Case Report
nepal chitwan

Andrew is a 27-year-old international student from Canada.

He recently returned from a three-week trip to Nepal, where he trekked for 10 days in the Annapurna area and also visited the Chitwan

Professor Nick Zwar18th March 2019

April, aged 21, presents to her GP with a two-month history of a non-healing leg ulcer.

She is otherwise well and her only medication is the combined oral contraceptive pill.

April had visited

Kevin, a 66-year-old previously independent retired social worker, is brought to ED with a one-month history of progressive cognitive changes and functional decline.

His wife describes him as

Nicholas is a 38-year-old retired jockey who attends regularly for prescriptions for timolol and latanoprost eye drops to control his longstanding glaucoma.

Today he presents complaining of

Sebastian, a 28-year-old chemistry PhD student, presents with a two-month history of insomnia.

Sebastian is in the process of final data analysis and writing up his thesis.

He initially attributed

Maggie, a 77-year-old female, has had several episodes of severe iron deficiency anaemia since 2006.

At times her haemoglobin (Hb) would drop to 80g/L (normal: 120g/L and above) requiring blood

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15th March 2019

Harriet, a 38-year-old receptionist from rural NSW, recently conceived via IVF, after several years of assisted reproductive treatment for unexplained infertility.

This pregnancy is the result of

Hugh is a 44-year-old unemployed man with a childhood history of absence (petit mal) seizures.

He presents with a few months of bizarre olfactory, visual and auditory hallucinations.

He reports a

Clarrie is a 21-year-old working full-time as a receptionist.

She presents with pain in her hands and fingers bilaterally, which has been worsening over the past week.

The pain is now affecting all

Donald is a 43-year-old secondary school teacher who presents with severe pain in his right groin.

The pain has developed quite quickly over the past month or so, and is now limiting his ability to

Matthew, a seven-year-old boy and a regular patient of the practice, presents with another upper respiratory tract infection.

It is the fourth episode in the past five weeks.

He is up-to-date with