Recurrent Fever After Recent Malaria Treatment
Question A 41-year-old man attends hospital with recurrent attacks of high fever, sweating and rigors occurring roughly every 48 hours. […]
Infectious Diseases
Cardiology
Progressive Right-Sided Heart Failure After Mediastinal Radiotherapy
Question A 41-year-old woman develops gradually worsening abdominal distension and bilateral leg oedema over several months. She previously underwent surgical
Respiratory
Progressive Breathlessness in a Patient With COPD
Question A 61-year-old man with established COPD attends clinic because his breathlessness has gradually worsened despite regular inhaler therapy. He
Cardiology
Intermittent Palpitations with a Normal Resting ECG
Question A 61-year-old woman describes intermittent attacks of a rapid, irregular heartbeat associated with mild dizziness. These episodes have occurred
Haematology
Young Adult with Microangiopathic Haemolysis, Thrombocytopenia and Acute Kidney Injury
Question A 27-year-old man is admitted with abdominal discomfort, repeated vomiting, lethargy, and altered mental status. Investigations show severe acute
Haematology
Young Adult With Anaemia, Splenomegaly and Recurrent Gallstones
Question A 22-year-old man is being evaluated before planned gallbladder surgery after several attacks of symptomatic gallstones. He has also
Infectious Diseases
Painful Finger Nodule in a Sheep Farmer
Question A 46-year-old sheep farmer develops a painful, enlarging reddish-purple nodule on the dorsum of his index finger. He frequently
Infectious Diseases
Pregnancy, Travel and Acute Jaundice
A 29-year-old woman, currently at 26 weeks of gestation, attends the emergency department with a five-day history of fatigue, fever,
Infectious Diseases
New-Onset Seizure with Cognitive Decline and Incidental Muscle Calcifications
Question 51 / 100 Seizures, Cognitive Deterioration and Incidental Muscle Calcifications A 47-year-old former construction supervisor is brought to hospital
Haematology
Progressive Back Pain, Leg Weakness and an Abnormal Free Light-Chain Profile
Question A 76-year-old man is admitted with rapidly worsening bilateral leg weakness over 4 days. For several months he has