Online Recalls

08 Apr 2025 1. Psychogenic cough 2. DDH 3. Female patient with dysuria and long-standing cystocele 4. UV Prolapse – not sure about Dx 5. OCPD 6. Antenatal – all finding normal. Asked to measure the SFH – IUGR/Oligo 7. PE – motor examination of all limbs 8. PE – testicular ca 9. PE – COPD 10. Paracetamol overdose 11. Leaking AAA – ISBAR handover to reg 12. Asthma – control and educate 13. Fibular fracture – explain 14. Rashes – explain to parents – atopic dermatitis 15. Polypharmacy – discuss with niece, recently started CCB – pharmacist said he shd not be on CCB

22/3/25 - 1.Known CLL- Recent weight loss no Hx Performance-PE ( I couldn’t find anything positive) Explain to the patient No Mx 2.Scarlet Fever - ( However rough rash not really sandpaper, no picture of the rash, discuss with Dad) Hx, PEFE, Dx, Mx 3.Premature labour-26 weeks Previous antenatal visits-ok Sudden generalised abdominal pain radiating at the back..no other positive findings. On -PEFE- OS was open 3cm . Membrane intake, no bleeding discharge or amniotic fluids Dx & Mx 4.Leg pain- Right Tibial Stress or compress fracture Hx Explain X-ray Dx ? Renal stone- bit funny case CT scan was given Explain to the patient Explain OBS chart Dx and DDx ? Mx 6.BOWEL OBSTRUCTION - Patient at home- Phone call asking for script for vomiting. -Hx- not previous Hx of vomiting ( bile no blood) Didn’t open the bowel for 3days No pee for 2days Living Alone Manage -Mx 7.PE - pneumonia-thorax explains-Ray to the patient 8.PE- Tremor worried about Parkinsonism Dx & DDx 9.PE- 37 weeks pregnant- normal 10.? Bacterial vaginosis -Hx - discharge for 3months Had itraconazol and Doxycycline without any effect No other positive findings -Mx 11.MDD with Paranoid schizophrenia- -Video -DX and DDx With reasoning -Mx 12.Relapsed Schizophrenia- Hx - Dx to the examiner 13.Anniversary grief - Mum died 2yrs ago 14.Rash -bee sting - probably cellulitis couldn’t see / No picture Hx- gardener when got stung 2days ago fiver and chill since last night Dx and DDx -no Mx 15.Infantile colic Hx Mx 16.Heart failure Very long steam, patient was on ACEi, beta blocker, Aspirin & statin explain the X-ray to the patient Dx & DDx Mx

21/3/2025 1.74 year old lady coming with vulvar itchiness 2  years. Pic at 6 min. Tell d x ddx management( ? Lichen sclerosis) (? not helped with corticosteroid cream. 2. PR bleeding since 2 weeks. 6 min hx, dx and ddx, ( lump coming out. Dx hemorrhoids) 3.stem- Pt c/o chest pain since 2 hours. Patient looks pale and sweaty. Hx 6 min ask PEFE interpret ECG to examiner. Explain dx and ddx to pt 4. Mother concerned about his 27 year old son admitted with drugs alprazolam, ectazy, paracetamol overdose 36 hours ago.mother is worried about Brian injury. Gcs has been , 4, 7, 9 now 12. Hx for 2min Explain dx and adress concern. Explain immediate management. Counselling regarding mx 5. 27 year old lady referred by dietician. She has been losing weight through diet and now her BMI is 23.1.she still wants to lose more weight. Dietician thinks that she is having a eating disorder. Hx Explain Dx and DDx 6. 17 year old lady didn't have her periods until now. Concerned. Take hx. Ask PEFE. Thyroid nl. Hymen perforated. Tanner stage 5.Explain investigations you are going to do with reasons. 7. 11 week pregnant lady coming with excessive nausea and vomiting.there had been mild vaginal bleeding. Fundus 14 week size. Bimanual ex findings on card -Nl. Perform pelvic examination with speculum. Explain dx 8. Hip examination, pain on movements. OA 9. Medication chart 10. C/o ear pain.Perform hearing tests.  External ear examination on rp Otoscope on mannequin.explain findings to examiner. Explain dx 11. Pt c/o right side UL and LL weakness. Now improved. Do UL and LL motor neurological examination Explain dx 12. Male pt coming with SOB and troublesome cough. Take Hx for 2 min- dry cough.no low, no LOA. Explain spirometry results to pt . FEV1 to FEV ratio not given. FEV1 2% improvement after using bronchodialtor. PE on card.- everything nl except for bibasl fine crepitations not improved with cough. Explain dx and ddx 13. 2 weeks or 6 weeks old baby has noisy breathing.  Mother is concerned. Hx PEFE Explain Dx 15. 5 year old child looks pale. Mother is concerned. Take hx for 5 minutes. PE on card. No lymph node enlargement. Splenomegaly 4 cm. Explain Dx ddx

