Clinical case 023: Alarm Bell’s at 38 weeks
19 yo. woman G1P0 now 38/40 gestation, has been well throughout pregnancy aside from mild anaemia. She presents to ED with “red eye”, and has...
Undiagnose, Unprescribe, Unharm – part I
This is hopefully the first post in a series of posts looking at the concept of “undiagnosing” patients. This might sound a bit daft, but...
Fits, faints, funny turns and fakers. Prolactin to the rescue….NOT
My colleague (Dr Dave) asked me today about the use of a serum prolactin level to diagnose a seizure in a patient presenting with “syncope...
Clinical Case 022: Feeling faint and fatigued
This case is a spot diagnosis. 50 yo woman presents to the GP complaining of feeling chronically tired, and recently “faint” – pre-syncopal on standing....
Clinical Case 020: the ABC of APO
53 yo man with a history of hypertensive cardiomyopathy presents to ED at midnight with severe dyspnoea. No chest pain, no oedema, no fever, cough...