CVS

1 Pericarditis 12/9
2 Palpitations due to stress and ca7eine 11/10

RESPI
1 Chest infection with NEWS chart 2/9
2 Mesothelioma – cough with occupational hazard 24/9

CNS
1 First fit 3/9, 2/10
2 Epilepsy - follow up 30/9
3 TIA 13/9, 1/10, 3/10
4 Bell’s palsy 21/9, 24/9
5 Delirium (police involvement) 1/10
6 Essential tremors 11/9, 4/10
7 Post herpetic neuralgia, on PCM and co- 19/10
codamol

HEADACHE
1 Migraine 17/9, 3/10
2 Tension headache 4/9, 17/9
3 Hangover headache 2/10, 14/10
4 Medication induced headache 18/10
5 SAH 5/9, 22/10
6 Viral encephalitis 24/9
7 Meningitis – went to Kenya 1/10

FALL
1 Postural hypotension 2/9

GI
1 Gastritis 4/9

ENDOCRINE
1 Addison’s disease 4/9
2 Pituitary adenoma 6/9, 24/9

RHEUMATO
1 Reactive arthritis 5/9, 16/9, 4/10
2 Raynaud’s 7/9
3 Ankylosing spondylitis 4/9, 11/10
4 Heberden’s nodes (OA) 3/9, 19/9
5 Morton’s neuroma 6/9
6 Metatarsalgia 16/9, 2/10

TIREDNESS
1 OSA 5/9, 24/9
2 Chronic fatigue syndrome 19/9, 1/10
3 PMR 3/10, 19/10
 SKIN
1 BCC 3/10, 5/10, 19/10
2 Mole 16/10
3 Melanoma 10/10
4 Intertrigo 7/9
5 Molluscum contagiosum 4/9, 18/10
6 Contact dermatitis 12/9, 30/9
7 Scalp psoriasis 2/9
8 Urticaria 13/9, 18/9
9 Taenia capitis 14/10
10 Taenia pedis 22/10
11 Scabies 27/9, 15/10
12 Syphilis 3/9, 23/10
13 hyperhidrosis 5/9, 30/9, 10/10
14 Acne 17/10

INFECTION
1 Post-herpetic neuralgia 21/9
2 Trichomoniasis 7/9, 12/9, 24/9, 2/10, 10/10, 16/10
3 Gonorrhoea 11/9, 21/9
4 Malaria 14/10

PSYCHIATRY
1 Insomnia – husband death 18/9, 22/10
2 Insomnia – domestic violence 6/9
3 Depression 13/9, 10/10, 16/10
4 Depression with heart failure (post MI) 5/9
5 Post-menopausal depression 18/10
6 Anorexia nervosa 19/9, 24/9, 4/10, 11/10, 15/10
7 Bulimia nervosa 2/9, 22/10
8 Schizophrenia 21/9, 27/9, 3/10, 5/10
9 Dementia - MMSE 2/9, 17/9, 24/9, 30/9, 17/10, 19/10
10 Somatoform disorder 3/9, 13/9, 17/9, 14/10
11 Psychosis – police after me 17/10

EYE
1 Glaucoma – open angle 30/9
2 Arcus senilis 5/9
3 Scleritis 13/9
4 Ocular herpes 16/9
5 Subconjunctival haemorrhage 18/9
6 Age related macular degeneration 10/10

ENT
1 BPPV 6/9, 21/9, 4/10, 16/10
2 Nasal polyp 30/9
3 Epistaxis 11/9
4 Allergic rhinitis 3/10
5 Foreign body 1/10
6 Neck lump – laryngeal cancer 7/9, 15/10
7 Oropharyngeal cancer 27/9
8 Otitis media 14/10, 23/10

SURGERY
1 Pre-op counselling – hernia 6/9, 23/10
2 Post-op complication 27/9
3 Venous ulcer 16/9
4 Varicose vein 6/9, 17/10
5 Acute pancreatitis 17/9, 16/10, 22/10
6 Hip fracture 21/9
7 Osteoporosis – scan done 2/10, 15/10

URO
1 Stress incontinence 17/9
2 Nocturnal enuresis 3/10
3 Bladder cancer – painless haematuria 4/10

OG
1 PMS 2/9, 24/9
2 Mastitis 15/10, 22/10
3 Menstrual migraine 5/10
4 Dysmenorrhoea 17/9, 17/10
5 Tampon in vagina 13/9, 15/10, 22/10
6 PID 18/9
7 Contraception 7/9
8 Emergency contraception 1/10
9 Ectopic pregnancy 4/9, 1/10
10 Missed abortion 14/10
11 Surgical abortion 11/10
12 PE 6/9, 7/9, 5/10
13 Post-menopausal bleeding 19/9
14 Ovarian cancer 12/9
15 Dermoid cyst 13/9
16 Uterine fibroid 14/10
17 Atrophic vaginitis 18/10

