3: Investigating and dealing with errors
326 Warnings A warning may be considered appropriate if the Case Examiners think the doctor’s behaviour or performance has fallen significantly below the expected standard, but not to such a…
18: A flare-up of ulcerative colitis
Case 18 A flare-up of ulcerative colitis Jenny was diagnosed with ulcerative colitis, localized to the rectum when she was aged 32. She was initially followed up in the gastroenterology…
17: Cellulitis in a man’s foot
Case 17 Cellulitis in a man’s foot Reg was an overweight 76-year-old retired shopkeeper who consulted Dr Berg in an emergency appointment with a three-day history of a painful left…
15: Ill-fitting dentures in an elderly man
Case 15 Ill-fitting dentures in an elderly man Alfred was a 74-year-old man with previously good health who rarely attended the surgery. He consulted Dr McDowd with a two-week history…
13: A woman with classical migraine
Case 13 A woman with classical migraine Rachel consulted Dr Dewan. She was aged 48 and stated that she had suffered from migraines all her life. She had never previously…
11: A boy with a limp
Case 11 A boy with a limp Teddy is 11. He is brought to Dr Hayward by his mother because he has a limp. He was playing football 2 weeks…
7: A woman with hemiplegic migraine
Case 7 A woman with hemiplegic migraine A 40-year-old woman, Jane, presented to a general practitioner, Dr Allen, on a Monday morning. On the previous Saturday she had been shopping…
3: A woman with chest pain
Case 3 A woman with chest pain Brenda was 40 when she consulted Dr Marks with a cough and right submammary pain. Two weeks previously she had recently returned from…
2: When is a headache abrupt?
Case 2 When is a headache abrupt? Hannah was 36 when she presented to an Out of Hours general practitioner, Dr Walmesley, situated in an emergency department (ED). She had…
3: Bayesian reasoning and avoiding diagnostic errors
Patients with acute appendicitis (100) Patients without acute appendicitis (100) Right lower quadrant pain 80 10 No right lower quadrant pain 20 90 Sensitivity = 80/100 Specificity = 90/100 We…
