A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.
A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.
At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.
A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.A 27-year-old woman who is 10 weeks pregnant has had 2 days of dysuria, frequency and suprapubic discomfort.Serum potassium is 7.1 mmol/L on a non-haemolysed sample. His ECG shows peaked T waves, flattened P waves and a QRS duration of 110 ms.She describes blurred vision with coloured haloes around lights. She wears glasses for long-sightedness. The left eye is red, the cornea looks hazy, and the pupil is mid-dilated and does not react to light.Ten days ago she started ibuprofen 400 mg three times a day for a sprained ankle. Today she has a coarse tremor and an unsteady gait, and she is drowsy but rousable.A 46-year-old woman of Black African family origin sees her GP after a raised reading at a pharmacy health check. Her clinic blood pressure is 162/102 mmHg, and ambulatory monitoring shows a daytime average of 156/98 mmHg. She does not have diabetes.Three hours ago his right hand went weak and his speech was slurred for about 20 minutes. Both have fully recovered.A 2-year-old boy is brought to an out-of-hours GP centre with a 2-day runny nose and, since this evening, a barking cough and hoarse voice. He has soft stridor only when he cries. He weighs 12 kg.Five minutes ago she was given intramuscular adrenaline 500 micrograms into the anterolateral thigh and high-flow oxygen. She is still wheezy and her BP is now 84/52 mmHg.At a GP review he says he is still driving to work and has not told the DVLA. You explain the risks to him and to others again, but he still refuses.A 41-year-old woman attends her booking appointment at 10 weeks in her first pregnancy.
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