medi8
670 cases
Mild Cognitive Impairment due to possible early dementia
Chickenpox
Breach of patient confidentiality
Plantar Fasciitis
Urinary Tract Infection (UTI)
Atopic Dermatitis (Eczema)
Ménière's Disease
ECG Teaching
Missed Myocardial Infarction (MI)
Informed Consent
Pneumonia
Training in subcutaneous injection technique
Carpal Tunnel Syndrome
Cat bite wound with pain in the hand
Benign Paroxysmal Positional Vertigo (BPPV)
Ankle Pin Removal – Pre-operative Assessment
Meniere’s disease
Alcohol Use Disorder
Worried About Testicular Cancer
Suspected Silent MI vs MALA
Malaria
Generalized Anxiety Disorder (GAD)
Severe Depression
Possible melanoma
Essential Tremor
Bell's palsy
Medication Change Not Informed to Daughter
Overactive Bladder
Heavy Menstrual Bleeding (Menorrhagia)
Potential cervical cancer risk due to HPV.
Suspected ovarian cancer
Benign Tinnitus
Depression
Suspected Pulmonary Tuberculosis – A&E Presentation (Unstable)
Obsessive-Compulsive Disorder (OCD)
Urinary retention due to prostate cancer
Malignant Otitis Externa
Possible Chickenpox Exposure
Ankle Sprain
Potential Prostate Issues (BPH, Prostate Cancer, Prostatitis)
Microscopic Haematuria
Medication-induced tiredness due to Citalopram
Autism Spectrum Disorder (ASD)
Potential Infection Risk in Premature Infant Due to Care Incident
Tennis Elbow
Chronic Fatigue Syndrome (CFS)
Polymyalgia rheumatica (PMR)
Atrial Ectopics in a Young Person
Dementia with comorbid conditions including hypothyroidism
Anaphylactic Reaction
Tinea Pedis
Urinary Tract Infection (UTI)
Encephalitis vs Meningitis in A&E
Myocardial Infarction (MI)
Acute Otitis Media (AOM)
Pre-eclampsia
Post-operative bleeding after Aorta-femoral bypass graft
Worried about prostate cancer
Mammogram Request 50 year
Cerebral Palsy – Allegation of Discrimination After Missed X-ray
Colleague Smelling of Alcohol and Coming Late
Sexual Assault Trauma
Menstrual Migraine
Emergency Contraceptive Request
Giant Cell Arteritis (GCA) with Vision Loss
Bacterial Vaginosis
Intestinal Obstruction
Urge Incontinence secondary to Oxybutynin
Intracranial Hypertension (IIH)
Trigeminal Neuralgia
Cognitive Impairment
Nocturnal Enuresis in an 8-Year-Old
Gilbert's Syndrome
Non-accidental Injury (NAI) with spiral fracture of the left arm
Case 1: Mild Depression – Lesbian Couple After Miscarriage
Possible Psychotic Disorder
Antibiotic Request for Viral Infection
Urinary Tract Infection (UTI)
Benign Prostatic Hyperplasia (BPH)
Ocular Herpes (Herpes Simplex Keratitis)
Inflammatory Bowel Disease (IBD)
Pelvic Inflammatory Disease (PID)
Alcohol Misuse
Nosebleed secondary to Apixaban use
Fibromyalgia
Arcus Senilis
Contact Lens–Associated Keratitis
Measles
Acute Decompensated Heart Failure
Optic Neuritis
Mole – Worried About Cancer
Genital Herpes in Pregnancy
Agranulocytosis (Carbimazole-Induced Neutropenia)
Lesbian Fertility Counselling
Epilepsy Follow-Up Consultation
Oral Candidiasis
Age-Related Macular Degeneration (ARMD)
Hypothyroidism
Acoustic Neuroma in an Elderly Patient
Smoking Cessation Counselling – Cardiology Clinic
Flu Vaccine Counselling
Carbon Monoxide Poisoning
Genital Warts in a Minor
Requesting COCP Repeat
Autism Spectrum Disorder
Post-natal Depression (PND)
Transient Ischemic Attack (TIA)
Massive Unilateral Stroke
Acute Prostatitis
Intestinal obstruction
Premenstrual Syndrome (PMS)
Upper GI Bleed
Hypertension follow-up: Combination Therapy
Prostate Cancer Case 2: With Back pain
First Antenatal Care Visit
