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Chapter: 4 / Q: 81
A 34-year-old man complains of arthralgia, abdominal pain and vomiting, a facial rash that is worse in the summer and haematuria. Urea and creatinine are slightly elevated with urinalysis demonstrating red-cell casts. Past medical history is remarkable for childhood eczema
Chapter: 4 / Q: 82
A 42-year-old woman with a past medical history of left hemi- spheric stroke presents to hospital with signs and symptoms of renal failure. She has been seen by her GP for hypertension and abdominal pain with outpatient investigations pending
Chapter: 4 / Q: 83
A 78-year-old woman is brought to hospital complaining of abdominal pain and is referred to the surgeons. She has been saying that her mother is due to visit her today and that somebody must have broken her lower back as she is in agony. Her blood results show a creatinine level of 295µmol/L
Chapter: 4 / Q: 84
A 32-year-old man presents with shortness of breath and swollen legs and face. He describes feeling progressively more unwell in the weeks preceding admission. On examination there are signs of renal failure. He is admitted to hospital and rapidly deteriorates over a matter of weeks requiring
Chapter: 4 / Q: 85
A 72-year-old man is admitted to the ward with chest pain and managed on the acute coronary syndrome protocol. He is found to be hypertensive and hypercholesterolaemic and started on an HMG-CoA reductase inhibitor (statin) and an angiotensinconverting enzyme inhibitor (ACE-I). You are called
Chapter: 4 / Q: 86
A 37-year-old man presents to his GP com plaining of headache. He notes that it is mainly behind his left eye and in his forehead. He has been suffering from sinusitis in the preceding week and assumes that it is caused by this. He has become increasingly worried as he has noticed that his eye see
Chapter: 4 / Q: 87
A 47-year-old lady with a longstanding history of epilepsy has been brought in by her family as she is suffering with a fluctuation in her conscious level and seems to have some weakness on the right hand side of her body. She has been suffering with an increasing number of fits recently
Chapter: 4 / Q: 88
A 48-year-old office worker presents with a 3-month history of worsening headaches. She mentions that they are worse during the afternoon and evening and are exacerbated by stress. She describes that pain as band-like around her head and on examination has no neurological deficit
Chapter: 4 / Q: 89
A 35-year-old lady comes home form her stressful job and sud- denly notices an almighty headache. It is located at the back of her head and by the time you see her she describes it as the worst pain she has ever experienced. She notices associated nausea but no vomiting and starts to complain
Chapter: 4 / Q: 90
A 17-year-old boy who is normally well presents to his general practitioner with a headache. He has suffered with a recent flulike infection but has recovered. He notes that his eyes feel like they are bulging and the main bulk of the pain is behind his eyes bilaterally. On clinical examination
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