Mr B, a 42-year-old builder, attended his GP, Dr S, with a three-week history of back pain and left sided sciatica. Dr S found nothing of concern on further questioning or examination, so made a referral for physiotherapy and recommended ibuprofen.
Read moreMrs S, a 27-year-old Romanian woman who lived with her husband in the UK, became pregnant and presented to her local GP surgery to commence antenatal care. Mrs S did not speak English and usually brought a family member with her to interpret.
Read moreMrs S was a 36-year-old patient diagnosed with a benign giant cell tumour of the sacrum. She was seen by Mr A, consultant in orthopaedic oncology, and listed for resection of the lesion.
Read moreMrs L, a teacher, was first prescribed the oral contraceptive pill microgynon by her GP, Dr G, when she was 17. Her blood pressure was taken and recorded as normal. At this time, no other mention was made in the records of her risk profile or family history.
Read moreMrs Y, a 39-year-old chef, opted to M see consultant obstetrician Mr B for private antenatal care. It was her first pregnancy and other than a BMI of 30 she had no pre-existing medical problems.
Read moreMr P, a right-handed project manager, developed a stiff right elbow following a previous injury, and had reached the limit of his progress with physiotherapy. X-rays showed degenerative changes and he was referred to an orthopaedic consultant, Mr A, who diagnosed osteoarthritis of his elbow.
Read moreMr K was a 36-year-old man who ran a pub. Mr K smoked and drank heavily. Mr K’s dentist had noticed a painless swelling on the right side of his neck during a routine check-up and asked him to see his GP.
Read moreMrs B was a 27-year-old secretary with a ten-year-old daughter. She had just enjoyed a trip to Pakistan where she had been visiting relations. Three days after her return she developed profuse, watery diarrhoea.
Read moreMiss F, an 18-year-old university student, had been taking the combined oral contraceptive pill microgynon for 18 months for dysmenorrhoea, when she presented to her GP Dr K worried about acne on her back.
Read moreMr G was a 62-year-old office worker; he was overweight (BMI 29) and suffered from exercise-related angina. Mr G had several risk factors for ischaemic heart disease including smoking, diabetes mellitus and hypercholesterolaemia. Following a positive exercise test, a coronary angiography confirmed triple vessel coronary artery disease with a left ventricular ejection fraction of 45%. He was referred to Mr F, a consultant cardiothoracic surgeon, for consideration of coronary artery bypass graft (CABG) surgery.
Read moreA patient on long-term medication begins to feel short of breath
Read moreA private neurosurgeon faces questions on consent, following a lumbar microdiscectomy sciatica and back pain
Read moreA patient presents with a sore wrist after a fall. This was followed by a complaint against the doctor.
Read moreDr James Thorpe, Medicolegal Adviser at Medical Protection, reflects on a common issue where junior doctors are asked to perform roles outside their competence, in particular taking informed consent for surgical procedures and other invasive investigations
Read morePatients overtly coerced into undergoing treatment they do not want can rightly claim that their “consent” was not given freely and is therefore not valid. Cases of overt coercion are rare, but there are circumstances in which patients may feel that they have been covertly pushed into accepting treatment they would prefer not to have had. For example, in some circumstances patients may find it very difficult to say “No” to the proposed treatment, or to challenge the doctor’s assumption that they would have no objections to going ahead.
Read moreWhether it’s a revised piece of GMC guidance, or a Bill going through the Scottish Parliament, we use our expertise to inform debates about changes that could affect your practice.
Read moreMrs M was a 64-year-old care assistant in a retirement home. She visited her GP with a two-month history of blood in her stools, altered bowel habit, and intermittent lower abdominal discomfort.
Read moreIn this series we explore the key risk areas in general practice
Read moreDr Michael Rayment and Dr Ann Sullivan, Department of Sexual Health and HIV Medicine, Chelsea and Westminster NHS Foundation Trust (on behalf of the British Association for Sexual Health and HIV, and the British HIV Association).
Read moreDr Hajra Siraj, GP registrar in London, shares a tricky case around assessing the competence of young people.
Read moreChoosing a career in general practice can be both rewarding and challenging. We understand that sometimes General Practice can be a daunting environment for a new trainee, not accustomed to the independent working and the pressure of being that first port of call and diagnosis for patients entering the health service.
Read moreTry these sample AKT questions provided by Dr Mahibur Rahman from Emedica
Read moreTry these sample AKT questions provided by Dr Mahibur Rahman from Emedica
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