RCGP SCA Case Bank
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174 cases found
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Workplace Fitness Certificate Request
34 years old patient who been under enormous stress lately and I need some time off work
DiagnosisMED3 "Fit Notes"
Not Practiced
Elevated Cholesterol
Post-MI patient on maximum conventional lipid-lowering therapy with persistently elevated cholesterol seeking discussion about further treatment options
DiagnosisRefractory Hypercholesterolaemia Post-Myocardial Infarction
Not Practiced
Worried About Liver Scan Results
A 42-year-old woman presenting to discuss ultrasound scan results , with previous weight management difficulties and frustrated about denied Mounjaro request from one year ago
DiagnosisNon-Alcoholic Fatty Liver Disease (NAFLD)
Not Practiced
Emergency Contraception
37 years old patient coming for an emergency contraception
DiagnosisEmergency Contraception in Breast Cancer
Not Practiced
Request for Assistance with End-of-Life Plans
PremiumA 46-year-old man with advanced Motor Neurone Disease contacts. He has significant functional decline and wishes to discuss his end-of-life plans.
DiagnosisMotor Neurone Disease with Request for Assisted Dying
Not Practiced
Medication Request Following Prison Release
PremiumDean Hartley, a 31-year-old recently released from prison, contacts the practice requesting re-prescription of controlled medications prescribed in custody
DiagnosisBenzodiazepine and Opioid Dependence with Psychosocial Complexity
Not Practiced
Poor Weight Gain and Feeding Problems
PremiumA 9-month-old infant with faltering growth, pale bulky stools, and abdominal distension following introduction of gluten-containing foods
DiagnosisCoeliac Disease
Not Practiced
Dizziness
PremiumRachel Adeyemi, a 31-year-old teaching assistant, calls to discuss one week of worsening dizziness affecting her work
DiagnosisPostural Hypotension / Dehydration
Not Practiced
Health Anxiety
PremiumA 38 years old patients who requests a full-body MRI scan to check for any hidden cancers
DiagnosisInappropriate Investigation Request
Not Practiced
Recurrent Bloating and Fatigue
PremiumA 28-year-old man with diagnosed coeliac disease presents with recurrent bloating and fatigue
DiagnosisGluten Cross-Contamination in Coeliac Disease
Not Practiced
Delayed Emergency Contraception Request
PremiumA 25-year-old woman presents six days after unprotected sexual intercourse during a solo trip to Italy, seeking emergency contraception and concerned about pregnancy risk.
DiagnosisPost-ovulation Contraception Counseling and STI Risk Assessment
Not Practiced
Fatigue
PremiumPriya Okonkwo, a 34-year-old civil engineer, presents via routine video appointment with ten weeks of persistent fatigue affecting her work and home life.
DiagnosisME/CFS (Myalgic Encephalomyelitis / Chronic Fatigue Syndrome)
Not Practiced
Bladder symptoms
PremiumA 58 years old patient keeps needing to go to the toilet all the time.
DiagnosisCauda Equina Syndrome
Not Practiced
Problems at Work
PremiumA 47-year-old data analyst with a history of ischaemic stroke and permanent right-sided hemiplegia presents seeking help with a workplace dispute, including a request for a GP report to support a potential discrimination claim.
DiagnosisWorkplace Disability Discrimination
Not Practiced
Ear Discharge
PremiumA 3-year-old boy presents with ear pain and discharge, mother concerned.
DiagnosisAcute Otitis Media with Perforation