30: A hoped-for pregnancy
Case 30 A hoped-for pregnancy Celia was a 38-year-old woman who had had tubal surgery at the age of 33 after some years of subfertility. Unfortunately, despite the surgery she…
25: Cough and fever in a 42-year-old accountant
Case 25 Cough and fever in a 42-year-old accountant David was a 42-year-old accountant who kept very fit. His past medical history was unremarkable. He developed an irritating cough and…
23: An anxious young woman with hyperventilation
Case 23 An anxious young woman with hyperventilation Kathy, about 13 weeks pregnant, consulted Dr Shah complaining of tiredness, recent work stress, and anxiety. She had had cystitis several days…
21: A limping young girl
Case 21 A limping young girl Anna was born by full-term normal vaginal delivery. Her Apgar scores were fine and she was discharged three days after delivery, having been examined…
24: A slightly raised AST in an Asian woman
Case 24 A slightly raised AST in an Asian woman Mrs Choudhury was 42 and overweight when she consulted Dr Sastry with multiple symptoms. She had been in the UK…
19: A woman with a skin lump on her leg
Case 19 A woman with a skin lump on her leg Martha was 35 years old when she consulted Dr Welch about contraception and also took the opportunity to mention…
16: Back pain in a middle-aged woman
Case 16 Back pain in a middle-aged woman Angela had been registered at the practice for three years when she consulted Dr Ahmed about her back pain. She had initially…
14: A young woman with diarrhoea and vomiting
Case 14 A young woman with diarrhoea and vomiting Martha was 30 when she saw Dr Vickers, an out-of-hours general practitioner, with a four-hour history of upper abdominal pain followed…
12: A runner with a cough
Case 12 A runner with a cough Fiona consulted Dr Enderby with a three-month history of cough. The cough occurred predominantly on exertion but also sometimes at night and it…
10: Irregular intermenstrual bleeding in a woman on the pill
Case 10 Irregular intermenstrual bleeding in a woman on the pill Joanna, a 29-year-old housewife, presented to Dr Hanson with a four-month history of intermenstrual bleeding. A year before she…