Hemangioma (birthmark)
Bladder Cancer Suspicion from Test Results
Retinal detachment
Intermittent Palpitations – Middle-Aged Adult
Subconjunctival Haemorrhage
Normal pregnancy with non-immune rubella
Epididymal Cyst
Scalded Burn on the abdomen with potential underlying abuse
Head Injury in a Child
Testing case
Post-Herpetic Neuralgia – Follow-Up
Schizophrenia
Family Planning Concerns in Same-Sex Couples
Acute Otitis Media (AOM)
Post-streptococcal glomerulonephritis
Developmental Delay
Chronic Tophaceous Gout
Suspected Ovarian Cancer
Suspected Cholesteatoma
Suspected Thalassaemia Trait
Peripheral Arterial Disease (PAD)
Insomnia - Bereavement + RA
Low-Lying Placenta – Test Result Discussion
Infective Endocarditis with Withdrawal Symptoms
Irritable Bowel Syndrome (IBS) – Follow-Up Consultation
Acute Bacterial Sinusitis
Allergic reaction to Amoxicillin
Polymyalgia Rheumatica – Follow-Up
Vitamin D Deficiency - Test Result
Breech Presentation at 36 Weeks
Trigeminal Neuralgia
Pancreatitis
Vitamin B12 Deficiency Anaemia (Dietary Cause)
Domestic Violence in Pregnancy
Dementia – Early Presentation
Substance Abuse
Foreign Body Ingestion
Paronychia
Harmless mole
Alcohol Liver Disease
Pregnancy Planning on Captopril
Traveller's Diarrhoea – Campylobacter Positive
Atrophic Vaginitis
Viral Illness with Dehydration Concern
Suspected Liver Cancer - Hepatomegaly with Weight Loss
Performance Anxiety
Irritable Bowel Syndrome (IBS)
Chickenpox (Varicella)
Subdural Hematoma - Confusion in Elderly Patient After Fall
Pulmonary Embolism
Breast Lump A
Acute Shortness of Breath (SOB) due to suspected Asthma exacerbation
Obstructive Sleep Apnoea (OSA) – Uncovered During Type 2 Diabetes
Chronic Anal Fissure in Pregnancy
Gonorrhoea
Hernia requiring elective surgery
Breast Milk Jaundice
Cholecystitis
Variation - Scabies in Child
Giant Cell Arteritis
Gonorrhoea - Telephone Consultation
Massive intracerebral bleeding due to ruptured berry's aneurysm
Post-surgical infection
Heroin dependence with withdrawal symptoms during methadone maintenance therapy
Impetigo
Anorexia Nervosa
Erectile Dysfunction in Patient with Heart Disease
Erectile Dysfunction in Elderly Man
Parkinson's Disease
Case 2: Paracetamol Overdose
Disc Prolapse
Giant Cell Arteritis (Temporal Arteritis)
Suspected Gastric Cancer (Recurrent Indigestion + Weight Loss)
Contraception Counselling
Breast Lump
Riluzole Counselling
Gastro-oesophageal reflux disease (GERD)
Epilepsy – Paediatric Discharge Scenario
Heart Failure with Hematuria
Suspected Testicular Cancer
Urinary Tract Infection (UTI) secondary to enlarged prostate
Suspected Multiple Myeloma
Tonsillitis
Mole – Requesting Removal
Emergency Contraception Request – Epilepsy Patient
Cocaine misuse
Heart Failure
Suspected Colon Cancer – Iron Deficiency
Musculoskeletal Chest Pain
Case 4: Moderate Depression - Woman with Weight Loss
Intestinal obstruction
Missed Glass Piece in Leg
Insomnia secondary to bereavement
Attention Deficit Hyperactivity Disorder (ADHD)
Raynaud's Phenomenon
Suspected Non-Accidental Injury – Spiral Fracture in a Child
Medical Student Taking Drugs
Otitis Media
Ischemic Stroke
Vestibular neuritis
Osteoporosis – DEXA Scan Follow-Up
Follow-Up: Autism Spectrum Disorder
Psychosis
PSA Test Result – Follow-Up 2
Retinal Detachment
Case 7: Moderate Depression – Relapse After Stopping Sertraline
Seborrhoeic Keratosis
Clinical Depression
Ankle sprain
Potential melanoma (skin cancer)
Polycystic Ovary Syndrome (PCOS)
