Bachelor of clinical Medicine Graduates Association

05/22/2025

You cannot fight against facts

04/01/2025

https://www.the-star.co.ke/news/2025-04-01-clinical-medicine-graduates-call-for-key-reform-in-health-sector

“The adoption of clear titles, such as 'Clinical Doctor' for BCMCH graduates and 'Medical Doctor' for MBChB graduates, aligns with international models."

04/01/2025

https://www.the-star.co.ke/news/2025-03-14-why-bachelor-of-clinical-medicine-graduates-want-the-title-doctor

They said this will ensure healthcare professionals—like BCM graduates—are recognized and empowered to play their vital roles.

09/12/2024

09/11/2024

05/27/2024

History

A 25-year-old woman presents to her general practitioner (GP) complaining of pain in her
right loin radiating in to the right iliac fossa. The pain developed 24 h earlier and has
become progressively more severe. She has not had her bowels open for 3 days.
She feels alternately hot and cold and is sweaty. She has no pain on passing urine and no
urinary frequency. Her last menstrual period was 3 weeks ago. She has had the occasional
episode of acute cystitis, approximately on a 2-yearly basis. She has no other significant
past medical history.

Examination

She looks unwell and is febrile at 38.5°C. Her pulse rate is 112/min, and blood pressure
104/66 mmHg. Examination of the cardiovascular and respiratory systems is otherwise
unremarkable. She is tender to palpation in the right loin and right iliac fossa. There is
guarding, and rebound in the right iliac fossa. Bowels sounds are sparse.
109
Normal

Questions

What is your diagnosis?

How would you manage this patient?

05/26/2024

45 years old male with chronic heel pain.

What is your diagnosis and management?

05/26/2024

History

A 16-year-old African-Caribbean boy presents to the emergency department complaining
of severe chest pain and shortness of breath. He has had a sore throat for a few days and
started developing pain in his back and arms which has increased in severity. Six hours
prior to admission he suddenly developed right-sided chest pain which is worse on inspiration and associated with marked breathlessness. He has had previous episodes of pains
affecting his fingers and back, for which he has taken codeine and ibuprofen. He was born
in London and lives with his parents and younger sister. He is attending school and has
had no problems there. There is no family history of note.

Examination

He is unwell, febrile 37.8°C and cyanosed. His conjunctivae are pale. Pulse rate is 112/min,
regular and blood pressure 136/85 mmHg. His jugular venous pressure is not raised and
heart sounds are normal. His respiratory rate is 28/min and there is a right pleural rub
audible. Abdominal and neurological examination is normal. There are no rashes on the
skin and no joint abnormalities.

Questions

1. What is the diagnosis?

2. Investigate and manage the patient?

05/26/2024

History

A 36-year-old woman presents to her general practitioner (GP) complaining of spontaneous bruising mainly on her legs. The bruising has been noticeable over the last 4–6
weeks. She cannot remember any episodes of trauma. In addition her last two menstrual
periods have been abnormally heavy, and she has suffered a major nosebleed. She otherwise feels well, and is working full time as a secretary. There is no significant past medical history. She is married with one daughter aged 11 years. There is no family history of
a bleeding disorder. She is a non-smoker and drinks a small amount of alcohol socially.

Examination

On examination there are multiple areas of purpura on her legs and to a lesser extent on
her abdomen and arms. The purpuric lesions vary in colour from black–purple to yellow.
There are no signs of anaemia, but there are two bullae in the mouth and there is spontaneous bleeding from the gums. There are no retinal haemorrhages on funduscopy. Blood
pressure is 118/72 mmHg. Examination of the cardiovascular, respiratory and abdominal
systems is unremarkable.

What is the likely diagnosis?

Further manage and investigate this patient?