19/2/25 pilot exam 1. Abdominal exam with RUQ, R lumbar, RIF pain 2. Man worried about prostate ca -- Hx taking + ddx 3. Lower back pain Hx + ddx 4. DM foot examination 5. Baby with face bruising -- NAI - Hx + Mx 6. AF with Hx taking and ECG interpretation 7. Chart medication (on a piece of medication chart). AMH handbook givennto look up doses etc 8. STI - Hx + ddx 9. Bilateral breast pain with brown nipple discharge Hx + ddx 10. Pelvic and speculum exam PE 11. Watch video and report MSE to examiner 12. Claustrophobia/agoraphobia Hx with panic attacks 13. Child with frequent urti Hx + ddx 14. Possible pregnancy with rubella exposure Hx + provide advise 15. Purpuric rashes in lower limbs + pharynx petechia , ITP . Hx + ddx 16. Teenager with chronic headsche x3 months - worse with positional changes, early morning vomiting, worsening. Hx + ddx

13/3/2025 1. Atrial fibrilation: explain Dx, management 2. Toddler's diarrhoea: Hx, Dx and DDx 3. Thyroid cancer: explain Ix, Mx 4. Fundus large for date Hx, Dx, Ix 5. Pelvic examination for postcoital bleeding, PE, Dx, DDx 6. Nappy rash??? Hx, Dx 7. Large breasts Hx, Dx, Mx (depression) 8. Postpartum psychosis Hx, MSE, Dx and risk assessment 9. Giddiness PE, Dx (not PICA) 10. Wrist examination, explain XR and Dx (distal radius #) 11. Haemoptysis Hx, explain CT, Dx and DDx (bronchiectasis) 12. Urine dipstick 3+ sugar: Perform UDT, Dx, DDx and Ix 13. Leg pain Hx, Dx and DDx (PAD) 14. Urinary problem (BPH): Hx, Dx with reasons 15. Alcohol abuse: Hx 3 min, explain risk assessment, counsel 16. Global developmental delay Hx, Dx and DDx

