Case studies

Internet advice

1 August 2012

Prescribing for patients over the internet

Monitoring the situation

1 August 2012

A 63-year old council worker was being treated by his GP for diabetes mellitus keeps defaulting from taking the tablets.

Unpredictable rupture

1 August 2012

A 32-year old patient booked as a private patient under a consultant obstetrician, an MDU member, for her fourth pregnancy.

Valid Lasting Power of attorney

1 August 2012

A GP sought the MDU’s advice in relation to an elderly patient under his care in a nursing home, about whether the patient had capacity after suffering from dementia.

Veneer damage

1 August 2012

Veneer damage during anaesthesia

Visual loss

1 August 2012

A 63-year old man went to see his optometrist reporting a history of transient loss of vision and dizzy spells.

A fatal complication of chickenpox

22 December 2010

A four-year-old was 'grumpy and irritable' after returning home from nursery. He then developed spots and his mother suspected chickenpox.

Coincidences can happen

22 December 2010

A middle-aged woman with a family history of coronary heart disease was seen by an out-of-hours GP after developing chest pain. She complained of central chest pain, moving to the left side which she described as like a knot.

Headaches not an indicator of acromegaly

22 December 2010

An otherwise healthy woman in her early 30’s saw her GP shortly after registering at the practice. She complained of headaches occurring once or twice a week for about a year. The headaches whereon the left side, and the patient told the GP that she felt these were work-stress related.

Mystery abdominal pain

22 December 2010

A man in his 30’s attended his GP complaining of pain in the lower abdomen which had begun that morning. There was no associated nausea or vomiting.