Medical education

A 21-year-old man presented to the emergency department with a 2-week history of thoracic back pain

Royston Ponraj · Jenna Langfield · Louise Wong · Ian Kerridge · William S Stevenson

A 21-year-old man who migrated to Australia from Nepal 4 years previously was referred to a dermatologist

Akshay Flora · Priya Garg · Karen Cheung · Deshan F Sebaratnam · Monisha Gupta

A 58-year-old man presented with 4–6 weeks of lower limb muscle weakness, an elevated serum creatine kinase level of 344 U/L, painful paraesthesia, and weight loss

Laura Bywater · Anthea C Gist · Rahul G Muthalaly · Joanna Loh · Ian Simpson · Anthony J White · Andy KH Lim

A 76-year-old woman with no significant medical history presented to hospital after 3 days of vomiting

Nicholas M Stacey · Martin Feddersen

Continuous glucose monitoring (CGM) has transformed diabetes management

Rose Lin · Fran Brown · Elif I Ekinci

A 69-year-old man had three hospital admissions from April to July 2021 with persistent fever of unknown origin

Anna Grosse · Tania Salehi · Mandy Callary · Jane R Hecker · Pravin Hissaria

A 21-year-old man noticed a blackish discoloration of the tongue at day 6 of oral penicillin intake following the extraction of retained molars

Dennis A Nowak · Benjamin E Nowak

A 48-year-old female health care worker of European descent, who was otherwise well and on no regular medications, developed cough symptoms the day before testing positive for coronavirus disease 2019

Nicole Seebacher · Julie Kirkham · Saxon D Smith

An otherwise well 45-year-old sheep farmer presented to her general practitioner following a one-week history of tender reddish-blue nodules on the dorsal surface of her left hand

Joshua Farrell · Thomas J Stewart

A 65-year-old man presented to the emergency department with right facial weakness and transient dysphagia

Julia Lim · Cameron Shaw

A 42-year-old man presented with elevated alanine aminotransferase and aspartate aminotransferase on a blood test screening for viral hepatitis

William Luu · Joanne Sy · Queenie Luu

A 40-year-old man was referred with left- sided abdominal pain radiating across his abdomen, arthralgias and a mild ileitis endoscopically

Annabelle Faint · A James M Daveson

A 32-year-old man with 15 years of intermittent bloody diarrhoea was diagnosed with ulcerative proctosigmoiditis

Kenneth K Cho · Yanna Ko · Kelly Nilsen · Christine Verdon · Giuseppe Femia

A 70-year-old man of non-English speaking background migrated from Vietnam to Melbourne, Victoria, in 2007.

Robert G Stolz · Mark R Dowling · Belinda B Lin · Kylie Mason · Stephen Muhi

A previously well 9-year-old boy presented to the outpatients’ clinic with a tender, swollen occipital scalp lesion progressing over one month’s duration

Abhinav Rajkumar · Philip N Britton

A 70-year-old man presented to the emergency department with abdominal pain, vomiting, diarrhoea and shortness of breath on the background of a one-week history of fevers, dysuria and headaches

Ajinkya Bhonsle · Mithun Nambiar · Michael Swan · Ralph Junckerstorff

A previously well 4-month-old boy was admitted to a tertiary Victorian paediatric hospital in February 2022 following a febrile convulsion

Andrea Zhu · Nikki Petrakis · Mohamed Gaber · Daniel Mason · Vanessa Clifford · Julian Kelly

An81-year-old man presented to his GP with a shallow, red ulcer on the dorsum of his left index finger over the distal interphalangeal joint, progressive over the previous 3 weeks

Rachel W Xu · Timothy P Stinear · Paul DR Johnson · Daniel P O’Brien

A 6-year-old girl presented with a 24-hour history of sudden onset, non-tender periorbital rash

Yi‐Teng Hung · Chun‐Bing Chen

A 25-year-old woman presented via ambulance following a jellyfish sting

Anthony C Rengel · Sue Davel · Sarah O’Connor · Nicholas Medcraft

A 55-year-old man was referred for management of resistant hypertension

Kay W Choy · Renata Libianto · Ian Simpson · Jun Yang

A 79-year-old man presented with painful lesions over his left arm on a background of non-Hodgkin lymphoma, which was well controlled on rituximab

Luke S McLean · Danny Rischin

A 35-year-old South Asian man with mild asthma had SARS-CoV-2 infection in August 2021

Jamma Li · Kathryn Sutton · Lawrence Ong · Oliver Flower · Jonathan J Gatward · Helena Jang · Nicholas Wood · Bernard Hudson · Sanaz Tehrani · Suran L Fernando

Asthma is one of the most common chronic diseases in Australia, affecting 11% of the population

Helen K Reddel

A 62-year-old man presented complaining of 3 days of abdominal discomfort on a background of a month-long history of fatigue and fevers

Angus AW Baumann · Nicholas J Montarello · Glenn D Young