Gender Dysphoria
Suicidal ideation with paracetamol overdose
Osteoporosis Medication Counselling
Prescribing Combined Oral Contraceptive Pill (COCP)
Mammogram Request 32 year
Premenstrual Syndrome (PMS)
Analgesic Nephropathy
Retinal detachment
Frozen Shoulder (Adhesive Capsulitis)
Low lying placenta
Breast engorgement or mastitis post-delivery
Pericarditis
Pain Management in Metastatic Breast Cancer
Shingles
Worried about Vascular Dementia
Endometriosis
MMR Vaccine Counselling
Huntington's Disease – Genetic Risk
Bell's Palsy
Possible Prostate Issue
Pre-eclampsia
ACE Inhibitor–Induced Nephropathy
Pyloric stenosis
Cold sore (Herpes Simplex Virus)
Oxybutynin Side Effects – Male Patient with Urinary Frequency
Eczema
Hyponatremia
Acute cholecystitis (inflamed gall bladder)
Hematuria with concern for malignancy
Inguinal Hernia
Red flags for neurology
Cataract
Cradle Cap
Late Postpartum Bleeding - Variation: Late Postpartum Presentation (e.g., 3 weeks post C-section)
Tinea Manuum
Epididymal Cyst
Post-operative Hemorrhage after Hysterectomy copy
Valve Replacement Counselling
Molluscum Contagiosum
Otitis Externa
Labyrinthitis
Adult Basic Life Support (BLS)
Primary Dysmenorrhoea
Drug Addiction
Schizophrenia
Meningitis
Acute cholecystitis
Facebook - Adding patients
Suicidal ideation with overdose and self-harm
Hypertension – Ambulatory BP Result Discussion
Unstable Angina
Subarachnoid hemorrhage (SAH)
Sepsis due to UTI
Allergic rhinitis
Retinal Detachment
Suspected Pulmonary Tuberculosis - GP
Breast Engorgement
Mesothelioma – A&E Setting (Suspected Pleural Cancer)
De Quervain's tenosynovitis
Insomnia linked to domestic violence
Otitis Media
Head Lice
Suspected Stroke – Telephone Consultation
Minor Requesting Oral Contraceptive – Teacher Relationship
Domestic Violence – Same-Sex Relationship
Post-surgical infection
Earwax Follow-Up with Ongoing Hearing Loss
Trichomoniasis – Asymptomatic Male
Urinary Tract Infection (UTI) in Pregnancy
Persistent Dysuria
Kawasaki Disease
Endometritis
Diabetic Retinopathy
Acute Heart Failure with Atrial Fibrillation
Breast Lump
Schizophrenia
Electrolyte imbalance secondary to Bulimia
Renal stones
Psoriasis
HIV Follow-Up Consultation
Cat Bite – from Turkey
Discharge Discussion with Relative
Mumps with Orchitis
Allergic Conjunctivitis
Missed Hairline Fracture
Secondary Syphilis – Test Result Discussion
PSA Test Result – Follow-Up 4
Scabies
Otitis Media
Venous Ulcer: Follow-Up Consultation
Delayed Walking
Pediatric Basic Life Support
Hyperthyroidism – Test Results
Conductive hearing loss secondary to impacted cerumen
Coeliac Disease – Endoscopy Explanation
Medical Student Repeatedly Arriving Late
Hernia Surgery – Pre-operative Assessment
Hangover headache
Opioid overdose secondary to morphine use in a patient with CKD stage 4
Acute cholecystitis
Stable Angina
Whiplash Injury – Real Patient Examination Station
Oral Candidiasis in Older Adult
ECG Interpretation and Management
Suspected heart condition causing syncope (Stock-Adams syndrome)
Patient–Counsellor Relationship
Hypertension follow-up: Amlodipine and Leg Swelling
Surgical Abortion Counselling
Adult Head Injury
Constipation Follow-Up
Unilateral Hearing Loss - SNHL
Alcohol Withdrawal Syndrome
Allergic Rhinitis
PSA Test Result – Follow-Up
Terminal cancer with metastasis
Pituitary Adenoma (Bitemporal Hemianopia)
Moderate Dementia
Speech Delay
Morton's Neuroma
Dementia-related weight loss
Elderly abuse with resulting fall and multiple bruises.
