A 55-Year-Old Woman with Tiredness and Depression
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 with Failure to Thrive
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...
Family Planning in Sickle Cell Disease
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 with an Intensely Itchy Rash
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...
