A Strange Rash After Swimming the English Channel
A 58-year-old woman presents to a walk-in clinic with a severe rash on her arms, legs and torso. The previous day she had swum the English Channel in 12 hours. When you examine her, you can see well-demarcated welts all over the affected areas with surrounding...
Spontaneous Ankle Pain After a Course of Antibiotics
A 62-year-old man presents with pain in the back of his right ankle. He was walking to the shops when he suddenly heard a loud ‘snap’. He states it felt like he had been ‘kicked in the back of the ankle’. On examination there is swelling, tenderness and bruising...
Stress and Burnout
Stress is endemic at the moment – the NHS is widely known as being a very difficult environment to work in, and doctors seem to be either leaving, emigrating, or becoming so stressed that it results in illness and long-term sick leave. So why are we as a profession so...
