What is the lump on this young girl's neck?
This swelling had been present for months but had grown after a recent URTI. Dr Keith Hopcroft describes how he came to the right diagnosis.
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Snapshot diagnosis
What's causing the swelling on this woman's neck?
This 64 year old woman mentioned her neck as the second thing she was worried about. Dr Keith Hopcroft describes how he found out it should really have been the first.
What are these lesions on this girl's back?
The lesions on this 11-year-old girl’s back and thighs, combined with a sore throat, stumped everyone. Dr Oliver Starr explains how the patient was managed
What's causing these white patches in the mouth?
This man’s dentist had told him to see his GP about the white patches. Dr Keith Hopcroft explains how he made the diagnosis
Painful finger joints in a teenager
Dr Mike Wyndham describes how he came to the right diagnosis in this 16-year-old girl with aching fingers
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Dr Mike Wyndham is a GP in Edgware, north London
Why is this woman's shoulder suddenly swollen and painful?
Dr Mike Wyndham initially suspected this 84-year-old had fallen and hurt her shoulder but she was sure she hadn't. Could she have simply forgotten? Or was there a rarer explanation?
What is the lesion on this elderly man's scalp?
This 82-year-old widower’s carer spotted this oozing lesion and insisted he visit his GP. Dr Mike Wyndham describes how it was diagnosed
Is this rash an allergic reaction?
When Dr Oliver Starr saw this rapidly spreading warm skin lesion he thought he had solved it in the first consultation. But had he?
Why does this woman have painful, swollen fingers?
This older lady with hypertension presented with acutely painful, swollen fingers on her right hand. Dr Mike Wyndham describes how he made the diagnosis
What's causing the rash in this young girl's axilla?
Was this girls underarm rash fungal, bacterial, voral or even a chemical burn? Dr Oliver Starr explains his diagnostic process.
Why is this man's foot red and painful?
This patient hadn’t been in the surgery for years but a district nurse mentioned he’d been having problems walking. Dr Mike Wyndham describes how a checklist he learned as a houseman helped clinch the diagnosis
What's the lesion on this boy's eyelid?
Dr Mike Wyndham was asked to look at this lesion almost as an afterthought by the child’s mother. He recalls how he made the diagnosis
What's the large, solid mass on this man's thigh?
When this patient presented with what he thought was a muscle injury, Dr Ayakannu Kandiah was reminded of a previous case
What's the annular rash on this man's stomach?
This demarcated rash with a clearer centre certainly looked like ringworm, but was it? Dr Mike Wyndham describes another case
What's causing the rash on this woman's feet?
Dr Mike Wyndham describes a case where a middle-aged woman presented with a thick rash on both soles
What's causing the lesions on this woman's neck?
This patient had an itchy neck that was worrying her boss at the bakery where she worked. What was causing it? Dr Mike Wyndham describes the case
Why does this man have a watery, red eye?
This 29-year-old man had a painful, watery eye that had not responded to chloramphenicol drops. Dr Mike Wyndham describes the case
Why does this woman have joint pain and a swollen neck?
This woman was worried she had rheumatoid arthritis. Dr Hercules Robinson describes how a delayed symptom suggested otherwise
Why does this man have dyspnoea and a swollen face?
Dr Mike Wyndham on how he uncovered the cause of this elderly man’s symptoms
What's causing this painful toe and rash?
Dr Mike Wyndham on how he came to what is an unusual diagnosis for a 30-year-old man
Why is this woman's abdomen swollen?
This usually slim woman had come to see Dr Mike Wyndham, worried about her swollen stomach – but what was causing it?
What's causing the purpuric rash on this woman's legs?
The cause for the extensive bruising on this woman’s leg was only discovered after she was admitted for suspected thrombocytopenia, recalls Dr Mike Wyndham
Why is this man's calf swollen and reddened?
Dr Mike Wyndham’s first thought when he saw this patient was a deep vein thrombosis – but could there be another cause?
Snapshot diagnosis - what's the swelling in this man's armpit?
Does this firm mass have a neoplastic or infective cause? Dr Mike Wyndham describes a case
Snapshot diagnosis - what's caused these tender nodules on the leg?
Dr Hercules Robinson describes how lesions a patient thought were midge bites led to a complex differential diagnosis
Snapshot diagnosis - what's this swelling at the back of the knee?
A budding young tennis player has noticed a bulge on the back of his knee. It’s not causing him any pain but needs a diagnosis. Dr Mike Wyndham describes how he made it
Snapshot diagnosis - what's making this woman scratch so badly?
