Case report

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 walk and particularly to rise from a chair.

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.

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.

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.

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 chest and abdomen.

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 sharp and started after a minor fall six months ago.

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. She is otherwise well, with no systemic symptoms of note.

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

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 to their GP two weeks after his discharge from hospital.

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 conceive for seven months.