12th March 1. Atypical pneumonia, 7 year old boy, 4 days back came for trip to Malaysia (boy had muscle aches, diarrhea) 2. Bee sting in child, no anaphylaxis. Warm and swollen toe, afebrile child. Take Hx, PEFE, Dx and Mx 3. Post lap chole pt wants to be discharged home. 1st day post of has 38 temp, PR increased. On PE had crackles on R lung base. Explain your findings to the pt (Pneumonia?) 4. Motor Neuro exam of lower limb, (Stem mentioned patient is taking steroid and statin) give your Dx and DDx. Power of low of L3, L4. 5. Ear examination (had CHL, maybe had perforation.. examiner didnt provide photo we had to see it in ear.) 6. 36week pregnant, presented with a itchy rash. Hx, examiner will provide photo at 5 mins, Dx and Management (Polymorphous eruption of pregnancy) 7. 22 year old having pain on sexual intercourse. Vaginismus 8. 4 year old child tonsils enlarged, was given amoxicillin now has rash. Ask PEFE from examiner, perform PE of Abdomen, give your Dx. (Didnt have splenomegaly or hepatomegaly, but cervical and inguinal enlarged rubbery, mobile, tender nodes) 9. Patient had a fall, perform Chest examination and tell the Investigation. 10. Alzheimer to father, daughter busy accountant here to talk about the next steps. 11. Palliative Treatment Counselling, grandfather terminally ill, ACD no CPR, mechanical ventilation. 12. Chest pain (pt in severe pain, hands on thighs). Everything from chest pain cluster was negative. No Jaundice, no pain on fatty meals, PEFE mentioned negative murphy and pain radiating to back and scapula. Most likely biliary colic? 13. Headache 44 year old. Tension type HA 14. 4 mins Video. Tell examiner your Dx with reasons, tell DDx (It was OCD case) 15. COPD pt, presented with swelling in legs. On asking Medication, RP presented her prescription (tiotropion, salbutamol, Amlodipine 10mg), PEFE increased JVP 5cm, Hepatomegaly —- Heart Failure

7/3/25 1. 17y unwell patient in rural setting (dka) Hx PEFE Dx with reasons 2. 16M post splenectomy counselling - counsel mother Short and long term complications and mx 3. Depressed patient, MMSE given - explain MMSE to patient - HX, present MSE 4. 27 M with abdominal pain with vomiting Patient sitting with a vomiting bag HX of alcohol - HX Dx with DDx 5. MSM counselling 6. Depression citalopram prescribed few days ago, no resolution of symptoms HX, differentials 7. Unwell patient, Tiredness - allergic Rhino sinusitis HX, PEFE, dx with DDx 8. Panic attack HX, dx DDx 9. 16 M fell of from horse Ct findings given Lower limb neurological Examination 10. Knee examination ( fall, ?twisted the knee) 11. Heart failure Examination CVS examination- guy admitted with orthopnea, prior to discharge Examination. Decision regarding discharge. DDx 12. Eye pain and redness- bacterial conjunctivitis HX, dx DDx 13. 30 y/o 28w pregnant, abdominal pain HX, Dx and DDx( GERD) 14. 9Mo with 7.2 kg. Growth chart plotting HX, PEFE Explain investigations 15. 27 yr old lady with vaginal discharge HX, Dx, differentials 16. bee stung child on foot having swelling n pain on foot on hx no features of anaphylaxis hx pefe dx management asked no feve in pefe

6/3/25 PE: 1. Respiratory exam for copd 2. ⁠CVS exam for HTN … high BP during blood donation 3. ⁠MSE post-MVA and surgery… 4. ⁠Breast Exam - B/L breast pain, on OCPs Peds: 1. 6 months old with diarrhea and vomiting on breastfeeding and features of dehydration 2. ⁠4 yr child with neck lump for 3 weeks - not painful, H/o ear infection 3 weeks ago, lump is non-tender in posterior triangle … task: H/o, Ask PEFE, Dx and DDs Psych: 1. Refill of Quetipine with H/o weight gain, uncontrolled diabetes, isolation Obs&Gyn: 1. 34 weeks pregnant lady, lost F/u post 26 weeks, stopped smoking at 6 weeks gestation age…. Came for check up… task… H/o, PEFE card, measure fundal height and explain Dx with reasons/causes 2. Menorrhagia for 12 months with exam and labs and USG reports normal, Hb 10 with microcystosis Med: 1. Travel counseling - planning trip to south east asia - Malaysia. Vaccinated for Hepatitis A, Hep B, covid… H/O, travel advise and any suggest any Rx 2. ⁠Penile ulcer - H/o unsafe sex, MSM, non painful, LN in groin …. Pic given 3. ⁠Urinary retention - BPH. Task - H/o, PEFE, Dx with reasons 4. ⁠Acute on chronic kidney injury …Triple whammy case … pt was vomiting and k/c/o HTN, CKD, and gout… 5. ⁠DM sensory neuropathy case… H/o of pins and needles in legs, k/c/o DM - uncontrolled with HbA1c >10, HTN, Dyslipidemia, and 2-3 drinks of alcohol daily… tasks - PEFE, Dx and DDs and mxg - initial and long-term 6. ⁠Neck Pain… H/o pain back of neck radiating to left upper limb with numbness of upper limb… case of Cervical radiculopathy