CHILD
1 Autism 4/9, 12/9, 17/9, 24/9, 30/9, 1/10, 16/10
2 ADHD 16/9, 2/10
3 Coin ingestion 2/10, 16/10
4 Button in oesophagus 1/10
5 Febrile convulsion 15/10
6 Temper tantrums 19/9, 2/10, 23/10
7 Teething 3/9, 11/9
8 Intussusception 6/9, 14/10
9 Triage call – sepsis 11/9, 13/9
10 Epilepsy 13/9
11 Developmental milestones 27/9, 4/10, 11/10, 18/10
12 Acute tonsilitis 19/10
 MEDICATION REVIEW
1 Apixaban – nose bleeding 4/9, 23/10
2 Co-codamol – constipation 5/9, 11/9, 4/10, 18/10
3 Oxybutynin – confusion, diarrhoea 5/10, 14/10
4 Tacrolimus - alopecia 18/9
5 Lithium toxicity 13/9. 18/9, 5/10, 15/10
6 Metformin – malabsorption 11/9
7 Metformin – lactic acidosis 19/9
8 Thyroid follow-up – sore throat 27/9
9 Amoxicillin – dog bite diarrhoea 19/9, 10/10, 17/10
10 Amlodipine – ankle swelling 30/9
11 Cough – ACEI 12/9, 16/9
12 Citalopram – confusion (hyponatremia) 3/9
13 PE – transgender 7/9, 17/9
14 Analgesics – nephropathy 16/9
15 Betablockers side e7ects 17/10
16 Cellulitis – C di7 22/10
17 Carbimazole – sore throat 23/10

TEST RESULTS
1 Cervical cancer – mild dyskaryosis 12/9
2 Chronic leukaemia 3/9, 17/10
3 Colon cancer – faint at home 11/10
4 IDA 7/9
5 Thalassemia 4/10
6 Coeliac disease 21/9
7 Barret oesophagus 6/9, 17/9, 2/10, 19/10, 22/10
8 Hepatitis A, liver enzymes deranged 10/10
9 Q risk score 18/9, 1/10
10 Vitamin D deficiency
11 Gilbert syndrome 7/9, 19/9
12 Hyperthyroidism 3/9
13 AF with palpitation 17/9

COUNSELLING
1 Traveller requesting antibiotics 19/10
2 URTI requesting antibiotics 5/9
3 Ankle sprain requesting X-ray 18/9
4 Changing counsellor 3/9, 11/10
5 Vasectomy 3/9, 18/10
6 DNAR 2/10, 17/10
7 Learning disability - DVT 19/9
8 Learning disability – mooring after pill 16/10
9 15 years old girl requesting contraception 3/10
10 Mother requesting daughter COCP 2/9, 5/9, 19/10
11 Father asking about daughter depression 1/10
12 Mother concerned about flu vaccine 2/9
13 Antenatal counselling 11/9
14 Pregnant lady – chicken pox 21/9, 4/10, 14/10
15 Alcohol counselling in post hysteroscopy 18/10
discharge
16 Post-MI discharge 4/9, 6/9
17 Obesity counselling, BMI > 40 16/9, 15/10, 23/10
18 Life-style changes unstable angina 7/9
19 Alcohol counselling 7/9, 12/9
20 Stroke assessment 24/9, 4/10
21 Paracetamol overdose 4/9, 23/10
22 Jehovah’s witness low Hb 18/10
23 Sick note - nurse 30/9
24 Whiplash requesting sicknote 5/10, 17/10
25 Heroin addiction wants to quit 11/9, 30/9
26 Riluzole for motor neurons disease 2/9, 21/9, 3/10, 14/10
27 Meningitis prophylaxis with contact history 5/9, 11/9, 16/9, 3/10, 10/10 , 23/10
28 Acne scar removal, bullying at school 5/9
29 MRSA counselling 17/9
30 Gay couple taking bisoprolol – ED 5/10
31 Lesbian wants contraception – never tried before 10/10
32 NHS manager worried about stroke 11/10
33 Fit note rape 19/10
34 Rubella mother bad lifestyle 19/10
35 Chicken pox sick note 23/10

REFUSAL
1 DKA refusal with hypoglycaemic fits 5/9, 12/9, 13/9, 21/9, 19/10
2 Patient refusal for vaccination teaching 18/9, 1/10
3 Multiple strokes refusing to stop driving 18/9
4 Patient with STI refuse to go GUM clinic 3/10

BBN
1 End of life care for mother with dementia 24/9, 1/10, 23/10
2 Dementia with weight loss 16/10
3 DCIS 2/9
4 Ischemic stroke 12/9, 5/10
5 Intracranial bleeding 16/9

