Case report 14/03/2018 Problematic pacemaker placement Preview Article Problematic pacemaker placement Time to read article: 2 mins Close Preview Mr U, a 29-year-old teacher, was referred to Dr N, a consultant cardiologist, with a history of several episodes of dizziness, perspiration and palpitations. A 24-hour ECG had shown episodes of tachycardia and bradycardia, and second-degree Mobitz type II heart block was demonstrated when symptomatic. Read more Article contains Text Tagged in... Cardiology & Vascular Medicine
Case report 13/12/2017 Anatomy of a claim Preview Article Anatomy of a claim Time to read article: 2 mins Close Preview Back pain, paraplegia and a series of complaints – how Medical Protection helped at every step. Read more Article contains Text Tagged in... GP indemnity GP
Case report 13/12/2017 Multiple Jeopardy Preview Article Multiple Jeopardy Time to read article: 3 mins Close Preview A patient dies after amoxicillin reaction – we support GP through criminal investigation, inquest and GMC hearing. Read more Article contains Text Tagged in... GP indemnity Practice Matters
Case report 12/12/2017 An elusive foreign body Preview Article An elusive foreign body Time to read article: 2 mins Close Preview Child H, a three-year-old boy, was brought into the Emergency Department (ED) of a private hospital by his mother, having inhaled or swallowed a little building brick. They brought a similar piece with them. Child H was seen by a doctor, Dr W, who documented that he appeared well, with no signs of respiratory distress and a normal auscultation. Dr W arranged for him to have a chest x-ray, which both Dr W and a radiologist considered normal. Read more Article contains Text Tagged in... ENT Paediatrics Casebook Casebook Scotland Respiratory Medicine
Case report 14/11/2017 A limping child Preview Article A limping child Time to read article: 3 mins Close Preview Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk. Read more Article contains Text Tagged in... Paediatrics Orthopaedics
Case report 14/11/2017 Balancing risks Preview Article Balancing risks Time to read article: 2 mins Close Preview Miss G was a 36-year-old medical receptionist who worked in a teaching hospital. She was under the care of a haematologist for chronic idiopathic thrombocytopenic purpura, diagnosed when she was 13. She had a BMI of 42 and no other relevant past medical history. Read more Article contains Text Tagged in... General practice Prescribing Haematology
Case report 14/11/2017 Diagnosing pneumonia Preview Article Diagnosing pneumonia Time to read article: 4 mins Close Preview Mr B was a 31 year old man with three children. His mother was staying with him over the weekend because he was in bed coughing and shivering. Read more Article contains Text Tagged in... Respiratory Medicine Patients Cardiology & Vascular Medicine Emergency Medicine
Case report 14/11/2017 The importance of living wills Preview Article The importance of living wills Time to read article: 1 mins Close Preview Patient B, a 70-year-old female, with a history of dementia, stroke and pneumonia, was admitted to the emergency room of a private hospital in a coma. She had advanced lung cancer and was well-known to the physician, Dr Y, who was called to see her. Read more Article contains Text Tagged in... Record keeping End of Life Care
Case report 14/11/2017 Dialysis or a right to die? Preview Article Dialysis or a right to die? Time to read article: 1 mins Close Preview Patient A, a 57-year-old male, was admitted to the ICU of a private hospital with kidney and liver failure, and in a coma. There was no living will and family members gave a history of long-standing alcohol abuse. Read more Article contains Text Tagged in... Professionalism End of Life Care Listen Emergency Medicine
Case report 14/11/2017 HIV diagnosis Preview Article HIV diagnosis Time to read article: 1 mins Close Preview A female patient at a medical centre consulted GP Dr F and was subsequently sent for further treatment at another department within the building. Read more Article contains Text Tagged in... Diagnosis Record keeping
Case report 14/11/2017 Claim confusion Preview Article Claim confusion Time to read article: 1 mins Close Preview A man made a claim against his GP for a missed diagnosis. An expert witness was instructed to provide advice on the case... Read more Article contains Text Tagged in... Decision Making Diagnosis
