Case Report 08 November 2018 Dr David Bossingham

Diagnosis dilemma: Is it osteoporosis?

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.
Case Report 03 November 2018 Emeritus Professor Max Kamien

The mysterious case which stumped an experienced ENT surgeon

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.
Case Report 22 October 2018 Dr Daniel Xu

A case of atypical respiratory distress

Tracey is a 33-year-old lawyer relocated from NSW, who presents with a six-week history of increasing breathlessness on exertion.
Case Report 18 October 2018 Dr Tram Bui

Achieving normality after brain trauma

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.
Case Report 16 October 2018 Dr Carolyn Ee

Is it PCOS or PCOM?

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.
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).