5/3/25 recalls 1. Thyroid examination: patient presents with palpitations and weight loss 2. Right calf erythema with knee swelling , post long travel from USA. On OCP and pyrexial . ? Cellulitis ? Ruptured bakers cyst ? DVT (? Too young to have DVT) 3. Allergic rhinitis. 3 year old child presents with clear discoloration from nose every day.. has mouth breathing and pale mucous membranes 4. UTI in diabetic male. On metformin, empagliflocin, perindopril and atorvastatin 5. OSA.. man presents with tiredness 6. Shoulder examination 7. Pelvic exam ? Miscarriage. 6 weeks pregnancy passed clots. Need to perform pelvic exam on dummy 8. Depression mse on video 9. PTSD . 3 months post car accident presenting with insomnia 10. Malignant melanoma councilling . Need to explain biopsy report 11. SIDS councilling 12. Medication chart : pharmacist advises that there is an interaction between tramadol and citalopram. Advised to used amh to rechart either Oxycodone or morphine 13. Palpitation in a 27 year old concerned about heart attack. Nil chest pain. Father previously had a heart attack.. takes a lot of coffee

25/2/2025 pilot 1. Cellulitis leg adult pt hx dx management. H/o bushwalking 2 days ago. PEFE. No photo. 2. Burn in 2 years child management 20% scald including face. No photo. Diagram with % BSA. Admit. History & Mx. Within 30 minutes. 3. Recurrent fall patient exam(cerebellar exam ) 4. Mse of OCD pt. Female. Wants perfect assignments. 5. Tiredness lady. 46 years old. 6. Anterior MI pt in rural setting ECG explain and treatment- alteplase risk of bleeding, call the senior, rule out contraindications. Bolus. Continue with heparin infusion. MONA. 7. Autism spectrum disorder 3 years old child history dx,ddx. Violent in child care. Normal at home. 8. 2nd degree Uterovaginal prolapse patient history, PEFE,dx, explain the condition. 9. Hypeemesis gravidarum pt hx,dx,ddx UDT ketone 1+ She was 7 weeks pregnant 10. Schizophrenia,acute psychosis pt ? Video 4 minutes. Brain injury from rta few years back explain regarding predisposing factor, precipitating factors 11. Orbital fracture pe. Tender on max area, reduced sensation on right side. Trigeminal nerve. Facial nerve. 12. 37 weeks pe Dummy abd. Doppler & ctg. ?small for date. 13. Alc liver disease. AST & GGT. Hx, PEFE. Explain results. DDs. 14. Post viral cough in a 3 month old child. Hx, PEFE card at 5 minutes- normal, DDs ? Bronchiolitis 15. Scrotal trauma ? Torsion. Basketball. Pain & swelling. Hx, Dx 22 year old. No h/o sti. Has multiple partners. 16. Ureteric calculus- Hx, PEFE & Dx. Patient came with right flank pain 42 year old man. Sharp sudden pain. 2 hours. PEFE- no Mc Burney or Murphy sign. Just tenderness. On allopurinol. ? Uric acid stone. UDT 4+ blood From a friend

