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You are the duty doctor and a telephone consultation has been arranged for Ellie who is a four-month-old baby. Her notes reveal she was born at term by natural delivery after an uncomplicated pregnancy and is up to date with immunisations. Her 8 week examination at the surgery was also normal. Over the last five …
You receive a discharge summary for Sammy who is a three-year-old boy who was seen by a member of the paediatrics team following his first febrile seizure. From the summary you can see that the seizure lasted four minutes, had no atypical features and an uncomplicated post-ictal phase. The seizure was triggered by a Urinary …
Michael aged five, is currently in your consulting room, and is reported to have suffered a seizure whilst on his way to the appointment . Michael’s mother Lucy is clearly very distressed and explained that whilst getting into a taxi his eyes rolled back and his arms and legs became stiff and then began to …
You are the duty doctor in your GP surgery and are called immediately to reception. On arrival at reception you see a crowd of people around a young child who appears to be having a tonic-clonic seizure. Mum who is understandably very distressed explained that her son Frankie who is four, has had 48 hours …
Tom is a four year old boy who you saw four days ago with erythema migrans which developed after a camping holiday in the Peak district. You made a clinical diagnosis of Lyme disease and gave him a prescription for Amoxicillin 250mg TDS. His mother Rachel has brought him back as she is finding it …
Marcia is a 33 year old lady who has come to her GP surgery as she has developed an unusual rash on her right leg after a UK family holiday to the New Forest. She is pretty sure she was bitten by a tick. She first noticed the rash five days ago and thinks it …
Mrs Coker is a 75-year old female who has advanced Alzheimer’s dementia, Hypertension, Ischaemic Heart Disease and Osteoarthritis of her knees. She lives with her husband who is her main carer. Mrs Coker has been brought to see you by her husband who has noticed that her sleep has deteriorated over the last few months …
Mrs Trump has come to see you regarding her sleep. Over the last few months she has found it more and more difficult to both fall and stay asleep. She is 29-years-old and is normally fit and well. She smokes 14 cigarettes a day (but is trying to stop and has agreed to smoking cessation …
Mrs Walker is a 57 year old lady who presented with difficulty sleeping 5 weeks ago. A detailed history excluded potential secondary causes. You both agreed that the likely cause was stress at work and poor sleep hygiene including falling asleep with the television on and drinking up to six cups of coffee a day. …
Mr Smith is a 79 year old man who was recently diagnosed with prostate cancer. He is awaiting staging scans and then to be discussed at the urology cancer MDT to explore treatment options. His next out-patient appointment is next week. Mr Smith presents to his GP surgery with lower back pain which radiates down …
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