MEDICAL ERROR
1 Wrong CXR – antibiotics given 16/9, 16/10
2 Missing biopsy 24/9
3 Missed MI 3/10
4 Glass in foot child 18/10

PROBLEM COLLEGUE
1 Social media 7/9, 12/9, 21/9, 24/9, 2/10, 14/10, 18/10,
23/10
2 Cocaine 3/9, 17/9, 10/10, 15/10
3 Late colleague 5/10, 22/10

NAI
1 Child 16/9, 5/10, 10/10, 17/10, 22/10
2 Pregnant lady
3 Elderly with dementia 5/9, 11/9, 18/9, 4/10, 16/10
4 Gay 4/9, 4/10

LGBTQ
1 UTI
2 Gender dysphoria 12/9, 19/10
3 Boy likes boy (Homosexual) 4/9
4 Lesbian being bullied 19/10
5 Lesbian cervical screening, pap smear 2/9, 19/9, 30/9, 17/10

EHTICS
1 15-year-old girl requesting contraception 3/10, 23/10

PATIENT RELATIVES
1 Meningitis in elderly – concerned daughter in law 5/9
2 Don’t tell mother about cancer 4/9, 11/10, 22/10
3 Heart failure mother – angry son 7/9
4 Missed diagnosis cancer – angry son 11/9

COMBINED
1 Abdomen – acute cholangitis 7/9
2 Abdomen – ALD 13/9, 18/9
3 Abdomen – IO 3/9, 1/10, 2/10, 11/10, 18/10
4 Abdomen – bloating 16/10
5 Abdomen – ovarian cancer
6 AN – breech 17/9, 18/10
7 Testicular – epididymal cyst 4/10
8 Testicular – epididymo-orchitis 2/9
9 Testicular – mumps orchitis 19/9
10 Testicular – testicular cancer
11 Breast – breast lump 3/9, 27/9
12 Eye – toxoplasmosis 19/9,
13 Eye – diabetic retinopathy 17/9, 27/9, 1/10, 22/10
14 Eye – retinal detachment 5/9, 21/9, 15/10
15 Eye – tension headache 4/9, 17/9, 4/10
16 Ear – acoustic neuroma 11/10, 17/10
17 DRE – PSA 7/9, 12/9, 13/9, 16/9, 19/9, 27/9, 30/9,
5/10, 10/10
18 DRE – prostatitis 12/9, 10/10
19 Whiplash injury 4/10
20 Musculoskeletal – chest pain 18/10

SIMMAN
1 Asthma
2 COPD 4/10
3 SOB, history of rheumatic fever 19/9
4 Anaphylaxis 4/9, 12/9, 18/9, 15/10, 23/10
5 Urosepsis 30/9, 18/10
6 Post-partum haemorrhage 21/9, 2/10, 16/10, 19/10
7 Post-partum pain 5/9, 13/9
8 Post-op bleeding 11/9
9 Haematemesis 17/9, 27/9, 11/10, 23/10
10 Opioid toxicity 3/9, 3/10, 17/10
11 Heart failure with AF 16/9, 1/10, 5/10, 10/10, 14/10
12 Hypoglycaemia 6/9, 22/10

TEACHING
1 SC injection 4/9, 13/9, 16/9, 15/10, 23/10
2 Epipen 6/9, 21/9, 5/10, 19/10, 22/10
3 Urine dipstick 11/9, 11/10, 14/10
4 ECG 2/9
5 Adult BLS 2/9, 27/9, 30/9
6 Child BLS 12/9, 3/10
7 Abdominal examination 24/9, 10/10
8 Inguinoscrotal examination 24/9
9 Testicular examination 3/9, 11/10, 16/10
10 Speculum examination 6/9, 18/9, 2/10, 17/10
11 Toddler milestone 21/9, 5/10

PROCEDURE
1 ABG 3/10, 19/10
2 Venesection, paracetamol overdose 5/9
3 Blood culture 11/9, 16/10,
4 IV cannula 30/9

PRESCRIPTION
1 Quinsy 4/9, 18/9, 15/10, 22/10
2 Acute pyelonephritis 7/9, 11/9, 19/10, 23/10
3 Morphine 12/9, 5/10, 14/10
4 Palliative – diamorphine syringe driver 5/9, 16/9, 30/9, 16/10, 18/10
5 Lithium 6/9, 17/9
6 Methotrexate 2/, 4/10
7 VTE prophylaxis - postpartum 3/9, 24/9, 27/9, 10/10
8 VTE prophylaxis – fall 13/9, 1/10
9 Apixaban 21/9
10 Rivaroxaban 11/10, 17/10
11 Non-valvular AF 2/10
12 PPROM 19/9, 3/10