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The elusive diagnosis

Sep 14, 2014, 09:23 AM
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  • By hari Singh on 04 March 2015 10:53

    The patient presented with rash on penis is suspicious of diabetes. Blood test would have confirmed the diabetes.

    This was missed an opportunity.  

    Dr Hari Singh
  • By Dr Bhate on 04 March 2015 04:29

    Good case review since this is a very common scenario and routine screening tests e g BT, HbA1C are not dealt in emergency appointments, but should have done especially with penile rash etc. However commenting retrospectively on management is always easy.

  • By Dr S .Roy on 26 February 2015 03:26
    Good learning point. Missed opportunity to diagnose Diabetes.

    Dr Roy
  • By Andrew Allen on 26 February 2015 02:44
    Nope - not a 'frequent' attender. Not particularly old. Recurrent genital infection-investigate, a one off, I would not. Not sure there are many learning points here, especially as it never got to judgement. What I have learned, though, is that to avoid litigation I need to investigate 50 year olds with minor infections as if they are going to have a stroke! That's a lot of work.
  • By Martin Stagles on 26 February 2015 11:23

    On the other hand, Mr M's attendances were not all that frequent ....  The story spans almost 3 years, so maybe a routine blood pressure check might have been suggested by the computer notes during that period. 

    But I guess I would have fallen for it as well.

  • By Dr T T Lwin on 25 February 2015 05:00  
  • By Dr Yarra on 25 February 2015 04:57
    Presenting with Penile rash (thrush) was an opportunity to suspect Diabetes in this patient and possibly have checked at least urine and arranged at least for a blood test later, it was possible that was missed opportunity to diagnose Type 2 Diabetes I think.
  • By Dr.Raj on 25 February 2015 01:39  
    Good learning point for all the GPs. Also we should use Pendelton's consultation model ICE.
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