Case 32 Fever and cough after an ankle fusion Ethel was 68. At the age of 23 she was knocked off her bicycle by a car and fractured her left…

Case 29 Indigestion in a stressed executive Malcolm was a 46-year-old senior banking executive in the City who had a BMI of 37 and smoked. When he consulted Dr Mathers it…

Case 28 A limping elderly woman after a fall May was a 79-year-old clerk. Three years previously she had had a right total hip replacement for osteoarthritis. Whilst visiting her…

Case 26 Lost prescription: Benzodiazepine addiction Samantha was 26. She arrived in reception at her GP surgery. She requested a prescription for diazepam tablets 5 mg, in a dose of…

Case 27 A febrile baby Emma had an uneventful birth. At the age of six months she was taken to the doctor by her mother, Susan. Susan was worried because…

Case 20 A woman with microscopic haematuria Alice was 56 when she consulted Dr Hendry. She had been feeling nonspecifically unwell with fatigue, poor sleep and headaches. In the course…

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…

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…

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…

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…