Patient Confidentiality and the Police

Patient Confidentiality and the Police

A 56-year-old man is brought in by the police because he has developed chest pain whilst in their custody. He has been arrested on charges of burglary. He admits that he has a history of angina and hypertension. After you have taken your history and performed an...
A 35-Year-Old Woman with Epistaxis

A 35-Year-Old Woman with Epistaxis

A 35-year-old woman presents with epistaxis. She has a history of menorrhagia and frequent nose bleeds. She is prescribed a medication to help with this but cannot recall its name or why she takes it. She states that her father and brother also suffer with the same...
Arterial Line Insertion

Arterial Line Insertion

A doctor currently working in the intensive care unit has been asked to insert an arterial line into a patient that has just been reviewed on the ward round. 1. What are the main indications for inserting an arterial line? Show Answer The two main indications for the...
A 73-Year-Old Man with Lumps on His Neck

A 73-Year-Old Man with Lumps on His Neck

A 73-year-old man presents complaining of lumps on his neck. On examination, you note the presence of several large, non-tender cervical lymph nodes. You organise for some blood tests to be performed, and the results show that he has a lymphocytosis of 16 x 109/l....
A 59-Year-Old Man with a Headache

A 59-Year-Old Man with a Headache

A 59-year-old gentleman presents to the Emergency Department complaining of a headache. He has had similar headaches over the last few weeks and also some blurring of his vision. His initial observations are as follows: HR 92 bpm, BP 210/132 mmHg, SaO2 99% on air, BM...
A Patient with a Suspected Pulmonary Embolus

A Patient with a Suspected Pulmonary Embolus

A 52-year-old man presents to the emergency department with chest pain. He has recently returned from Australia and has a history of a painful swollen right calf over the last couple of days. He is otherwise usually fit and well and has no known allergies. You suspect...