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Cervical spondylotic myelopathy: arm stiffness and unsteady gait
An 81 year old woman presented to her general practitioner with stiffness in her left arm and hand. The stiffness started a year ago but had recently begun to affect her other hand and to prevent typing. The stiffness was present at all times. She reported no pain or swelling in any limb. She also had difficulty walking and was unsteady on h… Read this article >>
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Uterovaginal prolapse: a protruding mass
An overweight 69 year old woman presented to her general practitioner with a recent feeling of “something bulging” between her legs and a pulling sensation in her pelvis. Notable obstetric, gynaecological, and medical history included three normal vagin… Read this article >>
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White lung: chronic obstructive pulmonary disease
A 77 year old man presented to an emergency department with a three day history of worsening breathlessness. He denied a productive cough and was unaware of any recent weight loss. He was a retired navy worker with a smoking history of 12.5 pack years. … Read this article >>
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Ectopic pregnancy
A 30 year old woman presented to the emergency department with left sided abdominal pain of two weeks’ duration. Her last menstrual period was eight weeks ago. She previously had a pregnancy terminated six months ago and used a copper intrauterine contraceptive device for contraception. … Read this article >>
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ECG leads to a quick diagnosis
A 19 year old man presented to the emergency department with a two hour history of palpitations and chest discomfort. He had no important medical history and took diphenhydramine occasionally for hay fever. He denied smoking, drinking alcohol excessivel… Read this article >>
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