Case report 26/10/2017 Failure to diagnose pre-eclampsia Preview Article Failure to diagnose pre-eclampsia Time to read article: 2 mins Close Preview Read more Article contains Text Tagged in... Record keeping Obstetrics & Gynaecology General practice Casebook Scotland Diagnosis Casebook
Case report 26/10/2017 Lost opportunity Preview Article Lost opportunity Time to read article: 4 mins Close Preview Ms C, a 43-year-old smoker who was otherwise well, presented to her GP, Dr Q, complaining of a few days’ discoloration to the tip of her right index finger. She explained that her fingers had always felt cold and often turned white and went numb when she was outside. Read more Article contains Text Tagged in... Casebook Scotland Casebook General practice
Case report 26/10/2017 If it is not recorded Preview Article If it is not recorded Time to read article: 3 mins Close Preview Read more Article contains Text Tagged in... General practice Casebook Prescribing Casebook Scotland Neurology & Neurosurgery
Case report 26/10/2017 Stretch marks and steroids Preview Article Stretch marks and steroids Time to read article: 3 mins Close Preview Mr A was a 25-year-old man who was on lifelong steroid medication for congenital adrenal hyperplasia. He was under the care of Dr F, a consultant endocrinologist. Read more Article contains Text Tagged in... Casebook Scotland General practice Casebook Prescribing Endocrinology
Case report 26/10/2017 Tragic outcomes don't always equal negligence Preview Article Tragic outcomes don't always equal negligence Time to read article: 3 mins Close Preview JS, a four-month-old baby, was felt by his mother to be developing a cold and was given oral paracetamol solution, which was effective. The following day his mother noted he was warm and snuffly. Read more Article contains Text Tagged in... Diagnosis Casebook Scotland Casebook General practice
Case report 26/10/2017 Diagnosis pneumonia out of hours Preview Article Diagnosis pneumonia out of hours Time to read article: 3 mins Close Preview Mr B was a 31-year-old man with three children. His mother was staying with him over the weekend because he was in bed coughing and shivering. Read more Article contains Text Tagged in... Casebook General practice Casebook Scotland Successful Defence
Case report 26/10/2017 Undescended testis Preview Article Undescended testis Time to read article: 2 mins Close Preview Baby LM was taken to see his GP, Dr E, for his six-week check. During this examination Dr E noted that his left testis was in the scrotum but his right testis was palpable in the canal. He asked LM’s mother to bring him back for review in a month. Read more Article contains Text Tagged in... Casebook General practice Successful Defence Casebook Scotland
Case report 26/10/2017 Failure to follow specialist advice Preview Article Failure to follow specialist advice Time to read article: 2 mins Close Preview Following a hospital admission for status epilepticus, which was attributed to a previous cerebral insult, Mr G, a 35-year-old clerical officer, was started on an anticonvulsant regime of phenytoin and sodium valproate. Read more Article contains Text Tagged in... General practice Neurology & Neurosurgery Prescribing Casebook Scotland Casebook
Case report 26/10/2017 Problematic Anaesthetic Preview Article Problematic Anaesthetic Time to read article: 3 mins Close Preview Mrs B was a 57-year-old lady with a past history of breast cancer treated with mastectomy and adjuvant therapy. She re-presented to her consultant breast surgeon, Mr F, three years after the original surgery with a worrying 2cm lump in the vicinity of her mastectomy scar. Read more Article contains Text Tagged in... Casebook Anaesthetics Consent Casebook Scotland
Case report 26/10/2017 Missed meningitis Preview Article Missed meningitis Time to read article: 3 mins Close Preview Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 26/10/2017 A Missed opportunity? Preview Article A Missed opportunity? Time to read article: 2 mins Close Preview A patient suffers complications following spinal surgery Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 26/10/2017 Back to front Preview Article Back to front Time to read article: 4 mins Close Preview An unusual presentation masks a significant underlying diagnosis Read more Article contains Text Tagged in... Casebook Scotland Casebook
Case report 26/10/2017 Paediatric brain injury Preview Article Paediatric brain injury Time to read article: 2 mins Close Preview Surgery for an arachnoid cyst is complicated by an intracranial bleed. Read more Article contains Text Tagged in... Paediatrics Casebook Scotland Neurology & Neurosurgery Casebook