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

David, a 45-year-old male, presents with a painful right hand and wrist. His hand is in a glove and his right forearm rests in a sling.

It is now 12 months since a distal radial fracture after a fall

Janet, 57, presents with a six-month history of recurrent blisters on the dorsum of her hands and feet.

She develops a new blister every few days.

The lesions are tender and non-pruritic. She also

Chelsea, a 26-year-old female, presents to a dermatology clinic with acne vulgaris.

She reports acne since the age of 14, for which she has previously used benzoyl peroxide and the combined oral

Aubrey, a three-year-old girl, presented to a paediatric emergency department with a five-day history of fever, coryzal symptoms and lethargy.

She had a past history of failure to thrive and was up

Mary, 29, presents with a single painful nodular lesion on her right palm.

She is two weeks’ post-partum, having delivered her baby at 34 weeks’ via emergency caesarean section for pre-eclampsia.

Toni, a 53-year old office worker, is recalled to discuss a recent elevated cholesterol result. She is generally well and takes no medications.

Toni has a family history of hypercholesterolaemia and

Thomas, a 21-year-old Asian male, presents with a four-month history of a rash on his abdomen.

The rash is erythematous, pigmented, scaly and blanches. It is non-pruritic, and is exacerbated by sun

Amy is a 32-year-old traffic engineer who is 30 weeks into her first pregnancy.

She attends for her routine antenatal pertussis vaccination and is also considering having an influenza vaccination.

Jenny, a 35-year-old full-time mother of two, was diagnosed with PCOS six years ago.

She needed ovulation induction with clomiphene to conceive both her children.

Jenny and her partner wanted to

Matthew is a 19-year-old apprentice plumber who presents complaining of low back pain and rectal bleeding.

He reports a 2-3 month history of low back pain that he has been self-managing with rest and