JULY 2026 Recalls Compilation
65F in aged care facility w/ high fever + productive cough x 2 days post-meal. Pt has MND, OSHI, non-anaphylactic PNC allergy. CXR shows RML coarse crackles, SpO2 94% RA. COVID neg.
a/ Cefuroxime 500mg PO BID
b/ Amox-clav 875/125mg PO BID
37M referred after ETOH impairment operating heavy machinery. Denies illicit drugs, non-smoker, avg 20 EtOH units/wk. Patient observed leaving practice driving after advised not to.
a/ Notify licensing authority re: driving
b/ Counsel patient re: reporting
36M presents w/ unusual beh, paranoia, agitation after heavy cannabis use. Pt remains disturbed but accepts oral meds. No sig PMH, no regular meds, occasional ETOH. Employed graphic designer.
a/ Lorazepam 1-2mg PO
b/ Olanzapine 10-20mg PO
22F presented by housemate, marked beh change after music fest, took alc + ?cannabis. Now v erratic, threats of self harm/harm to others, believes govt signals via power lines, delusions. no auditory hallucinations. Urgent transfer to tertiary hospital. Dx?
a/ Substance-induced psychotic disorder
b/ Brief reactive psychosis
24M w/ R elbow pain, burning, warmth, R FA/elbow tender, mild edema, erythema, restricted ROM. Hx elbow fx 12 wks ago post-MC accident, s/p ORIF. High dose opioids + NSAIDs for pain.
a/ Complex regional pain syndrome
b/ Neuropathic pain syndrome
30F w/ hx recurrent HA x mos, now diffuse, band-like pressure. Initially R retro-orbital, then throbbing diffuse. Sumatriptan less effective. Now using daily tramadol. Neuro exam unremarkable. Cause?
a/ Tension-type headache
b/ Medication overuse headache
53F c/o 3mo L shoulder pain, dull ache, dec ROM, worse at night, no relief w/ NSAIDs. No trauma hx. PMH T2DM on metformin. Dx?
a/ Adhesive capsulitis
b/ Rotator cuff tendonitis
33F w/ 1 yr heavy, painful menses, previously regular. No sig PMH, G0P0, TTC. Exam nl. What’s the cause?
a/ Idiopathic Endometrial Irregularity
b/ Endometrial Hypertrophy
76M w/ progressive fatigue, noct. LBP, DOE x mos. Hx diverticulosis. No weight loss. Investigations showed.
a/ Multiple myeloma
b/ Metastatic spinal disease
12M w/ acute R hip/knee pain after basketball, started few hrs ago, ongoing despite acetaminophen. Obvious antalgic gait. Pt is obese w/ significant distance to tertiary care. Diagnosis?
a/ Unstable SUFE
b/ Transient synovitis
c/ SUFE
38M presents w/ peculiar behaviour, paranoia abt poisoning/plotting after cannabis @ festival. Agitated, threats of self/other harm. Hx anxiety, stopped escitalopram 6 mos ago. Restless exam. Diagnosis?
a/ Cannabis-induced psychotic disorder
b/ Brief psychotic disorder
c/ Schizophrenia
17mo F w/ fever of 38.3C & coryza. Developed 2-min limb jerking, then baseline. Admitted 12h obs, d/c’d w/o tx. Fam hx CP s/p birth asphyxia. What’s prob dx?
a/ Febrile seizure w/ URTI
b/ Focal seizure w/ gen
17M w/ hx of simple febrile seizure (FS) during viral illness. Dev NL, no meds, no fam hx of epilepsy but fam hx of CP. Mother concerned re: future vax. What guidance re: inoculations?
a/ No special precautions; admin in primary care.
b/ Avoid live-attenuated vax due to seizure risk.
c/ Delay all vax for 6 mos.
