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Email enquiry from GP: This 49 year old man had an abdominal CT as part of an emergency assessment for ?appendicitis. No explanation for the pain was found, but he was noted to have multiple simple cortical cysts in his … Continue reading
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A 22 year old plumber has a 1 day history of a painful vesicular rash on his right buttock and posterior thigh. He feels unwell with fever.This case contributed by Levie Mwale and Ann Sergeant Questions What is the most … Continue reading
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A healthy 4 year old boy is brought to the Dermatology clinic at Queen Elizabeth Central Hospital, Blantyre by his parents. He has been scratching his head, and they have recently noticed that he has developed several small scaly areas … Continue reading
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A 42 year old man attends the dermatology clinic in Queen Elizabeth Central Hospital, Blantyre in 2012 with an ulcer on the sole of his right foot. He says that it has been present since 2004 but that he underwent … Continue reading
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A 19 year old young woman from Blantyre, Malawi, attends with a scaly lesion which has been present on her right cheek for 3 months. Thanks to Dr Ann Sergeant for this case. Questions Can you describe what you see? … Continue reading
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A 56 year old farmer who lives in a village near Blantyre, Malawi, presents with painful oral ulceration which is making eating difficult. On further questioning he also admits that he has pain on micturition as he has painful penile … Continue reading
A call from orthopaedics: a 68 year old retired hospital cook had been admitted electively for total knee replacement 4 days previously. She has a background of longstanding rheumatoid arthritis, treated hypertension, and CKD Stage 3 for which she no … Continue reading
An 86 year old woman who is resident in a local nursing home is known to have stage 3 CKD, hypertension, peripheral vascular disease, eczema, osteoporosis, and moderate Alzheimer’s disease. She is usually independent in dressing and eating and drinking. … Continue reading
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A 39 year old subsistence farmer is referred to the dermatology clinic at QE Hospital Blantyre, Malawi, with massive left leg swelling that has been present for several years. His main complaint is of “leaking” and malodour, and he is … Continue reading