Intense Itching in Pregnancy

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...
Chickenpox Exposure in Pregnancy

Chickenpox Exposure in Pregnancy

You review a 31-year-old patient who is 14 weeks pregnant. She is worried as she was exposed to chickenpox two days ago. She cannot remember whether she had chickenpox as a child. 1. How should this patient be managed? Show Answer Any pregnant woman who has not had...
A 78-Year-Old Woman with Worsening Shortness of Breath

A 78-Year-Old Woman with Worsening Shortness of Breath

A 78-year-old woman presents with worsening shortness of breath. She has been a heavy smoker for most of her life and has had a couple of episodes of haemoptysis over the last week. On examination, you note that her face appears oedematous and that she has dilated...
A 37-Year-Old Man with Chronic Diarrhoea

A 37-Year-Old Man with Chronic Diarrhoea

A 37-year-old man presents with a 6-month history of general malaise and intermittent diarrhoea. His stools have varied between watery and occasionally more solid but foul-smelling and difficult to flush. He also frequently experiences abdominal distension and pain....
A Hospital-Acquired Infection 

A Hospital-Acquired Infection 

A patient develops signs of sepsis. She has had a central line in situ for the past ten days. There is erythema surrounding the catheter insertion site. 1. What is the most likely diagnosis? Show Answer The most likely diagnosis, in this case, is line sepsis. Central...
A 46-Year-Old Woman with Weight Loss and a Neck Lump

A 46-Year-Old Woman with Weight Loss and a Neck Lump

A 46-year-old woman presents with weight loss. On examination, you note that she has prominent eyes, ‘lumpy’ swelling over her shins and the neck lump seen in the image above. 1. What is the most likely diagnosis? Show Answer This patient has a history of weight loss...