Theophylline
A 52-year-old man with long-standing COPD is treated with sustained-release theophylline for symptom control. His respiratory symptoms have recently worsened […]
Pharmacology
Rheumatology
Recurrent fever, abdominal/chest pain and joint pains.
Question A 52-year-old man attends the acute medical unit with episodic severe abdominal discomfort, fever, painful swollen joints, and pleuritic
Cardiology
Wide split S2
A 24-year-old woman attends a cardiology clinic because of intermittent awareness of her heartbeat. She has been otherwise healthy with
Neurology
Motion sickness
A 29-year-old man is preparing for a long journey across several countries, during which he expects to spend many hours
Respiratory
Dyspnea
A 28-year-old woman reports gradually worsening shortness of breath over the past 10–12 months. She now needs to pause after
Renal
Child with rash, abdominal pain and hematuria.
A 10-year-old child is reviewed for widespread non-blanching spots over the backs of the legs. He has had crampy abdominal
Respiratory
Pulmonary arterial hypertension
A 33-year-old woman is evaluated for slowly worsening breathlessness over several months. Investigations confirm idiopathic pulmonary arterial hypertension. She is
Gastroenterology
TIPS
A 69-year-old gentleman is admitted after repeatedly vomiting bright red blood over several hours. He has underlying obesity-related liver disease,