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Chapter: 5 / Q: 81
A 63-year-old Afro-Caribbean man presents to his general practitioner with problems passing urine over the past 2 months. He has been noticing that he has to get up to go to the toilet frequently and when he has been he feels that he needs to go again ‘less than 5 minutes afterwards’
Chapter: 5 / Q: 82
An 82-year-old woman is brought to hospital by her carer who discovered she had been passing frank blood in the urine that was not associated with any pain. The carer was unsure how long this had been going on for. The patient is not taking any anticoagulation and had otherwise been fit and well
Chapter: 5 / Q: 83
A 43-year-old man presents to hospital with abdominal pain, haematuria and symptoms of dysuria. He states that these symptoms have been getting progressively worse over a month’s period after a watersports holiday in Egypt. He also describes an itchy papular rash over his lower legs
Chapter: 5 / Q: 84
A 78-year-old woman is brought to hospital by her worried neighbours as she has been acting ‘not herself’ and has been found wandering around in the evening in just her nightgown and slippers. On examination she has an abbreviated mental test score of 3 out of 10, is found to be pyrexic
Chapter: 5 / Q: 85
A 34-year-old man presents to hospital after suffering a fall whilst under the influence of alcohol. He is inebriated on arrival and unable to give a full history apart from that of falling from the standing position onto his right flank. He is in pain and clutching his back and when he rolls
Chapter: 5 / Q: 86
A 27-year-old man has been admitted to hospital following a footballing injury. He remembers that during the match, another one of the players went for the ball but hit his leg on the postero-lateral aspect. His leg was immediately painful but he also noticed that he was experiencing difficulty
Chapter: 5 / Q: 87
A 43-year-old man has suffered an anterior dislocation of his humerus following trauma. He describes weakness in shoulder elevation and abduction, with numbness, and altered sensation over the lateral aspect of the arm
Chapter: 5 / Q: 88
A 49-year-old secretary visits her GP as she is becoming increasingly worried about numbness and tingling in both of her hands. She mentions that it affects the lateral three and a half fingers and it often wakes her at night
Chapter: 5 / Q: 89
A 76-year-old lady suffered a fall, which resulted in a fracture of her proximal ulna bone. Following the initial injury she noted pain over her elbow and weakness in her same hand. She complained of numbness and tingling in her ring and little fingers
Chapter: 5 / Q: 90
A 55-year-old man has noticed a burning or stinging sensation antero-lateral aspect of his thigh. This is aggravated by walking or standing; it is relieved by lying down with the hip flexed. He has a full range of movement in the leg although it is painful, he is able to weight bear and walk
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