could have had all but got confused by the red thing on top
elderly / female / associated conditions / pruritus / raised alp 6/12 / positive antibodies
very well written
good explanation of z drugs and how to get the best out of them
Also touched older medications like barbiturates
Gives a full picture for the best part of the day
Find it hard to believe that primary care physicians can miss especially the last one if not the first two. Thankfully an alternative diagnosis was there showing us what possible differentials can be there. But common things happen commonly and bmi 32 plus tachycardia and chest pain should point more towards an embolus rather than lrti!
very well answered especially the straitification of androgen based symptomns, infertility and finally metabolic syndrome.
It also mentions anxiety and depression alongwith risk of diabetes. Well done
useful and informative; first line treatment with benzyl peroxide / topical retinoid
very good summary and explanation of a condition which is liable to be missed easily.
Good point Warfarin good it is has to many variables and given this is the only drug which causes more problems when somebody has diarrhoea as the production of vitamin k goes down!