Medical education

A 76-year-old female patient was urgently referred to the endocrine clinic for suppressed morning serum cortisol levels

Mike Lin · Lisa Horgan · Albert Hsieh

A nine-year-old female patient presented with a two-week history of vomiting, diarrhoea, abdominal pain, and a one-week history of dysuria with macroscopic haematuria

Danjel Miladinovic · Warren Hargreaves

Environmental sustainability should be considered as a dimension of quality, safety and good governance alongside patient and population health outcomes

Jacob Fry · Angie Bone · Keiichiro Kanemoto · Carolynn L Smith · Nick Watts

Routine ferritin testing by the Australian Red Cross Lifeblood helps to identify iron deficiency, the most common micronutrient deficiency worldwide.

Gary D Zhang · Daniel Johnstone · Michael F Leahy · John K Olynyk

A 64-year-old man of European descent presented to a tertiary hospital in the Northern Territory with a four-week history of fevers, headaches, coughing and dyspnoea

Sara Davison · Tanmay Kanitkar · Dimitrios Menouhos · Thomas Ewin · Catherine S Marshall · Peter Boan · Sonja Janson

A 72-year-old man with a history of well controlled type 2 diabetes was admitted to a tertiary metropolitan hospital for investigation of fevers, night sweats and unintentional weight loss of 18kg over six months

Vinny Ea · Brigitte Papa · Rimma Goldberg

The role of modelled versus study-based economic evaluations, and an introduction to common modelling approaches

Winnie Chen · Martin Howell · Alan Cass · Gillian Gorham · Kirsten Howard

A 76-year-old man presented with progressive breathlessness and dry cough

Aruvi Thiruvarudchelvan · Elizabeth Silverstone · Deborah Yates

An 85-year-old woman presented with three days of dysphagia, headache, lower abdominal discomfort, and trismus

Romeo Torres · Ernest Tee · Sophie Harper · Leemin Chan · John Ng · Andie Lee

An otherwise well 25-year-old man presented with an itchy rash of 15 months duration on his groin and thighs, with no systemic symptoms

Kyra YL Chua · Catriona L Halliday · Sharon C‐A Chen · Sonia Koning · Jedrzej Pawlikowski · Philipp du Cros · Tony M Korman

In August 2023, an otherwise healthy 54-year-old woman presented to hospital with acute onset fevers and sweats, followed by four days of nausea, vomiting, generalised severe abdominal pain and diarrhoea.

Samuel WL‐W Baumgart · Suzanne English · Tony Sebastian · Sarika Suresh · Timothy J Gray

A 65-year-old man was referred to a private dermatologist for diagnosis and management of a hyperkeratotic, scaly, pruritic eruption affecting the trunk and extremities, which had been worsening over 12 months

Matthew J Verheyden · Vicki Howard · Monisha Gupta

Social and cultural determinants of health and health care are patient-important factors navigated by many families and communities accessing excellence in health support for dialysis-requiring kidney failure

Paayal Naidu · Onika Paolucci (Muran‐Iwaidja) · Relma Luta (Kaurareg) · Jaquelyne T Hughes (Wagadagam)

A 61-year-old man with moderate stroke risk factors, including hypertension and hyperlipidaemia, presented with rapidly progressive ptosis, diplopia, ataxia and dysarthria

Chris Kwan · Anthony Elias · Katherine Todd · Celia Bradford · Joshua Smith · Indira Datta · Jimmy Ng · Katie Kelleway · Jessica Butler · Sarah Webb · Michal Lubomski

A 34-year-old man, born in Brasília, Brazil, who had been living in Australia for three years with no return travel, presented to his dentist with an eight-week history of a painful, progressively enlarging maxillary, gingival ulcerative lesion

Timothy C Badrick · Ella M Meumann · Kathryn Shirley · Peter Simos · Mertya L May · Gary Quagliotto · Evan C Bursle · Nici Leonard · Rodney J McDougall · Jennifer M Robson

A 65-year-old man of Indonesian ethnicity with type 2 diabetes mellitus and hypertension first presented to a peripheral hospital in March 2023 with fevers and diabetic ketoacidosis

Katherine GC Ong · John R Dyer · Dickon Hayne

A 75-year-old man presented with three days of lethargy and diarrhoea

Noor Lammoza · Maria Hormiz · Cherie Chiang · Chris Stead · Mustafa Ayhan · Samuel C Hume

A 25-year-old man presented to the emergency department of a tertiary hospital following a seizure

Stephen Bacchi · Santosh Verghese · Mark Slee

A 64-year-old woman presented with non-neutropenic fever and back pain one day after the first cycle of neoadjuvant chemotherapy

Luigi Zolio · Prudence A Francis · Nava Ferdowsi

A 16-year-old female patient with cystic fibrosis developed recurrent pleural effusions, facial plethora and prominent chest wall veins

John J Harvey · John I Vrazas · Elhamy Bekhit · Chris Barnes · Philip J Robinson

A 77-year-old man with maize starch excipient allergy on peritoneal dialysis presented to the renal clinic with mild right groin pain for a week, blood pressure of 150/79 mmHg, and weight gain of 2 kg due to fluid retention

Lipin Lukose · Shrey Seth · Kamal Sud · Brian Nankivell · Mary Ann Nicdao · Ronald L Castelino

A 58-year-old man attended a Sydney outpatient dermatology clinic in November 2022 for a lesion on the vertex of the scalp, enlarging over 3 years

Caitlin Swift · Anthea L Katelaris · Thea Briggen Tiqui · Julie Smith · Tracey Papa · Estella Janz‐Robinson · Trang Nguyen · Qinning Wang · Jenny Draper · Vitali Sintchenko · Debbie JE Marriott · Vicky Sheppeard

A two-year-old girl presented in distress after a minor fall in a sandpit at a childcare facility

Anneliese Willems · Lauren Weston · Susan Robertson