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Diagnosis
Case report 13/04/2018

Delayed diagnosis of Achilles tendon rupture

Delayed diagnosis of Achilles tendon rupture

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Mr E, a 50-year-old accountant, was playing squash with a colleague after work and hurt his left ankle. He couldn’t keep playing but he was able to walk, so he went home. The next day his ankle became quite swollen, so Mr E kept it on ice and took some ibuprofen...

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Case report 27/03/2018

A pain in the knee

A pain in the knee

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Miss F, an overweight 11-year-old, attended her GP, Dr A, complaining of knee pain and clicking for two months following a twisting injury whilst playing football...

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Press release 02/05/2018

MPS works with NICE to revise cauda equina syndrome red flags

MPS works with NICE to revise cauda equina syndrome red flags

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The Medical Protection Society (MPS) has been instrumental in a revision to the NICE Clinical Knowledge Summaries (CKS) red flag symptoms for cauda equina syndrome. The changes will help healthcare professionals diagnose the condition and make referrals earlier, enabling prevention of irreversible nerve damage and disability.

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Case report 14/11/2017

HIV diagnosis

HIV diagnosis

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A female patient at a medical centre consulted GP Dr F and was subsequently sent for further treatment at another department within the building.

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Case report 14/11/2017

Claim confusion

Claim confusion

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A man made a claim against his GP for a missed diagnosis. An expert witness was instructed to provide advice on the case...

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Case report 09/11/2015

Childhood brain cancer

Childhood brain cancer

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At presentation, Peter was 14 years old and had presented with migraines since the age of 8. He was taking Pizotifen and his headaches were well controlled. Over the past four weeks he had started getting headaches again. They were in a similar location to his migraines, but were different in nature – he couldn’t put his finger on exactly how.

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01/10/2015

Chapter 4: Professionalism - What to do when things go wrong

Chapter 4: Professionalism - What to do when things go wrong

Time to read article: 6 mins
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The overwhelming majority of patients receive safe and effective care. However, when things do go wrong, it can be catastrophic for all involved. Part of being professional is having the knowledge and awareness to deal with such situations effectively.

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Case report 05/05/2015

A persistent headache

A persistent headache

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Mr H, a 45-year-old solicitor and father of three, visited his GP Dr P with a persistent headache. He described two months of symptoms, occurring up to six times per week, mainly in the mornings and with associated nausea.

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Case report 05/05/2015

A problem with polyps

A problem with polyps

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Mr S was a 35-year-old taxi driver who was visiting his extended family abroad. While he was there he decided to have a routine health check in a private clinic. He told the doctor in the health clinic that he had noticed some rectal bleeding over the previous four months.

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Case report 14/09/2014

High expectations

High expectations

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Mr O was a 24-year-old man who had just enjoyed a holiday overseas. On the return journey he started vomiting. The nausea and vomiting continued after he arrived home and he began to lose weight because of it. When his symptoms did not abate he made an appointment with his GP.

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Case report 14/09/2014

Transfusion confusion

Transfusion confusion

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Mrs Y, 38, was admitted to hospital under the care of consultant Dr F for treatment of anaemia due to excessive menstrual bleeding. A sample of her blood was taken for grouping and cross-matching, for the purpose of a blood transfusion; a pack of compatible A-positive donor blood was sent to the ward for this purpose.

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Case report 14/09/2014

Missing cauda equina

Missing cauda equina

Time to read article: 3 mins
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Ms E, a 29-year-old mother, had suffered with ongoing low back pain since the birth of her second child two years ago, which had failed to improve with physiotherapy. She was assessed in orthopaedic outpatients and diagnosed with an L5 disc prolapse and listed for microdiscectomy.

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Case report 14/09/2014

The elusive diagnosis

The elusive diagnosis

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Mr M, 50 years old, suffered chronic ill-health due to spinal fusion, chronic bronchitis and asthma. He was a regular attendee at the surgery of Drs C and D, with sinusitis. In March 2005, Mr M saw Dr D with a similar complaint and she administered him with a flu jab, particularly as Mr M often failed to attend chronic monitoring clinics. The notes from the consultation said: “Upper respiratory tract infection NOS. Catarrh following URTI 2/52 ago is well. O/E ENT NAD chest flu jab given.”

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Case report 15/05/2014

Headaches and hypertension

Headaches and hypertension

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Mr J was 43 and unemployed. He developed headaches and complained that sunshine hurt his eyes and he was bothered by noise. He made an appointment with his GP, Dr A, explaining that he had tried over-the-counter painkillers but that they did not help when he had one of his pounding headaches. Dr A documented Mr J had presented with headaches with some features of migraine and prescribed some tramadol...

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Case report 05/02/2013

Suspected epilepsy: when to warn

Suspected epilepsy: when to warn

Time to read article: 3 mins
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A girl of eight, L, was brought by ambulance to the Emergency Department (ED) with a history of a fit during a lesson in school. There was no reliable history: according to friends who had been playing with L, she had touched an electrical socket, fallen, and then had a fit lasting about five minutes, from which she spontaneously recovered.

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Case report 21/01/2013

A challenging combination

A challenging combination

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Mr Y was a 21-year-old unemployed man who lived with his mother. He was a heroin addict and in the last few months, he had started injecting into his groin. Each day he was spending about £40 on heroin and cocaine and had recently served a prison sentence for burglary to fund his habit.

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