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Chapter: 3 / Q: 71
A 43-year-old man presents with bright red rectal bleeding. He denies any pain and states that it came on suddenly with no warning. He has not had any change in bowel habit and does not take any regular medication. Past medical history is remarkable for a total knee replacement 5 years ago
Chapter: 3 / Q: 72
A 62-year-old woman presents with rectal bleeding on passing stool. Bleeding is seen on the toilet paper and in the toilet bowl. She states that she has had a few episodes of small fresh bleeding but denies any weight loss or diarrhoea She describes a feeling of something descending in the rectum
Chapter: 3 / Q: 73
A 67-year-old man presents with rectal bleeding with no warning or associated change in bowel habit. He has experienced episodes of bleeding like this in the past, which usually settle on their own. Referred by his GP to hospital for the last serious episode of rectal bleeding he underwent
Chapter: 3 / Q: 74
A 54-year-old man presents to the dermatology clinic with a history of multiple red lesions on his nose and around his mouth. He has been suffering recurrent nosebleeds intermittently since he was a child and has had the lesions as long as he can remember. Past medical history is remarkable only
Chapter: 3 / Q: 75
A 67-year-old man complains of abdominal pain and rectal bleeding. He has recently been started on digoxin and atenolol for an episode of shortness of breath and palpitations and was due for an anticoagulation clinic appointment to commence on warfarin. He is brought to hospital collapsed
Chapter: 3 / Q: 76
A 74-year-old gentleman is 1 day post-operatively from his total hip replacement for the treatment of arthritis affecting his hip. Immediately post-operatively he made a good recovery and did not complain of excessive pain. He has a history of COPD and hypertension but no other medical problems
Chapter: 3 / Q: 77
You are a member of the cardiac arrest team and you are called to a medical ward where a patient has arrested. You remember the patient as you had been asked to see him previously to dose his warfarin as he was being treated for a pulmonary embolus. The nurses mention that he was complaining
Chapter: 3 / Q: 78
An 80-year-old gentleman has been admitted for the investiga- tion of his recurrent falls. A full screen of blood tests including a full blood count and urea and electrolytes has shown no abnormalities. You come to review him after the weekend on Monday morning and the nursing staff
Chapter: 3 / Q: 79
A 49-year-old lady presents with increasing shortness of breath. She was seen by her GP earlier in the day who was concerned that clinically she had a pleural effusion and asked her to attend accident and emergency for an urgent chest X-ray and medical review. She is normally fit and well
Chapter: 3 / Q: 80
A 74-year-old lady presents acutely short of breath. She mentions that she has been increasingly dyspnoeic over the past week but her breathing has worsened significantly over the past 24 hours. She denies any associated chest pain but confirms that she has a slightly productive cough
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