Case Report 09 April 2018 Dr Ash Chehata

What's the cause of this scuba diver's shoulder pain?

Damien, a previously fit and healthy 54-year-old abalone diver, presented with a 10-year history of increasing bilateral shoulder pain and restricted movement. The pain was relieved by a combination of paracetamol, NSAIDs and rest.
Case Report 03 April 2018 Dr Sarah Hughes

A tired mum with guilty feelings

Anna, a 35-year old woman, married for three years, gave birth to her first child, Thomas, 13 weeks ago. She runs a small floristry business and is due to return to work in four weeks on a part time basis. 
Case Report 26 March 2018 Dr Daniel Xu

A labral tear or inflammatory arthritis?

Michael, a 28-year-old teacher's assistant, initially presented to another GP practice with moderate-to-severe left hip pain after a long walk five months ago.
Case Report 20 March 2018 Dr Annabel Dodds, Dr Mark Aldred

Could this rash be VZV?

Doris is a 95-year-old, left-handed aged care facility resident who presented to the emergency department with two-day history of an erythematous rash affecting her dominant hand (figure 1, below).  
Case Report 13 March 2018 Dr David Bossingham

Could it be Still's?

Veronica, a 42-year-old equestrian centre owner, attends with a fever with associated lethargy, anorexia and some weight loss all over the preceding two weeks.
Case Report 06 March 2018 Dr Jim Newcombe

Is this boy’s illness a risk to his pregnant aunt?

Kevin is a four-year-old boy from Indonesia who is visiting family in Australia. He presents with a three-day history of fever and a widespread, pruritic, maculopapular rash. The rash began on his face and quickly spread to his entire body. 
Case Report 28 February 2018 Dr Stuart Aitken

A rare reaction to endocrine therapy

James, a 27-year-old transgender man, presented eagerly for his first injection of testosterone as the endocrine component of his gender transition.  James was not taking any regular medication and had no known allergies.
Case Report 20 February 2018 Dr Darren Vaotuua, Dr Ruth Devin

What's the cause of Judith’s atypical femoral fracture?

Judith, a normally sprightly independent 73-year-old woman, presents initially with a three-month history of constant anterior right thigh ache.
Case Report 13 February 2018 Dr Jim Newcombe

A pruritic rash in pregnancy

Jess, a 35-year-old woman, presents to her GP at 39+1 weeks’ gestation in her first pregnancy. She complains of a widespread pruritic rash that started on the abdomen and back two days ago and has now spread to involve the arms, legs and face.
Case Report 06 February 2018 Dr David Bossingham

Treating a recurring chest infection

Jan is a 48-year-old teacher’s assistant at the local state high school. She developed type 1 diabetes as a teenager and was recently found to have autoimmune hypothyroidism.