Category archives for Case Studies Vol 1

Collapse in the supermarket

Longitudinal study of a community hospital integrated model for diabetes management in the Beijing Jinsong community

Collapse in the supermarket Author: Murtagh, John The story One morning I received an urgent call from the manager of the local supermarket, which was  only about 50 meters from my clinic. “Would you please come because the ambulance may take about 30 or more minutes”? The manager said that a young man who had been shopping was found unconscious […]

Bystander Resuscitation of a Near-Drowning Child

The challenge of chronic non-communicable disease and the opportunity for transforming health care through primary care based population health management

Bystander resuscitation of a near-drowning child in a rural south China township Authors: Wu, Zhixin; He, Mingfeng; Guo, Qihong; Kuang, Minhua We report resuscitation of a near-drowning child by a bystander in a rural south China township. Resuscitation was performed on a 6-year-old, otherwise healthy boy who was witnessed drowning in a river, with submersion for approximately 12 […]

Physical-mental Treatment of Cardiovascular Disease Co-Morbid with Mental Disorders

The ‘physical-mental’ treatment of cardiovascular disease co-morbid with mental disorders

The ‘physical-mental’ treatment of cardiovascular disease co-morbid with mental disorders Authors: Ren, Yanping; Yang, Hui; Browning, Colette; Thomas, Shane A 47-year-old woman complained of sudden chest tightness, shortness of breath, palpitations and a severe headache. Her highest blood pressure had reached 200/120 mmHg before and was diagnosed as hypertension. One month ago, the results of her cranial CT […]

Depression and Malignancy

managing depression

Case studies in mental health in general practice: depression and malignancy Authors: Fehily, Sasha; Blashki, Grant; Judd, Fiona; Piterman, Leon; Yang, Hui We reported a case of a 58-year-old single mother, who was diagnosed with a grade 3 invasive ductal carcinoma with a total Nottingham score of eight. The patient is struggling with overwhelming thoughts […]

Head injury in a 62-year-old man affected by alcohol

Head injury in a 62-year-old man affected by alcohol

Head injury in a 62-year-old man affected by alcohol Author: Murtagh, John A 62-year-old man was brought to the emergency room by his friends because he was intoxicated from alcohol and had sustained injuries from a fall on the footpath. Prior to this, he had been argumentative and had a fight with two younger men. According […]

Two cases of a super mimic

super mimic

Two cases of a super mimic Author: Murtagh, John Case 1 History: Ching, a 38 year old school teacher, presented with a 14 day history of tiredness, weakness, anorexia and mouth ulcers. She said that for the past 12 months her health had been poor and that she had struggled to inject much energy into her work. […]

Pulmonary tuberculosis manifesting as ‘tree-in-bud’ opacities on chest radiography

An 18-year-old female student with fevers, weakness, and dysphagia

Pulmonary tuberculosis manifesting as ‘tree-in-bud’ opacities on chest radiography Authors: Khajotia, Rumi R.; Poovaneswaran, Sangeetha. Background: The ‘tree-in-bud’ pattern is an appearance typically seen on HRCT or thin-section computed tomography (CT) chest scan. It is characterized by small centrilobular nodules of soft-tissue attenuation connected to multiple branching linear structures of similar caliber which originate from a single stalk.  Initially described in cases of endobronchial spread […]

Case history: a student in China with depression

Chinese student with depression

Case history: a student in China with depression Author: Murphy, Enda Zhang Nan was a 22-year-old man who was referred to me at my clinic in Shen Yang City, Liaoning Province. He was a college student who lived with his parents and grandparents in their 3 bedroom apartment. Zhang reported that he was finding college increasingly difficult to cope with. Last year […]

Abdominal pain beyond belief ‐ the case of Billy ‘Munchausen’

abdominal-pain

Abdominal pain beyond belief ‐ the case of Billy ‘Munchausen Author: Murtagh, John Billy was one of those patients who haunts every practice. Completely self-indulgent and doctor-dependent, he was reliant on every drug that would help blot out reality: alcohol, pethidine, morphine, amphetamines and (in those days) Relaxa Tabs. His medical records carried the somewhat elitist […]