19/2/25 F2F 1.Pain in vagina Had HSIL years ago, no more tests since then. Pelvic exam on model With cervical screening things provided 2. Young man Sx of Panic disorder and agrophobia Second appointment for results and Mx 3. Young mother with infant. Crying for 2days. Mentioned 3 bruise on cheek this morning (Domestic violence) 4. Male comes for DM F/U Has claudication LL exam Had impaired sensation (light touch in exterimities) and no pulse is dorsalis pedis Explain Dx and DDx to pt 5. Female with 3 years both breast psin and recent brownish discharge Strong breast cancer FH Hx and DDXs 6. Male with lower leg petechia (image provided) In provided exam had petechia in mouth aswell. 7. Mother came for 13yo girl who has headache every day , diploplia Positive Migraine FH 8. 62M heard about prostate cancer in media,  has frequency for months Take 6 glass of water daily for Hx of kidney stone Hx, Dx, DDx 9. Likely pregnant, Rubella exposure at work 10. Video of a young male had appendectomy this mane, was delirius Tell MSE to examiner 11. Non infective COPD exacertion, write medications including Salbutamol and Prednisolone in paper chart. Australian medical handbook provided for doses. 12. Lady with yellow vaginal discharge, multiple partners,  Hx of chlamydia Hx, Dx,DDx 13. 50 male with LLQ pain, sweaty and dizzy Examination 14. Middle age man with dizziness,  ECG done Hx Review exam results and ECG> AF Uncontrolled DM, HTN Heavy smoker and drinker Explain Dx to patient and underlying causes. 15. 2 yo has 8 flue in last yeae, mother comes who is concerned that if he needs more AB Parents smoking No redflag, exam provided, normal 16. Don't remember

27 November 2024 1.Melanoma Counselling 2.Funny Turn- Polypharmacy 3.Steato Hepatitis at pregnancy 4.insominia 5.PE speculum Ex - telehelth 6.Tension headache 7.Developmental delay 8.Macroscopic heamaturia- PE 9.viral myocarditis leading to heart failure- PE 10.Down syndrome - Counselling 11.Epistaxis 12.Hypoglycaemia- telehealth 13.CST- explained to MS 14.MDMA - Counsel farther regarding Confusion 15.Automated BP monitoring 16.Breast feeding Jaundice

21 November 2024 1) Seizure patient, 4 months ago seizure, keep to drive again - Council patient - Explain why and future management No examination 2) Breast lump noted 64 YO Children are all breastfed Council patient, future Mx and what this may mean Explain possible examinations for clarity but no examination task 3) 37 YO carpenter, back pain radiating to leg, sensory exam done and intact - PE of LL and explain to med student - DDX 4) Psychosis in a 14 YO, brought in by police and parents have just shown up - Withdrawn with hallucinations - Explain to parents - DDX - ?Mx 5) Paeds, 18 months old, mother notes limp, XR shows ?absence of cap and a gap between the acetabulum and proximal femoral head. It's probably DDH - Relevant Hx - Findings and XR given, interpret and explain what it is - No need to explain management 6) 2 days old baby taken from ward to nursery, unwell - Relevant Hx from nurse - Explain XR to nurse and tell Dx Dilated bowel loops on XR, meconium not passed 7) 64 YO PV Discharge, Yellowish/ brownish in colour - Hx - DDx 8) 46 YO urinary retention lady in pain - Immediate Mx - Explain what physical examination you'd like to do and why - Interpret investigations and explain DDx or Dx 9) 64 YO due for total hip replacement surgery, pre OP XR shows a T5 compression # - Explain findings to the patient - Council - What this may mean for their surgery 10) 24 YO bo with seizures, his carer has come to see you. Usually take Carbamezapine and Sodium val. Carer concerned about behaviour - Hx - DDx Not seizing, just mood change, labile mood 11) 55 YO examined and assessed, Right lower zone pneumonia - Explain to the student what investigations would you like to do and why - What management would you like to do and why 12) Family recently travelled to Malaysia, came back 4 days ago, unwell child - Hx - DDx (Vomited, one episode, loose stool 1 and fevers) 13) Middle aged man come to get seasonal flu vaccine, BP noted to high on 2 occasions, non compliant with meds - Take Hx and explore compliance - Explain about vaccine and what's his cardiovascular risk 14) Post delivery, first baby, 640 ML blood loss, nurse tried taking out placenta and cord snapped - Explain implications of this - Explain your Mx 15) Middle aged guy, noted staining on underwear, yellowish brown. Site not given in stem - Hx - DDx 16) Forgot age, central chest pain radiating to Right jaw - Explain to the med student what order of examinations would you do - Explain what you are looking for in each examination

