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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...
Infected dog bite
...Dr K examines the wound and notes cellulitis but no pus. She prescribes the antibiotic flucloxacillin and advises Mr B to re-attend if the infection grows worse...
"Mild" headache
...The notes also reveal that the GP considered the possibility of head injury in that he recorded that there were no associated symptoms...
Shooting pains
...A GP attends her at home and notes that the patient has developed numbness in the saddle area and cold feet in addition to low back pain shooting to the ankles...
Village gossip
...He accuses the GP of either discussing the matter at home or elsewhere in the village and that this constitutes a serious breach of confidentiality...
A missed pregnancy
...The facts clearly show the GP made an error in fitting the IUCD while the patient was pregnant. However, it remains unclear exactly what the consequences of this mistake were...