A Young Footballer Presents with Palpitations

A Young Footballer Presents with Palpitations

A 22-year-old athlete presents with a history of palpitations that have been occurring whilst he is playing football. They have become bothersome of late and his coach has advised him to have a medical check up. On questioning him you find out that his father died at...
A 45-Year-Old Woman With Unexplained Hearing Loss

A 45-Year-Old Woman With Unexplained Hearing Loss

A 45-year-old woman presents complaining of difficulty hearing out of her right ear. She reports that her hearing loss is worsening, and in the last couple of weeks she has also had a fairly constant headache and feels dizzy. When you examine her right ear, you note...
A 50-Year-Old Man With a Swollen Neck

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 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 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

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...