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...
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...
Case study: Surgical infection
...Mr K's knee replacement surgery is a success but two weeks later the joint is hot and swollen...
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...
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...
Abdominal lump
...It is also alleged that Dr N failed to flag up the low haemoglobin result which was suggestive of colorectal cancer...
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...
Persistent dyspepsia
...Dr L did note the epigastric discomfort but did not record whether he had asked how long the pain had been present, precipitating factors, any loss of appetite or weight, or eating or swallowing problems...
Knowing the limits
...It is concluded that the patient's gastrointestinal bleeding is probably due to diffuse oozing from the GI tract secondary to a combination of a high INR and diclofenac...
Telltale limp
...Dr N examines the child and notes a possible discrepancy in limb length with shortening on the left side. She also finds asymmetrical skin creases on the inside left thigh...
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