Case studies

Woman taking tablets
Unwise decision to self-prescribe

10 January 2014

One SHO's dilemma demonstrates the difficulties that self-prescribing can create

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 brought a claim alleging negligent failure to inform him of the PSA result of 13.8.

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.

Pneumonia in neonate

4 December 2013

In 1990, a 30-year old primigravida patient consulted her GP at 26/40 with symptoms of a urinary tract infection (UTI).

criminal records
Full records help defence

4 December 2013

The patient, a 25-year old woman, initially saw her GP complaining of a sore throat and a cough and was diagnosed with a respiratory tract infection.