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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

Recurrent cancer

...The patient confirms that he has noticed a dip in energy and also that he has dropped a few pounds in weight. He is also still finding blood in his stools...

  • 31 January 2017
  • Case study

Surgical infection

...Mr K later re-attends the district nurse and she phones Dr R to report that the knee is now hot and swollen and the sutures have burst in two places – but the patient is weight-bearing...

  • 23 December 2016
  • Case study

No prophylactic antibiotics

...Mr D claims that the dentist's failure to prescribe an antibiotic after his extraction led to "serious complications" resulting in his prolonged recovery and loss of earnings...

  • 28 November 2016
  • Case study

Pressure to prescribe

...Even though she is not his patient Dr G agrees to write a prescription on his practice (NHS) pad for a short course of treatment...

  • 28 October 2016
  • Case study

Abdominal lump

...It is also alleged that Dr N failed to flag up the low haemoglobin result which was suggestive of colorectal cancer...

  • 29 September 2016
  • Case study

Sickly child

...Dr K examines Emma and finds she is afebrile but dehydrated (dry tongue) and lethargic. He also observes that she is wobbly and unsteady on her feet and displays neck stiffness...

  • 29 August 2016
  • Case study

Two teeth too many

...A letter of claim is received alleging clinical negligence for failing to diagnose the presence of the supernumeraries so they could be removed allowing normal eruption of the adult incisors...

  • 27 July 2016
  • Case study