Problem-orientated Clinical Microbiology and Infection

SECTION 1 - SKIN AND MUCOUS MEMBRANES; case 1 Howard, a 10-year old boy with scaly skin lesions; Case 2 Hannah, a 67-year-old widow with a leg ulcer; Case 3 Victoria, 4 years old, with painful mouth ulcers; Case 4 Albert, 4 years old, with painful mouth and sore throat; Case 5 Jamie, a 5-year-old with a troublesome graze; Case 6 Simon, 4 years old, develops a rash; Case 7 Hayley, 8 years old, develops a rash; Case 8 Steven, a 42-year old accountant, with a red, painful eye; Case 9 Extensive rash, headache, fever and myalgia in Avril, a 20-year-old woman; Case 10 Mr Emmerson, Ms Lake and Mr Palmer, all aged 30, with blisters; Case 11 Skin rash and arthralgia in Jane, a 25-year-old woman; Case 12 Father Pat, a 45-year-old priest with a skin rash; SECTION 2 - RESPIRATORY TRACT; Case 13 Darren, a hot and irritable 12-month-old infant; Case 14 Susan, a 21-year-old with a runny nose and imminent exams; Case 15 Peter, a 19-year-old student with a sore throat; Case 16 Respiratory distress and fever in Catriona, a 1-year-old infant; Case 17 Mrs Carter, 32 years old, with a cough and generalised muscle aches and pains; Case 18 Sarah, a 55-year-old woman with rigors, cough and chest pain; Case 19 Dermot, a 57-year-old smoker with increasing dyspnoea and confusion; Case 20 Dyspnoea, wheeze and a productive cough in Charlie, a 55-year-old smoker; Case 21 Shula, 5 months old, off colour and feeding poorly; Case 22 Productive cough in Benjamin, a 14-year-old with cystic fibrosis; SECTION 3 - GASTROINTESTINAL SYSTEM; Case 23 Bertrand, a 35-year-old Frenchman with nausea, abdominal pain and diarrhoea; Case 24 Damian, a 13 month-old baby with vomiting and diarrhoea; Case 25 Fraser, a 37-year-old business executive with abdominal pain, diarrhoea and flatulence; Case 26 Bob, a 55-year-old retired coal miner with abdominal pain; Case 27 Belinda, a 25-year-old non-Caucasian with malaise, myalgia and fever; Case 28 Anorexia, malaise and nausea in Eddie, 25 years old; Case 29 Tim, a 43-year-old business manager, is keen to donate blood; Case 30 Upper abdominal pain in Gareth, a 46-year-old sheep farmer; Case 31 Continuous non-bloody diarrhoea in Paul, a 35-year-old aid worker; Case 32 Winston, 68 years old, with nausea and vomiting; Case 33 Maria's diarrhoea after discharge to nursing home; SECTION 4 - GENITO-URINARY SYSTEM; Case 34 Gillian, a 23-year-old receptionist with frequency, dysuria and haematuria; Case 35 Joan's cloudy bag; Case 36 Elizabeth, 28 year-old prostitute, attends the clinic for a check-up; Case 37 Sharon, a 24-year-old personnel manager with a blistering genital rash; Case 38 Jane, 27, requests an AIDS test; Case 39 Suprapubic pain and haematuria in Gavin, a 35-year-old sales executive; Case 40 Mark, a 42-year-old solicitor, has a lump on his penis; SECTION 5 - CENTRAL NERVOUS SYSTEM; Case 41 Nigel, a 3-year-old boy with lethargy and a skin rash; Case 42 Mr Aldridge, a 45-year-old accountant with odd behaviour and a fever; Case 43 Jim, a 72-year-old man with progressive headache; Case 44 John, a 75-year-old man with muscle weakness; Case 45 Andrew, a 20-year-old student with fever, nausea and headache; Case 46 Mr Grundy, a 62-year-old histopathology biomedical scientist who has become forgetful and disorientated; SECTION 6 - SYSTEMIC INFECTIONS; Case 47 Mary, a 35-year-old engineer with nausea, weakness and rigors; Case 48 Bill, a 65-year-old man with vomiting, abdominal pain and fever; Case 49 Eric, a pyrexial 76-year-old war veteran with a heart murmur; Case 50 Margaret returns from Africa with a fever and headache; Case 51 Thomas, a 35 year-old teacher who is anti-HIV positive; Case 52 Karim, a 65-year-old cachectic man with fever; Case 53 Gordon, a 35-year-old Scottish vet with fever; Case 54 Complications of a road traffic accident in Brian, a retired 63-year-old barrister; Case 55 Fever, sweating and weight loss in George, recently returned from East Africa; Case 56 Dilip, a 45-year-old motor mechanic, with diabetes and renal failure; Case 57 Dr Wooley suffers a needlestick injury; SECTION 7 - PREGNANCY AND THE NEONATE; Case 58 Irritability problems, feeding difficulties and hypoxia in Sarah just after birth; Case 59 Deborah, 23 years old and 12 weeks pregnant, develops a rash; Case 60 Kate, a 23 year-old pregnant physiotherapist; Case 61 A sticky eye in Daniel, 5 days old; Case 62 Lily, 12 weeks pregnant, whose son has developed chickenpox; Case 63 Mrs Fisher, 25 years old, with a history of genital herpes; Case 64 An unexpected blood count from Mrs Archer, 16 weeks pregnant; SECTION 8 - MISCELLANEOUS; Case 65 David, a 22 year old student with a swollen testis; Case 66 Lenny, a 38 year old Jamaican with a palpable skin rash; Case 67 Richard, a young man with lethargy and breathlessness; Case 68 Michael, a law student recently returned from Africa with a fever; Case 69 Polyarthralgia in Susan, a 25-year-old; Case 70 Problems on Friday afternoon for a junior house officer