Gastroenteritis likely due to food poisoning
Urinary Tract Infection (UTI) in a Child
Urinary retention due to benign prostatic hyperplasia (BPH)
Acute Tonsillitis
Postpartum Hemorrhage (PPH)
Postural Hypotension – Elderly Fall – A&E
Suspected Melanoma
Breast cancer
Mesothelioma – GP Presentation
Secondary hypertension due to testosterone therapy
Rape Disclosure
Speculum Examination
Post-operative Hemorrhage after Hysterectomy
Case 2: 28-Year-Old Man Requesting Sleeping Pills
Raynaud’s phenomenon
Right Inguinal Hernia
Rectal bleeding in a 50-year-old male with significant hypotension.
Diabetic Retinopathy
Case 2: Mild Depression – Woman Missing Daughter
Testing case 2
Opioid Dependence
Parkinson's Disease Follow-up
HIV Test Result Discussion
Vulvovaginal Candidiasis
Genital warts (HPV infection)
Bronchiolitis
Unnecessary antibiotic treatment for pneumonia
Meningitis Prophylaxis
Abdominal Aortic Aneurysm (AAA) Screening Result – Counselling
Osteoarthritis
Lyme Disease (Erythema Migrans Rash)
Suspected Endometrial Cancer
Tinea Corporis (Ringworm)
Atypical Pneumonia – NEWS Score 8
Reactive Arthritis: Chlamydia in a Male Patient with Joint Symptoms
Psoriasis
Post-Traumatic Stress Disorder (PTSD)
Uterine Fibroids
Depression
Tension-Type Headache
Counselor-Patient Ethical Breach
Exacerbation of Asthma
Costochondritis / Musculoskeletal Injury
Polymyalgia Rheumatica – Side Effects
Possible lung cancer
Cauda Equina Syndrome
Case 5: Moderate Depression – Post-MI with Medication Non-Compliance
Scabies
Sudden Sensorineural Hearing Loss
First Fits/Seizure
Ectopic Pregnancy
Barrett's Oesophagus – Result Discussion
Polymyalgia Rheumatica
Self-Harm-Case 1: Wrist Cutting + OCP Overdose
Somatic Symptom Disorder
Intussusception
Urinary Tract Infection (UTI)
macular degeneration
Seizure attack (suspected Epilepsy)
Dermoid Cyst Removal – Pre-operative Assessment
Case Variation – Non-Healing Venous Ulcer (Follow-Up Presentation)
Conjunctivitis
Anorexia Nervosa
Primary Hyperparathyroidism
Heart Murmur in 6 Week Old Baby
Health Anxiety
Case 3: Paracetamol Overdose (20 Tablets, Recent Ingestion)
Intertrigo
Cervical Screening Result – Mild Dyskaryosis
Hypoglycaemia with Recurrent Seizures – Refusal to Stay
Pelvic Inflammatory Disease (PID), Menorrhagia
Post-MI Medication Explanation
Q-Risk Assessment (Q-Risk = 14%)
Postoperative Pain Management after Cesarean Section
Posting Inappropriate Comments About a Patient on Facebook
Scenario Variation: Q-Risk = 9%
Giant Cell Arteritis – When Vision Loss Is Present
Febrile Convulsion
Minor Requesting Contraception
Aortic Aneurysm
Medication Overuse Headache
Intracerebral Haemorrhage
Myocardial Infarction (MI)
Jehovah's Witness – Post-Surgical Anaemia
Impacted Ear Wax
Herpetic Whitlow
Refused Tonsillectomy Referral
Post-fall wrist fracture management and discharge planning
Case 6: Severe Depression – 20-Year-Old with Suicidal Ideation
Benign Paroxysmal Positional Vertigo (BPPV)
Alcoholic Liver Disease (ALD)
Subclinical Hypothyroidism – Test Results
Multiple Myeloma
Colleague Related Scenarios-key points
PSA Test Result – Follow-Up 3
Paracetamol Overdose
Mesothelioma – Referred from GP
Suspected Basal Cell Carcinoma (BCC)
Neuroblastoma in treatment with neutropenic sepsis
Domestic Violence during Pregnancy
Suicidal ideation and gestational pregnancy-related stress
Tinnitus
Gonorrhoea
Constipation secondary to codeine use
Metastatic cancer with previous colon cancer history
Constipation
Postnatal Depression (PND)
Ventricular Ectopics – Young Adult
Hair Loss in a Kidney Transplant Patient (on Tacrolimus)
Cholangitis
Suspected Bowel Cancer
Post-surgical wound infection
