Case Report 16 October 2018 Emma Armstrong

Managing malnutrition after pancreatic surgery

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 for six months post-surgery.
Case Report 24 September 2018 Dr David Bossingham

When the puzzle pieces don't fit, consider the whole patient

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 time revealed a loud midsystolic murmur.
Case Report 17 September 2018 Dr Chandrani Jayasekara

Hot tub relaxation leads to a rash for this patient

Lachlan, a 17-year-old high-school student, presents after a two-week history of a pruritic rash over the pubic area and both buttocks. The rash was first noticed 48 hours after a family holiday at a Victorian resort.
Case Report 06 September 2018 Dr Chitra Sivaramamoorthy

Peripheral neuropathy points to something sinister

Genevieve, a 73-year-old female presents with a four-year history of symmetrical painful peripheral neuropathy, with tactile hyperaesthesia worse at night. She has a past history of anxiety and osteoarthritis.
Case Report 04 September 2018 Dr Emma Tippett, Dr Lyn-li Lim

Hard-to-treat UTIs

Judith is an 82-year-old woman from a low-level care facility. Over the last week, she has developed new urinary incontinence and frequency. She has a history of hypertension and osteoarthritis and is allergic to nitrofurantoin (rash).
Case Report 28 August 2018 Dr Chandrani Jayasekara

Hepatitis E after a trip to the homeland

Nirav is a 37-year-old man of South-Asian descent. He moved to Australia with his wife 10 years ago and works in a plastics factory. He presents as a new patient, complaining of a high fever and body aches for the past four days.
Case Report 22 August 2018 Dr Carolyn Ee

Managing serotonin syndrome

Sarah is a 34-year-old divorced woman who presents with concerns about her mood and anxiety. She has a two-year history of depression and in the past six months has also developed anxiety symptoms.
Case Report 16 August 2018 Dr David Bossingham

What's causing these green and gold nails?

Earl is 78; he retired from the public service more than 20 years ago because of his rheumatoid arthritis. He received what was conventional treatment at the time but unfortunately the disease progressed.
Case Report 07 August 2018 Dr Edna Sun

Precise pathology picks up hyperparathyroidism

Harry is a 57-year-old man who has moved back to Australia after working in the UK for nine months. He attends for a general health check. He has run out of his antihypertensive tablets (olmesartan 40mg/day) and his blood pressure at home has been around 163/101.
Case Report 30 July 2018 Dr Daniel Xu

Picking up pancreatic cancer

Joseph is 59-year-old accountant who presents with constipation and a mildly reduced appetite. He discloses a six-month history of progressive constipation and has been self-managing by using a stool softener and laxatives.