Case studies - The MDU
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Case studies

Your friend, who is also a doctor in the same unit, has posted Facebook photos of a drunken date with a very pretty girl. You recognise the girl as an 18 year old patient who was under the care of your friend several weeks ago.

Cautionary tales
Cautionary tales 2016

17 February 2016

A collection of case studies that offer an insight into the dilemmas doctors and other healthcare professionals have faced in their working lives, and how we assisted the individual member in each case.

Cautionary tales header
Cautionary tales 2014

1 October 2014

A collection of case studies that offer an insight into the dilemmas doctors and other healthcare professionals have faced in their working lives, and how we assisted the individual member in each case.

Young doctor looking worried
Conflicts of interest

4 December 2013

A GP was offered a new device for to try out for a year. The device recorded blood sugars taken by patients in their homes and sent the results directly to the GP system which automatically alerted the GP to any abnormalities.

Surveillance
Covert surveillance

4 December 2013

A consultant rheumatologist who occasionally provided medical reports in relation to insurance claims was asked by an insurance company to review video evidence.

Tract records
Testicular torsion

4 December 2013

The patient presented to his GP, an MDU member, the day after a football match. He reported that he had tackled an opponent but slipped and landed astride the other player's leg.

Spindle cell carcinoma

4 December 2013

A 39-year old man was referred to an orthopaedic surgeon, an MDU member, because of continuing pain in his right shoulder. He had already had physiotherapy and a joint injection but neither had been helpful.

Request for child
Request for a child's notes

4 December 2013

Are you obliged to disclose a 14-year old's record to his father, who is estranged from his mother? It's a question of parental responsibility and whether the child has capacity to consent himself.

Raised PSA

4 December 2013

The patient was a 54-year old man who was found to have an elevated PSA (5.6) and referred for a cystoscopy and prostatic biopsy, which was negative. Four years later, he saw his GP who requested a further PSA which was still raised (5.6). Nine months later he saw another GP reporting painless haematuria for three days. An MSU test and urinary cytology were both normal. Three months later the patient saw an MDU GP who requested a PSA which had now risen to 13.8. It appeared that no action was taken on the result.

Lump behind the knee

4 December 2013

The patient, a 60-year old woman who had previously been fit and well, consulted a GP MDU member for a second opinion on a lump behind her right knee, which her own GP thought was a Baker's cyst.

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