Check Study Program

Emily, aged 22 years, presents to your rural clinic with a three-month history of vaginal discharge. She is a heterosexual female and has a new boyfriend whom she has been seeing for four months. 1. What questions would you ask in your assessment? 2. What is MGen? 3. What tests can be used to diagnose MGen? 4. What organisms would you test for using Emily’s high-vaginal and endocervical swabs? 5. What is the most likely cause of Emily’s current presentation? 6. How common is MRMGen? 7. How would you interpret Emily’s MRMGen results? 8. What is your management today? What else is important to discuss at this review? 9. What are the possible explanations for Emily’s persistently positive result? 10. How would you support Emily with disclosing her MGen diagnosis to her partner? 11. How would you manage Emily this time? #Week24_Case4

#TB_Pregnancy_Breastfeeding

#TB_Medications

#TB_Treatment

Deepti, aged 30 years, lives with her husband and her baby, aged 20 weeks. Her baby is well, and Deepti is breastfeeding. Deepti was born in India. She and her husband migrated to Australia three years ago from Mumbai. She presents to your clinic complaining of a left-sided neck lump, which is clearly visible to you prior to examination. Deepti says that she noticed it appeared gradually at some point in the past few months. 1. What initial information would you seek on history and examination? 2. What are the main conditions to consider in the differential diagnosis? 3. How would you respond? 4. Which test would now be the most informative to arrange for Deepti? 5. What would be the purpose of ordering an interferon gamma release assay (IGRA) or tuberculin skin test (TST) for Deepti at this time? 6. What would you tell Deepti about the risk of TB reactivation during pregnancy? 7. How would you counsel Deepti about the risks of TB transmission and its treatment for her infant? 8. What other investigations may be useful to arrange for Deepti in parallel with her referral? #Week24_Case3

#Measles_Postexposure

#Measles_Postexposure

#Koplic_Spots

#Measles_Rash

#Traveller_Rash

Farai, a male banker aged 45 years, presents with a generalised rash. He recently migrated from Indonesia and is looking forward to starting a new life in Australia. He has no history of any significant medical problems, is single, drinks alcohol socially and has never smoked. He is not taking any regular medications. 1. What further history would you seek to assist in determining the cause of Farai’s rash? 2. What examination(s) would you undertake? 3. What is the most likely diagnosis, given the history and examination findings? 4. What diagnostic tests would you consider? 5. How will you manage Farai? 6. How would you undertake contact tracing, and how would you manage all possible contacts? 7. How will you respond? #Week24_Case2

#HepatitisA_Summary

#HepatitisA_Vaccination

Oliver, aged 28 years, presents to you with a three-day history of fever, nausea and poor appetite. He reports feeling very tired and achy in his joints, and he tells you he had a sore stomach and diarrhoea last night. He has not been in contact with anyone who has had similar symptoms. Oliver does not have any significant past medical or surgical history and does not take any regular medications. He is a non-smoker and drinks alcohol occasionally. 1.What further history would you seek from Oliver? 2. What would you look for on examination? 3. What conditions would you include in your differential diagnosis? 4.What is your working diagnosis for Oliver? 5.How will you manage Oliver now? 6.What will you tell Oliver? 7. What vaccinations are available in Australia to prevent HAV infection? Are there any at-risk groups that are recommended to receive HAV vaccination? #Week24_Case1