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Neurology
Case report 13/04/2018

Failure to act on cauda equina

Failure to act on cauda equina

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Mr X, a 25-year-old fit and active man, was reviewed by his GP, Dr A, with a recurrence of lower back pain. He had noticed lumbar back pain intermittently throughout his 20s, but played a lot of sports to which he attributed his symptoms.

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Case report 26/10/2017

Failure to follow specialist advice

Failure to follow specialist advice

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Following a hospital admission for status epilepticus, which was attributed to a previous cerebral insult, Mr G, a 35-year-old clerical officer, was started on an anticonvulsant regime of phenytoin and sodium valproate.

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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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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 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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Factsheet 01/10/2013

HSC complaints procedure – Hospital setting

HSC complaints procedure – Hospital setting

Time to read article: 5 mins
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Complaints in health and social care: standards and guidelines for resolution and learning (2009) aims to provide a simple, consistent approach for staff who handle complaints, and for patients who raise complaints across all health and social care services.

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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

Take me seriously

Take me seriously

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Forty-year-old hairdresser and mother-of-three Mrs T had long-term problems with neck pains and migraines. She had seen her own GP Dr W, and many of the partners in the practice, several times over the years with the same complaint.

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Case report 01/05/2010

The patient with too many ills

The patient with too many ills

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Mr S was a 45-year-old man who was well-known to his GP. He was an anxious, frequent attendee, who needed to discuss different symptoms and worried about his general health. He had suffered from psychiatric disorders in the past and was a heavy smoker who found it difficult to give up.

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Case report 01/01/2008

Sudden, first and worst

Sudden, first and worst

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Mrs B, a 58-year-old hotel receptionist, awoke suddenly in the early hours of Tuesday evening with an excruciating headache. Within an hour she had vomited and started to have diarrhoea. She made an urgent appointment at her GP surgery the following morning and saw Dr C. Dr C made a diagnosis of food poisoning but recorded little clinical detail about the nature of the headache and its onset, focusing on the gastrointestinal symptoms. He advised bed rest and oral fluids and gave Mrs B a prescription for prochlorperazine tablets.

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Case report 01/09/2006

A long time to claim

A long time to claim

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Baby P was born by vaginal delivery at home in the early hours of the morning. By lunchtime his mother became concerned that he looked yellow, and discussed this with her midwife. The midwife reassured her, saying that the baby was not washed up yet.

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Case report 01/08/2005

MS or glioma?

MS or glioma?

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In 1999, Mr T, a sports coach in his fifties, suffered transient bouts of dizziness, visual disturbance and upper limb weakness. He saw a physician who arranged an MRI scan that revealed two lesions within the right frontal lobe. The radiological diagnosis was a probable glioma.

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Case report 01/08/2004

Spinal cord infarction

Spinal cord infarction

Time to read article: 3 mins
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Mrs D had suffered with degenerative disease of her entire spine for some time. Since the early 1990s she had been seeing Dr M, pain specialist and consultant anaesthetist, privately. In 1998, Mrs D underwent a Cloward’s cervical spinal-fusion procedure under the care of a neurosurgeon. In June of the same year she went back to Dr M, asking to see him as an emergency.

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