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Lessons from the TAPS study Knowledge and skills errors

2008

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My knee is swollen

2008

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Book Review

November 2017

Pain: The person, the science, the clinical interfaceEdited by Patricia Armati with Roberta ChowResearch: IP Communications, 2015ISBN: 978-0-9872905-6-4When a book on such an important and challenging area starts with the words, ‘General practice is, in the main, the front line of pain management...

TB or not TB: A case report

August 2017

CaseAn Indian man, aged 33 years, presented to his general practitioner (GP) with fever, dyspnoea, intermittent, sharp, non-radiating retrosternal chest pain, nausea and night sweats. His skin, joint, lymphatic, cardiorespiratory and gastrointestinal examinations were non‑contributory. Other...

The short Synacthen test and laboratory assay inter-ference

March 2017

CaseMichael, 50 years of age, presented with increasing dizziness that was aggravated by standing, although there was no postural hypotension. His general practitioner (GP) requested testing for plasma thyroid-stimulating hormone (TSH) levels to exclude hypothyroidism, and plasma...

A case of double vision

March 2017

CaseA woman, 62 years of age, presented to a general practice with a three-day history of persistent double vision. She described this as ‘seeing two images side by side’. There was no previous history of diplopia or trauma, headache, vomiting, limb weakness or jaw claudication. She could not...

Purpuric rash in a young adult

September 2016

CaseA student of Asian descent, 27 years of age, presented to his general practitioner (GP), reporting a three-day history of erythema, swelling and purpuric rash on his hands and feet. The erythema had appeared suddenly on his palms and subsequently spread and evolved to include purpura on his...

Flu-like symptoms in pregnancy – A case study

May 2016

CaseA woman, 35 years of age and gravida 2, para 1 (G2P1), presented at 32 weeks’ gestation to a local emergency department in the middle of the influenza season. She had a one-day history of non-productive cough, lethargy, leg cramps, nausea and vomiting. She was afebrile and treated with...

Painful perianal lumps in a man with male sexual partners

April 2016

CaseA man in his early 20s presented with perianal lesions. Two general practitioners (GPs) had previously diagnosed haemorrhoids and provided treatment advice. However, the patient described worsening symptoms over six months and was now struggling to walk or sit comfortably. He was otherwise...

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