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

Sandra, a 34-year-old woman, presents to emergency with a progressive superficial pain from her right lower rib cage to her upper abdominal region.

In the three weeks prior to presentation, she had

George, an 86-year-old male, presented to a chronic pain clinic in regional NSW.

He described the gradual onset of lumbar pain over five years, worse in the last six months.

George’s wife, Martha,

Fiona, a 65-year-old retired woman, who is generally very healthy, presents with a one-week history of a generalised painful rash.

It initially affected her vagina then progressed to involve her

Adam is 38. He has worked in administration but is now receiving a disability pension for depression, for which he is taking sertraline 50mg/day. 

He attends with back pain, which he says is very

A previously healthy 48-year-old married lawyer with two teenage children presents with a swelling under the angle of her right mandible.

The swelling occurred near the end of a six-hour plane trip.

Tracey is a 33-year-old lawyer relocated from NSW, who presents with a six-week history of increasing breathlessness on exertion.

She reports two fainting episodes while doing simple house chores,

Simon, a 32-year-old father of one, is a self-employed IT professional.

He experienced a traumatic brain injury as a result of a motor vehicle accident three weeks ago.

Simon and his wife present

Updated 22 October: The second bullet point under Clinical features has been corrected.

Amanda is a 38-year-old woman who attends regarding difficulty falling pregnant.

Amanda has been trying to

Peter, a 66-year-old retired business-man, underwent a pancreaticoduodenectomy (Whipple procedure) for pancreatic adenocarcinoma one year ago.

He also received adjuvant chemotherapy with gemcitabine

Patricia is 76 years old; a tall, slim retired shop manager.

Many months ago you referred her to a local cardiologist after she had come to you complaining of new ankle oedema.

Examination at the