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Case Studies

How Not to Live

February 04, 2016

Jack was 68 years of age and specifically sought out a GP he didn’t know. Jack had no regular GP anyway, he was in excellent health that he knew of, on no medications, did not drink much alcohol, didn’t smoke and had no past mental health problems. He was financially …

Uncontrollable Rage After a Head Injury

Alex was a polite, religious young man age 25 years who had seen the GP a few times for simple things in the past. On this occasion, Alex told the GP that he had been knocked on the head six months before, suffering marked concussion and a few seconds’ loss …

Failed Screening for Hepatitis C Infection

John had attended the Medical Centre periodically for many years, usually when he had a problem that caused him pain or inconvenience. On this occasion, he had been called back because of some blood test results and John was quite rightly worried. He had a very swollen abdomen and this …

The Normal Prostate Specific Antigen: Part 3

September 22, 2015

Franco was a sixty two year old man who had presented to his GP with a urinary infection. Franco had occasional urinary infections (he also had diabetes and known benign prostatic hypertrophy). He had been completely investigated by a urologist eight months ago. Franco improved with antibiotics and all seemed …

The Normal Prostate Specific Antigen: Part 2

Jason was a healthy 48-year-old man whose father had developed prostate cancer at age 55. Because of this, He was told correctly by his GP that Jason was at increased risk of developing the condition himself.1 Quite appropriately, a prostate specific antigen (PSA) was suggested. Jason was counselled in advance …

The Normal Prostate Specific Antigen: Part 1

Victor was a healthy man with no medical problems and no medications. He came to see a new GP at his usual medical practice as he needed Roads and Maritime Services driving medical to be done as he was now 75 years of age. The GP checked the medical records …

Herpes Zoster Ophthalmicus

This seventy-four year old female patient had seen her local doctor for a two small, itchy, slightly painful lesions on her nose that were noticed that morning. She was otherwise well and the doctor and she both assumed that these were insect bites. Over the next twenty-four hours, she developed …

Feeling Blue on Minocycline

Janine was a forty-six-year-old woman who suffered most of her adult life with acne and small boils. She was unable to take oestrogen and had contraindications to isotretinoin. She had used minocycline for two decades as it improved the acne and in particular, reduced the boil formation. She had been …

Exercise and Rhabomyolysis

One enterprising company decided to send their employees on a ‘bonding session’ for a day at a ‘boot camp’. One particular man, aged 45 years, was in reasonable health and took no medications, but was not very fit. He felt obliged to keep up with some of his younger colleagues. …

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