ACE Inhibitor–Induced Angioedema
Prostate cancer screening concerns
Impetigo
Right Inguinal Hernia
Shingles (Herpes Zoster)
Pelvic Inflammatory Disease (PID)
Missed Femoral Fracture in Elderly Patient
Subconjunctival Haemorrhage
No evidence of whiplash injury
Anorexia Nervosa
Suspected Squamous Cell Carcinoma (SCC)
Resistant UTI – Test Result Discussion
Normal adolescent feelings and self-discovery regarding sexuality
Urticaria
Cellulitis
Cherry Angiomas
Pneumonia with confusion and shortness of breath (SOB)
Erectile Dysfunction in a Gay Patient – Request for Viagra
Suspicious breast lump
Case 2: Alcohol Withdrawal – Self-Referred Patient
Pneumocystis pneumonia (PCP)
Case 8: Depression Follow-up – CBT Not Working
Insomnia secondary to bereavement
Neck lump– Suspected Cancer
Suspected Appendicitis
Rheumatoid arthritis
Suspected Upper GI Malignancy
Aortic Dissection
Night terrors
Concerns regarding flu vaccine for a child
Hepatitis B – Positive HBsAg Blood Result Discussion
Mastitis-2
Workplace Harassment – LGBT Discrimination
Nocturnal Enuresis (Bedwetting)
Elderly Patient with Confusion and Chest Infection
Hepatitis A – Test Result Discussion
Asthma Counselling – Telephone Call
Gout
Ophthalmia Neonatorum due to Chlamydia
Epididymal Cyst
Cholesteatoma
Syphilis - Male Patient with Penile Ulcer
Ductal Carcinoma In Situ (DCIS)
Panic Attack
Intussusception
Button Battery in Upper Oesophagus
Cyclical breast pain
MMR vaccine consultation
Obstructive Sleep Apnoea
Vasectomy Request
Tinea Capitis
Migraine
Contact Dermatitis
Colonoscopy – Test Result Discussion Following Sigmoidoscopy
Optic Neuritis
PSA First Presentation with LUTS
Tension headache
Bilateral Ischemic Stroke with Coma
HIV First Presentation
Suspected Colon Cancer – Bloating
Cauda Equina Syndrome
Herpes Labialis (Cold Sore)
Macrocytic Anaemia Scenario B: Female Version – Well Woman Clinic Follow-Up
Incomplete Abortion
Macrocytic Anaemia with Raised LFTs - Test Result Discussion
Requesting PSA Test
Work-Related Stress
Health Anxiety
Chickenpox in daughter, concerns about mother's exposure and implications
TIA Counselling – Driving Restriction in Taxi Driver
Confidentiality and Patient Autonomy in Adolescent Healthcare
Pap Smear for a Transgender Man
Back Sprain
Cognitive Impairment
Acute Angle Closure Glaucoma
Menorrhagia
Diabetic Retinopathy
Vaccination inquiry for 8-week-old infant
Chickenpox
Breech presentation in pregnancy
Erythema Nodosum
Suspected Hip Fracture
Retained Tampon
Acute cholecystitis (inflamed gall bladder)
Bronchiolitis
Pulmonary Embolism (PE)
Acute otitis media (AOM)
Rivaroxaban Follow-Up – Learning Disability
Pre-eclampsia
Pelvic Inflammatory Disease
Hypertensive Retinopathy
Developmental Delay in Walking
Perimenopause / Menopause
Request for Continuation of Contraceptive Pills
Recurrent nosebleeds while on apixaban
Epilepsy Annual Review – Seizure Relapse due to Missed Medication
Antenatal Checkup - Lifestyle Risks
Suspected Laryngeal Cancer
Seborrheic keratosis
Acute Limb Ischemia
Intertrigo
Acute on chronic pancreatitis
Steroid-Induced Acne
Antibiotic-Associated Diarrhoea After Dog Bite
Teenage Pregnancy with Vomiting
Breast lump with suspicion of malignancy
Opioid Use Disorder with Withdrawal Symptoms
Unilateral Nasal Polyp - Suspected Cancer
Acute cholecystitis
Hypertension Follow Up With Abnormal Blood Tests
Smoking Cessation Counselling – COPD Discharge
Malaria
Colonoscopy Refusal After Sigmoidoscopy
Basic Life Support (BLS) Training
Metatarsalgia
Toxoplasmosis
Pneumonia likely complicated by sepsis
Ear Wax Build-Up
Acute episode of psychosis likely indicating early schizophrenia.
