A 24-Year-Old Man with Abdominal Pain and Dark Urine
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 30-Year-Old Man with Heartburn and Dysphagia
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 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 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...
