Case of the Month
Testicular Pain in a Young Man
An 18-year-old man presents with acute, severe testicular pain, abdominal pain, and vomiting. On examination, his testis is too tender to touch. He tells you that he had a brief episode of testicular pain three weeks ago, but it resolved spontaneously after about 30...
An Unexpected Delivery
A 27-year-old woman who is full-term pregnant is rushed to the Emergency Department by her husband with abdominal pain. She is taken to a cubicle, and you are asked to assess her. Upon entering the cubicle, you discover that she has given birth to a baby girl, who is...
A 30-Year-Old Man With a Neck Mass
A 30-year-old man presents with a 4 cm mass on the left side of his neck. He mentions that the swelling has been present for several months and was previously treated with antibiotics for what was thought to be an infection, but the mass has persisted. There is no...
A 25-Year-Old Woman With Intermittent Finger Pain and Numbness
A 25-year-old woman presents to her GP complaining of intermittent pain in her fingers. She describes episodes of numbness and burning in the fingers and reports that she wears gloves whenever she leaves the house, particularly to manage symptoms triggered by the...
A 24-Year-Old Man With Jaundice and Elevated Bilirubin
A 24-year-old man presents after his colleagues noticed yellowing of his sclera. He reports a history of taking over-the-counter (OTC) pain medications for a recent gym injury but denies any recent illness. Blood tests reveal elevated bilirubin levels, but ALT and AST...
A 28-Year-Old man with a Scrotal Swelling
A 28-year-old man presents with a painless, firm swelling in the body of his right testis. On examination, the swelling feels hard, lies within the testis and does not transilluminate. 1. What is the most likely diagnosis? The most likely diagnosis, in this case, is...
An 8-Week-Old Baby with a Crusty Scalp Rash
An 8-week-old baby girl is brought in to see her GP because her parents are concerned about the appearance of her scalp. She has a thick crusty rash evident, which is shown above. 1. What is the most likely diagnosis? This baby has seborrhoeic dermatitis, which is...
An 11-Year-Old Boy With a Painful Red Eye
An 11-year-old boy presents with a painful, red, swollen left eye. He has had a recent sinus infection but has no other medical history of note. His temperature is 38.2°C. His eye movements are painful, and he is complaining of double vision. 1. What is the most...
A 24-Year-Old Man with Blurred Vision
A 24-year-old man presents with blurring of his vision and worsening eyesight that is more noticeable at night. He states that his father is registered blind and lost his vision in his late 30s. You examine his fundi and see bony spicule-shaped pigment deposits in the...
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...
