Case 30 Keep an open mind Mr Watkins is a 61-year-old man who brings himself up to the Emergency Department because he is unwell with vomiting and abdominal pain. The…

Case 26 All eggs in one basket Jade Nelson is a 34-year-old woman who self-presents in the emergency department because over the last two days she has experienced dull chest…

Case 23 Endless wandering Dr Stefan Jacobs is a 92-year-old retired GP. He was admitted to the hospital five days ago having been found by his daughter, visiting from South…

Case 25 Own worst enemy The duty consultant chemical pathologist contacts the medical SHO on-call at 19.40 in the evening to inform him of an abnormal serum potassium (1.8 mmol/L)…

Case 31 Healthcare acquired infection? Mrs Sanderson is a 58-year-old lady with a long history of alcohol dependency. She presents to the medical take with a vague history of lethargy,…

Case 32 Backing the wrong horse Mr Moses, a 46-year-old primary school teacher of Afro-Caribbean origin, was referred to the medical take with right-sided ear ache, headache and general malaise…

Case 19 An irregular presentation Mavis Dixon is an 84-year-old lady with advanced dementia, who is admitted from her care home late one Sunday evening. She is reviewed on admission…

Case 20 Irrational but not incompetent Peter Walton is a 57-year-old sales representative who develops unsteadiness when walking and a persistent frontal headache on Friday morning. His wife is worried…

Case 29 A cantankerous recluse Mr Peacock is a 78-year-old reclusive man who has lived alone in a static caravan in rather precarious circumstances for many years. He drinks about…

Case 27 A major mix-up Mr Johnson is a 68-year-old man who has type 2 diabetes and mild COPD. He becomes unwell at home with a fever and pleuritic chest…