Short description of the five cases and full description of two cases
| Case no | General | Diagnosis | Specific details | Full description |
|---|---|---|---|---|
| 1 | F, housewife, 36 years | Uncomplicated UTI confirmed by nitrite and sediment test | Epileptic patient who uses carbamazepine; she is not pregnant | |
| 2 | F, housewife, 36 years | Uncomplicated UTI confirmed by nitrite and sediment test | Patient was treated for similar infection 2 months before; she is not pregnant | The 36 year old woman visits your surgery. She is a housewife and has 3 children. She is not pregnant. During the past couple of years she sometimes visited you with one of her children. She herself has never had any complaints until two months ago. Two months ago she came to you with complaints of painful micturition. The urine test then confirmed that she had a urinary tract infection for which you have treated her. Today she tells you that since two days she again has this painful micturition. From the urine test you conclude that she again has a cystitis (nitrite/sediment positive). |
| 3 | F, shop assistant, 24 years | Non-specific stomach complaints | Patient is about to go on holiday, and asks for tablets her brother received for his ulcer | The 24 year old woman (working in a fashion store) visits your surgery. The last couple of weeks she often feels a nagging pain in the upper stomach. Sometimes on the left side, and sometimes on the right side. Occasionally she suffers from some heartburn and belching. Her stools are of normal colour, she does not have obstipation, nor diarrhoea. According to the patient there is no direct relation between certain food or beverages and the complaints. The complaints are also not related to bending forward or lying down. She seldom drinks alcohol and she does not smoke. There is no specific pressure or stress in her life. No abnormalities can be found upon physical examination. She tells that her brother has suggested that she might have a stomach ulcer. He had advised her to take milk against the pain, and this helps a little. Her brother (not a patient of yours) has an ulcer, according to the patient. Her brother gets tablets which help him very well. The patient asks whether you could give her those tablets. She wants to go on holiday next week. |
| 4 | M, accountant, 55 years | Non-specific stomach complaints, endoscopy shows minor gastritis | Used over-the-counter tablets (5 days) which did not help much, asks for something for stomach ache | |
| 5 | F, secretary of small firm, 43 years | Relapse episode reflux oesophagitis, endoscopy shows grade II oesophagitis | Previous episode reacted well to H2 antagonist, free of complaints for 4 months, patient stresses she has more complaints now; patient occasionally uses temazepam for sleeping problems |