25F w/ 9mo fxl impairment, low mood, fatigue, amotivation, hypersomnia, hopelessness, conc/ memory issues. Failed SSRIs, SNRIs, agomelatine, unable to tolerate others. Passive SI only. Needs psych referral.
a/ Hypnotherapy
b/ Liothyronine
c/ rTMS
14yo F w/ 4mo hx progressive L knee/lower limb dsy ache. Incr’d pain last 6wks, nocturnal, disrupts sleep. Neg relief w/ analgesics, off sports. Palpable firm tender swelling ant prox tibia. Rad ordered.
a/ Osteoid osteoma
b/ Osteosarcoma
10mo F presents w/ intermittent R eye turning inwards, esp. when tired. Corneal light reflex non-symmetric. Cover test shows R eye adducting when L occluded. No other neuro sx.
a/ Routine review at 12mo
b/ Refer to ophthalmologist
35F, 8wks preg w/ hx of autoimmune hypoT. Denies sx. Prenatal vitamins w/ folate & iodine. No palpable goitre/ophthalmopathy.
a/ Overt primary hypothyroidism
b/ Subclinical hypothyroidism
43F w/ mo hair thinning, esp front + wide part. No PMHx/meds. Scalp exam shows reduced terminal hairs ant scalp, hairline intact. Diagnosis?
a/ Frontal fibrosing alopecia
b/ Female pattern hair loss
35F w/ bipolar d/o on lithium, sertraline, olanzapine. Routine review labs show TSH 6.3 (high), fT4 11.6 (nl). Rest of labs nl. No sx reported. What’s the cause?
a/ Subclinical hypothyroidism 2/ to lithium
b/ Primary hypothyroidism
55M presents w/ acute painful R great toe, swollen, red, tender for 3d, affecting sleep. PMH T2DM, HLD, CHF. Smoker, occasional etoh.
a/ Acute gout
b/ Septic arthritis
c/ Cellulitis
19yo F presenting for phentermine Rx, training extensively for rowing. Admits prolonged fasting (>20 hrs) & excessive rowing as punishment post-eating. Noted low BP orthostatic hypotension, BMI 15.8, brittle nails, thinned hair, dry skin and bilateral pitting edema. Random glucose 2.6.
a/ Anorexia nervosa
b/ Bulimia nervosa
16yo F w/ 2mo fatigue, abd discomfort, bloating, loose stools, postprandial bloating. Exam shows pallor, angular cheilitis. Labs notable for Hb 99, MCV 71, serum iron 6.1, ferritin 9, Vit B12 158. TFTs normal. Abd soft, distended. dx?
a/ Coeliac disease
b/ Pernicious anaemia
72F w/ hx T2DM, dyslipidemia. Acute decline in cog fx, new dysarthria, somnolence. Pt took meds but no breakfast. Exam showed warm/diaphoretic skin, BG 2.1 mmol/L. CT/MRI showed generalized cerebral atrophy, no acute findings. Cause?
a/ Hypoglycaemia secondary to gliclazide
b/ CVA
78M w/ progressive falls x 6mos, noted unsteady gait & ‘slapping’ feet. Hx DM2 (25yr), HTN, CKD3, HLD, BPH. Meds: metformin, gliclazide, simvastatin, ramipril, tamsulosin, sertraline. Dx?
a/ Diabetic peripheral neuropathy.
b/ Vit B12 deficiency neuropathy.
64M, Aboriginal, w/ swelling, painless, warm R foot x 3 mos, no trauma hx. Has T2DM x 2 decades, irregular metformin. R foot warm, bounding pulses, monofilament deficit. diagnosis?
a/ DVT
b/ Cellulitis
c/ Charcot neuropathy
41F w/ 8mo fatigue, impaired conc. Sx persisted despite time off.
a/ Levothyroxine 50mcg daily.
b/ Levothyroxine 150mcg daily.
43F w/ 8mo hx fatigue, impaired concentration despite time off work. No significant PMH, no meds. Initial labs WNL. Presumed dx.
a/ ESR
b/ TPO Ab
c/ TSH receptor Ab
63M w/ CHF, htn, hyperchol. Labs from 1 yr ago were routine med monitoring. Notable: 2 alc drinks qhs, 3x/wk. Pt taking Irbesartan, Amlodipine. All biochem/heme/gluc/lipids normal. Normal PE. What’s the dx?
a/ Paget’s disease of bone
b/ Alcohol-related liver disease
76F presented feeling hot w/ incr cognitive issues after an all-day excursion & minimal fluid intake. Hx of CHF on ramipril, furosemide, atorvastatin, atenolol. On exam, confused, core temp 40.1C, HR 112, RR 26, CRT 3 sec.
a/ Dehydration
b/ Heat stroke
c/ Sepsis
13moF presented w/ facial eruption, golden crusting around nose/lip. Mupirocin 2% x5d no help. Immunizations up-to-date. Underlying etiology?
a/ Dicloxacillin PO qid x7d
b/ Cephalexin PO bid x5d