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Search Results for: clanger

Clinical clanger: ‘I’m worried about this infant’s asymmetric skin creases’

Continuing our series of clinical scenarios that can commonly be mishandled in primary care, GP Dr Peter Bagshaw looks at case of potential hip dislocation in an infant ScenarioYour experienced health visitor contacts you about a six-month-old boy she has just visited.

27 February 2024

Clinical Clanger: ‘Can I have some more prochlorperazine for my dizziness?’

Continuing our series of clinical scenarios that can be mishandled in primary care, surgeon and otolaryngology specialist Mr Gerard Kelly advises how to avoid overtreatment of dizziness.

27 October 2023

Clinical clangers: ‘This patient’s ulcer swab was positive. Can you issue an antibiotic prescription?’

Continuing our series on clinical scenarios that can be mishandled in primary care, Dr Peter Bagshaw advises against routine swabbing of venous ulcers Mrs R is a 92-year-old patient in a care home with chronic venous ulcers above both ankles.

06 July 2023

Clinical clanger: ‘Your blood pressure’s too high so we need to increase your medication’

Dr Toni Hazell advises on supporting patients to improve adherence to medication regimes Isabel is 55.

09 June 2023

Clinical clangers: ‘Her dipstick test shows a water infection, can you prescribe antibiotics?’

Continuing our series on scenarios commonly mishandled in primary care, Dr Anish Kotecha explains why dipstick tests in people over 65 should not be used to confirm urinary tract infection (UTI)  You receive a report from the care home.

11 November 2022

Clinical clangers: ‘My headaches are getting worse, doctor – it must be my blood pressure’

Continuing our series on clinical scenarios that may be mishandled in primary care, Dr Toni Hazell explains that  headache is very rarely caused by hypertension A 43-year-old female patient presents with recurrent headache episodes that she believes are due to her hypertension, diagnosed a year earlier.

13 October 2022

Clinical clanger: ‘My ankles are really swollen, doctor – can you give me some of those water tablets?’

Continuing our series on clinical scenarios that can be mishandled in primary care, Dr Peter Bagshaw explains the potential for inappropriate use of diuretics in ankle oedema You see an 82-year-old widow in surgery.

01 September 2022

Clinical clangers: ‘My ear infection is back again, can I get something to clear it up properly?’

In the latest in our series highlighting clinical scenarios that can commonly be mishandled in primary care, Dr Keith Hopcroft advises on a potential misdiagnosis of earache symptoms The scenarioYou see a 35-year-old woman in surgery, who grumpily announces: ‘I’m back here with my ear infection, doctor.

28 July 2022

Clinical clangers: ‘Her diarrhoea is no better, doctor, she needs some stronger medication’

Continuing our series of clinical scenarios that can commonly be mishandled in primary care, Dr Keith Hopcroft describes the potential for misdiagnosing diarrhoea in the elderly You receive a message from the local residential home about an 89-year-old lady with dementia.

27 June 2022