Spot Dx — What’s the cause of this blackout?
A bystander races into the practice, asking for help for a man who has blacked out up the road. Test your clinical know-how by taking…
Clinical Focus
Functional disorders: top-down or bottom-up?
Need to know: Patients with functional conditions are frequently over-investigated and yet still misdiagnosed. But even with the correct diagnosis, a systematic approach to management…
Spot Dx — Can you name this solitary nodule?
A 71-year-old retired firefighter presents with a solitary nodule on his left arm. Test your clinical know-how by taking the quiz below. If you select…
Cause for caution with corticosteroids pre-arthroplasty
A sixty-five-year-old man, with no medical comorbidities, has a painful right hip which is being investigated by his GP. An MRI shows severe hip joint…
Spot Dx — What’s causing these sudden-onset burning lesions?
Cherie is a 42-year-old physiotherapist who presents with a week of sudden-onset large red-to-brown skin lesions, associated with some blistering, on the lower limbs. Test…
Clumsy feet the clue to a life-changing diagnosis
Ken, a 65-year-old businessman, presents having lost the ability to extend his left great toe over the preceding six weeks. The only time he has…
Spot Dx — Thumb lump plays havoc for this violinist
Alphonsus is a 65-year-old professional violinist who presents with a lump on the radio-volar aspect of the interphalangeal joint of his right thumb. Test your…
A GP guide to persistent pelvic pain
Need to know: Persistent pelvic pain affects up to one in four women and imposes potentially significant psychosocial, functional and physical burdens.1-3 Economic analyses report…
Spot Dx — What is behind these blisters?
Nisha is a 27-year-old office worker who presents with painful lower-limb blisters that have been present for the past four days. Test your clinical know-how…
Are the steroids up to scratch?
Maggie, an eight-year-old with impetiginised eczema, is brought in by her parents. She has inflamed, excoriated, lichenified patches, with evidence of ooze and yellow crusting…
