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Chapter: 3 / Q: 61
A 10-year-old boy is brought to hospital with a rash over his buttocks associated with abdominal pain and vomiting. In accident and emergency he is accompanied by his mother and stepfather. His mother had left him for the weekend with the stepfather and was called to come back from her holiday
Chapter: 3 / Q: 62
A 30-year-old man presents to hospital complaining that his urine has been very dark recently, resembling coffee at worst. He has been under the weather recently and has taken a few days off work with a very sore throat and coryzal symptoms. Urine dipstick in hospital returns highly positive
Chapter: 3 / Q: 63
A 5-year-old boy is referredr who is worried that he has been listless. He is not sure why his G to hospital and seen with his fatheP suggested he should come to accident and emergency and is keen to ‘get some tablets and go home’. On examination the child is tired and irritable and has
Chapter: 3 / Q: 64
A 40-year-old woman is admitted from accident and emergency with a history of arthralgia, facial rash, chest pain and neuropsychiatric symptoms. She is investigated for the cause of her symptoms and undergoes urine dipstick, simple blood tests, electrocardiology, porphyria and sickle screens
Chapter: 3 / Q: 65
A 28-year-old man presents with shortness of breath, haemop- tysis, swollen legs and face, and haematuria. He describes feeling progressively more unwell in the weeks preceding admission but was afraid that this ‘might be the end’. Clinically he exhibits signs of renal failure
Chapter: 3 / Q: 66
A 65-year-old man is brought to his GP by his wife. She is worried that recently he has been behaving more and more unusually and out of character for him. He has become more forgetful of late and she often gets the impression that he has trouble focusing on her when she is talking to him
Chapter: 3 / Q: 67
A 68-year-old man is brought to accident and emergency having fallen and broken his hip. Further questioning reveals he is confused and upon talking to a relative a history of tremors and long-standing hypertension is gained. Mini-mental state examination yields a score of 21 and on examination
Chapter: 3 / Q: 68
A 61-year-old woman is brought in by the police to hospital found wandering at night in her dressing gown. Mini-mental state examination reveals a score of 18. Her daughter describes her mother as more aggressive recently and often has trouble remembering who she is when she comes to visit
Chapter: 3 / Q: 69
A 58-year-old woman, recently widowed, is brought to hospital by her relatives. She was found at home to have no food in her cupboard and a neighbour who helps her clean found her lying in bed in a poor state of hygiene. Her mini-mental state examination score was 24 and during the test
Chapter: 3 / Q: 70
A 31-year-old man from Botswana is brought to accident and emergency by the police. He was found at 2 o’clock in the morning holding a knife and wandering the street outside his house. He maintains that somebody is poisoning him and making him feel terrible and he complains of a ‘flu-like
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