Chapter 34 Chest and abdominal pain in the elderly Case 34.1 A 70-year-old female presents with a 3-hour history of acute dyspnoea and right-sided chest pain. The pain is sharp…

Chapter 30 Head and neck pain in the elderly Case 30.1 History Jane is a 70-year-old retired teacher. She presents with a 3–4 month history of episodes of pain between…

Chapter 17 Acute joint pain Case 17.1 Dale, a 43-year-old male, presents with a 3-week history of fatigue and an intermittent, low grade temperature which is accompanied by chills, diffuse…

Chapter 36 Impaired vision and hearing in the elderly Case 36.1 1. Select no more than five questions which will help you determine the type (not the cause) of visual…

Chapter 23 Fatigue and generalised weakness Case 23.1 A 29-year-old female presents with a 10–12 month history of fatigue, nausea, anorexia and generally feeling unwell. She has lost 5 kg over…

Chapter 20 Lower limb pain Case 20.1 1. What is your differential diagnosis for: a the lesions over the metatarsal heads Plantar warts, seborrheic keratoses, actinic keratoses, arsenical keratoses, squamous…

Chapter 21 Chest pain Case 21.1 1. What is the most likely diagnosis? Justify your answer. Right-sided pneumothorax (probably spontaneous, closed type). Justification: • sudden onset of acute dyspnoea and…

Chapter 15 Acute back pain Case 15.1 1. Using only this information, list the possible causes of Caitlyn’s pain. Justify your answers. Possible diagnosis Reasons likely Reasons unlikely DDx 1:…

Chapter 12 Miscellaneous cases in adolescence Case 12.1 1. What questions do you need to ask, prior to making your differential diagnosis? In order to determine the cause of Madeleine’s…

Chapter 24 Cough and dyspnoea Case 24.1 A 25-year-old woman presents with rhinorrhoea, a sore throat, runny eyes and a dry cough. She has no other symptoms. On examination, there…