14. Subfertility in a 27yr old. Take Hx. Diagnosis and DDs no knowledge on fertile period, intercourse once a week. 15. Paed Abdominal pain for 6month. History from father. Diagnosis and DDs Nothing is positive. Father is not aware of when is the last bowel opening. Grand mother recently diagnosed with a cancer. 16. 67F came in to discuss about Cervical and Brain CT Scan result with findings of thyroid mass. (Imaging done because of stroke but everything normal already.) Thyroid symptoms all negative. Dx, DDx, Investigations, Mgmt

20 November 2024 1. Pregnant lady coming in with nausea and vomiting. Urine ketones positive. Hx. PE card given. Probable cause and DD. 2. KNEE joint pain for 2days. PHx of great toe pain as well. Recently started on HCT. Not smoking. 5-6SD alcohol per day. Negative bifringes test. (Very lengthy stem) Explain diagnosis. Immediate and long-term management. 3. Back pain for 1day following lifting a 3yr old child. No radiation. no numbness. Bladder bowel normal. O/E. - Normal neurology. Left paravertebral muscle spasm. Explain diagnosis to patient. Explain management / counsell immediate and long term management. ( Can't remember exactly) 4.Father diagnosed with Alzheimer's dementia, (long stem) MMSE 25/30, CT -cerebral atrophy, TSH and some other Ixs normal. Take Hx from daugther regarding her concerns. Discuss Future management plan with daughter. (Can't remember the exact Q) 5.Post op knee replacement patient agitated, confused (very long stem can't remember all the findings) Preop assessment given - exercise tolerance, PMHx, ASA-2, Alcohol consumption 15units per day, not on regular meds etc... FBC -Hb-low,plt-low wbc normal, LFTs given can't remember, electrolytes normal. Your examination findings given. -------> Tachycardic, Temperature -37.8 CVS- normal, respi -normal, SpO2-94%, chest-spider naevi, lower abd tenderness- has not allowed to properly examine due to confusion. CNS-pupils normal, reactive..................... etc ....... Explain the preop assessment to sister. Explain your assessment to sister. Give probable diagnosis and DDs 6. Sudden onset abnormal sound and SOB of a 15month old child, after waking up. Mom came to ED. You are given a recording of a sound - ?stridor History from mother - no drooling, no tripod posture, barking cough++,hot to touch no Hx suggestive of foreign body, no recent Hx of coryzal symptoms. PHx of bronchiolitis one episode. Explain Diagnosis to mom. 7. Pulmonary embolism PE to MS 8. Itchy rash in a 20Yyr old girl explain rash (2mins) and PE to MS 9.Cousin diagnosed with WPW Sx, patient concerned, explain relevant examination to MS. 10. Patient comes with high PSA 15 -explain relevant examination to MS 11. 39 POG, referred by midwife due to a concern. SFH -42cm, Head 5/5 palpable all other examination findings normal. (long stem, can't remember) Hx from mother. Explain most probable diagnosis and DDs 12. Lady coming with "something is wrong with my nerves" . TSH -Normal . History. Diagnosis and DDs. Patient has anxiety when going to parties and doing presentations. 13.Baby coming in with vomiting and diarrhoea for 24hrs. sleepy baby, Tachycardic. History for 3mints, PEFE card given. Tell father the diagnosis and Immediate management. CRFT