One of Dr Mike Wyndham’s cat-owning patients was convinced an infestation was the reason for her wounds. But was it?
Snapshot diagnosis - why is this 70 year old moderate drinker jaundiced?
Dr Hercules Robinson describes a case where the yellow eyes of a 70-year-old made him first think of liver metastases
Snapshot diagnosis- Why have this woman's ankles suddenly swelled?
Ankle oedema in an older patient on amlodipine suggested the drug could be the cause – but was it? Dr Mike Wyndham describes another case from his files
Snapshot diagnosis - why has this surgical wound not healed?
A full wound drainage bag was hardly what the patient wanted, but was it surgical failure or something else? Dr Mike Wyndham describes another unusual case
Snapshot diagnosis - why is this woman getting recurrent mouth ulcers?
Dr Hercules Robinson describes a case where a patient’s fifth visit with mouth ulcers prompted him to dig deeper
Snapshot diagnosis – why are this man’s fingers changing shape?
Dr Mike Wyndham describes how a patient’s casual comment about his hands rang alarm bells
Snapshot diagnosis- what's the lump on this woman's gum?
Dr Mike Wyndham on a mouth swelling that was alarming this smoker
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Snapshot diagnosis - what's causing this tender swelling on the labia?
Dr Mike Wyndham describes how diagnosing the cause of a vaginal swelling led to an emergency referral
Snapshot diagnosis - what's this blistering rash on a newborn?
Dr Mike Wyndham describes how he discovered what was causing fluid-filled blisters in the groin of a two-week-old child
Snapshot diagnosis - what's causing this man's swollen genitals?
Dr Mike Wyndham describes how a swollen penis and hardened scrotum led to a diagnosis usually made on GI symptoms
Snapshot diagnosis - what's causing this painful reaction to cryotherapy?
Dr Mike Wyndham shares a case where liquid nitrogen therapy led to a painful reaction
Snapshot diagnosis - what is causing this unilateral muscle loss?
Dr Mike Wyndham describes a case where a young rugby player’s worries about muscle weakness led to a genetic diagnosis
Snapshot diagnosis - what's wrong with this eye?
Dr Mike Wyndham shares another uncommon diagnosis from his case files
Snapshot diagnosis - what's wrong with this diabetes patient?
GP Dr Mike Wyndham shares another uncommon diagnosis in a case involving one of his patients.
Snapshot diagnosis - what's that rash?
Dr Mike Wyndham discusses a case in which what appeared to be a relatively innocuous rash turned out to be more serious.
What are the sore, red lesions on this woman's legs?
This woman thought her lsions were insect bites. Dr Keith Hopcroft describes how a seemingly unrelated symptom led him to the right diagnosis
Why is this woman's skin yellow?
A remark after a routine Pill check led Dr Keith Hopcoft to look closer at this patient's hands.
What's causing the blisters on this man's feet?
This elderly man’s feet and legs had been red for a few weeks but the blisters had developed a few days previously. Dr Keith Hopcroft explains how he made the diagnosis
What's causing this woman's non-itchy facial rash?
Dr Keith Hopcroft describes how he uncovered the cause of this middle-aged woman’s facial
Macular patches on the arms
Were these striking lesions psoriasis, eczema, diabetes-related or a drug side-effect? Dr Keith Hopcroft explains how he came to the right diagnosis
What are the lesions on this woman's leg?
Dr Mike Wyndham was stumped by these unusual lesions and describes how the diagnosis was eventually made
Why is the young girl's face red?
This six-year-old was sent home by teachers worried about her rash. Dr Mike Wyndham describes how he came to the right diagnosis
What is causing this unlilateral facial swelling
This man presented with a very swollen – but only mildly painful – face. Dr Mike Wyndham describes how he came to the right diagnosis
What's causing the itchy lesions on this man's arm?
Were infected insect bites the cause of this outdoor-worker’s itchy lesions? Dr Mike Wyndham describes how he came to the right diagnosis
Is this rash an antibiotic reaction?
This 22-year-old thought this rash might be linked to his acne antibiotic. Dr Mike Wyndham describes his diagnosis
What's causing the itchy rash on this girl's back?
This normally healthy young girl’s rash was clearly urticaria – but how did Dr Mike Wyndham discover a possible cause?
What's the cyst on this woman's head?
This 82 year old woman was sceptical of doctors and Dr Mike Wyndham had rarely seen her over the years. But a cyst that bled when she brushed her hair brought her to the surgery
Why does this tired student have a sore throat?
