20: Irrational but not incompetent
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…
29: A cantankerous recluse
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…
17: A change in plan
Case 17 A change in plan Sheila Drake is an 86-year-old lady with cognitive impairment. She is looked after at home by privately-funded 24-hour carers. Mrs Drake had a total…
27: A major mix-up
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…
24: Can you please take these handcuffs off?
Case 24 Can you please take these handcuffs off? Mike Turner is a 61-year-old man who is currently detained in prison at Her Majesty’s pleasure. He has been a lifelong…
22: Ruling out the organic
Case 22 Ruling out the organic Paul Giardelli is a 20-year-old university student. He is brought to the Emergency Department in the early hours of a Sunday morning by ambulance…
21: A challenging discharge
Case 21 A challenging discharge Mr Stanislavski is a 63-year-old former alcoholic who was admitted to the Acute Medical Unit (AMU) following an unwitnessed collapse at his care home. He…
18: Starving to death
Case 18 Starving to death Doris Evans is an 84 year-old lady with a history of rheumatoid arthritis and cognitive impairment. She has been resident in Parkview care home for…
15: A woman with chest pain
Case 15 A woman with chest pain Mrs Wilkinson, a 78-year-old widow, presents to the Emergency Department at 5.30 on a Tuesday morning with a three-hour history of central chest…
12: Difficulty with diarrhoea
Case 12 Difficulty with diarrhoea Mrs Brooks is an 84-year-old woman who is referred by her GP to the general medical take with weakness, nausea, malaise, and shortness of breath…
