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.
Case Report 31 January 2018 Melanie McGrice

What's behind this mum-to-be's bowel problems?

Janine, a 34-year-old woman, was referred at 31 weeks’ gestation for review of intrapartum nutrition. Janine underwent a Roux-en-Y gastric bypass four years ago and an emergency laparotomy for an ischaemic Roux limb at 16 week’s gestation.
Case Report 24 January 2018 Dr Nicola Hogan, Dr Lyn-li Lim, Sonia Koning, Kylie D’Arcy Evans

The dangers of mixing medicines

Betsy, an 88-year-old woman from a low-level care nursing home was referred to the ED with a supra-therapeutic INR, after a routine pathology sample detected a ‘high’ reading. 
Case Report 17 January 2018 Ashley Heyworth, Dr Jerry Gill

An unusual case of syncope hours after a fall

Mike, a 29-year-old man, was brought in by ambulance to the ED of a regional base hospital following a syncopal episode.
Case Report 12 December 2017 Dr Peter Chisholm, Dr Alisara Suknate, Dr Lyn-li Lim, Dr Alice Fang

Baby Sam's rash is mimicking measles

Sam, aged 12 months, was brought into the ED by his parents with a two-day history of rash, associated with a five-day history of fever, coryzal symptoms and decreased food intake.
Case Report 04 December 2017 Dr Jim Newcombe

Could she have Lyme disease?

Audrey, a previously well nine-year-old girl, presents to her local emergency department with sudden-onset unilateral facial weakness. One month earlier, she had been bitten on the neck by a tick while in France.