Problem 29 A 25-year-old woman with chest pain and breathlessness Fiona Kermeen You are currently working in the emergency department on an evening shift. A 25-year-old woman has come to…

Problem 52 Back and leg pain in a middle-aged man Gabriel Lee A 50-year-old man experiences a sudden onset of back and leg pain while walking. The pain radiates from…

Problem 51 Management of a young man who is HIV positive Karen E. Rowland A 32-year-old unemployed man presents for a check-up. He and his partner have recently moved from…

Problem 13 Abdominal pain in a young woman Peter Devitt A 28-year-old woman presents to the emergency department with upper abdominal pain. The pain starts in the epigastrium and radiates…

Problem 46 A 31-year-old man with sudden onset headache and vomiting Andrew Zacest You are working in the emergency department and a 31-year-old man is brought in after collapsing and…

Problem 42 Fall during a fishing weekend Andrew Zacest A 43-year-old man has been brought by ambulance to the emergency department at the weekend. He had been on a fishing…

Problem 24 Acute leg pain in a 73-year-old man Robert Fitridge You are relaxing in a comfortable chair in the doctors’ mess, looking at the clock ticking towards the end…

Problem 22 Acute back pain in a 75-year-old man Robert Fitridge You are asked to see a 75-year-old retired electrician who has been brought into the emergency department with an…

Problem 36 A young woman with jaundice Usama Warshow A 25-year-old woman presents with a 2-week history of general malaise. She had developed a sore throat and fever followed by…

Problem 18 A lady with diarrhoea and abdominal pain Jonathan Mitchell, Philip Clelland A 23-year-old lady attends your surgery. She gives a 2-month history of worsening diarrhoea. She is opening…