A 37-Year-Old Man with Chronic Diarrhoea

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....
A Hospital-Acquired Infection 

A Hospital-Acquired Infection 

A patient develops signs of sepsis. She has had a central line in situ for the past ten days. There is erythema surrounding the catheter insertion site. 1. What is the most likely diagnosis? Show Answer The most likely diagnosis, in this case, is line sepsis. Central...
A 46-Year-Old Woman with Weight Loss and a Neck Lump

A 46-Year-Old Woman with Weight Loss and a Neck Lump

A 46-year-old woman presents with weight loss. On examination, you note that she has prominent eyes, ‘lumpy’ swelling over her shins and the neck lump seen in the image above. 1. What is the most likely diagnosis? Show Answer This patient has a history of weight loss...
A 17-Year-Old Boy with a Neck Lump

A 17-Year-Old Boy with a Neck Lump

A 17-year-old boy is concerned as he has noticed a lump in the middle of his neck. His mother has hypothyroidism and is concerned that her son may have it too. He has no other symptoms and is otherwise well. On examination, you note a painless swelling in the midline...
A 60-Year-Old Woman with a Neck Lump

A 60-Year-Old Woman with a Neck Lump

A 60-year-old woman presents with a lump in the middle of her neck. She is also troubled by regurgitation of her food. On examination, the midline lump gurgles on palpation. 1. What is the most likely diagnosis? Show Answer The diagnosis, in this case, is a pharyngeal...
A Swimming Instructor with Ear Pain and Discharge

A Swimming Instructor with Ear Pain and Discharge

A 30-year-old swimming instructor presents with right ear pain and discharge. You examine his ear and can see erythema in the ear canal with copious pus and debris also present. 1. What is the most likely diagnosis? Show Answer The diagnosis, in this case, is otitis...