29: Indigestion in a stressed executive

Apr 16, 2017 by in NURSING Comments Off on 29: Indigestion in a stressed executive

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…

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28: A limping elderly woman after a fall

Apr 16, 2017 by in NURSING Comments Off on 28: A limping elderly woman after a fall

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…

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26: Lost prescription: Benzodiazepine addiction

Apr 16, 2017 by in NURSING Comments Off on 26: Lost prescription: Benzodiazepine addiction

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…

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27: A febrile baby

Apr 16, 2017 by in NURSING Comments Off on 27: A febrile baby

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…

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20: A woman with microscopic haematuria

Apr 16, 2017 by in NURSING Comments Off on 20: A woman with microscopic haematuria

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…

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25: Cough and fever in a 42-year-old accountant

Apr 16, 2017 by in NURSING Comments Off on 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…

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30: A hoped-for pregnancy

Apr 16, 2017 by in NURSING Comments Off on 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…

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21: A limping young girl

Apr 16, 2017 by in NURSING Comments Off on 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…

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23: An anxious young woman with hyperventilation

Apr 16, 2017 by in NURSING Comments Off on 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…

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