A 56-year-old male smoker comes in to see you with his wife. He is worried as he has noticed bright red blood when he passes urine. He used to work in a rubber factory. His wife also thinks that he has been more tired than usual over the last couple of months. He has...
A 32-year-old woman has noticed increasing weakness and numbness in her legs over the past few days, and she is feeling short of breath when she walks. Three weeks ago, she had diarrhoea whilst on holiday, and stool culture confirmed infection with Campylobacter...
You review a 55-year-old woman with a 6-month history of feeling tired and depressed. She has been constipated for the past 3-months, for which she is taking 15 ml of lactulose twice daily. She is otherwise fit and well and has no past medical history of note. You...
A 9-month-old baby boy is brought to your surgery by his mum, who is concerned about his weight gain. His red book measurements have dropped from above the 50th centile to below the 25th centile over the past 4 months. He has had several chest infections, and mum...
A West African couple present to your surgery, they are planning on having a baby, but they are both known to be sickle-cell trait. They have come to discuss the chances of their baby being affected by the disorder. 1. How is sickle-cell disease inherited? Show Answer...
A 21-year-old woman develops a rash on her forearms shortly after spending the afternoon washing up at a restaurant where she has just started working. The rash is very itchy, but she has no other symptoms and feels well otherwise. The rash is shown below: 1. What is...
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