HRT inc.

Over the last year, there has been an increase in HRT requests. This may be driven in part by the Davina McCall series: The BMS has made a useful response…

Vague anaemias in old folk

76-year-old Mrs Ann Imeeya Reason for appointment: Blood results Please let everything be normal. Mrs Imeeya will be relieved, I can squeeze in a QOF smoking status and catch up…

The 120 hour after pill

An OOPE (out of programme experience) GP trainee had an UPSI (unprotected sexual intercourse). It happened 72 hours and one minute ago. Is this the end of Levonelle? Must we…

Go to the goitre

  Giselle Oyter is a 49 year old woman who complains of sweaty palms, hot flushes and anxiety for the past 2 months. Her periods have been a bit irregular…

Brain no functioning

Based on Year 3 Imperial, Week One teaching at Hillingdon A 29 year old man (Mo Tourist) is BIBA (brought in by ambulance) following a motor cycle accident. His helmet…

The seven month itch

A 7 month old boy has suffered with eczema for at least three months. It was all over his body, including the trunk, all four limbs and face. There was…