction. He was recently prescribed a short course of standard-dose omeprazole by one of your colleagues but has this has not improved his symptoms. An...
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 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...
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...
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