Classic presentation

Question 1

What is this classic presentation of?
A 64-year-old woman presents to her general practitioner with dizziness. When she rolls over in bed in the morning, she experiences sudden onset dizziness associated with nausea, which spontaneously resolves after around 20 seconds if she keeps her head still. After these episodes, the patient feels light-headed and unbalanced for several hours. She has suffered recurrent otitis media in the past and her family history is significant for otosclerosis.

Answer 1

Benign paroxysmal positional vertigo

Question 2

What is this classic presentation of?
A young man presents with an acute, painful red eye associated with photophobia and blurred vision. On examination the pupil is small and irregular

Answer 2

Anterior uveitis

Question 2

What is this classic presentation of?
a 25-year-old woman presents with joint pains in her hands. On examination she has erythema and swelling around the 2nd and 3rd metacarpophalangeal joints

Answer 2

Rheumatoid arthritis

Question 3

What is this classic presentation of?
An elderly female smoker presents with reduced visual acuity, complaining of ‘blurred’ vision. On examination there is a central scotoma and fundoscopy reveals multiple drusen

Answer 3

Macular degeneration

Question 4

What is this classic presentation of?
a 35-year-old man who has a history of hypertension and subarachnoid haemorrhage presents with recurrent UTIs and episodic haematuria

Answer 4

Autosomal dominant polycystic kidney disease

Question 5

What is this classic presentation of?
Associated with hypothyroidism, painful goitre and raised ESR

Answer 5

Subacute thyroiditis (de Quervain’s)