This case study describes the diagnosis and management of 55-year old man with painful diabetic peripheral neuropathy. He is already receiving treatment for his diabetes but is experiencing burning pain in the soles of his feet, especially at night when lying in bed. He has paresthesia and numbness in toes and his sleep is interrupted because of his condition. He also presents with depression and has a number of diabetic complications and co-morbidities.
This case study presents a challenging everyday clinical situation for you to review with guidance from an expert in the field.
This case study describes the diagnosis and management of atrial fibrillation (AF) in a 70-year old obese male who was referred for cardiac assessment after developing shortness of breath, which had worsened progressively over the previous three months. The case study highlights the role of thromboembolic risk reduction which is the cornerstone of AF management and which can only be achieved with proper anticoagulation.
A new case study shows the significant reduction in atrial fibrillation-related stroke incidence achieved using the GRASP-AF audit tool. The case study, highlights improvements in key measures including a 4% reduction in the number of patients treated inappropriately, a 5% increase in the use of oral anticoagulation therapy and a 10% reduction in AF-related strokes.