19 November 2024 1. PE Dizziness 2. PE empyema 3. PE EBV after amoxicillin 4. PE hand pain after fight 5. Food allergy peanut butter 6. Paediatric asthma and spirometry 7. Exercise amenorrhea 8. Herpes - tingling at 8 wks 9. Telehealth orbital/preseptal cellulitis 10. TGN - facial pain 11. BPAD mania 12. Delusional and hallucinating pt - hx and ddx 13. MDD stopped SSRIs after 1 week 14. T4b liver lesion explain ct results 15. HTN non compliance 16. Fall post TKR

13 November 2024 1. Hypertension urgency non compliant with medication blood pressure 180/110 mmhg non compliant with drugs. Councelling 2. Sick assessment suicidal Patient cut injury to the wrist and awaiting discharge asesss social aspect, mood insight judgment Suicidal sick assessment 3 nocturnal aneurisis-primary most probably 4. Gord presented with vomiting Growth chart given showing growth failure 5. Dysmenorrhea with sexual inactive girl ask further examin and investigation Explain the diagnosis Presented with pain in period 6. Acute manic Answer the patient question Patient ask why should I want treatment im living so happy 7. Cervical screening test hpv 16. Hail councelling I think we have to practise how to explain in lay term 8. Ent hearing test 9. Left lower quadrant pain 10, rash in oedematous leg verifies vein eczema 11. Back pain history no nerves involvement no tingling sensation sciatica 40 degrees schoba test 3 normal given as 4 Presented sudden on set back pain after lifting object Every things negative red flag, osteoporosis all negative 12. Placenta précis with mild bleeding o negative blood group Explain uss report and management 13. Young boy presented with sudden onset left side pluritic chest pain with shortness of breath examination finding first to medical student Do full examination with land marks

14 November 2024 1. Type 1dm, hx for 3min and  talk about day to day dm management 2.Pe- EBV, diagnosed p/c LUQ Pain 3.PE- child with HSP, 4.PE- lung cancer 5.Pe- death examination and doccumets u do 6.Pain on urination- STI 7.DVT - young lady who had a flight and slept..asked mx also 8.Hx taking lung cancer 9.Aortic disection hx ,ix 10.Pe- PROM and CTG 11.Psy painc attack- hx dx and ddx 12.Purtusis Ix and mx 13.Fall after kj operation- Swelling in the r/ wj- hx and ix 14.UV - Prolapse- hx and dx 15.Crying baby- not sure ?Intestinal obstruction 16.Depressive symptoms following some problem happened in work place dx  and explanation

12 November 2024 01) Fallen from a ladder 10yrs ago, c/o pain in the Ankle joint 02) PE- painful ulcer in the leg 03) Trigeminal neuralgia already diagnosed and specialist prescribed carbmazipine. Now you need to manage at GP level. 04) Famous cockroach 05) Alan now Allison- transgender 06) PE- Disabled with rash-23 years old intellectually disabled child with 3 day history of rash. 07) Child with high body weight percentile 08) MHT 09) Rectal bleeding in ED 10) Lithium case, patient no eye contacts. Lithium level normal, MSE 11) Child presented with diarrhea- DKA 12) Antenatal check with a lot of findings they even gave low PAPP-A levels 13) Osteopenia in Male COPD patient , management

7 November 2024 1. OSA tiredness and shift worker 2. OSA child school coming with tiredness with recurrent OM and tonsillitis 3. PE UL and LL motor 4. PE- facial trauma 5. PE- co pulmonale 6. MSE- patient with visual hallucinations and metabolic syndrome 7. SIDS counselling 8. Spirometry 9. Early preg bleeding with bhcg 895 and empty sac and corpus luteal cyst 10. GORD in pregnancy 11. head collision- acute concussion syndrome 12. elderly living alone with leg ulcer and reducing ACAT 13. bleeding varicose telehealth 14. penile ulcer 15. recurrent nasal discharge peads 16. serotonin syndrome hx and immediate Mx