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Case Studies

Exposure to Paint Fumes

December 07, 2016

John is a 25-year-old man who had commenced work in the painting industry. He had for several weeks been exposed to aerosol fumes through spray painting in a poorly ventilated environment and he is becoming worried about his health as a result of this John finds he gets immediate eye …

A Painful Discharge

November 16, 2016

Wendy is a forty-five year old woman who is in a stable married relationship. She presented to the doctor complaining of an increasingly sore discharge from her vagina that began about five days before. Wendy takes the oral contraceptive and skips the sugar pills, so her last period was about …

Dacryocystitis Treatment and Management

October 26, 2016

Janet was a 47-year-old woman who had been seeing an ophthalmologist for a blocked main lower tear duct in her right eye. She had been advised that she was going to require probing of the duct and this was to be arranged in the near future. However, Janet was forced …

A Problematic Sacrococcygeal Pit

September 14, 2016

Zac was twenty-three months of age and was brought to see the GP because of a bad nappy rash. He was not yet toilet trained. On examination, he was noted to have directly over the midline a very sacrococcygeal pit with a very narrow opening. This seemed unusual as it …

Could His Anxiety Be Carcinoid Syndrome?

August 17, 2016

Carlos was a 62 year old man who had a long history of treated anxiety. He had been taking fluoxetine 20mg daily for years and although he had occasional relapses, he could generally cope with them. In the last six months, however, he had noted his irritable bowel syndrome had worsened and …

What a Sore Throat Can Indicate

August 10, 2016

Peter was a 59-year-old man who had seen his GP because of a sore throat on the left side. The GP noted a white patch on the left tonsil and prescribed amoxicillin 500mg tds for six days. The soreness did not go and so Peter came back and saw a different …

More Than Just Herpes

August 03, 2016

Jamie was a twenty-two year old girl who had just had her first attack of genital Herpes simplex type 2 eight months ago. This resulted in a rapid onset herpes encephalitis within five days of the rash appearing, despite Josie being given three 500mg tablets stat of Famciclovir within forty-eight …

Low Back Pain in a Young Man

July 14, 2016

John was 19 years old and had been in training for carpentry for two years. He was fit and worked out at the gym three days a week doing circuit training and lifting forty kg of weight at a time. Since his growth spurt at approximately age 15, he had …

Basilar Migraine

July 06, 2016

Stefan was a 38 year old man who had recently been promoted in his job two months ago. He now worked long hours and felt he was coping adequately. However, in the last four weeks he had suffered episodes of severe dizziness, unsteadiness and vomiting which was followed within the …

Turner’s Syndrome

June 15, 2016

Jana was brought in by her parents to see the GP because she was almost sixteen and had not yet had commenced menstruation. Jana had no medical problems and otherwise appeared normal. The GP noted that the girl was significantly shorter than her mother and was slight in build. On …

Pregnancy despite Implanon®

June 08, 2016

A thirty-eight-year-old woman came to see her GP as she had fainted twice in the last week. The second occasion was the day of the consultation and her work had suggested she see a doctor. She had only fainted once before in her life, when she had influenza, and she …

The Egg Race

May 25, 2016

Sonya was thirty eight and had was recently single. She had dated her last partner for five years but he had decided not to marry her as he did not want children. Sonya was distraught. Some months later she heard about the possibility of freezing her eggs. She was aware …

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