An 80-year-old man presents with a lesion on the right side of his nose that has been gradually increasing in size over the past few months. Upon examination, you notice a raised, circular, flesh-colored lesion with a central depression. The edges of the lesion are rolled and contain some telangiectasia.
What is the most probable diagnosis?
You have a child who has developed occupational asthma due to exposure to mold in their school. To whom should occupational asthma be reported?
A 68-year-old retired teacher visits your clinic after his wife called earlier to express concerns about his memory and concentration. His daughter has also noticed these issues but has not discussed them directly. During the mini-mental state examination, he scores 10/30. You suggest referring him to a specialist memory clinic and advise him to stop driving for the time being. However, he refuses to stop driving, claiming that he feels safe and wants to wait until he sees the specialist. What is the appropriate course of action regarding his driving, according to current guidelines?
A 55-year-old man has asthma and depression. He is dissatisfied with the treatment he has received for his asthma and files a complaint. He requests to view his medical records. Upon reviewing the records, you notice that another healthcare provider has written insufficient personality in the notes. You believe that if the patient were to read this, it would be devastating.
Which of the following statements is accurate?
A 35-year-old man contacts the clinic to discuss his ‘sick note’. He had recently injured his shoulder in a fall and self-certified for the first seven days with an SC2 note. He then saw a colleague of yours a week ago who gave him a medical certificate to cover the last week. The fit note has been marked you may be fit to return to work taking into account the following advice, has ticked amended duties and has handwritten in the comments section: to avoid heavy lifting. The fit note has been marked I will need to assess your fitness to work again at the end of this period.
He works in a factory and some of his duties include heavy lifting but he is able to contribute effectively in his role in other areas that do not involve heavy lifting. As this is the case he has been on light duties at work for the last week. He informs you that his shoulder is now fully healed. However, his employer has requested he has a ‘return to work note’ stating he is fit to return to full work activities due to the previous note being marked I will need to assess your fitness to work again at the end of this period.
What is the best course of action in this situation?
A 29-year-old man contacts the clinic to discuss his ‘sick note’. He recently experienced acute mechanical lower back pain after twisting his back while working in the garden two weeks ago. He self-certified for the first seven days with an SC2 note and then saw a colleague of yours a week ago who gave him a medical certificate to cover the last one week.
Upon reviewing the notes, you notice that your colleague marked the fit note as you may be fit to return to work taking into account the following advice and has ticked amended duties and has handwritten in the comments section: to avoid heavy lifting. The fit note has been marked, I will not need to assess your fitness to work again at the end of this period.
He works in a factory and some of his duties involve heavy lifting, but he is still able to contribute effectively in his role in other areas that do not involve heavy lifting. He informs you that his back has fully recovered, but his employer has requested a fit note stating that he is fit to resume his full work activities.
What is the most appropriate course of action in this scenario?
You see a 6-year-old boy with some mild bruising to his buttocks.
Which of the following would be an unsuitable explanation when assessing an injury to a child and considering child maltreatment?
Select the most appropriate answer.
You are considering implementing electronic protocol based care pathways at your clinic for some common conditions. You plan to introduce them for patients of all ages.
Which of the following statements is true about electronic protocol based care pathways?
What are the duties of the Caldicott guardian?
What is a recognized phase in the Cycle of Change?