Temper Tantrums
Intestinal obstruction
Postural hypotension
Insomnia due to lifestyle factors and cannabis use
Ankle Sprain
Post-MI Medication Adherence Counselling
Lumbar disc herniation or spinal stenosis
Tuberculosis (TB)
Acute respiratory failure
Pneumocystis Pneumonia (PCP)
Persistent Acne – Request for Isotretinoin
Candidiasis
Postural Hypotension and Fall in GP Setting
Guillain-Barré Syndrome
Diarrhoea in a One-Year-Old
Cyclical breast pain with fever and associated wedge-shaped mass, suspected breast infection or malignancy.
Cataracts
Vitamin B12 Deficiency Anaemia
Scleritis
Postmenopausal Bleeding
Postural Hypotension – Hypertension Annual Review
Barotrauma
Uterine Prolapse
Acne Vulgaris
Gonorrhoea Positive Test Result
Sinusitis
Insomnia
Acne
Sensorineural hearing loss due to possible Acoustic Neuroma
Hypoglycemia
Muscle sprain
Cervical Screening Concern in a Lesbian Patient
Gender Preference Counselling
Elderly Abuse
Punctuality Issue
Suspected Vulval Carcinoma
Bacterial Vaginosis
Urinary Tract Infection (UTI)
Bleeding/Pain After Intercourse (Atrophic Vaginitis)
Atrial Fibrillation (AF)
Open Angle Glaucoma
FY1 Doctor Smelling of Alcohol
Recurrent Tonsillitis
Eczema (Atopic Dermatitis)
Case 9: Postnatal Depression
Folliculitis
Hairline fracture of the wrist
Ineffective discharge process due to overwhelmed colleague
Foreign body ingestion (button in the esophagus)
Extradural haemorrhage (EDH) due to road traffic accident
Ectopic pregnancy
Migraine
Early Pregnancy with History of Recurrent Miscarriage
Sexually Transmitted Infection (STI)
Missed Pap Smear
Paediatric DKA – Parental Request for Discharge
Case 3: Mild Depression – Divorced Man
Diabetic Neuropathy Follow up
Somatoform Disorder
Pulmonary Embolism with Hypotension
Hypertension follow-up: Cough with Enalapril
Pneumonia with heart failure
syphilis
Mastitis
Stress Incontinence
Obstructive Sleep Apnea (OSA)
Acute Cholangitis
Bilateral Cataract
Constipation secondary to codeine use post-hip hemiarthroplasty
HIV Infection
Hangover Headache
Haemangioma
Bell's Palsy
Suspected ascending colon cancer
Lung Cancer
Post-surgical wound infection
Alcohol Use Disorder
Inadequate IV access due to missed cannulation
Meningitis Risk Assessment
Prostate Cancer
Neutropenic sepsis secondary to lung cancer and chemotherapy.
Idiopathic Intracranial Hypertension
Recurrent Urinary Tract Infection (UTI)
Febrile Seizure
Epididymo-orchitis
Head injury
Ear wax impaction
Chronic Heartburn (GERD)
Acute Otitis Media
Bulimia Nervosa
Performance Anxiety
Pulmonary Embolism
Pro Cases