Dr Mike Wyndham describes the case of a tired student complaining of a recent sore throat
What's the lesion on this woman's finger?
A pregnant woman was worried about caring for her baby with this lesion on her finger. Dr Mike Wyndham describes another case
What's causing the swelling on this man's elbow?
Dr Mike Wyndham describes how he got to the root cause of the swelling on this labourer’s arm
Why has this jaundiced young patient started vomiting?
This young patient normally looked pale and jaundiced due to a hereditary condition. But why has she suddenly started vomiting? Dr Mike Wyndham describes the case
Could this pigmented toenail lesion be a melanoma?
Registrar Dr Oliver Starr decribes how he didn’t want to risk missing his first melanoma
Why is this woman's face burnt and reddened?
Dr Mike Wyndham on how a patient left out the most crucial piece of diagnostic information
What's causing this woman's intensely itchy rash?
Dr Mike Wyndham on yet another rash that ‘may have been caused by soap powder’
What's behind this woman's intolerably itchy rash?
The itching on a pregnant woman’s abdomen had become intense – Dr Mike Wyndham explains how he found the cause
Why is this woman's tongue sore and spotted?
This woman’s fear of dentists led her to see her GP, Dr Mike Wyndham, about her sore mouth. He describes how he made the diagnosis
Why does this elderly man have a rash and a fever?
The fever had gone on too long for it to be flu, then it was followed by a rash – Dr Mike Wyndham looked for the clues
Snapshot diagnosis - why is this 13-year old not growing?
This 13-year-old is the smallest in her class, despite having tall parents and siblings. Dr Mike Wyndham describes how a closer look led him to the right diagnosis
Snapshot diagnosis - why has this man developed pustules on his legs?
These pustules appeared after a course of prednisolone. Is it an infection? Dr Mike Wyndham describes the case
Snapshot diagnosis - what's causing these painful mouth ulcers?
A relatively healthy nursing home resident has suddenly developed very painful ulcers on her lips, tongue and palate. Dr Mike Wyndham describes another puzzling case
Snapshot diagnosis - why is this woman's ankle red and acutely painful?
A normally healthy 65-year-old woman has a warm, red, swollen ankle. Is it an infection, gout or an arthropathy? Dr Hercules Robinson describes how he came to the diagnosis
Snapshot diagnosis - why is this fit 50 year old suddenly tired?
He’s a 50-year-old, 15-a-day smoker but had been very fit – so why has he recently lost weight, started coughing and feeling ‘knackered’? Dr Mike Wyndham describes another case
Snapshot diagnosis - is this lesion on the glans penis an STI?
Dr Mike Wyndham describes a case where his first instinct was of a sexually transmitted infection
Snapshot diagnosis - why are this man's fingers painful and pale?
Dr Hercules Robinson on how this man’s Raynaud’s phenomenon could have a number of causes
Snapshot diagnosis - what's causing this painful abdominal mass?
Dr Hercules Robinson describes a case where his instinctive suspicion of a malignancy thankfully proved groundless
Snapshot diagnosis - why has this man suddenly developed double vision?
Dr Mike Wyndham describes another intriguing case
Snapshot diagnosis - what's this annular rash on the glans?
Dr Mike Wyndham shares another interesting case from his files
Snapshot diagnosis - what's causing this man's right eyelid to droop?
Dr Mike Wyndham describes how this symptom led to a serious diagnosis
Snapshot diagnosis - what's causing this painful neck swelling on an infant?
Dr Mike Wyndham describes how he got to the root of another puzzling presentation involving an infant with a painful neck swelling
Snapshot diagnosis - what's causing the blood blister in this man's cheek?
Dr Mike Wyndham describes how a chance look at a medical textbook led him to the right diagnosis
Snapshot diagnosis - what's causing this painful arm swelling?
Dr Mike Wyndham describes a case where a boy’s swollen arm was causing huge worry
Snapshot diagnosis - what's causing the black spots on this woman's tongue?
Dr Mike Wyndham shares a case in which black spots on a woman’s tongue made her suspect she had a virus
Snapshot diagnosis: What are those skin lesions?
Could the bumps be multiple lipomas or is there a genetic cause? Dr Mike Wyndham shares another unusual diagnosis.
Snapshot diagnosis - what's that purple rash?
Dr Mike Wyndham was right in his initial diagnosis of this unusual case, but not sure as to the cause.
Snapshot diagnosis - What's the dark pigmented lesion?
Dr Mike Wyndham shares another uncommon diagnosis
