Is a bump in the night the culprit?
Nancy is a 73-year-old Asian woman who presents for review of a pigmented lesion on her scalp for 1-2 months. She initially thought this was…
Article Type: Case Report
History review provides the clue to a rare case
Jim, a 64-year-old handyman, presents initially for review of crackling noises he can hear when he breathes. These will wake him up, particularly if he…
Rare phenomenon delays diagnosis
A 60-year-old heterosexual male presents to his GP with a three-week history of fatigue, arthralgia and night sweats. Blood tests reveal liver function derangement with…
Low carb, high reward
At age 55, Frankie has multiple health problems. Long-term mental illness has been managed with polypharmacy for many years. Clozapine therapy has contributed to weight…
Blue hue – what to do?
Jean, an 86-year-old female, is a new admission to a nursing home. She reports she has had a few years of chronic bilateral upper limb…
A holistic approach
Jack, an 83-year-old nursing home resident, has increasing redness around the anus and natal cleft, noted by nursing staff who request his GP to review.…
Patient case – emergency gastric complication of type 1 diabetes
Jamilla, 41, presents to hospital with epigastric pain, nausea and vomiting on a background of type 1 diabetes, diagnosed 11 years ago. During admission, she…
A pancreatic puzzler
Andrew is a 69-year-old retired public servant who presents with vague epigastric and periumbilical burning pain that has kept him awake at night for the…
A potential workplace peril
Sam is a 38-year-old office manager who presents to ED with a one-hour history of left-sided sharp pleuritic chest pain. He denies shortness of breath,…
The metamorphosis of my patient Mark and the wonders of clinical hindsight
Mark, 34, was having a rough trot. Well, 2020 and 2021 was rough for many of us, but Mark was having it tougher than most.…
