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Missed gallstones

...Over the following six weeks he attends the practice three more times and is examined by two different GPs who also diagnose constipation...

  • 27 November 2017
  • Case study

Non-compliant diabetic

...The infected foot proves unresponsive to antibiotic therapy and six days later Mr A undergoes a below-knee amputation...

  • 27 October 2017
  • Risk alert

HRT error

...further investigation reveals that Mrs A has been mistakenly prescribed unopposed oestrogen HRT...

  • 29 September 2017
  • Case study

Suspect spot

...Dr L confirms that the letter had been received in the practice and marked as read but the follow-up chest X-ray had not been highlighted and actioned...

  • 29 August 2017
  • Case study

Disclosure demanded

...details are required in regard to an NMC investigation into allegations of ill-treatment of a patient registered with the practice while in a local nursing home...

  • 28 July 2017
  • Case study

Inappropriate tweets

...A colleague at the hospital where Dr T works sent the regulator photocopied examples of some of her tweets, posted under an anonymous handle and including various disparaging ‘jokes’ in regard to patients...

  • 29 June 2017
  • Case study

Unwanted chemistry

...the patient says that he had detected some “chemistry” between them during the examination and he has seen her again waiting at a bus stop but was too nervous to make an approach...

  • 25 May 2017
  • Case study

Sealed envelope

...Later that day Mrs J opens the envelope to read the referral letter and discovers the child protection disclosure naming her sister-in-law as the source...

  • 26 April 2017
  • Case study

Worrying lump

...Dr J undertakes an examination and finds a "2 cm non-tender subcut lump under right axilla". She prescribes antibiotics and asks the patient to return for review...

  • 31 March 2017
  • Case study

Transgender records

...The practice is advised to explain that the patient may not be contacted for current or future screening programmes associated with the sex at birth and explain the implications of this...

  • 27 February 2017
  • Case study