June 30, 2015

Progressive Weakness In A Middle-Aged Woman

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DOCTORS ZONE: QUESTION & ANSWER

A 55 year old woman complains to her general practitioner of a progressive difficulty of holding objects with her left hand. She also admitted to swallowing difficulties over the past 6 months. Examination demonstrates widespread lower motor neuron involvement. The most appropriate diagnostic test is:

June 27, 2015

Oral Glucose Tolerance Test Interpretation

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DOCTORS ZONE: QUESTION & ANSWER

A 45-year-old woman presented for a full medical check up. She was overweight (body mass index [BMI], 29 kg/m2) but appeared to have no other obvious health problems. The woman was very concerned that she could have diabetes because she had read on the internet that sometimes people with insulin resistance have trouble with their weight.

June 26, 2015

Concerning A Man Who Had Coronary Angioplasty

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DOCTORS ZONE: QUESTION & ANSWER

An 80 year old man undergoes a coronary angioplasty from the right femoral artery route. The next day his legs turn dusky and there is evidence of splinter haemorrhages on his toe nails. His BP is 150/90 mmHg and his pulse is regular and has a rate of 80 bpm. He is developing rapidly worsening renal failure.

June 23, 2015

Concerning Parkinson's Disease and Its Causes

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DOCTORS ZONE: QUESTION & ANSWER

An elderly man with Parkinson's disease presents with his daughter who is very worried about him. She noticed a deterioration in his movement whilst away in the UK for a family reunion. He also had a fall during the night and banged his head.