What’s causing these seizures in a cognitively impaired patient?
John is a 73-year-old male with a four-week history of lethargy and new partial seizures. He is a nursing home resident with dementia, requiring support…
Article Type: Case Report
A case of alimentary dyspnoea
Anne, a 92-year-old retired dressmaker, presents to her local doctor with increasing constipation and abdominal distension. Anne reports also experiencing effortless regurgitation to the throat…
Polyuria, polydipsia and weight loss point to something serious
Jackson, a 24-year-old male, presents to his GP with a four week history of worsening polydipsia and polyuria. He reports he has also lost 20kg…
Constipation diagnosis takes a turn
Ron is an 88-year-old nursing home resident who presents with his daughter to his regular GP with a 2-3-day history of constipation and severe abdominal…
How best to manage this tender papule
Maureen is an 84-year-old who presents with a three-week history of a rapidly growing, tender lesion on the ring finger of her left hand (see…
A serious incidental finding in the urinary bladder
Helen, a 50-year-old receptionist, presents with a six-month history of heavy menstrual bleeding, which requires the use of seven to eight super pads a day…
History provides clues to a patient’s food allergy
Belinda, a normally well 45-year-old self-employed private caterer, presents with infrequent episodes of severe vomiting followed by diarrhoea and feeling profoundly unwell for the next…
When investigations don’t match clinical findings
Earl is an 88-year-old retired teacher who presents to his GP with gross swelling of the left upper limb for the past 24 hours. The…
Managing chronic kidney disease with physical activity
Alan is a 58-year-old courier driver who has chronic kidney disease. His medical history includes type 2 diabetes (diagnosed in 2009), low back pain, obesity…
More than just low mood and appetite
Anne, an 85-year-old nursing home resident, is reviewed by her GP, at the request of nursing home staff. She has had anorexia and low mood…
