In the 1970s, a woman who was then in her thirties contacted her doctor with intermittent respiratory ailments, increasing fatigue, agitation and visual disturbances. She developed a complex array of...
A man in his 30s was hospitalised with suspected exacerbation of ulcerative colitis. An interdisciplinary assessment revealed a potentially life-threatening condition. A man with ulcerative colitis...
Anaemia is common among substance abusers and is often attributed to poor nutritional status and chronic infections. However, a comprehensive assessment of a methadone user with anaemia, skeletal...
A man was admitted with syncope and hypotension after feeling lethargic for several days. He had an unusually pronounced need for fluid, increasing oedema and his condition became life-threatening...
A woman in her 20s was brought to the casualty clinic due to symptoms of psychosis, and it was deemed necessary to section her. While she was there, she drank two small bottles of reagents that she...
In the workup of fever of unknown origin it is important to establish the patient’s travel history. Where have you been, and what did you do? This patient presents with fever, deteriorated...
A woman in her 60s was admitted with acute pain and loss of strength in both legs. Clinical examination detected severe ischaemia in her lower limbs. CT angiography revealed massive thrombotic masses...
Difficulty in walking is a common reason for referral to a neurologist. We present a patient with slowly progressive walking difficulties and white matter changes on MRI. The patient was first...
A woman pregnant with twins was monitored because of the increasing weight deviation of the one twin. The patient gradually developed polyuria and polydipsia. Blood tests on hospitalisation pointed...
A healthy man in his late 30s was found to have elevated ferritin levels, which raised suspicion of haemochromatosis. He was treated for many years with phlebotomy, but in his 50s developed...
