A 28-year-old male visits the GP clinic complaining of lower back pain that radiates to his buttocks for the past 5 months. The pain is most severe in the morning, improves with exercise, and sometimes wakes him up in the early hours of the morning. A radiograph is requested, which reveals sacroiliitis. What other radiograph findings are probable in this patient?
A 42-year-old man visits his GP complaining of heel pain that has been bothering him for four months. He mentions that the pain intensifies when he walks to and from work. The man has a BMI of 29 kg/m² and is being evaluated for diabetes mellitus. He has a medical history of asthma, generalized anxiety disorder, and Peyronie’s disease.
What is the most appropriate initial course of action for his heel pain?
A 56-year-old man with a medical history of COPD, ulcerative colitis, hypertension, and hypothyroidism presented to your clinic for follow-up. He was recently released from the hospital after being diagnosed with pneumonia. According to the discharge summary, he had an allergic reaction to co-trimoxazole during his hospital stay, resulting in the discontinuation of one of his regular medications. He has been instructed to consult with his GP about this medication. Which medication is most likely to have been discontinued due to the drug allergy?
A 70-year-old woman visited her GP complaining of discomfort and pain in her shoulder. The doctor conducted a thorough examination of her shoulder and observed that she was unable to abduct her shoulder while standing with her arm flat against her body. However, the doctor was able to passively abduct her shoulder during the first 20 degrees, and she was able to fully abduct it. Which muscle is likely to be affected?
A newly born infant is observed to have clubfoot on both feet. What is the preferred treatment for this condition?
Sarah is a 75-year-old woman who presents for a follow-up of her left wrist in fracture clinic 3-weeks after a fall on an outstretched hand. Her X-ray at the time of injury was unremarkable but her wrist was immobilised in a Futuro splint as she was tender in the anatomical snuffbox. Subsequent imaging today shows a fracture of the proximal scaphoid pole.
What is the recommended definitive treatment for this?
A 63-year-old man comes to the Emergency Department complaining of a sudden headache and jaw pain while eating breakfast. The medical team starts him on high dose prednisolone and performs a biopsy, which later shows normal results. What should be the next step in managing this patient?
A 68-year-old male comes to the Emergency Department with lower back pain and difficulty standing without assistance. He has a history of metastatic lung cancer and is currently receiving palliative care. During examination, severe neurological deficits are observed in both legs. What would be a late sign in this patient, considering the probable diagnosis?
A 13-year-old male is admitted to the paediatric ward due to recurrent episodes of arthralgia affecting multiple sites. He had vomiting, diarrhoea, and fever two months ago, which were treated supportively by his GP. He is also experiencing balanitis without discharge. The patient’s vision remains unchanged. On physical examination, there is swelling and tenderness in the left ankle joint, as well as tenderness on motion and pain over the bilateral wrist and left sacroiliac joints. Blood tests show an elevated white cell count and ESR. What is the most likely diagnosis?
A 28-year-old female patient complains of painful genital ulceration. She has been experiencing recurrent episodes for the past four years. Despite taking oral acyclovir, her symptoms have not improved significantly. Additionally, she has been suffering from mouth ulcers almost every week for the past year, which take a long time to heal. The patient’s medical history includes treatment for thrombophlebitis two years ago. What is the probable diagnosis?