Case Report
Jockey horse trainer

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

Dr David Bossingham27th February 2019

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

Leo, a nine-year-old, previously well boy, is brought to his GP by his mother, who is visibly upset and stressed.

Leo has a six-month history of recurrent furunculosis over the thighs and lower

Michael is a 17-year-old student who presents with his mother. Michael is shy, quiet, monosyllabic and submissive.

His mother reports that he is ill with a fever and night sweats. He is tired,

Norma is a 64-year-old accountant. She attends with a classical infective exacerbation of asthma with wheeze, productive cough and increasing shortness of breath on exertion.

She is given a seven