Case of the Month
A 50-Year-Old Man With a Swollen Neck
A 50-year-old man from India presents with neck pain, fevers and a large right-sided submandibular swelling. On examination the swelling is non-fluctuant and is situated below the angle of the jaw. The floor of his mouth appears oedematous. His temperature is 39.5...
A 67-Year-Old Woman With an Unusual Rash
A 67-year-old woman comes to see you at the local walk-in centre with a rash on her left forearm. She has a past medical history of hypertension, which is usually well controlled on amlodipine 5 mg od. She feels well in herself today, but her arm feels a little sore....
A 21-Year-Old Woman Collapses at a Nightclub
A 21-year-old woman is brought in to the Emergency Department having collapsed at a nightclub. She is drowsy, sweating profusely and her temperature is 41 degrees C rectally. Her heart rate is 125 bpm and her blood pressure is 170/83 mmHg. Her pupils are dilated and...
Unexplained Syncope in a 35-Year-Old Man
A 35-year-old man presents having had 3 recent syncopal episodes. His most recent episode occurred a few hours prior to his presentation and was witnessed by his wife. It occurred whilst they were walking their dog in a nearby park. He had been suffering with a mild...
A Case of Difficult to Control Hypertension
A 53-year-old man returns to your GP surgery for review of his blood pressure medication. He has been seen several times and you have been finding his hypertension difficult to control. He also states that he has been feeling very tired and fatigued of late and is...
