A 4-Year-Old Child With Recurrent Chest Pain
A 4-year-old child is brought to the GP with a history of recurrent chest pain and offensive-smelling stools. On physical examination, finger clubbing is noted. The child’s growth appears slightly below average for age, and the mother mentions that he has frequent...
A 63-Year-Old Woman With Progressive Dysphagia
A 63-year-old woman presents with a history of progressive difficulty swallowing and pain when swallowing. She notes that the symptoms occur with both solids and liquids. The dysphagia has gradually worsened over time. A barium swallow study is performed, which...
A 67-Year-Old Man With Painless Haematuria
A 67-year-old man presents with painless haematuria that has persisted for several weeks. He denies any associated symptoms such as dysuria, fever, or flank pain. He reports a mild increase in urinary frequency but no urgency or nocturia. He has a past medical history...
A 60-Year-Old Woman with a History of Weight Loss
A 60-year-old woman presents with a history of weight loss, poor appetite and intermittent diarrhoea. She also complains of recurrent oral ulcers. Her only past medical history of note is vitiligo, and she takes no regular medications. On examination, you note that...